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KMID : 0605720170230020075
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Journal of the Korean Society of Biological Therapies in Psychiatry
2017 Volume.23 No. 2 p.75 ~ p.83
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Factors Related to Internalized Stigma in Patients with Schizophrenia
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Jeong Yu-Ran
Yoo Tae-Yloung
Lee Ju-Yeon
Kim Seon-Young
Kim Jae-Min
Yoon Jin-Sang
Kim Sung-Wan
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Abstract
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Objectives：Patients with schizophrenia have high levels of self-perceived stigma, which frequently hinders successful treatment. The aim of this study was to investigate the factors related with internalized stigma in patients with schizophrenia.
Methods：A total of 123 patients with schizophrenia according to Diagnostic and Statistical Manual of Mental disorders 5th edition(DSM-5) criteria were enrolled. Sociodemographic and clinical variables including previous suicidal attempt history were assessed. Self-perceived stigma was assessed using Korean version of Internalized Stigma of Mental Illness Scale(K-ISMI). Clinical characteristics and psychopathology were measured using the Positive and Negative Syndrome Scale(PANSS), Beck Depression Inventory(BDI), Beck Hopelessness Scale-7(BHS-7), Rosenberg Self Esteem Scale(R-SES), and EuroQol-5 dimensions visual analog scale(EQ5D-VAS).
Results：The K-ISMI total scores had significantly negative correlations with scores on the R-SES and EQ-VAS, and significantly positive correlations with scores on the BDI, BHS-7, and PANSS negative and general psychopathology subscales after controlling age and duration of illness. Patients with previous suicidal attempt history showed significantly higher scores on the K-ISMI scores.
Conclusion：Internalized stigma of patients with schizophrenia was associated with low self-esteem, poor quality of life, history of suicidal attempt and higher level of depression, hopelessness, and negative symptoms. Clinicians should carefully evaluate and manage self-perceived stigma of patients with schizophrenia.
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KEYWORD
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Schizophrenia, Internalized stigma, Self-esteem, Depression, Suicidal attempt, Quality of life
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