Self-esteem and stigma among persons with schizophrenia: implications for mental health.
ABSTRACT The purpose of the study was to examine the relationship between perceived stigma and self-esteem among adults with schizophrenia. The sample was drawn from three outpatient public mental health clinics in Southern California in September to November 2002. The following selection criteria were used to identify 31 respondents: (1) a diagnosis of schizophrenia and (2) stable symptoms. Self-esteem was measured using the Rosenberg Self-Esteem Scale. Stigma was measured using the Devaluation-Discrimination Measure. The strongest areas of stigma reported by those surveyed were related to hospitalization. The self-esteem of the respondents was moderately high. A Pearson's r correlation indicated that there was a significant, moderately strong correlation, with a higher level of perceived stigma associated with a lower level of self-esteem. Findings suggest that using a strengths-based approach and a recovery case management model is recommended to decrease stigma and promote self-esteem among persons with schizophrenia.
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ABSTRACT: Mothers with mental illness have positive self-recognition of maternal role (PM), and it is important for parenting. The purpose of this study was to determine the psychosocial factors related to the PM. We recruited a total of 74 women diagnosed as having schizophrenia or mood disorders according to the DSM-IV-TR and who had minor children. Participant completed devaluation-discrimination measure, The social support questionnaire, self-efficacy for community life scale (SECL), parenting stress-short form scale (PS-SF), and Acceptance of maternal role scale. To identify factors predicting the PM, we utilized hierarchical regression analysis. The variables in all blocks explained 53% of the variance in the PM. In the final model, 'hard' living conditions (β = -0.31, P < 0.05), SECL (β = 0.34, P < 0.01) and PS-SF (β = -0.45, P < 0.01) were significant predictors of the PM. Our result indicates that psychosocial approach could enhance the PM.Community Mental Health Journal 10/2011; 47(5):520-30. DOI:10.1007/s10597-010-9344-y · 1.03 Impact Factor
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ABSTRACT: The aim of this study was to show the influence of schizophrenia on the individual system of meanings--the way in which the persons describe themselves and their life story. In order to achieve this goal, the analysis of narration of patients suffering from schizophrenia was conducted. We examined 20 patients suffering from schizophrenia. We interviewed the patients with a structured narrative questionnaire. The persons described their life and themselves--in the time before and after the psychotic crisis. The interviews were analysed according to different literary methods and the knowledge of formal linguistics. The demographic variables and the clinical state of patients were also controlled. Persons suffering from schizophrenia used more positive attributes and less negative attributes while describing themselves before illness. They reported more positive episodes from their life, before the psychotic crisis. The psychotic crisis causes the dramatic decrease of self esteem and breakdown of the life story. The patients described themselves and their life in negative, pessimistic optics. The trauma of mental illness is reflected in narration by breakdown of "good story" about the person and her/his life. This change of self image concerns the persons who both cooperate in psychotherapy and are critical to illness.Psychiatria polska 46(6):951-60. · 0.75 Impact Factor
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ABSTRACT: At the Research Clinic for Holistic Medicine in Copenhagen, 43 patients who presented with low or very low self-esteem were treated with psychodynamic short-term therapy complemented with bodywork. They received an average of 20 sessions at a cost of 1,600 EURO. The bodywork helped the patients to confront old emotional pain from childhood trauma repressed to the body-mind. Results showed that 60.5% recovered from low self-esteem (95% CI: 44.41-75.02%). Calculated from this, we have NNT = 1.33-2.25. Almost all aspects of life improved at the same time (p < 0.01): physical health, mental health, quality of life, and ability to function in a number of important areas (partner, friends, sexually, and socially). This indicated that we had successfully induced existential healing (Antonovsky salutogenesis). The strategy of improving self-esteem can be the key to a new life for patients presenting with low quality of life, poor health (physical and/or mental), and poor ability to function. The patients were strongly motivated and willing to endure strong emotional pain provoked by the therapy. The rate of recovery is comparable to the most successful interventions with psychological and psychiatric treatment. Clinical holistic treatment has many advantages: efficiency, low cost, lack of negative side effects, lasting results, lack of use of psychopharmacological drugs (often with side effects), and an important preventive dimension.The Scientific World Journal 02/2007; 7:299-305. DOI:10.1100/tsw.2007.88 · 1.73 Impact Factor