Effects of a Group Psychoeducation Program on Self-Stigma, Empowerment and Perceived Discrimination of Persons With Schizophrenia

Ivezić, Slađana Štrkalj; Sesar, Marijan Alfonso; Mužinić, Lana

doi:10.24869/psyd.2017.66

Cited by 38 publications

(28 citation statements)

References 25 publications

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“…In another recent study, Štrkalj-Ivezic and colleagues found that with intervention, all schizophrenia participants showed a positive trend for empowerment and were assisted in recovery [10]. These two research studies provide strong additional evidence that empowerment is an aid to recovery in schizophrenia.…”

Section: Introductionmentioning

confidence: 73%

Construct validity of the Empowerment Scale in patients with schizophrenia

Li¹,

Chiu²

2017

Neuropsychiatry

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The Empowerment Scale contains eight domains that are divided into three subscales. The sum score of the three individual subscales represents three different aspects of empowerment (i.e., second-order models), such as personal, interpersonal, and social political aspects. The total score of the eight domains reflect the overall empowerment status (i.e., third-order factor). However, factor structures of the Empowerment Scale have not been evaluated in patients with schizophrenia in Taiwan. Therefore, the main purpose of this study was to examine construct validity (i.e., one 8-factor model [first-order], three second-order models, and one third-order model) of the Empowerment Scale using confirmatory factor analysis (CFA). We also examined floor/ceiling effects and internal consistency in patients with schizophrenia. We obtained 339 self-administered data of the Empowerment Scale in patients with schizophrenia. The CFA results of the 8-factor model showed that item 27 (Social reality cannot be changed by people) with low factor loading (0.06). We deleted this item and reconstructed first-order CFA. The Empowerment Scale with 33 items (ES-33) showed a good model fit (χ 2 /df=1.11, CFI=1.00, TLI=1.00, and RMSEA=0.018) and all 33 items had sufficient factor loadings (0.63-0.85). The three second-order models and one third-order model also represented good model fits (χ 2 /df=1.09-1.77, CFI=0.99-1.00, TLI=0.99-1.00, and RMSEA=0.017-0.048). The ES-33 had no floor or ceiling effects (0.3%-3.5% and 1.5%-18.0%, respectively) and also demonstrated acceptable internal consistency (α=0.72-0.90). In summary, the ES-33 had satisfactory psychometric properties. Future users may use the ES-33 to capture the multiple dimensions of empowerment and overall empowerment status in patients with schizophrenia.

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Section: Introductionmentioning

confidence: 73%

Construct validity of the Empowerment Scale in patients with schizophrenia

Li¹,

Chiu²

2017

Neuropsychiatry

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“…The results further suggest whether it is suitable to regulate and associate the components of the stigma of mental illness with a particular measurement of insight 20 . To expand the utilization of efficient psychosocial interventions such as psychoeducation and cognitive behavioral therapy, it is necessary to distinguish the primary progression of a reduced level of insight into illness, among which motivational characteristics such as the stigma of mental illness should be addressed 44 . So, we propose a link between psychosocial interventions which improve insight into illness and a reduced feeling of internalized stigma among PDwS, which should be considered in clinical settings.…”

Section: Discussionmentioning

confidence: 98%

Knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among people diagnosed with schizophrenia in a long‐term care facility

Alhadidi

Abdullah

Tang

et al. 2020

Perspect Psychiatr Care

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Purpose: This study assessed the level of knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among patients with schizophrenia in Jordan. Design and Methods: A cross-sectional survey was conducted on 135 patients diagnosed with schizophrenia, who had been admitted to the largest psychiatric hospital in Jordan. Findings: The participants had a low level of knowledge, insight, and a high level of internalized stigma. No correlation was found between these variables. Meanwhile, the educational level and vacation were found to be predictors of knowledge. Practice Implications: This can help psychiatric nurses to identify which area needs to be improved to ensure the best service and care is provided to patients diagnosed with schizophrenia.

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“…Patients from the experimental group showed improvement on the self-stigma scale. However, patients’ scores for the recovery and perceived discrimination scales did not change [ 33 ].…”

Section: Anti-self-stigma Interventionsmentioning

confidence: 99%

“I am what I am”: a review of the assumptions of anti-self-stigma intervention

Stefaniak¹

2021

ppn

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Purpose: The aim of this study is to discuss the validity of introducing an intervention based on anti-self-stigma in a group of patients with psychotic disorders. The article describes the assumptions of the proposed intervention and the approximate model of therapeutic work. In this article, the most important concepts in the area of stigmatization and self-stigma are presented and discussed. Views: Self-stigma is part of a wider social phenomenon known as stigma. The process of stigmatization was first described in the 1960s and consists of ascribing undesirable features to certain social groups, which leads to many negative consequences such as social exclusion and discrimination. While every aspect of the human experience can be stigmatized, recent psychological research has focused mainly on the stigma and self-stigma associated with a diagnosis of mental illness. Self-stigma results in negative self-esteem and a vicious circle of the "why try" effect. Low self-esteem strengthens self-stigma. We predicted that therapy aimed at improving self-esteem may have a positive effect on reducing of self-stigma. Recent studies have shown that therapies targeting low self-esteem are more effective than those targeting self-stigmatizing beliefs. Conclusions: Self-stigma is an important problem among patients hospitalized due to psychotic disorders. No training aimed at working with this aspect of experience has been introduced in Poland to date. Our observations show that the proposed training can support the healing process of patients and positively affect the ways in which the patient deals with self-stigma. The proposed intervention requires the evaluation of the effectiveness in a clinical trial involving patients diagnosed with psychotic disorders.

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Effects of a Group Psychoeducation Program on Self-Stigma, Empowerment and Perceived Discrimination of Persons With Schizophrenia

Cited by 38 publications

References 25 publications

Construct validity of the Empowerment Scale in patients with schizophrenia

Construct validity of the Empowerment Scale in patients with schizophrenia

Knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among people diagnosed with schizophrenia in a long‐term care facility

“I am what I am”: a review of the assumptions of anti-self-stigma intervention

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