I Department of Psychiatry, Institute of Psychiatry and Neurology, Sobieskiego 9, Warsaw, Poland.
Eur Psychiatry. 2009 Dec;24(8):513-20. doi: 10.1016/j.eurpsy.2009.06.003. Epub 2009 Aug 20.
Schizophrenia is regarded as one of the most stigmatized mental illnesses. Relatively few studies have investigated actual stigma experiences among people with schizophrenia and the factors which may contribute to it.
This cross-sectional study assesses the extent of stigma experienced by patients with schizophrenia and attempts to establish its clinical and sociodemographic predictors.
A total of 153 subjects with schizophrenia (62 outpatients and 91 inpatients) were evaluated with the use of the Stigma section of the Consumer Experiences of Stigma Questionnaire (CESQ) and several instruments measuring their subjective quality of life, social functioning and severity of psychiatric symptoms.
Stigmatization experiences were common among respondents who most frequently reported having concealed their illness (86%), witnessed others saying offensive things about the mentally ill (69%), worried about being viewed unfavorably (63%) and been treated as less competent (59%). Higher levels of stigma were related to lower subjective quality of life and younger age of illness onset. No significant associations were found between stigma and symptoms or level of social functioning.
Our findings point at the reduced life satisfaction as a key aspect of the subjective experience of the stigma of schizophrenia.
精神分裂症被认为是最具污名化的精神疾病之一。相对较少的研究调查了精神分裂症患者的实际污名体验以及可能导致污名的因素。
本横断面研究评估了精神分裂症患者所经历的污名程度，并试图确定其临床和社会人口统计学预测因素。
共评估了 153 名精神分裂症患者（62 名门诊患者和 91 名住院患者），使用消费者对污名体验问卷（CESQ）的污名部分以及衡量主观生活质量、社会功能和精神症状严重程度的几种工具。
受访者的污名化经历很常见，他们最常报告隐瞒自己的病情（86%）、目睹他人说精神疾病患者的坏话（69%）、担心被不看好（63%）以及被视为能力较低（59%）。更高水平的污名与更低的主观生活质量和更年轻的发病年龄有关。污名与症状或社会功能水平之间没有显著关联。
我们的研究结果表明，降低生活满意度是精神分裂症污名的主观体验的一个关键方面。
