Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria; Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria.
Psychiatry Res. 2013 Oct 30;209(3):326-32. doi: 10.1016/j.psychres.2013.02.001. Epub 2013 Feb 27.
Internalized stigma is a complicating feature in the treatment of schizophrenia spectrum disorders and considerably hinders the recovery process. The empowerment and recovery-oriented program of our day clinic might contribute to a reduction in internalized stigma. The aim of the study was to explore the influence of this day clinic program on internalized stigma and other subjectively important outcome measures such as quality of life and psychopathology. Data from two groups of patients had been collected twice, at baseline and after 5 weeks. The experimental group attended the day clinic treatment (N=40) and the control group waited for the day clinic treatment (N=40). The following significant differences between the two groups were found: Patients in day clinic treatment showed a reduction in internalized stigma while the control group showed a minimal increase (Cohen's d=0.446). The experimental group as compared with the control group also showed a greater improvement in the quality of life domain psychological health (Cohen's d=0.6) and in overall psychopathology (Cohen's d=0.452). Interestingly, changes in internalized stigma and psychological quality of life were not associated with changes in psychopathology. Results are encouraging but have to be confirmed in a randomized design.
内在污名是精神分裂谱系障碍治疗中的一个复杂特征,极大地阻碍了康复过程。我们日间诊所的赋权和康复导向计划可能有助于减少内在污名。本研究的目的是探讨该日间诊所计划对内在污名和其他主观重要的结果测量(如生活质量和精神病理学)的影响。两组患者的数据在基线和 5 周后被收集了两次。实验组参加了日间诊所治疗(N=40),对照组等待日间诊所治疗(N=40)。两组之间发现了以下显著差异:日间诊所治疗组的患者内在污名减少,而对照组则略有增加(Cohen's d=0.446)。与对照组相比,实验组在生活质量领域的心理健康(Cohen's d=0.6)和整体精神病理学(Cohen's d=0.452)方面也有更大的改善。有趣的是,内在污名和心理生活质量的变化与精神病理学的变化无关。结果令人鼓舞,但需要在随机设计中得到证实。