Department of Psychiatry, University Hospital Center Zagreb, Croatia.
Compr Psychiatry. 2010 Nov-Dec;51(6):603-6. doi: 10.1016/j.comppsych.2010.02.010. Epub 2010 Mar 31.
The aim of the study was to assess the associations between self-stigma and temperament and character dimensions.
One hundred twenty outpatients with diagnosis of schizophrenia, established with Mini International Neuropsychiatric Interview were consecutively included in the study. Self-stigma was assessed with Internalized Stigma of Mental Illness (ISMI), personality dimensions with Temperament and Character Inventory, and psychopathology with Positive and Negative Symptom Scale.
The results showed that higher level of harm avoidance, lower self-directedness, and persistence correlated with ISMI and all its subscales. Self-transcendence correlated with ISMI subscales alienation, discrimination, and stigma resistance. Regression analyses controlling for psychopathology, age, length of illness, and number of hospitalizations revealed that higher level of harm avoidance and low self-directedness predicted internalized stigma.
The finding suggests that the experience of self-stigma is related to personality dimensions. Interpretations of these findings include the possibility that, irrespective of patients' psychopathology or functional characteristics, experience of self-stigma and its consequences might depend on personality dimensions. Further studies are needed.
本研究旨在评估自尊与气质和性格维度之间的关联。
采用 Mini 国际神经精神访谈对 120 名精神分裂症门诊患者进行连续诊断。采用内化的精神疾病耻辱感量表（ISMI）评估自尊，采用气质和性格量表评估人格维度，采用阳性和阴性症状量表评估精神病理学。
结果表明，更高的回避倾向、更低的自我导向性和坚持性与 ISMI 及其所有子量表相关。自我超越与 ISMI 的异化、歧视和抵制耻辱感子量表相关。在控制精神病理学、年龄、病程和住院次数的回归分析中，更高的回避倾向和低自我导向性预测了内化的耻辱感。
这些发现表明，自我耻辱感的体验与人格维度有关。对这些发现的解释包括，无论患者的精神病理学或功能特征如何，自我耻辱感及其后果的体验可能取决于人格维度。需要进一步研究。
