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

摘要

PurposeThis study examined the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia.MethodsThe 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.ResultsSelf-esteem and resilience were found to be full and partial mediators, respectively, in the relationship between internalized stigma and quality of life.ConclusionThe 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.