KMID : 1177320180210010028
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Korean Journal of Schizophrenia Research 2018 Volume.21 No. 1 p.28 ~ p.36
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Comparisons of the Clinical Variables between High and Low Self-Stigma Group in the Outpatients with Schizophrenia
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Han Jung-Hyun
Kim Chul-Kwon
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Abstract
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Objectives: The purpose of this research was to investigate the differences of clinical variables between high and low self-stigma group in the outpatients with schizophrenia.
Methods: 209 schizophrenic outpatients were assigned to high self stigma group (n=76) and low self stigma group (n=133) based on the scores of perceived stigma, and compared age, sex, education, age of onset, duration of illness, number of hospitalization, symptom, social functioning, insight, self-esteem, empowerment between two groups.
Results: 1) The high self-stigma group had significantly lower age of onset, higher duration of illness and number of hospitalizations compared to the low self-stigma group. 2) In the PANSS, the high self-stigma group showed significantly higher score in the total score and general symptoms compared to the low self-stigma group. No significant difference was found in the positive symptoms and negative symptoms between two groups. 3) The high self-stigma group had significantly lower empowerment and self-esteem compared to the low self-stigma group. 4) The high self-stigma group had significantly higher insight compared to the low self-stigma group.
Conclusion: Self-stigma in patients with schizophrenia directly reduces self-esteem and empowerment, and may cause depression and a lower quality of life. Therefore, identifying self-stigma and its degree is one of the important factors for good outcome.
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KEYWORD
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Self-stigma, Internalized stigma, Schizophrenia, Social functioning, Insight, Self-esteem, Empowerment
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