Skip to main content
×
Home
    • Aa
    • Aa

Self-stigma, self-esteem and age in persons with schizophrenia

  • Perla Werner (a1), Alex Aviv (a2) (a3) and Yoram Barak (a4) (a3)
Abstract
ABSTRACT

Background: The relationship between self-stigma and self-esteem in patients with schizophrenia is receiving increased attention. However, studies to date have been limited to samples of persons under the age of 65.

Aim: To examine the relationship between self-stigma and self-esteem in people with schizophrenia in both younger and older age groups.

Methods: Face-to-face interviews were completed with 86 inpatients with schizophrenia in a psychiatric hospital (mean age = 54, 55% female). Self-esteem was assessed using Rosenberg's Self Esteem Scale. Self-stigma was assessed using an adapted version of the Internalized Stigma of Mental Health (ISMI) scale. Information regarding socio-demographic characteristics and psychiatric history and symptomatology was collected.

Results: Self-stigma was moderate with only 20–33% of the participants reporting high levels of stigmatization. Older participants reported lower levels of self-stigma than younger participants. A relatively strong association between self-stigma and self-esteem was found.

Conclusions: The findings point to the complexity of the association between self-stigma, self-esteem and age in people with schizophrenia. This study stresses the importance of clinicians taking the issue of self-stigma into consideration when treating young and old patients with schizophrenia.

Copyright
Corresponding author
Correspondence should be addressed to: Perla Werner, Professor and Dean, Faculty of Social Welfare and Health Sciences, University of Haifa, Mt. Carmel, Haifa 31905, Israel. Phone: +972-4-8249565; Fax: +972-4-8240573. Email: werner@research.haifa.ac.il.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

Y. Barak , E. Shamir and R. Weizman 2002. Would a switch from typical antipsychotics to risperidone be beneficial for elderly schizophrenic patients? A naturalistic, long-term, retrospective, comparative study. Journal of Clinical Psychopharmacology, 22, 115120.

M. Berge and M. Ranney 2005. Self-esteem and stigma among persons with schizophrenia: implications for mental health. Care Management Journal, 6, 139144.

T. Bjorkman and B. Svensson 2005. Quality of life in people with severe mental illness. Reliability and validity of the Manchester Short Assessment of Quality of Life (MANSA). Nordic Journal of Psychiatry, 59, 302306.

L. Blankertz 2001. Cognitive components of self esteem for individuals with severe mental illness. American Journal of Orthopsychiatry, 71, 457465.

G. W. Blood , I. M. Blood , G. M. Tellis and R. M. Gabel 2003. A preliminary study of self-esteem, stigma and disclosure in adolescents who stutter. Journal of Fluency Disorders, 28, 143159.

V. P. Bozikas . 2006. Community dysfunction in schizophrenia: rate-limiting factors. Progress in Neuro-Psychopharmacological and Biological Psychiatry, 30, 463470.

S. R. Cotton 1999. Marital status and mental health revisited: examining the importance of risk factors and resources. Family Relations, 48, 225233.

F. B. Dickerson , J. Sommerville , A. E. Origoni , N. B. Ringel and F. Parente 2002. Experiences of stigma among outpatients with schizophrenia. Schizophrenia Bulletin, 28, 143155.

A. Ertugrul and B. Ulug 2004. Perception of stigma among patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 39, 7377.

D. V. Jeste . 1999. Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next 2 decades.Archives of Geriatric Psychiatry, 56, 848853.

S. K. Kahng and C. T. Mowbray 2005. What affects self-esteem of persons with psychiatric disabilities: the role of causal attribution of mental illnesses. Psychiatric Rehabilitation Journal, 28, 354361.

A. Karow , S. Moritz , S. Lambert , S. Schoder and M. Krausz 2005. PANSS syndromes and quality of life in schizophrenia. Psychopathology, 38, 320326.

S. R. Kay , A. Fishbein and L. A. Opler 1987. The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.

M. T. Knight , T. Wykes and P. Hayward 2003. “People don't understand”: An investigation of stigma in schizophrenia using Interpretative Phenomenological Analysis (IPZ). Journal of Mental Health, 12, 209222.

H. Kunikata , Y. Mino and K. Nakajima 2005. Quality of life of schizophrenic patients living in the community: the relationships with personal characteristics, objective indicators and self esteem. Psychiatry and Clinical Neuroscience, 59, 163169.

C. Lauber , C. Nordt , L. Falcato and W. Rossler 2004. Factors influencing social distance towards people with mental illness. Community Mental Health Journal, 40, 265273.

S. Lee , M. T. Y. Lee , M. Y. L. Chiu and A. Kleinman 2005. Experience of social stigma by people with schizophrenia in Hong Kong. British Journal of Psychiatry, 186, 153157.

B. G. Link , J. Mirotznik and F. T. Cullen 1991. The effectiveness of stigma coping orientations: can negative consequences of mental illness labeling be avoided? Journal of Health and Social Behavior, 32, 302320.

B. G. Link , E. L. Struening , S. Neese-Todd , S. Asmussen and J. C. Phelan 2001. The consequences of stigma for the self esteem of people with mental illnesses. Psychiatric Services, 52, 16211626.

J. B. Ritsher and J. C. Phelan 2004. Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129, 257265.

S. Rodriguez-Ferrera , C. A. Vassilas and S. Haque 2004. Older people with schizophrenia: a community study in a rural catchment area. International Journal of Geriatric Psychiatry, 19, 11811187.

N. Rush , M. C. Angermeyer and P. W. Corrigan 2005. Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20, 529539.

B. Schulze and M. C. Angermeyer 2003. Subjective experiences of stigma: a focus group study of schizophrenic patients, their relatives and mental health professionals. Social Science and Medicine, 56, 299312.

S. Sevy , K. Nathanson , H. Visweswaeaiah and X. Amador 2004. The relationship between insight and symptoms in schizophrenia. Comprehensive Psychiatry, 45, 1619.

J. A. Sirey . 2001. Perceived stigma as predictors of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry, 158, 479481.

F. G. Thornicroft . 2004. The personal impact of schizophrenia in Europe. Schizophrenia Research, 69, 125132.

E. Q. Wu . 2005. The economic burden of schizophrenia in the United States in 2002. Journal of Clinical Psychiatry, 66, 11221129.

C. H. Yen , C. H. Chen , Y. Lee , T. Tang , C. H. Ko and J. Yen 2005. Insight and correlates among outpatients with depressive disorders. Comprehensive Psychiatry, 46, 384389.

K. H. Trzesniewski , M. B. Donnellan and R. W. Robins 2003. Stability of self esteem across the life span. Journal of Personality and Social Psychology, 84, 205220.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 11
Total number of PDF views: 83 *
Loading metrics...

Abstract views

Total abstract views: 321 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 23rd May 2017. This data will be updated every 24 hours.