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

PSYCHIATRY RESEARCH

卷:208

Article

Mashiach-Eizenberg, Michal¹  Hasson-Ohayon, Ilanit²  Yanos, Philip T.³  Lysaker, Paul H.^4,5  Roe, David⁶ 

[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

关键词: Internalized stigma;    Hope;    Self-esteem;    Quality of life;    Serious mental illness;   

DOI  :  10.1016/j.psychres.2013.03.013

来源: Elsevier

【 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.

【 授权许可】

Free