The Mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia.
Open accessAbstract
PURPOSE: 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 = 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.
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Relevant contributing psychological processes in development of negative symptoms seem to be demoralization due to low expectancies for pleasure or success, internalized stigma, lack of participation and activities, and maladaptive coping responses such as social anhedonia and substance abuse.
“Relevant contributing psychological processes in the development of negative symptoms thereby seem to be a demoralization due to patients’ low expectancies for pleasure or success (64, 86), internalized stigma (87), a lack of participation and activities (88), and maladaptive coping responses such as social anhedonia and substance abuse to deal with aversive internal and external experiences (89).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [87]
The citation (87) is attached to internalized stigma, not to the other processes listed in the sentence. The Discussion (page unavailable) says negative stereotype endorsement, a component of internalized stigma, is highly associated with negative symptoms and may increase social withdrawal. It does not establish that internalized stigma contributes to the development of negative symptoms. (LLM, conf=0.82)
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Cites
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Flagged first, then by citations
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Cited by
Sorted by citations
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“internalized stigma (87), a lack of participation and activities (88), and maladaptive coping responses such as social anhedonia and substance abuse to deal with aversive internal and external experiences (89).”
Background
- Authors
- Kim, E. Y., & Jang, M. H.
- Affiliations
- Kyung Hee University (KR)
- Corresponding author
- Jang, Mi Heui
- Venue
- Asian Nursing Research
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 13
- Issue
- 4
- Pages
- 257-263
- ISSN
- 1976-1317 (ISSN-L)
- OpenAlex
- W2978256670
- Cited by
- 48
- References
- 30
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 8 · 2020: 6 · 2019: 1
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Asian Nursing Research (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kyung Hee University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- schizophrenia, self-stigma, self-esteem, resilience, quality of life, mediating effect, stigma
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Quality of Life, Schizophrenic Psychology, Self Concept, Resilience, Psychological, Young Adult, Republic of Korea, Social Stigma
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