Acta Medica Okayama volume78 issue2
2024-04 発行

The Relationships among Internalized Stigma, Sense of Coherence, and Personal Recovery of Persons with Schizophrenia Living in the Community

Kuramoto, Aya Graduate School of Health Sciences, Okayama University
Saito, Shinya Graduate School of Health Sciences, Okayama University Kaken ID publons researchmap
Watanabe, Kumi School of Nursing, Faculty of Medicine, Kagawa University
Publication Date
2024-04
Abstract
We investigated (i) the relationships among internalized stigma (IS), sense of coherence (SOC), and the personal recovery (PR) of persons with schizophrenia living in the community, and (ii) how to improve the support for these individuals. A questionnaire survey on IS, SOC, and PR was sent by mail to 270 persons with schizophrenia living in the community who were using psychiatric daycare services, of whom 149 responded and 140 were included in the analysis. We established a hypothetical model in which IS influences PR, and SOC influences IS and PR, and we used structural equation modeling to examine the relationships among these concepts. The goodness of fit was acceptable. Our findings suggest that rather than directly promoting PR, SOC promotes PR by mitigating the impact of IS. It is important for nurses/supporters to support individuals with schizophrenia living in the community so that they have opportunities to reflect on their own experiences through their activities and to share their experiences with peers. Nurses/supporters themselves should also reflect on their own support needs. Our findings suggest that this will lead to a reduction of IS and the improvement of SOC, which will in turn promote personal recovery.
Document Type
Original Article
Keywords
schizophrenia
internalized stigma
sense of coherence
personal recovery
community
Link to PubMed
ISSN
0386-300X
NCID
AA00508441
JaLC DOI
DOI:
78_2_171.pdf 2.49 MB