期刊
SCHIZOPHRENIA BULLETIN
卷 33, 期 1, 页码 192-199出版社
OXFORD UNIV PRESS
DOI: 10.1093/schbul/sbl016
关键词
schizophrenia; stigma; quality of life; insight; hope; social function; narrative
类别
资金
- NATIONAL INSTITUTE OF MENTAL HEALTH [K23MH066973] Funding Source: NIH RePORTER
- NIMH NIH HHS [K23 MH066973, K23 MH066973-04] Funding Source: Medline
Research has paradoxically linked awareness of illness to both better function outcomes and lesser hope and self-esteem. One possible explanation for these findings is that acceptance of having schizophrenia may impact outcomes differently depending on the meanings the person attaches to this acceptance, particularly whether he or she accepts stigmatizing beliefs about mental illness. To explore this possibility we performed a cluster analysis of 75 persons with schizophrenia spectrum disorders based on single measures of insight using the Positive and Negative Syndrome Scale, internalized stigma using the Internalized Stigma of Mental Illness Scale, and compared groups on concurrent assessments of hope and self-esteem. Three groups were produced by the cluster analyses: low in sight/mild stigma (n = 23), high insight/minimal stigma (n = 25), and high insight/moderate stigma (n = 27). As predicted, analysis of variance-comparing groups revealed that the high insight/moderate stigma group had significantly the lowest levels of hope on the Beck Hopelessness Scale and self-esteem using the Multidimensional Self-esteem Inventory. As predicted, the high insight/minimal stigma group also had significantly less impaired social function than the other groups. Implications for assisting persons to come to cope with awareness of illness and stigma are discussed.
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