近日，北京大学心理与认知科学学院周广玉研究员课题组在SCI期刊International Journal of Clinical and Health Psychology（中科院一区）上发表了题为Unveiling the cognitive burden: The impact of stigma on distorted thinking among individuals living with hepatitis B的研究论文。该研究通过分析中国最大乙型肝炎（HBV）在线社区发帖，揭示了HBV污名化与患者认知歪曲之间的显著关联。

图1.研究流程

研究在前期课题组针对乙肝污名化异质性和中介机制的研究基础上，使用在线论坛的文本分析发现，在涉及就业歧视、社交排斥等污名化场景的讨论中，患者表现出更高的认知歪曲水平（发生率为非污名帖的1.8倍），尤其是“标签化”“否定积极”和“心理过滤”等歪曲类型尤为突出，反映出患者内化社会偏见、放大负面体验的思维模式。研究结合大语言模型（GLM-4）与计算语言学方法，不仅揭示了污名如何通过歪曲的认知模式影响个体的心理健康，也为认知行为疗法在缓解乙型肝炎污名所带来的心理负担方面提供了针对性靶点。

图2.污名化与非污名化文本中认知歪曲的出现比率。

课题组博士生王曦为论文第一作者，周广玉研究员为通讯作者。该研究由国家社会科学基金项目《抗逆力视角下传染病患者的心理健康及干预研究》（批准号21BSH158）资助完成。在“歧视、污名影响心理健康”主题方面，该课题组已经发表的相关论文如下：

1）Wang, X., Zhou, Y., & Zhou, G.* (2025). Unveiling the Cognitive Burden: The Role of Stigma in Shaping Distorted Thinking Among Individuals Living with Hbv. International Journal of Clinical and Health Psychology, 25(1),100556. doi: https://doi.org/10.1016/j.ijchp.2025.100556.

2）Wang, X., Li, X., & Zhou, G. *(2025). The power of loving yourself: The role of self-compassion in the relationship between self-stigma and psychological distress in people with hepatitis B. Stigma and Health. Advance online publication. https://doi.org/10.1037/sah0000534

3）Liu, X., Lao, C. K., Shi, W., & Zhou, G. *(2024). Stigma and emotional distress in Chinese mental health professionals: Moderating role of cognitive fusion. Stigma and Health, 9(2), 201-211.

4）Mi, T.*, Li, X., Zhou, G.*, Qiao, S., Shen, Z., Zhou, Y. (2023) The association between HIV disclosure to family members and quality of life among people living with HIV/AIDS: A potential mediating role of social support. Current Psychology, 42, 5755-5764.

5）Wang, Y., Lao, C.K., Wang, Q., Zhou, G.* (2021) The impact of sexual minority stigma on depression: The roles of resilience and family support. Sexuality Research and Social Policy, 19, 442-452.

6）Zhou, G.*#, Li, X., Qiao, S., Shen, Z., & Zhou, Y. #(2020) HIV symptom management self-efficacy mediates the relationship of internalized stigma and quality of life among people living with HIV in China. Journal of Health Psychology, 25 (3), 311-321.

7）Mi, T., Li, X., Zhou, G.*, Qiao, S., Shen, Z., Zhou, Y. (2020) HIV disclosure to family members and medication adherence: Role of social support and self-efficacy. AIDS and Behavior, 24 (1), 45-54.

2025-03-06