Hitit University, Çorum Erol Olçok Training and Research Hospital, Department of Psychiatry, Çorum, Türkiye.
Hitit University, Faculty of Medicine, Department of Psychiatry, Çorum, Türkiye.
Medicine (Baltimore). 2023 Aug 11;102(32):e34558. doi: 10.1097/MD.0000000000034558.
Self stigmatization, which occurs as a result of internalization of public stigma in severe mental illnesses, is a factor that impairs the mental well-being of individuals and their compliance with treatment. Data on exactly which factors are associated with internalized stigma are still insufficient. Our aim in this clinical study is to investigate the relationship between internalized stigma and religious coping in patients with schizophrenia. Sociodemographic Data Form, Religious Coping Scale, internalized stigma of mental illness (ISMI) Scale were applied to 147 schizophrenic patients who were followed up by the community mental health center and met the inclusion criteria. The results were analyzed with IBM SPSS 22 package program. Descriptive statistics, Mann-Whitney U test, Pearson Chi-Square, Fisher Exact test, Spearman correlation analysis and multiple linear regression analysis were applied. There was a negative correlation between positive and negative religious coping in patients with schizophrenia (r: -0.467, P < .001); a positive correlation between negative religious coping and social withdrawal (r: 0.711, P < .001) and perceived discrimination (r: 0.706, P < .001); negative correlation between positive religious coping and social withdrawal (r: -0.343, P < .001) and perceived discrimination (r: -0.302, P < .001). There was no significant relationship between other subdimensions of ISMI and religious coping scale. There was a significant negative correlation between ISMI total score and positive religious coping (r: -0.256, P: .002), a significant positive correlation with negative religious coping (r: 0.683, P < .001). Multiple linear regression analysis was applied to reveal the explanatory effect of age, duration of illness and religious coping on internalized stigma, and according to the model obtained (R = 0.729, R2 = 0.516, F = 32.071, P < .001), 51.6% of the change in the total score of the ISMI can be explained by this model. The significant relationship between positive and negative religious coping and internalized stigma in patients included in the study suggests that it may be beneficial to consider religious coping attitudes in addition to other interventions in the fight against stigma in severe mental illnesses such as schizophrenia.
自我污名化是严重精神疾病患者内化公众污名的结果，是损害个体心理健康和治疗依从性的一个因素。关于哪些因素与内化污名有关的数据仍然不足。我们在这项临床研究中的目的是调查精神分裂症患者内化污名与宗教应对之间的关系。对在社区精神卫生中心接受随访并符合纳入标准的 147 名精神分裂症患者进行了一般情况调查表、宗教应对量表、精神疾病内化污名量表（ISMI）的评估。采用 IBM SPSS 22 程序包对结果进行分析。采用描述性统计、Mann-Whitney U 检验、Pearson Chi-Square 检验、Fisher 确切检验、Spearman 相关分析和多元线性回归分析。精神分裂症患者的积极和消极宗教应对之间呈负相关（r：-0.467，P<0.001）；消极宗教应对与社会退缩（r：0.711，P<0.001）和感知歧视（r：0.706，P<0.001）呈正相关；积极宗教应对与社会退缩（r：-0.343，P<0.001）和感知歧视（r：-0.302，P<0.001）呈负相关。ISMI 的其他亚维度与宗教应对量表之间没有显著关系。ISMI 总分与积极宗教应对呈显著负相关（r：-0.256，P：0.002），与消极宗教应对呈显著正相关（r：0.683，P<0.001）。应用多元线性回归分析揭示年龄、疾病持续时间和宗教应对对内化污名的解释效应，根据得到的模型（R=0.729，R2=0.516，F=32.071，P<0.001），ISMI 总分的 51.6%的变化可以用该模型来解释。纳入研究的患者中积极和消极宗教应对与内化污名之间的显著关系表明，在严重精神疾病（如精神分裂症）的污名斗争中，除了其他干预措施外，考虑宗教应对态度可能是有益的。
