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

被引：127
|
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
收藏
页码：15 / 20
页数：6
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