Personal resources and depression in schizophrenia: The role of self-esteem, resilience and internalized stigma

被引：47

作者：

Rossi, Alessandro ^{[1
]}

Galderisi, Silvana ^{[2
]}

Rocca, Paola ^{[3
]}

Bertolino, Alessandro ^{[4
]}

Rucci, Paola ^{[5
]}

Gibertoni, Dino ^{[5
]}

Stratta, Paolo ^{[1
]}

Bucci, Paola ^{[2
]}

Mucci, Armida ^{[2
]}

Aguglia, Eugenio ^{[6
]}

Amodeo, Giovanni ^{[7
,8
]}

Amore, Mario ^{[9
]}

Bellomo, Antonello ^{[10
]}

Brugnoli, Roberto ^{[11
]}

Caforio, Grazia ^{[4
]}

Carpiniello, Bernardo ^{[12
]}

Dell'Osso, Liliana ^{[13
]}

di Fabio, Fabio ^{[14
]}

di Giannantonio, Massimo ^{[15
]}

Marchesi, Carlo ^{[16
]}

Monteleone, Palmiero ^{[17
]}

Montemagni, Cristiana ^{[3
]}

Oldani, Lucio ^{[18
]}

Roncone, Rita ^{[19
]}

Sacchetti, Emilio ^{[20
,24
]}

Santonastaso, Paolo ^{[21
]}

Siracusano, Alberto ^{[22
]}

Zeppegno, Patrizia ^{[23
]}

Maj, Mario ^{[2
]}

机构：

[1] Univ Aquila, Sect Psychiat, Dept Biotechnol & Appl Clin Sci, Laquila, Italy

[2] Univ Naples SUN, Dept Psychiat, Naples, Italy

[3] Univ Turin, Sect Psychiat, Dept Neurosci, Turin, Italy

[4] Univ Bari, Dept Neurol & Psychiat Sci, Bari, Italy

[5] Univ Bologna, Dept Biomed & Neuromotor Sci, Bologna, Italy

[6] Univ Catania, Psychiat Unit, Dept Clin & Mol Biomed, Catania, Italy

[7] Univ Siena, Dept Mol Med, Siena, Italy

[8] Univ Siena, Clin Dept Mental Hlth, Siena, Italy

[9] Univ Genoa, Sect Psychiat, Dept Neurosci Rehabil Ophthalmol Genet & Maternal, Genoa, Italy

[10] Univ Foggia, Psychiat Unit, Dept Med Sci, Foggia, Italy

[11] Sapienza Univ Rome, S Andrea Hosp, Dept Neurosci Mental Hlth & Sensory Organs, Rome, Italy

[12] Univ Cagliari, Sect Psychiat, Dept Publ Hlth Clin & Mol Med, Cagliari, Italy

[13] Univ Pisa, Sect Psychiat, Dept Clin & Expt Med, Pisa, Italy

[14] Sapienza Univ Rome, Dept Neurol & Psychiat, Rome, Italy

[15] Univ G dAnnunzio, Chair Psychiat, Dept Neurosci & Imaging, Chieti, Italy

[16] Univ Parma, Psychiat Unit, Dept Neurosci, Parma, Italy

[17] Univ Salerno, Chair Psychiat, Dept Med & Surg, Salerno, Italy

[18] Univ Milan, Dept Psychiat, Milan, Italy

[19] Univ Aquila, Unit Psychiat, Dept Life Hlth & Environm Sci, Laquila, Italy

[20] Univ Brescia, Sch Med, Psychiat Unit, Brescia, Italy

[21] Univ Padua, Dept Neurosci, Psychiat Clin, Padua, Italy

[22] Tor Vergata Univ Rome, Chair Psychiat, Dept Syst Med, Rome, Italy

[23] Univ Piemonte Orientale, Psychiat Unit, Dept Translat Med, Novara, Italy

[24] Spedali Civili Hosp, Dept Mental Hlth, Brescia, Italy

来源：

PSYCHIATRY RESEARCH | 2017年 / 256卷

关键词：

QUALITY-OF-LIFE; NEGATIVE SYMPTOMS; MENTAL-ILLNESS; PSYCHOMETRIC PROPERTIES; SPECTRUM DISORDERS; RATING-SCALE; PEOPLE; DEFICITS; HOPELESSNESS; ASSOCIATIONS;

D O I：

10.1016/j.psychres.2017.06.079

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Depression in schizophrenia represents a challenge from a diagnostic, psychopathological and therapeutic perspective. The objective of this study is to test the hypothesis that resilience and self-stigma affect depression severity and to evaluate the strength of their relations in 921 patients with schizophrenia. A structural equation model was tested where depression is hypothesized as affected by resilience, internalized stigma, gender and negative symptoms, with the latter two variables used as exogenous covariates and the former two as mediators. The analysis reveals that low resilience, high negative symptoms, female gender were directly associated with depression severity, and internalized stigma acted only as a mediator between avolition and resilience, with similar magnitude. The cross-sectional study design and the variable selection limit the generalizability of the study results. The model supports a complex interaction between personal resources and negative symptoms in predicting depression in schizophrenia. The clinical implication of these findings is that personal resources could be a significant target of psychosocial treatments.

引用

页码：359 / 364

页数：6

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