Are self-stigma and coping strategies interrelated in outpatients with schizophrenia spectrum disorders using the psychiatric medication? Cross-sectional study - 13/04/16
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Résumé |
Introduction |
Self-stigma is the maladaptive psychosocial phenomenon that can affect the patient's self-image, may lead to dysphoria, social isolation, reduced adherence and quality of life. Maladaptive coping strategies may adversely disturb the overall functioning of psychiatric patients.
Objectives |
Thinking about coping strategies and self-stigma in practice may play a significant role in understanding patients with schizophrenia spectrum disorders, especially for mental health professionals. Focus on coping strategies could be a useful concept in supportive and educational therapy to help patients in using more adaptive coping strategies and decrease their self-stigma.
Aims |
The aim of this study was to determine the relation between coping strategies and the self-stigma among outpatients with schizophrenia and related disorders.
Methods |
Stress Coping Style Questionnaire (SVF-78), Internalized Stigma of Mental Illness (ISMI) and severity of the disorder (measured by Clinical Global Impression objective and subjective form) were assessed.
Results |
One hundred and four patients suffering from schizophrenia (n=67), schizoaffective disorder (n=30), polymorphic psychotic disorder (n=3), schizotypal disorder (n=2) and delusional disorder (n=2) were included in the study. The results showed that there was a high positive correlation between negative coping and self-stigma, and the negative correlation between positive strategies and the overall score of self-stigma. Stepwise regression analysis showed that negative coping (especially resignation), subjective severity SubjCGI and positive coping strategies (especially positive self-instruction) explains 52.8% of the overall score variance of self-stigma (Table 1, Table 2, Table 3).
Conclusions |
This study revealed that there is a connection between self-stigma and coping strategies in patients suffering from schizophrenia spectrum disorders.
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Vol 33 - N° S
P. S99-S100 - mars 2016 Retour au numéro
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