Asian Nurs Res.  2019 Oct;13(4):257-263. 10.1016/j.anr.2019.09.004.

The Mediating Effects of Self-Esteem and Resilience on the Relationship Between Internalized Stigma and Quality of Life in People with Schizophrenia

Affiliations
  • 1Department of Nursing, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
  • 2College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea. mhjang@khu.ac.kr

Abstract

PURPOSE
This study examined the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia.
METHODS
The participants were 123 people with schizophrenia (mean age = 41.87 years; 62.6% men) recruited from Soonchunhyang university hospital, a mental health center, and daytime rehabilitation facilities located in Seoul and Gyeonggi Province in South Korea. Using a cross-sectional survey, participants completed structured questionnaires with psychometric adequacy. The regression method of Baron and Kenny was used to test the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life.
RESULTS
Self-esteem and resilience were found to be full and partial mediators, respectively, in the relationship between internalized stigma and quality of life.
CONCLUSION
The findings of this study imply that effective future intervention strategies should target improvements in self-esteem and resilience to reduce the negative impact of internalized stigma on the quality of life of people with schizophrenia.

Keyword

quality of life; resilience, psychological; schizophrenia; social stigma; quality of life; resilience, psychological; schizophrenia; self-esteem; social stigma
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