Werner Perla, Aviv Alex, Barak Yoram
Department of Gerontology, University of Haifa, Israel.
Int Psychogeriatr. 2008 Feb;20(1):174-87. doi: 10.1017/S1041610207005340. Epub 2007 Apr 23.
The relationship between self-stigma and self-esteem in patients with schizophrenia is receiving increased attention. However, studies to date have been limited to samples of persons under the age of 65.
To examine the relationship between self-stigma and self-esteem in people with schizophrenia in both younger and older age groups.
Face-to-face interviews were completed with 86 inpatients with schizophrenia in a psychiatric hospital (mean age = 54, 55% female). Self-esteem was assessed using Rosenberg's Self Esteem Scale. Self-stigma was assessed using an adapted version of the Internalized Stigma of Mental Health (ISMI) scale. Information regarding socio-demographic characteristics and psychiatric history and symptomatology was collected.
Self-stigma was moderate with only 20-33% of the participants reporting high levels of stigmatization. Older participants reported lower levels of self-stigma than younger participants. A relatively strong association between self-stigma and self-esteem was found.
The findings point to the complexity of the association between self-stigma, self-esteem and age in people with schizophrenia. This study stresses the importance of clinicians taking the issue of self-stigma into consideration when treating young and old patients with schizophrenia.
精神分裂症患者的自我污名与自尊之间的关系日益受到关注。然而，迄今为止的研究仅限于65岁以下的人群样本。
研究年轻和老年精神分裂症患者中自我污名与自尊之间的关系。
对一家精神病医院的86名精神分裂症住院患者进行了面对面访谈（平均年龄 = 54岁，55%为女性）。使用罗森伯格自尊量表评估自尊。使用心理健康内化污名量表（ISMI）的改编版评估自我污名。收集了有关社会人口学特征、精神病史和症状学的信息。
自我污名程度中等，只有20% - 33%的参与者报告有高水平的污名化。老年参与者报告的自我污名水平低于年轻参与者。发现自我污名与自尊之间存在相对较强的关联。
研究结果表明精神分裂症患者的自我污名、自尊和年龄之间的关联较为复杂。本研究强调了临床医生在治疗年轻和老年精神分裂症患者时考虑自我污名问题的重要性。
