Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope

被引：136

作者：

Mashiach-Eizenberg, Michal ^{[1
]}

Hasson-Ohayon, Ilanit ^{[2
]}

Yanos, Philip T. ^{[3
]}

Lysaker, Paul H. ^{[4
,5
]}

Roe, David ^{[6
]}

机构：

[1] Max Stern Acad Coll Emek Yezreel, Dept Hlth Syst Management, Yezreel Valley, Israel

[2] Bar Ilan Univ, Dept Psychol, Ramat Gan, Israel

[3] CUNY John Jay Coll Criminal Justice, Dept Psychol, New York, NY 10019 USA

[4] Roudebush VA Med Ctr, Indianapolis, IN USA

[5] Indiana Univ Sch Med, Dept Psychiat, Indianapolis, IN 46202 USA

[6] Univ Haifa, Fac Social Welf & Hlth Sci, Dept Community Mental Hlth, IL-31999 Haifa, Israel

来源：

PSYCHIATRY RESEARCH | 2013年 / 208卷 / 01期

关键词：

Internalized stigma; Hope; Self-esteem; Quality of life; Serious mental illness; SCHIZOPHRENIA SPECTRUM DISORDERS; NARRATIVE-ENHANCEMENT; COGNITIVE-THERAPY; PEOPLE; DISCRIMINATION; RECOVERY; EFFICACY; PARADOX; INSIGHT; IMPACT;

D O I：

10.1016/j.psychres.2013.03.013

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and structural equation modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

引用

页码：15 / 20

页数：6

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