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Erschienen in: Quality of Life Research 9/2014

01.11.2014

The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community

verfasst von: Kevin K. S. Chan, Winnie W. S. Mak

Erschienen in: Quality of Life Research | Ausgabe 9/2014

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Abstract

Purpose

For people with schizophrenia living in the community and receiving outpatient care, the issues of stigma and discrimination and dearth of recovery-oriented services remain barriers to recovery and community integration. The experience of self-stigma and unmet recovery needs can occur regardless of symptom status or disease process, reducing life satisfaction and disrupting overall well-being. The present study examined the mediating role of self-stigma and unmet needs in the relationship between psychiatric symptom severity and subjective quality of life.

Methods

Structural equation modeling and mediation analyses were conducted based on a community sample of 400 mental health consumers with schizophrenia spectrum disorders in Hong Kong.

Results

The model of self-stigma and unmet needs as mediators between symptom severity and subjective quality of life had good fit to the data (GFI = .93, CFI = .93, NNFI = .92, RMSEA = .06, χ2/df ratio = 2.62). A higher level of symptom severity was significantly associated with increased self-stigma (R 2 = .24) and a greater number of unmet needs (R 2 = .53). Self-stigma and unmet needs were in turn negatively related to subjective quality of life (R 2 = .45).

Conclusions

It is essential that service providers and administrators make greater efforts to eliminate or reduce self-stigma and unmet recovery needs, which are associated with the betterment of the overall quality of life and long-term recovery. Both incorporating empowerment and advocacy-based interventions into recovery-oriented services and providing community-based, person-centered services to people based on personally defined needs are important directions for future recovery-oriented efforts.
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Metadaten
Titel
The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community
verfasst von
Kevin K. S. Chan
Winnie W. S. Mak
Publikationsdatum
01.11.2014
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 9/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0695-7

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