Department of Health System Management, Max Stern Academic College of Emek Yezreel, Yezreel Valley, Israel.
Psychiatry Res. 2013 Jun 30;208(1):15-20. doi: 10.1016/j.psychres.2013.03.013. Epub 2013 Apr 6.
Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and structural equation modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem.
研究揭示了严重精神疾病（SMI）患者内化污名的负面影响，包括自尊心和希望感的降低。本研究旨在通过考察自尊和希望感的中介作用，来探究内化污名与主观生活质量（QoL）之间的关系。对 179 名 SMI 患者进行了内化污名、自尊、QoL 和希望感的测量。采用线性回归分析和结构方程模型（SEM）对横断面数据进行了分析。自尊在内化污名和希望感之间起中介作用。此外，希望感部分中介了自尊和 QoL 之间的关系。研究结果表明，内化污名对希望感和 QoL 的影响可能与自尊水平密切相关。这可能表明需要开发针对内化污名和自尊的干预措施。
