Psychiatry Department, Ondokuz Mayis University School of Medicine, Tıp Fakültesi Psikiyatri AD Samsun, Turkey.
Compr Psychiatry. 2013 Aug;54(6):665-72. doi: 10.1016/j.comppsych.2013.02.002. Epub 2013 Apr 17.
The aim of this study was to determine characteristics of internalized stigma and intimate relations in bipolar and schizophrenia patients and to compare characteristics of intimate relations in bipolar and schizophrenia patients with or without internalized stigma.
A total of 228 volunteers were included, 119 patients with bipolar disorder and 109 with schizophrenia. Schizophrenic and bipolar disorder patients were compared in terms of internalized stigma and intimate relations characteristics. Bipolar and schizophrenia patients with and without internalized stigma were compared in terms of characteristics of intimate relations.
Internalized stigma was determined in one in three schizophrenia and one in five bipolar patients. Stigma resistance and relational esteem in intimate relations scores were higher in bipolar patients. Relational anxiety/fear of relationship, relational monitoring and external relational control scores were higher in schizophrenia patients with internalized stigma compared to those without, while their relational satisfaction, relational esteem and relational assertiveness scores were lower. Relational anxiety/fear of relationship and relational monitoring scores were higher in bipolar patients with internalized stigma compared to those without, while their relational satisfaction scores were lower.
Internalized stigma in schizophrenia patients is a well-known subject that has been investigated previously. The results of our study are significant in terms of showing that internalized stigma is also frequent in bipolar disorder patients, and not solely in schizophrenia patients. Stigma resistance is higher in bipolar disorder patients. Internalized stigma is correlated with intimate relations in both bipolar and schizophrenia patients.
本研究旨在确定双相情感障碍和精神分裂症患者内化污名和亲密关系的特征，并比较有或无内化污名的双相情感障碍和精神分裂症患者的亲密关系特征。
共纳入 228 名志愿者，其中 119 名双相情感障碍患者，109 名精神分裂症患者。比较精神分裂症和双相情感障碍患者的内化污名和亲密关系特征。比较有和无内化污名的双相情感障碍和精神分裂症患者的亲密关系特征。
三分之一的精神分裂症患者和五分之一的双相情感障碍患者存在内化污名。在亲密关系方面，双相情感障碍患者的污名抵抗和关系自尊评分较高。与无内化污名的患者相比，有内化污名的精神分裂症患者的关系焦虑/对关系的恐惧、关系监控和外部关系控制评分较高，而关系满意度、关系自尊和关系自信评分较低。与无内化污名的患者相比，有内化污名的双相情感障碍患者的关系焦虑/对关系的恐惧和关系监控评分较高，而关系满意度评分较低。
精神分裂症患者的内化污名是一个已知的研究主题，之前已经进行了研究。我们的研究结果表明，内化污名在双相情感障碍患者中也很常见，而不仅仅是在精神分裂症患者中，这具有重要意义。双相情感障碍患者的污名抵抗能力较高。内化污名与双相情感障碍和精神分裂症患者的亲密关系相关。
