Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope

Abstract

Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and Structural Equation Modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem.

The Mediation Role of Self-Esteem for Self-Stigma on Quality of Life for People With Schizophrenia: A Retrospectively Longitudinal Study

“…Our results agree with previous findings that selfstigma reduces the self-esteem of an individual with mental illness (Corrigan & Watson, 2002;Corrigan et al, 2006;Lysaker et al, 2012). Also, our findings were aligned with studies that found negative impacts of self-stigma on an individual's SQoL (Chan & Mak, 2014;Mashiach-Eizenberg et al, 2013;Lin et al, 2016). In addition, our results agree with the mediation model proposed by MashiachEizenberg et al (2013) that self-esteem is a mediating factor between an individual's self-stigma and his or her SQoL.…”

“…For example, one study found that relationships between self-stigma and SQoL were different between groups that engaged and groups that did not engage in community service programs (Huang & Lin, 2015). However, we cannot tackle the treatment issue due to the nature of the cross-sectional design in the previous study (Mashiach-Eizenberg et al, 2013). Specifically, the treatment is dynamic, and its effects cannot be measured in a short period of time.…”

Calidad de vida, alojamiento con apoyo y trastorno mental severo: el valor de la perspectiva socioeducativa en su recuperación

“…Por un lado, la teoría del intercambio social (Connell et al, 2012), la cual indica que toda interacción puede generar respuestas positivas o negativas, pudiendo provocar síntomas de estrés, ansiedad y ser perjudiciales, por lo que se va generando una respuesta de evitación, reduciendo su calidad de vida (Hansson, 2006). Por otro, el efecto del estigma social y el autoestigma o internalización del estigma (Connell et al, 2012;Corrigan et al, 2009;Mashiach-Eizenberg et al, 2013), consistente en que las personas con TMS son conscientes del estigma público hacia la enfermedad mental y adoptan esas actitudes estigmatizantes. Como consecuencia, los usuarios llegan a asimilar lo que Corrigan et al, (2009) denominaron el modelo de "¿por qué intentarlo?"…”

Language and hope in schizophrenia-spectrum disorders

“…Hope has been identified as an integral factor in recovery for people with schizophrenia (Deegan, 1996;Noordsy et al, 2002;Resnick et al, 2005) and has been described as the most basic step to recovery, in that one must believe recovery is possible and begin to look to the future with optimism (Jacobson and Greenley, 2001). Greater hope has also been associated with reduced symptoms, improved social functioning, a greater sense of personal recovery, greater activation in psychiatric treatment, and better quality of life in people diagnosed with schizophrenia (Kukla et al, 2013a;Kukla et al, 2013b;Lysaker et al, 2004;Lysaker et al, 2008;Mashiach-Eizenberg et al, 2013;Oles et al, 2015).…”