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

Hsiao, Chiu‐Yueh; Lu, Huei‐Lan; Tsai, Yun‐Fang

doi:10.1111/inm.12302

Cited by 37 publications

(32 citation statements)

References 40 publications

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“…The internalized stigma in those diagnosed with schizophrenia and that of their families may mutually augment "individual shame" and "family shame," which is referred to as "courtesy or affiliate stigma" (Shi et al, 2019). It has been proven that a family's sense of coherence partially mediates the relationship between internalized stigma and health-related quality of life in people diagnosed with schizophrenia (Hsiao, Lu, & Tsai, 2018). Thus, family psychoeducation is needed to improve the perceptions, knowledge and illness management skills this population and their family members when family members are expected to provide adequate support for a relative living in the community in a collectivist culture such as Indonesia.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with internalized stigma for Indonesian individuals diagnosed with schizophrenia in a community setting

Pribadi

Lin

Chen

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Internalized stigma in people diagnosed with mental illness has several negative outcomes; however, it remains unclear in an Indonesian context. The human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of the existing stigma against mental illness and deficiencies in the country's mental healthcare services. What the paper adds to existing knowledge? To the best of our knowledge, this is the first study to examine the level of internalized stigma and related factors among Indonesians diagnosed with schizophrenia. Almost one‐third of the subjects had moderate‐to‐severe levels of internalized stigma, among which discrimination was the strongest type. Specifically, younger and unemployed people with more psychotic symptoms had higher levels of internalized stigma. What are the implications for practice? The provision of adequate pharmacological and psychosocial treatments to help people manage their psychotic symptoms is extremely important to ameliorate stigma. Vocational rehabilitation and employment support for unemployed people may potentially reduce their internalized stigma and promote recovery. Abstract IntroductionThe human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of societal stigma associated with mental illness and deficiencies in the country's mental healthcare services. Knowledge about internalized stigma among people diagnosed with schizophrenia in lower middle‐income Muslim countries is also scarce. AimTo identify the level of internalized stigma and related factors among people diagnosed with schizophrenia in Indonesia. MethodA cross‐sectional survey was conducted with a purposive sample of 300 people diagnosed with schizophrenia from an urban Indonesian psychiatric hospital. ResultsAlmost one‐third of the subjects had moderate‐to‐severe levels of internalized stigma, among which discrimination was the strongest type. Younger age, unemployment status and having psychotic symptoms significantly increased the risk of internalized stigma when analysed in a multivariable ordinal logistic regression. DiscussionThe present study firstly identified the high levels of internalized stigma among Indonesian individuals diagnosed with schizophrenia. Implications for practiceMental health nurses are suggested to provide early anti‐stigma illness management and family psychoeducation interventions to people diagnosed with schizophrenia and their family caregivers, helping them to develop an optimistic understanding about the concept of schizophrenia and mitigating the negative consequences of public and internalized stigma.

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Section: Discussionmentioning

confidence: 99%

Factors associated with internalized stigma for Indonesian individuals diagnosed with schizophrenia in a community setting

Pribadi

Lin

Chen

et al. 2020

Psychiatric Ment Health Nurs

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“…In people with schizophrenia, resilience is an important factor contributing to successful reintegration into society after recovery [7,11]. Resilience in people with psychiatric disorders refers to their ability to discover and to apply their strengths and potential in their struggle against the challenges of psychiatric symptoms and perceptions of stigma [12].…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effects of Self-Esteem and Resilience on the Relationship Between Internalized Stigma and Quality of Life in People with Schizophrenia

Kim

Jang

2019

Asian Nursing Research

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This study examined the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia. Methods: The participants were 123 people with schizophrenia (mean age ¼ 41.87 years; 62.6% men) recruited from Soonchunhyang university hospital, a mental health center, and daytime rehabilitation facilities located in Seoul and Gyeonggi Province in South Korea. Using a cross-sectional survey, participants completed structured questionnaires with psychometric adequacy. The regression method of Baron and Kenny was used to test the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life. Results: Self-esteem and resilience were found to be full and partial mediators, respectively, in the relationship between internalized stigma and quality of life. Conclusion: The findings of this study imply that effective future intervention strategies should target improvements in self-esteem and resilience to reduce the negative impact of internalized stigma on the quality of life of people with schizophrenia.

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“…There has been a shift in mental health services from an emphasis on treatment focused on reducing symptoms, based on a narrow conceptualization of health and disease, to a more holistic approach which considers quality of life (QOL), well-being, and overall functioning ( 1 ). QOL is an increasingly critical outcome of mental health care ( 2 ). Lower QOL has been associated with mental disorders, such as schizophrenia ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

Prediction of Quality of Life in Asian Patients with Schizophrenia: A Cross-sectional Pilot Study

Choo

Chew

et al. 2017

Front. Psychiatry

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BackgroundThere has been a shift in mental health services from an emphasis on treatment focused on reducing symptoms to a more holistic approach involving quality of life (QOL) and overall well-being. Many psychosocial variables are associated with QOL but a parsimonious framework is needed to deepen our understanding about the contribution of psychosocial factors in influencing the QOL of Asian patients with schizophrenia in Singapore. The study aimed to address the current gap in literature by analysis of QOL using available predictors in Asian patients with schizophrenia in Singapore.Methods43 Singaporean patients diagnosed with schizophrenia were recruited at a large teaching hospital in Singapore from January to May 2010 and were invited to complete questionnaires. Of the sample, 65.1% were females, ages ranged from 18 to 65 (M = 44.60, SD = 12.19). Available variables were subjected to regression analysis.FindingsThe data were analyzed using SPSS Version 23 with the alpha level set at 0.05. The final model with five predictors was significant in predicting QOL. Positive Re-appraisal, Social Support, Avoidant Coping, Duration of Hospitalization, and Education accounted for 47.2% of the variance (Adjusted R2 = 40.0%) in QOL, F (5, 37) = 6.60, p < 0.001. Those with post-secondary or higher education had higher QOL than those with secondary or lower education. Duration of hospitalization negatively predicted QOL.ConclusionThe findings were discussed in regards to clinical implications for informing interventions to enhance QOL in patients with schizophrenia.

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

Cited by 37 publications

References 40 publications

Factors associated with internalized stigma for Indonesian individuals diagnosed with schizophrenia in a community setting

Factors associated with internalized stigma for Indonesian individuals diagnosed with schizophrenia in a community setting

The Mediating Effects of Self-Esteem and Resilience on the Relationship Between Internalized Stigma and Quality of Life in People with Schizophrenia

Prediction of Quality of Life in Asian Patients with Schizophrenia: A Cross-sectional Pilot Study

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