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

Abstract

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.

Quality of life and its social determinants for patients with schizophrenia and family caregivers in Cambodia

“…The scores for resilience and autonomy, and the total score were negatively correlated with the severity of negative symptoms. These results were in accordance with previous studies [57][58][59][60][61][62]. Although it had a two-factor structure, unlike the original version [52], we suggest that the index (total score) is valid for use with Cambodian patients with schizophrenia to evaluate their overall degree of QoL.…”

Stigma and Life Satisfaction among Out-of-School Korean Youths: The Mediating Roles of Self-Esteem and Depression

“…The results were similar to findings of negative effects of stigma on life satisfaction among American adolescents who were obese, HIV positive, mentally ill, or sexual minorities [30], American racial minority youth [32], and Turkish adolescents, which also found self-esteem positively and depression negatively influenced life satisfaction [34]. Previous studies also reported that the effect of stigma diminished when the influence of self-esteem on life satisfaction was considered [42,43]. Our findings support a study on Korean college students [44] and the influence of stigma on depression in the current study also supports results on vulnerable Singaporean youth [13].…”

Psikiyatri Kliniğinde Yatan Hastaların Bakım Gereksinimleri ve Özsaygı Düzeylerinin İncelenmesi

“…Bu kişilerde duyguların dengesiz olması ile umutsuzluk, değersizlik hissi yaşanır ve bu da yaşam doyumunun azalmasına yol açabilir [30]. Yapılan çalışmalarda psikiyatri hastalarında yaşam kalitesinin özsaygı düzeyleriyle ilişkili olduğu saptanmıştır [31][32][33]. Bu açıdan değerlendirildiğinde, psikiyatri hastalarının özsaygı düzeyini etkileyen yaşam ve ölüme ilişkin olumsuz inançları, düşünceleri ve bunlara zemin hazırlayan faktörler önemlidir.…”

“…Çalışmadaki katılımcıların ifade ettiği rollerini yerine getirememe ve sosyal yaşamdaki dışlanma bireylerde içselleştirilmiş damgalanmaya neden olabilir ki, yapılan çalışmalar içselleştirilmiş damgalanma ile düşük özsaygı arasındaki ilişkiyi ortaya koymaktadır [22,[33][34][35]…”