Internalized stigma and its impact on schizophrenia quality of life

Morgades-Bamba, Clara; Fuster‐RuizdeApodaca, María José; Molero, Fernando

doi:10.1080/13548506.2019.1612076

Cited by 35 publications

(21 citation statements)

References 42 publications

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“…These three variables are interrelated and influence each other. As noted in the previous study (12,27), when patients experience a strong sense of stigma, there will be more concealment of their own conditions, isolation from the outside world and other behaviors. Stigma represents a significant obstacle to the long-term treatment of the disease and drug compliance (28).…”

Section: Discussionmentioning

confidence: 66%

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Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia

et al. 2021

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Mindfulness-based cognitive therapy (MBCT) has been increasingly recognized as effective in different mental illnesses, but these effects are limited in schizophrenia. For patients with schizophrenia, stigma is one of the most negative factors that affects treatment, rehabilitation and social function. This research aimed to determine the effects of MBCT on stigma in patients with schizophrenia. In total, 62 inpatients with schizophrenia were recruited and randomly assigned to the experimental group or control group. The experimental group received an 8-week MBCT intervention, and the control group were treated as usual. Link's Stigma Scales (with three subscales, including perceived devaluation-discrimination (PDD), stigma-coping orientation, and stigma-related feeling), Five Facet Mindfulness Questionnaire (FFMQ), and Insight and Treatment Attitudes Questionnaire (ITAQ) were used to collect data before and after intervention. After intervention, the post-test score of PDD, stigma-coping orientation, FFMQ, and ITAQ were significantly different between the experimental group and the control group. In the experimental group, the PDD and stigma-coping orientation scores significantly decreased, and FFMQ and ITAQ scores increased remarkably (P < 0.05). In addition, correlation analysis revealed a significant negative correlation between mindfulness and stigma. MBCT was effective in reducing stigma in patients with schizophrenia, which mainly manifested as changes in the patients' perception of stigma as well as the withdrawal and avoidance caused by schizophrenia. Enhancing mindfulness will help reduce the stigma level. MBCT is worthy of promotion and application in patients with schizophrenia.

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Section: Discussionmentioning

confidence: 66%

“…Stigma is one of the most negative factors that affect the treatment, rehabilitation and social function of patients with schizophrenia (12). Under the influence of the stigma, patients will refuse to accept assistance and systematic specialist treatment.…”

Section: Introductionmentioning

confidence: 99%

Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia

et al. 2021

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“…People with schizophrenia and other mental diseases are often prejudiced by the public, and they may therefore internalize negative attitudes toward their own group, often leading to self-stigma (4). Self-stigma is usually associated with poor quality of life (QoL) and can cause great suffering to patients with schizophrenia (5). Evidence has shown that the degree of self-stigma affects the rehabilitation outcomes of schizophrenia patients (6,7).…”

Section: Introductionmentioning

confidence: 99%

Influence of Family Dynamics on Stigma Experienced by Patients With Schizophrenia: Mediating Effect of Quality of Life

Chen

Qin

2021

Front. Psychiatry

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Background: Stigma is a barrier to schizophrenia recovery; thus, screening the factors that affect stigma experienced by patients with schizophrenia and exploring the interactions between each factor are critical for improved treatment. The purpose of this study was to demonstrate the relationship between quality of life (QoL), family dynamics, and stigma in patients with schizophrenia.Methods: A total of 447 participants with schizophrenia were recruited in the study, namely, 281 community patients and 166 inpatients. Three scales, Schizophrenia Quality of Life Scale (SQLS), Self-rating Scale of Systemic Family (SSFD), and Stigma Scale for Mental Illness (SSMI), were, respectively, used to evaluate three variables: QoL, family dynamics, and stigma. The correlations between each factor in these three scales were evaluated by Spearman's rank correlation analysis. A mediation model was constructed to investigate whether QoL mediated the relationship between stigma and family dynamics.Results: Correlation analysis revealed that most variables in these three scales correlated significantly with each other. Mediational regression analyses indicated that the degree of stigma was affected by family dynamics; that is, good family dynamics predicted less stigma. Surprisingly, we found that a worse QoL was associated with less stigma, and this led to good family dynamics being related to a worse QoL. These findings further suggested that QoL had a mediating effect on the relationship between family dynamics and stigma.Conclusions: This study suggested that more attention should be focused on the multifactorial influence of stigma on patients with schizophrenia. Integrated and personalized interventions regarding QoL and family dynamics can be tailored for patients with schizophrenia to reduce self-stigma.

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“…6 Self-stigma is associated with several detrimental consequences (eg, diminished selfesteem, lower quality of life (QOL) and self-efficacy, and more depressive symptoms). [6][7][8][9][10][11][12] Moreover, self-stigma can also be a barrier to recovery and treatment adherence. [13][14][15][16][17] However, not all patients diagnosed with schizophrenia internalize stigma.…”

Section: Introductionmentioning

confidence: 99%

<p>Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders</p>

Komatsu¹,

Ono²,

Maita³

et al. 2020

NDT

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Purpose Self-stigma negatively influences self-esteem, quality of life, self-efficacy, treatment adherence, and recovery in psychiatric patients. By revealing personality traits that influence self-stigma, we can gain useful knowledge for the management of self-stigma. A previous meta-analysis indicated that patients with schizophrenia have higher scores on the Autism-Spectrum Quotient (AQ) than healthy controls. However, the relationship between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders remains unclear. Therefore, the present study aimed to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Patients and Methods We recruited 127 patients with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, and delusional disorder). We assessed participants’ self-stigma and autistic symptoms using the Internalized Stigma for Mental Illness (ISMI) scale and the Autism-Spectrum Quotient (AQ), respectively. The differences in the scores of ISMI and AQ according to patient characteristics were investigated. Multiple regression analysis controlling for age and gender was performed to determine the relationship between the total scores on the AQ and IMSI scale. Results Female patients showed a higher level of self-stigma than males. Unmarried patients showed a significantly higher score on the AQ than married patients. Multiple regression analysis adjusted for age and gender indicated that the total score on AQ might be a predictor of the overall rating on ISMI in patients with schizophrenia spectrum disorders. Conclusion This study is the first to reveal the association between autistic symptoms and self-stigma in patients with schizophrenia spectrum disorders. Our results highlight the importance of considering autistic symptoms in the assessment and management of self-stigma in patients with schizophrenia spectrum disorders.

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Internalized stigma and its impact on schizophrenia quality of life

Cited by 35 publications

References 42 publications

Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia

Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia

Influence of Family Dynamics on Stigma Experienced by Patients With Schizophrenia: Mediating Effect of Quality of Life

<p>Association Between Autistic Symptoms and Self-Stigma in Patients with Schizophrenia Spectrum Disorders</p>

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