Relationships Between Perceived Stigma, Coping Orientations, Self-esteem, and Quality of Life in Patients With Schizophrenia

Abstract

Stigmatization of mental disorders has detrimental consequences for psychiatric patients. This study examined how perceived stigma and coping orientations of secrecy, withdrawal, and education were related to schizophrenic patients' self-esteem and quality of life (QOL). Coping orientations as mediators of perceived stigma on the outcome variables were also investigated. A total of 80 schizophrenic patients in Singapore participated in the study. Results show that perceived stigma predicted self-esteem over and above gender and depression, perceived stigma and education predicted QOL over and above depression, and education partially mediated the effect of perceived stigma on QOL. Findings indicate that stigma perceptions and education coping are important focus areas in clinical interventions.

Factors associated with HIV testing and receiving results during antenatal care in Tanzania

“…Studies on stigma and health have reported that with high level of education attainment there is correspondingly low level of stigma (Ow and Lee 2012). Also this study revealed a significant association between education attained and HIV testing and collection of test results.…”

“…Widespread stigma and discrimination has contributed significantly to thwart the national efforts to roll out PMTCT services to the most needy (Shetty, Marangwanda et al 2008;Tudor Car, Van Velthoven et al 2012). Factors observed to mitigate stigma and discrimination included education as persons with better education are less likely to be negatively affected by stigma and discrimination (Ow and Lee 2012) (Veloso, Bastos et al 2010). Overcoming stigma and discrimination is thus an important component of the ongoing strategies to increase PMTCT coverage in order to achieve national coverage goals.…”

Effect of family sense of coherence on internalized stigma and health‐related quality of life among individuals with schizophrenia

“…This result corresponded to other similar studies and showed that stigma‐related stressors were associated with diminished SOC (Lundberg et al . ) and impaired HRQoL (Ow & Lee ; Tang & Wu ; Wang et al . ) among people with severe mental illness.…”

“…Internalized stigma has been linked to a reduced likelihood of resilient factors including self‐esteem (Mashiach‐Eizenberg et al . ; Ow & Lee ), hope (Livingston & Boyd ), empowerment (Sibitz et al . ), and perceived family support (Korkmaz & Küçük ).…”

“…), and perceived family support (Korkmaz & Küçük ). Specifically, internalized stigma as a potential barrier to recovery has been detrimental to HRQoL of individuals with schizophrenia (Ow & Lee ; Tang & Wu ; Wang et al . ).…”