Touriño Rafael, Acosta Francisco J, Giráldez Alba, Álvarez Jorge, González Jesús M, Abelleira Cristina, Benítez Natalia, Baena Ernesto, Fernández Jaime A, Rodriguez Carlos J
Service of Psychiatry. Insular University Hospital of Gran Canaria. The Canary Islands, Spain.
Service of Psychiatry. Insular University Hospital of Gran Canaria. The Canary Islands, Spain Research Program on Mental Health. Service of Mental Health. General Management of Healthcare Programs. The Canary Islands Health Service, The Canary Islands, Spain Research Network on Health Services for Chronic Conditions (REDISSEC), Carlos III Health Institute, Madrid, Spain.
Actas Esp Psiquiatr. 2018 Mar;46(2):33-41. Epub 2018 Mar 1.
Internalized stigma has negative consequences on subjective and objective aspects of the recovery in people diagnosed with mental disorders. Despite its relevance, it has been poorly studied in patients with schizophrenia.
A sample of 71 outpatients with a diagnosis of schizophrenia who attended Psychosocial Rehabilitation Centers of Gran Canaria, Spain, were evaluated. We assessed the prevalence of internalized stigma and its possible association with sociodemographic, clinical, psychological and psychopathological variables, as well as suicidal behaviour and suicidal ideation.
21.1% of the patients had internalized stigma. Internalized stigma was associated with higher prevalence of suicidal ideation during the last year, higher number of suicide attempts, higher current suicidal risk, worse self-compassion, higher self-esteem, higher scores on depression, higher prevalence of depression and higher hopelessness. After multivariate analysis, hopelessness and the existence of depression were independently associated with internalized stigma, although depression showed trend towards significance.
The association between internalized stigma and higher hopelessness, depression and higher suicidal risk suggests the necessity to systematically assess internalized stigma in patients with schizophrenia, and to intervene to reduce it.
内化耻辱感对被诊断患有精神障碍的人的康复主观和客观方面都有负面影响。尽管其具有相关性，但在精神分裂症患者中对其研究较少。
对西班牙大加那利岛心理社会康复中心的71名诊断为精神分裂症的门诊患者进行了抽样评估。我们评估了内化耻辱感的患病率及其与社会人口学、临床、心理和精神病理学变量以及自杀行为和自杀意念的可能关联。
21.1%的患者有内化耻辱感。内化耻辱感与去年更高的自杀意念患病率、更多的自杀未遂次数、更高的当前自杀风险、更差的自我同情、更高的自尊、更高的抑郁得分、更高的抑郁症患病率和更高的绝望感相关。多变量分析后，绝望感和抑郁症的存在与内化耻辱感独立相关，尽管抑郁症显示出有显著趋势。
内化耻辱感与更高的绝望感、抑郁症和更高的自杀风险之间的关联表明，有必要系统地评估精神分裂症患者的内化耻辱感，并进行干预以降低它。
