Department of Clinical Medicine, Federal University of Santa Catarina, Florianópolis, Brazil; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, United States of America.
Desert Pacific Mental Illness Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States of America; Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, United States of America.
Schizophr Res. 2021 Feb;228:145-150. doi: 10.1016/j.schres.2020.12.003. Epub 2021 Jan 11.
Self-stigma in mental illness is linked to negative clinical and functional outcomes, but little is known about its correlates specifically in psychotic disorders. Here we investigated the role of clinical symptoms, cognition, and vocational status as correlates of self-stigma in 98 individuals with psychotic disorders (36 Black American, 32 White Hispanic, 11 White Non-Hispanic, 11 Asian American). A principal component analysis of the Internalized Stigma of Mental Illness scale yielded three components: Experiential Stigma, Stereotype Endorsement, and Stigma Resistance. Higher Experiential Stigma was associated with greater severity of affective symptoms and lower vocational status. Higher Stigma Resistance was associated with higher social and non-social cognition, and higher vocational status. Stereotype Endorsement did not significantly correlate with any predictor variable. Linear regression models showed that 13% of the variance in Experiential Stigma was explained by affective symptoms and vocational status, and 20% of the variance in Stigma Resistance was explained by non-social cognition and vocational status. These findings provide new information about the correlates of self-stigma in an ethnically and racially diverse psychotic disorder sample. Such information may lead to a better understanding of self-stigma mechanisms in this population.
精神疾病中的自我污名与负面的临床和功能结果有关，但鲜有人了解其与精神障碍相关的特定因素。在这里，我们调查了临床症状、认知和职业状况作为 98 名精神障碍患者（36 名非裔美国人，32 名西班牙裔白人，11 名非西班牙裔白人，11 名亚裔美国人）自我污名相关因素的作用。对精神疾病内化污名量表进行主成分分析得出了三个成分：体验性污名、刻板印象认同和污名抵制。较高的体验性污名与更严重的情感症状和较低的职业状况有关。较高的污名抵制与较高的社会和非社会认知以及较高的职业状况有关。刻板印象认同与任何预测变量均无显著相关性。线性回归模型表明，情感症状和职业状况解释了体验性污名 13%的方差，非社会认知和职业状况解释了污名抵制 20%的方差。这些发现为种族和民族多样化的精神障碍样本中的自我污名相关因素提供了新信息。这些信息可能有助于更好地了解该人群中的自我污名机制。
