Abstract
Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology. Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Self-stigma, self-esteem, self-reflection, coping skills, and SR were assessed through self-report. Psychotic symptom severity was rated by the interviewers. Factors showing significant association in univariate analyses were included in a stepwise backward regression model. Results: Stepwise regressions revealed that acceptance of stereotypes of mental illness, self-esteem, self-reflection, and only 2 adaptive coping strategies (positive reinterpretation and religious coping) were significant predictors of SR. The prediction model accounted for 27.1% of the variance in the SR subscale score in our sample. Conclusions: Greater reflective capacity, greater self-esteem, greater preferences for positive reinterpretation and religious coping, and fewer endorsements of the stereotypes of mental illness may be key factors that relate to higher levels of SR. These factors are potentially modifiable in tailored interventions, and such modification may produce considerable improvements in the SR of the investigated population. This study has implications for psychosocial rehabilitation and emerging views of recovery from mental illness.
| Original language | English |
|---|---|
| Pages (from-to) | 735-744 |
| Number of pages | 10 |
| Journal | Canadian Journal of Psychiatry |
| Volume | 62 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 2017 Oct 1 |
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Keywords
- metacognition
- recovery
- resilience
- self-stigma
- stigma resistance
ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Stigma Resistance in Stable Schizophrenia : The Relative Contributions of Stereotype Endorsement, Self-Reflection, Self-Esteem, and Coping Styles. / Kao, Yu Chen; Lien, Yin Ju; Chang, Hsin An; Tzeng, Nian Sheng; Yeh, Chin Bin; Loh, Ching Hui.
In: Canadian Journal of Psychiatry, Vol. 62, No. 10, 01.10.2017, p. 735-744.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Stigma Resistance in Stable Schizophrenia
T2 - The Relative Contributions of Stereotype Endorsement, Self-Reflection, Self-Esteem, and Coping Styles
AU - Kao, Yu Chen
AU - Lien, Yin Ju
AU - Chang, Hsin An
AU - Tzeng, Nian Sheng
AU - Yeh, Chin Bin
AU - Loh, Ching Hui
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology. Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Self-stigma, self-esteem, self-reflection, coping skills, and SR were assessed through self-report. Psychotic symptom severity was rated by the interviewers. Factors showing significant association in univariate analyses were included in a stepwise backward regression model. Results: Stepwise regressions revealed that acceptance of stereotypes of mental illness, self-esteem, self-reflection, and only 2 adaptive coping strategies (positive reinterpretation and religious coping) were significant predictors of SR. The prediction model accounted for 27.1% of the variance in the SR subscale score in our sample. Conclusions: Greater reflective capacity, greater self-esteem, greater preferences for positive reinterpretation and religious coping, and fewer endorsements of the stereotypes of mental illness may be key factors that relate to higher levels of SR. These factors are potentially modifiable in tailored interventions, and such modification may produce considerable improvements in the SR of the investigated population. This study has implications for psychosocial rehabilitation and emerging views of recovery from mental illness.
AB - Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology. Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Self-stigma, self-esteem, self-reflection, coping skills, and SR were assessed through self-report. Psychotic symptom severity was rated by the interviewers. Factors showing significant association in univariate analyses were included in a stepwise backward regression model. Results: Stepwise regressions revealed that acceptance of stereotypes of mental illness, self-esteem, self-reflection, and only 2 adaptive coping strategies (positive reinterpretation and religious coping) were significant predictors of SR. The prediction model accounted for 27.1% of the variance in the SR subscale score in our sample. Conclusions: Greater reflective capacity, greater self-esteem, greater preferences for positive reinterpretation and religious coping, and fewer endorsements of the stereotypes of mental illness may be key factors that relate to higher levels of SR. These factors are potentially modifiable in tailored interventions, and such modification may produce considerable improvements in the SR of the investigated population. This study has implications for psychosocial rehabilitation and emerging views of recovery from mental illness.
KW - metacognition
KW - recovery
KW - resilience
KW - self-stigma
KW - stigma resistance
UR - http://www.scopus.com/inward/record.url?scp=85030701727&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85030701727&partnerID=8YFLogxK
U2 - 10.1177/0706743717730827
DO - 10.1177/0706743717730827
M3 - Article
C2 - 28884606
AN - SCOPUS:85030701727
VL - 62
SP - 735
EP - 744
JO - Canadian Journal of Psychiatry
JF - Canadian Journal of Psychiatry
SN - 0706-7437
IS - 10
ER -