Instituto de Psiquiatría y Salud Mental. Hospital Clínico San Carlos, Madrid. España Instituto de Investigación Sanitaria San Carlos, IdISSC. Hospital Clínico San Carlos, Madrid. España Universidad Complutense, Madrid. España.
Unidad de investigación del Parc Sanitari Sant Joan de Deu. Institut de Recerca Sant Joan de Deu.
Actas Esp Psiquiatr. 2020 May;48(3):116-25. Epub 2020 May 1.
Studies suggest that people with a diagnosis of schizophrenia are one of the most stigmatized groups in society.
To comprehensively analyze personal stigma in patients diagnosed with schizophrenia.
Data were obtained from 89 patients. Patients were evaluated with the following scales: a sociodemographic and clinical questionnaire, the Discrimination and Stigma Scale, the Self-perception of Stigma Questionnaire for People with Schizophrenia, the Positive and Negative Syndrome Scale, the Calgary Depression Scale for Schizophrenia, the Global Assessment of Functioning Scale, and the Brief Social Functioning Scale.
Relations between personal stigma and sociodemographic and psychosocial variables were poor. However, clinical variables correlated with different facets of personal stigma. Personal stigma subscales´ correlations were between experienced stigma, anticipated stigma, and self-stigma to each other. 29.5% of the experienced stigma subscale variance was explained by age of onset and level of depression. 20.1% of the anticipated stigma subscale variance was explained by level of depression and gender. 27.3% of the overcoming stigma subscale variance was explained by level of depression and positive and negative psychotic symptoms. 35.8% of the self-stigma scale variance was explained by the level of depression.
Addressing stigma within treatment seems of crucial importance since all stigma facets seem to be highly related to clinical dimensions, especially depression Therefore, including strategies to reduce stigma in care programs may help patients with schizophrenia to better adjust in life and improve their illness process.
研究表明，被诊断为精神分裂症的患者是社会上最受歧视的群体之一。
全面分析被诊断为精神分裂症患者的个人耻辱感。
数据来自 89 名患者。患者使用以下量表进行评估：社会人口学和临床问卷、歧视和耻辱量表、精神分裂症患者自我感知耻辱量表、阳性和阴性综合征量表、卡尔加里精神分裂症抑郁量表、总体功能评估量表和简要社交功能量表。
个人耻辱感与社会人口学和心理社会变量之间的关系较差。然而，临床变量与个人耻辱感的不同方面相关。个人耻辱感子量表之间存在体验耻辱、预期耻辱和自我耻辱之间的相关性。发病年龄和抑郁程度解释了体验耻辱子量表方差的 29.5%。抑郁程度和性别解释了预期耻辱子量表方差的 20.1%。克服耻辱子量表方差的 27.3%由抑郁程度和阳性和阴性精神病症状解释。抑郁程度解释了自我耻辱量表方差的 35.8%。
在治疗中解决耻辱感似乎至关重要，因为所有耻辱感方面似乎都与临床维度高度相关，尤其是抑郁。因此，在护理计划中纳入减少耻辱感的策略可能有助于精神分裂症患者更好地适应生活并改善他们的疾病进程。
