Self-stigma in psychotic disorders: Clinical, cognitive, and functional correlates in a diverse sample

SCHIZOPHRENIA RESEARCH

卷:228

Article

Schwarzbold, Marcelo L.^1,3  Kern, Robert S.^2,3  Novacek, Derek M.^2,3  McGovern, Jessica E.^2,3  Catalano, Lauren T.^2,3  Green, Michael F.^2,3 

[1] Univ Fed Santa Catarina, Dept Clin Med, Florianopolis, SC, Brazil

[2] Vet Affairs Greater Los Angeles Healthcare Syst, Desert Pacific Mental Illness Res Educ & Clin Ctr, Los Angeles, CA USA

[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90095 USA

关键词: Internalized stigma;    Stigma resistance;    Schizophrenia;    Non-social cognition;    Social cognition;    Vocational status;   

DOI  :  10.1016/j.schres.2020.12.003

来源: Elsevier

【 摘 要 】

Self-stigma in mental illness is linked to negative clinical and functional outcomes, but little is known about its correlates specifically in psychotic disorders. Here we investigated the role of clinical symptoms, cognition, and vocational status as correlates of self-stigma in 98 individuals with psychotic disorders (36 Black American, 32 White Hispanic, 11 White Non-Hispanic, 11 Asian American). A principal component analysis of the Internalized Stigma of Mental Illness scale yielded three components: Experiential Stigma, Stereotype Endorsement, and Stigma Resistance. Higher Experiential Stigma was associated with greater severity of affective symptoms and lower vocational status. Higher Stigma Resistance was associated with higher social and non-social cognition, and higher vocational status. Stereotype Endorsement did not significantly correlate with any predictor variable. Linear regression models showed that 13% of the variance in Experiential Stigma was explained by affective symptoms and vocational status, and 20% of the variance in Stigma Resistance was explained by non-social cognition and vocational status. These findings provide new information about the correlates of self-stigmain an ethnically and racially diverse psychotic disorder sample. Such information may lead to a better understanding of self-stigma mechanisms in this population. (C) 2020 Elsevier B.V. All rights reserved.

【 授权许可】

Free