Dyadic effects of stigma on quality of life in people with schizophrenia and their family caregivers: Mediating role of patients' perception of caregivers' expressed emotion

被引：1

作者：

Peng, Yanan ^{[1
]}

Xu, Ronghua ^{[1
]}

Li, Yan ^{[1
]}

Li, Ling ^{[1
]}

Song, Lanjun ^{[1
,2
]}

Xi, Juzhe ^{[1
,3
,4
]}

机构：

[1] East China Normal Univ, Sch Psychol & Cognit Sci, Shanghai Key Lab Mental Hlth & Psychol Crisis Inte, Affiliated Mental Hlth Ctr ECNU,Posit Educ China A, Shanghai, Peoples R China

[2] Shanghai Changning Mental Hlth Ctr, Shanghai, Peoples R China

[3] East China Normal Univ, China Res Inst Care & Educ Infants & Young Childre, Shanghai, Peoples R China

[4] East China Normal Univ, 3663 N Zhongshan Rd, Shanghai 200062, Peoples R China

来源：

FAMILY PROCESS | 2024年 / 63卷 / 03期

关键词：

actor-partner interdependence model; expressed emotion; mental health stigma; quality of life; schizophrenia; MENTAL-ILLNESS; SELF-STIGMA; RECENT-ONSET; RELATIVES; DISCRIMINATION; ATTRIBUTIONS; DEPRESSION; BURDEN; EXPERIENCES; PREVALENCE;

D O I：

10.1111/famp.12973

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Schizophrenia, as a stressful diagnosis, profoundly impacts the whole family, especially people with schizophrenia and their caregivers. This study tested the potential mediating role of expressed emotion in the association between mental health stigma and quality of life in caregiver-patient dyads. Using a 2-wave longitudinal design with a 6-month interval between assessments, 161 dyads of patients with schizophrenia and their family caregivers (one patient and one caregiver) completed measures of mental health stigma, expressed emotion, and quality of life. The results showed that patients' self-stigma had no significant actor or partner effect on expressed emotion or quality of life. In contrast, caregivers' stigmatizing attitudes toward patients had a significant partner effect on patients' perception of caregivers' expressed emotion and quality of life. The mediating effect of patients' perception of caregivers' expressed emotion in the association between caregivers' stigmatizing ideas toward patients and patients' quality of life was significant. By focusing on the interdependence of patients and their caregivers, this study highlights the role of caregivers' stigmatizing attitudes toward patients and patients' perception of caregivers' expressed emotion on patients' quality of life. Psychoeducation and interventions should not only aim to reduce the self-stigma of people with schizophrenia but also their caregivers' stigmatizing ideas toward patients. Family interventions targeted at reducing the EE level of caregivers and patients' perception of caregivers' EE would also benefit the adaptation and quality of life of people with schizophrenia and their caregivers.

引用

页码：1655 / 1676

页数：22

共 103 条

[1] Assessing the needs of siblings of persons with schizophrenia: A qualitative study from India [J].

Amaresha, Anekal C. ;

Joseph, Boban ;

Agarwal, Sri Mahavir ;

Narayanaswamy, Janardhanan C. ;

Venkatasubramanian, Ganesan ;

Muralidhar, Daliboina ;

Subbakrishna, Doddaballapura K. .

ASIAN JOURNAL OF PSYCHIATRY, 2015, 17 :16-23

[2]

American Psychiatric Association, 2013, Diagnostic and Statistical Manual of Mental Disorders, V5th, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]

[3] Stigma toward psychosis and its formulation process: prejudice and discrimination against early stages of schizophrenia [J].