Effect of blended mindfulness intervention on stigma and self-esteem in stable schizophrenia patients
10.11886/scjsws20230409001
- VernacularTitle:混合式正念干预对稳定期精神分裂症患者病耻感及自尊水平的影响
- Author:
Dandan LIU
1
;
Jiali DAI
1
;
Haina WANG
1
;
Meiling WEN
1
;
Yang ZHANG
1
;
Hongsheng BI
1
Author Information
1. The Third Hospital of Daqing， Daqing 163712， China
- Publication Type:Journal Article
- Keywords:
Schizophrenia;
Stigma;
Mindfulness;
Self-esteem
- From:
Sichuan Mental Health
2024;37(5):414-419
- CountryChina
- Language:Chinese
-
Abstract:
BackgroundSchizophrenia patients often face high level of stigma and low level of self-esteem， significantly hindering their recovery. Mindfulness-based intervention has proven be effective in reducing stigma and improving self-esteem. However， traditional mindfulness intervention typically involve high costs and require long-term professional involvement. ObjectiveTo explore the effects of blended mindfulness interventions on stigma and self-esteem in patients with stable schizophrenia， so as to provide references for reducing stigma， enhancing self-esteem and promoting recovery. MethodsPatients receiving outpatient treatment at the Third Hospital of Daqing from June 2022 to January 2023， who met the diagnostic criteria for schizophrenia in the International Classification of Diseases， tenth edition （ICD-10） and were in a stable phase， were recruited for the study （n=84）. According to the random number table method， participants were randomly assigned to study group and control group， with 42 cases in each group. Both groups received treatment with the second-generation antipsychotic medications， while the study group additionally received blended mindfulness intervention for 8 weeks， with sessions lasting 45~60 minutes， three times a week. Both groups were evaluated with Five Facet Mindfulness Questionnaire （FFMQ）， Internalized Stigma of Mental Illness Inventory （ISMI） and Rosenberg Self-Esteem Scale （RSES） at baseline and after 8-week intervention. Covariance analysis was used to compare the FFMQ， ISMI and SES scores between two groups after 8-week intervention. ResultsAfter 8-week intervention， there were statistically significant differences between two groups in total FFMQ scores， as well as in the observation， acting with awareness， non-judgment and non-reactivity subscale scores （F=50.680， 12.952， 13.567， 22.799， 14.043， P<0.01）. Statistically significant differences were observed in total ISMI scores， and in the alienation， stereotype endorsement， discrimination experience， stigma resistance and social withdrawal subscale scores （F=513.125， 148.990， 125.055， 75.996， 154.850， 54.125， P<0.01）. The difference in RSES scores between two groups was also statistically significant （F=19.478， P<0.01）. ConclusionBlended mindfulness intervention may help improve the mindfulness and self-esteem in stable schizophrenia patients while reducing stigma. ［Funded by Research Project of Heilongjiang Provincial Health Commission （number， 20220303090993）］
