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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Social Psychiatry and Psychiatric Rehabilitation
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1366030

The relationship between self-stigma and quality of life in long-term hospitalized patients with schizophrenia: A cross-sectional study

Provisionally accepted
Jiabao Chai Jiabao Chai 1*Fuquan Liu Fuquan Liu 2*Hu Deng Hu Deng 1Na Hu Na Hu 1Wenqian Huang Wenqian Huang 1*Hong Wang Hong Wang 1*Lin Liu Lin Liu 1*Ying Li Ying Li 3
  • 1 Beijing Huilongguan Hospital, Peking University, Beijing, China
  • 2 Beijing Jishuitan Hospital, Beijing, Beijing Municipality, China
  • 3 Department of Psychiatry, Beijing Children’s Hospital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Objective: To investigate self-stigma's influence on schizophrenia patients' quality of life and its mediated impact by various factors. Methods: This study adopted a cross-sectional design and randomly selected 170 hospitalized patients with schizophrenia for evaluation. The assessment tools included the Positive and Negative Syndrome Scale (PANSS), Internalized Stigma of Mental Illness Scale (ISMI), Schizophrenia Quality of Life Scale (SQLS), and Coping Questionnaire for Schizophrenia Patients (CQSP), among others. Correlation analysis, regression analysis, and mediation analysis were used to test the correlation and mediation effects. Results: Self-stigma had a significant impact on quality of life (T = 8.13, p = 0.00). When self-stigma is used as a mediator, the problem-solving factor in coping strategies has an indirect effect on quality of life, which is significant (AB = -0.16, P = 0.02), while the avoidance factor in coping strategies has a direct effect on quality of life, which is significant (C' = 0.54, p < 0.001), and an indirect effect, which is also significant (AB = 0.25, p < 0.001). Conclusion: The study highlights the significant impact of selfstigma on the quality of life of schizophrenia patients, emphasizing the crucial roles of self-esteem and coping strategies. These findings suggest clinical interventions to improve quality of life should focus on reducing self-stigma, especially enhancing self-esteem and promoting adaptive coping strategies. By addressing these factors, we can better support the mental health and well-being of those with schizophrenia, offering an effective approach to rehabilitation.

    Keywords: Schizophrenia, self-stigma, Quality of Life, self-esteem, coping strategies

    Received: 19 Jan 2024; Accepted: 01 May 2024.

    Copyright: © 2024 Chai, Liu, Deng, Hu, Huang, Wang, Liu and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jiabao Chai, Beijing Huilongguan Hospital, Peking University, Beijing, China
    Fuquan Liu, Beijing Jishuitan Hospital, Beijing, 100035, Beijing Municipality, China
    Wenqian Huang, Beijing Huilongguan Hospital, Peking University, Beijing, China
    Hong Wang, Beijing Huilongguan Hospital, Peking University, Beijing, China
    Lin Liu, Beijing Huilongguan Hospital, Peking University, Beijing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.