Department of Psychology, Faculty of Health Sciences, University of Deusto, Bilbao, Bizkaia, Spain.
Biobizkaia Health Research Institute, Osakidetza Basque Health Service, Bizkaia Mental Health Network, Plaza de Cruces 12, 48903, Barakaldo, Bizkaia, Spain.
J Psychiatr Res. 2024 Sep;177:264-270. doi: 10.1016/j.jpsychires.2024.07.020. Epub 2024 Jul 16.
Given the relevance of internalised stigma in people suffering from a mental disorder, in the present study, the possible mediating and moderating role of self-stigma in the relationship between personal recovery and symptomatology has been studied.
265 participants with severe mental disorder completed the following instruments: ISMI (self-stigma), REE (personal recovery) and HoNOS, CGI, GAF and EuroQol (symptomatology).
both the mediation and moderation analyses show significant results, which would indicate that internalised stigma has an effect on the relationship between personal recovery and symptomatology. Also, people with lower level of personal recovery and greater self-stigma have greater symptomatology than those who are in more advanced personal recovery processes and have a lower perception of internalised stigma.
the findings of this study suggest that self-stigma has an effect, and the improvement at personal recovery and symptomatology is accentuated when people with a severe mental disorder have a better management of internalised stigma. Therefore, it may be interesting to include this variable in recovery interventions.
鉴于内化污名在精神障碍患者中的相关性，本研究探讨了自我污名在个人康复与症状之间的关系中的中介和调节作用。
265 名患有严重精神障碍的参与者完成了以下工具：ISMI（自我污名）、REE（个人康复）和 HoNOS、CGI、GAF 和 EuroQol（症状）。
中介和调节分析均显示出显著结果，这表明内化污名对个人康复与症状之间的关系有影响。此外，自我污名程度较高且个人康复水平较低的人比处于个人康复过程更高级别且内化污名程度较低的人具有更严重的症状。
本研究的结果表明，自我污名具有一定的影响，当患有严重精神障碍的人更好地管理内化污名时，个人康复和症状的改善会更加明显。因此，在康复干预中纳入这一变量可能会很有趣。
