Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, HungHom, Hong Kong.
Psychiatry Res. 2010 Nov 30;180(1):10-5. doi: 10.1016/j.psychres.2009.09.001. Epub 2010 May 20.
The current study aimed at exploring the relationship between self-stigma, readiness for change and psychosocial treatment adherence among individuals with schizophrenia. Between March 2007 and January 2008, 105 adults with schizophrenia were recruited for this cross-sectional study. Face-to-face interviews were conducted to assess participants' level of self-stigma, readiness for change, insight, and general self-efficacy. The corresponding case therapists reported participants' level of treatment adherence, psychopathology, and global functioning. Findings of stepwise multiple regression suggested that individuals with higher global functioning, better readiness for action, and lower level of self-stigma demonstrated better treatment participation. Individuals with lesser severity of psychiatric symptoms and female participants had better treatment attendance. The results of discriminant function analysis showed the combined score of self-stigma, stages of change, and global functioning measures correctly classified 76.2% participants into adherent/nonadherent group membership. Suggestions for further studies and development of self-stigma reduction program to facilitate recovery and treatment adherence were made.
本研究旨在探讨精神分裂症患者的自我污名、改变准备度与心理社会治疗依从性之间的关系。2007 年 3 月至 2008 年 1 月，本横断面研究共招募了 105 名成年精神分裂症患者。通过面对面访谈评估参与者的自我污名程度、改变准备度、洞察力和一般自我效能感。相应的个案治疗师报告了参与者的治疗依从性、精神病理学和总体功能水平。逐步多元回归的结果表明，总体功能较高、行动准备度较好、自我污名程度较低的个体表现出更好的治疗参与度。精神症状较轻和女性参与者的治疗出席率更高。判别函数分析的结果表明，自我污名、改变阶段和总体功能测量的综合得分正确地将 76.2%的参与者分为依从/不依从组。提出了进一步研究和制定自我污名减轻方案的建议，以促进康复和治疗依从性。
