Ow Chien-Yi, Lee Boon-Ooi
Singapore Institute of Management University, Singapore.
Nanyang Technological University, Singapore
Asia Pac J Public Health. 2015 Mar;27(2):NP1932-41. doi: 10.1177/1010539512469246. Epub 2012 Dec 13.
Stigmatization of mental disorders has detrimental consequences for psychiatric patients. This study examined how perceived stigma and coping orientations of secrecy, withdrawal, and education were related to schizophrenic patients' self-esteem and quality of life (QOL). Coping orientations as mediators of perceived stigma on the outcome variables were also investigated. A total of 80 schizophrenic patients in Singapore participated in the study. Results show that perceived stigma predicted self-esteem over and above gender and depression, perceived stigma and education predicted QOL over and above depression, and education partially mediated the effect of perceived stigma on QOL. Findings indicate that stigma perceptions and education coping are important focus areas in clinical interventions.
对精神障碍的污名化给精神病患者带来了有害后果。本研究考察了感知到的污名以及保密、退缩和教育等应对取向与精神分裂症患者自尊和生活质量（QOL）之间的关系。还研究了应对取向作为感知到的污名对结果变量的中介作用。新加坡共有80名精神分裂症患者参与了该研究。结果表明，在性别和抑郁之外，感知到的污名可预测自尊；在抑郁之外，感知到的污名和教育可预测生活质量；教育部分中介了感知到的污名对生活质量的影响。研究结果表明，污名认知和教育应对是临床干预中的重要重点领域。
