The mediating role of internalized stigma between insight and self-esteem among patients with schizophrenia
10.3760/cma.j.issn.1674-6554.2019.09.011
- VernacularTitle: 精神分裂症患者内化耻感在自知力和自尊间的中介作用
- Author:
Jianjian WANG
1
,
2
;
Liping ZHAO
3
;
Lijuan SHENG
4
;
Mining LIANG
1
;
Dezhen PENG
4
Author Information
1. Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha 410011, China
2. Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha 410011, China
3. Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha 410011, China
4. Department of Neurology, the Second Xiangya Hospital, Central South University, Changsha 410011, China
- Publication Type:Clinical Trail
- Keywords:
Schizophrenia;
Internalized stigma;
Insight;
Self-esteem
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(9):817-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between internalized stigma and insight, self-esteem in patients with schizophrenia.
Methods:A total of 144 schizophrenic patients were investigated by the general information questionnaire, insight and treatment attitude questionnaire (ITAQ), internalized stigma of mental illness scale-Chinese version (ISMI-C) and the self-esteem scale (SES). Pearson correlative analysis and Bootstrap program mediation effect test were used to data analysis.
Results:There was a significantly positively correlation between insight score(11.24±4.08) and internalized stigma score(2.18±0.65) of 144 schizophrenic patients(r=0.236, P<0.05). The Self-esteem score(27.57±3.76) was negatively correlated with insight score(r=-0.177, P<0.05) and internalized stigma score(r=-0.661, P<0.05). The mediation effect test analysis showed that the internalized stigma played a full mediating role in the relationship between insight and self-esteem, and the effect size was -0.143.
Conclusion:Insight can indirectly affect self-esteem via internalized stigma in patients with schizophrenia.Taking measures to decrease inpatients' internalized stigma level and improve their illness awareness should be paid attention in clinical practice.
