School of Medical Sociology and Social Work, Chung Shan Medical University, 110, Sec. 1, Jianguo N. Road, Taichung, 402, Taiwan.
Psychiatr Q. 2012 Dec;83(4):497-507. doi: 10.1007/s11126-012-9218-2.
Recent mental illness stigma research has almost exclusively studied community and family responses to the stigmas of mental illness. Too little has been done to understand the current subjective experience of psychiatric patients. Our study explores the influence of self-stigma on the quality of life of mentally disabled people. Participating in the survey were 100 people diagnosed with schizophrenia. Using Ritsher's internalized stigma of mental illness scale, which incorporates alienation, stereotype endorsement, discrimination experience, social withdrawal, and social resistance subscales, along with the standard SF-12, helped us evaluate the subjective experience of mental illness stigma. According to our survey data, self-stigma correlates negatively with all of the quality of life measures except the Internalized Stigma of Mental Illness subscale's 'stigma resistance', which did not correlate significantly. Improved stigma resistance requires an understanding of one's sociocultural background and a strong social network to provide the sense of comfort and security that enables a fulfilling life.
最近的精神疾病污名研究几乎专门研究了社区和家庭对精神疾病污名的反应。很少有人去了解精神病患者当前的主观体验。我们的研究探讨了自我污名对精神残疾人士生活质量的影响。参与调查的是 100 名被诊断为精神分裂症的患者。我们使用了 Ritsher 的内化精神疾病污名量表，该量表包含了疏远、刻板印象认可、歧视经历、社交退缩和社会抵制子量表，以及标准的 SF-12，这有助于我们评估精神疾病污名的主观体验。根据我们的调查数据，自我污名与除了“污名抵抗”之外的所有生活质量衡量标准都呈负相关，而“污名抵抗”与其他衡量标准没有显著相关性。提高污名抵抗能力需要了解一个人的社会文化背景和一个强大的社交网络，以提供舒适和安全的感觉，从而实现充实的生活。
