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Psychiatric Quarterly
Published in: Psychiatric Quarterly 4/2012

01-12-2012 | Original Paper

Quality of Life and Self-Stigma in Individuals with Schizophrenia

Authors: I-Chen Tang, Hui-Ching Wu

Published in: Psychiatric Quarterly | Issue 4/2012

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Abstract

Recent mental illness stigma research has almost exclusively studied community and family responses to the stigmas of mental illness. Too little has been done to understand the current subjective experience of psychiatric patients. Our study explores the influence of self-stigma on the quality of life of mentally disabled people. Participating in the survey were 100 people diagnosed with schizophrenia. Using Ritsher’s Internalized Stigma of Mental Illness Scale, which incorporates alienation, stereotype endorsement, discrimination experience, social withdrawal, and social resistance subscales, along with the standard SF-12, helped us evaluate the subjective experience of mental illness stigma. According to our survey data, self-stigma correlates negatively with all of the quality of life measures except the Internalized Stigma of Mental Illness subscale’s ‘stigma resistance’, which did not correlate significantly. Improved stigma resistance requires an understanding of one’s sociocultural background and a strong social network to provide the sense of comfort and security that enables a fulfilling life.
Literature
1.
Golightley M: Social Work and Mental Health. Exeter, Learning Matters, 2004
2.
Corcoran J, Walsh J: Clinical Assessment and Diagnosis in Social Work Practice. Oxford, Oxford University Press, 2006
3.
Bentley KJ, Walsh J, Boyd AS, Taylor MF: Schizophrenia. In: Thyer BA, Wodarski JS (Eds) Social Work in Mental Health-An Evidence-Based Approach. Danvers, Wiley, pp. 251–286, 2007
4.
Mackelprang RW, Salsgiver RO: Disability: A Diversity Model Approach in Human Service Practice, 2nd edn. Chicago, Lyceum, 2009
5.
Crisp AH, Rix S, Meltzer HI, Rowlands OJ: Stigmatisation of people with mental illnesses. The British Journal of Psychiatry 177:4–7, 2000PubMedCrossRef
6.
Major B, O’ Brien LT: The social psychology of stigma. Annual Review of Psychology 56:393–421, 2005PubMedCrossRef
7.
Sibitz I, Unger A, Woppmann A, Zidek T, Amering M: Stigma resistance in patients with schizophrenia. Schizophrenia Bulletin 37(2):316–323, 2011PubMedCrossRef
8.
Scambler G: Stigma and disease: Changing paradigms. Lancet 38:177–190, 1998
9.
10.
Corrigan P, Markowitz FE, Watson A, Rowan D, Kubiak MA: An attribution model of public discrimination towards persons with mental illness. Journal of Health and Social Behavior 44(2):162–179, 2003PubMedCrossRef
11.
Corrigan P: How stigma interferes with mental health care. American Psychologist 59(7):614–625, 2004PubMedCrossRef
12.
Lee S, Lee TY, Chiu YL, Kleinman A: Experience of social stigma by people with schizophrenia in Hong Kong. British Journal of Psychiatry 186:153–157, 2005PubMedCrossRef
13.
Fung KMT, Tsang HWH, Corrigan PW, Lam CS, Cheng WM: Measuring self-stigma of mental illness in China and its implications for recovery. International Journal of Social Psychiatry 53:408–418, 2007PubMedCrossRef
14.
Werner P, Aviv A, Barak Y: Self-stigma, self-esteem and age in persons with schizophrenia. International Psychogeriatrics 20(1):174–187, 2008PubMedCrossRef
15.
Rüsch N, Angermeyer MC, Corrigan PW: Mental illness stigma: concepts, consequences and initiatives to reduce stigma. European Psychiatry 20:529–539, 2005PubMedCrossRef
16.
Alonso J, Buron A, Rojas-Farreras S, deGraaf R, Haro JM, de Girolamo G, Bruffaerts R, Kovess V, Matschinger H, Vilagut G: Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders 118:180–186, 2009PubMedCrossRef
17.
Dinos S, Stevens S, Serfaty M, Weich S, King M: Stigma: The feelings and experiences of 46 people with mental illness. British Journal of Psychiatry 184:176–181, 2004PubMedCrossRef
18.
Link BG, Struening EL, Neese-Todd S, Asmussen S, Phelan JC. The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services 52(12):1621–1626, 2001PubMedCrossRef
19.
Yang LH: Application of mental illness stigma theory to Chinese societies: Synthesis and new directions. Singapore Medical Journal 48(1):977–985, 2007PubMed
20.
Farone DW: Schizophrenia, community integration and recovery: Implications for social work practice. Social Work in Mental Health 4(4):21–36, 2006CrossRef
21.
Rüsch N, Corrigan P, Todd PR, Bodenhausen GV. Implicit self-stigma in people with mental illness. The Journal of Nervous and Mental Disease 198(2):150–153, 2010PubMedCrossRef
22.
Angermeyer MC, Beck M, Dietrich S, Holzinger A: The stigma of mental illness: Patients’ anticipations and experiences. International Journal of Social Psychiatry 50(2):153–162, 2004PubMedCrossRef
23.
Yanos PT, Rosenfield S, Horwitz AV: Negative and supportive social interactions and quality of life among persons diagnosed with severe mental illness. Community Mental Health Journal 37(5):405–419, 2001PubMedCrossRef
24.
Corrigan P: The impact of stigma on severe mental illness. Cognitive and Behavioral Practice 5:201–222, 1998CrossRef
25.
Freidl M, Lang T, Scherer M: How psychiatric patients perceive the public’s stereotype of mental illness. Social Psychiatry and Psychiatric Epidemiology 38:269–275, 2003PubMedCrossRef
26.
Schulz B, Angermeyer MC: Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals. Social Science & Medicine 56:299–312, 2003CrossRef
27.
Murray CB: Culture as a Determinant of Mental Health. In: Melser NJ, Baltes PB (Eds) International Encyclopedia of the Social & Behavioral Sciences. Amsterdam, Pergamon, pp. 3143–3147, 2001CrossRef
28.
Loewenthal K: Religion, Culture and Mental Health. Cambridge, Cambridge University Press, 2007
29.
Ng CH: The stigma of mental illness in Asian cultures. Australian and New Zealand Journal of Psychiatry 31(3):382–390, 1997PubMedCrossRef
30.
Lauber C, Rössler W: Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry 19(2):157–178, 2007PubMedCrossRef
31.
32.
Chen S: Investment in Education and Human Resource Development in postwar Taiwan. In: Harrell S, Huang CC (Eds) Cultural Change in Postwar Taiwan. Oxford, Westview Press, pp. 91–110, 1994
33.
Borst JM: Social Work and Health Care. Boston, Allyn & Bacon, 2010
34.
Huang XY, Sun FK, Yen WJ, Fu CM: The coping experiences of carers who live with someone who has schizophrenia. Journal of Clinical Nursing 17:817–826, 2008PubMedCrossRef
35.
Hsiao CY, van Riper M: Individual and family adaptation in Taiwanese families of individuals with severe and persistent mental illness. Research in Nursing & Health 32:307–320, 2009CrossRef
36.
Lin CL, Kopelowicz A, Chan CH, Hsiung PC: A qualitative inquiry into the Taiwanese mentally ill persons’ difficulties living in the community. Archives of Psychiatric Nursing 22(5):266–276, 2008
37.
Falk G: Stigma: How We Treat Outsiders. New York, Prometheus Books, 2001
38.
Larson JE, Corrigan P: The stigma of families with mental illness. Academic Psychiatry 32:87–91, 2008PubMedCrossRef
39.
Song LY, Chang LY, Shih CY, Lin CY, Yang MJ: Community attitudes towards the mentally ill: The results of a national survey of the Taiwanese population. International Journal of Social Psychiatry 51(2):162–176, 2005PubMedCrossRef
40.
Lauber C, Anthony M, Ajdacic-Gross V, Rössler W: What about psychiatrists’ attitude to mentally ill people? European Psychiatry 19:423–427, 2004PubMedCrossRef
41.
Lauber C, Nordt C, Braunschweig C, Rössler W: Do mental health professionals stigmatize their patients? Acta Psychiatrica Scandinavica Supplementum 429:51–59, 2006PubMedCrossRef
42.
Nordt C, Rössler W, Lauber C: Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophrenia Bulletin 32(4):709–714, 2006PubMedCrossRef
43.
Feldman DB, Crandall CS: Dimensions of mental illness stigma: What about mental illness causes social rejection. Journal of Social and Clinical Psychology 26(2):137–154, 2007CrossRef
44.
Yen CF, Chen CC, Lee Y, Tang TC, KO CH, Yen JY: Association between quality of life and self-stigma, insight and adverse effects of medication in patients with depressive disorders. Depression and Anxiety 26:1033–1039, 2009PubMed
45.
Ritsher JB, Otilingam PG, Grajales M: Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research 121:31–49, 2003PubMedCrossRef
46.
Lysaker PH, Row D, Yanos PT: Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin 33(1):192–199, 2007PubMedCrossRef
47.
Tang IC, Chen HY, Wu HC, Cheng SR, Kao YR: Perceptions of stigmatization and stigmatization experience—The example of people with spinal cord injuries and psychiatric disabilities. Journal of Disability Research (Taiwan) 7(4):230–246, 2009 (in Chinese)
48.
McDowell I: Measuring Health: A Guide to Rating Scales and Questionnaires, 3rd edn. Oxford, Oxford University Press, 2006
49.
Namjoshi L, Buesching DP: A review of the health-related quality of life literature in bipolar disorder. Quality of Life Research 10:105–115, 2001PubMedCrossRef
50.
Larson CO: Use of the SF-12 instrument for measuring the health of homeless persons. Health Services Research 37(3):733–750, 2002PubMedCrossRef
51.
Salyers MP, Bosworth HB, Swanson JW, Lamb-Pagone J, Osher FC: Reliability and validity of the SF-12 health survey among people with severe mental illness. Medical Care 38(11):1141–1150, 2000PubMedCrossRef
52.
Lam LK, Tse YY, Gandek B: Is the standard SF-12 health survey valid and equivalent for a Chinese population. Quality of Life Research 14:539–547, 2005PubMedCrossRef
53.
Wahl OF: Mental health consumers’ experience of stigma. Schizophrenia Bulletin 25:467–478, 1999PubMedCrossRef
54.
Hwang KK: Introducing human rights education in the Confucian society of Taiwan: Its implications for ethical leadership in education. International Journal of Leadership in Education 4(4):321–332, 2001CrossRef
55.
Couture SM, Penn DL: Interpersonal contact and the stigma of mental illness: A review of the literature. Journal of Mental Health 12(3):291–305, 2003CrossRef
56.
Cummings SM, Cassie KM: Perceptions of biopsychosocial services needs among older adults with severe mental illness: Meet and unmet Needs. Health & Social Work 33(2):133–143, 2008CrossRef
57.
Tyrer P, Stenberg D: Models for Mental Disorder: Conceptual Models in Psychiatry, 4th edn. Chichester, John Wiley & Sons, 2005
58.
Topor A, Borg M, Di Girolanmo S, Davidson L: Not just an individual journey: Social aspects of recovery. International Journal of Social Psychiatry 57(1):90–99, 2011PubMed
59.
Hocking B: Reducing mental illness stigma and discrimination-everybody’s business. Medical Journal of Australia 178(9 Suppl):S47–S48, 2003PubMed
60.
Chung KF, Wong MC: Experience of stigma among Chinese mental health patients in Hong Kong. Psychiatric Bulletin 28:451–454, 2004CrossRef
61.
Hansson L: Determinants of quality of life in people with severe mental illness. Acta Psychiatrica Scandinavica 113(Suppl. 429):46–50, 2006CrossRef
62.
Wu HC: Predicting subjective quality of life in workers with psychiatric disabilities. Community Mental Health Journal 44(2):135–146, 2008PubMedCrossRef
63.
64.
Sartorius N, Schulze H: Reducing the Stigma of Mental Illness. Cambridge, Cambridge University Press, 2005CrossRef
Metadata
Title
Quality of Life and Self-Stigma in Individuals with Schizophrenia
Authors
I-Chen Tang
Hui-Ching Wu
Publication date
01-12-2012
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 4/2012
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-012-9218-2

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