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Associations of internalized stigma with psychosocial functioning and quality of life in people with schizophrenia

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  • Chao-Ying Tu
  • Wei-Shih Liu
  • Wei-Lieh Huang

Abstract

Background: Schizophrenia is associated with poor functional recovery. Internalized stigma is one of the factors related to the functioning of individuals with schizophrenia. We aimed to investigate whether internalized stigma was associated with subjective and objective recovery-related outcomes after controlling for neurocognition and other important confounders in individuals with schizophrenia. Method: We assessed the socio demographic background, psychopathology, neurocognition, internalized stigma, psychosocial functioning, and quality of life of 86 patients who had schizophrenia. Correlation analyses and multiple linear regression were used to investigate the association of internalized stigma and other variables with recovery-related outcomes. Results: We found that the negative symptom scores of the Positive and Negative Syndrome Scale but not internalized stigma was associated with psychosocial functioning as measured by the Personal and Social Performance global score. In contrast, internalized stigma was associated with the Psychological, Social relationships, and Environment scores of the World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF). Depression was also associated with the Physical health, Psychological, and Social relationships sores of the WHOQOL-BREF. Conclusions: While internalized stigma was associated with several domains of quality of life, it was not associated with clinician-rated psychosocial functioning. The effects of internalized stigma on the subjective and objective recovery-related outcomes of individuals with schizophrenia might be divergent.

Suggested Citation

  • Chao-Ying Tu & Wei-Shih Liu & Wei-Lieh Huang, 2023. "Associations of internalized stigma with psychosocial functioning and quality of life in people with schizophrenia," International Journal of Social Psychiatry, , vol. 69(6), pages 1409-1419, September.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:6:p:1409-1419
    DOI: 10.1177/00207640231164013
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    References listed on IDEAS

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    1. Chih-Cheng Chang & Tsung-Hsien Wu & Chih-Yin Chen & Jung-Der Wang & Chung-Ying Lin, 2014. "Psychometric Evaluation of the Internalized Stigma of Mental Illness Scale for Patients with Mental Illnesses: Measurement Invariance across Time," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-8, June.
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    Cited by:

    1. Yeliz Karaçar & Seher Kaşlı & Kerime Bademli & Gönül Yavuz Çoşğun, 2026. "The effect of self-management and subjective recovery on social functioning in people with schizophrenia: A cross-sectional study based on a community mental health centre," International Journal of Social Psychiatry, , vol. 72(1), pages 148-159, February.

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