摘要
Abstract
Objective:This study was conducted to investigate the impact of perceived stigma on the mental health among patients with schizophrenia and to test the mediating effects of self-compassion and self-stigma.
Methods:A total of 102 clinically stable patients with schizophrenia were recruited and they completed the Perceived Devaluation Discrimination Scale(PDD),the Internalized Stigma of Mental Illness(ISMI),the Self-Compassion Scale(SCS),the Self-Esteem Scale(SES),the Patient Health Questionnaire-9(PHQ-9),and the Social Avoidance and Distress Scale(SAD).Pearson correlation analyses were conducted among the six variables:perceived stigma,self-compassion,self-stigma,self-esteem,depression,and social avoidance and distress.Furthermore,with perceived stigma as the independent variable,self-compassion and self-stigma as mediating variables,and self-esteem,depression,and social avoidance and distress as dependent variables,the significance of three chain mediation models was examined separately.
Results:Data analysis results showed that perceived stigma of patients with schizophrenia significantly predicted self-esteem(total effect=-0.306),depression(total effect=0.213),and social avoidance and distress(total effect=0.220).Mediation analyses indicated that self-compassion played a mediating role between perceived stigma and self-esteem,depression,social avoidance and distress;self-compassion and self-stigma jointly functioned as a chain mediation between perceived stigma and self-esteem,depression,social avoidance and distress.
Conclusion:Perceived stigma among patients with schizophrenia has a negative impact on mental health through decreasing self-compassion,and can also exerts its influence through decreasing self-compassion and increasing self-stigma.关键词
精神分裂症/污名/自我悲悯/心理健康Key words
schizophrenia/stigma/self-compassion/mental health
