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Quality of Life Research

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01-11-2014

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

Auteurs: Kevin K. S. Chan, Winnie W. S. Mak

Gepubliceerd in: Quality of Life Research | Uitgave 9/2014

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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Titel: The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community
Auteurs: Kevin K. S. Chan
Winnie W. S. Mak
Publicatiedatum: 01-11-2014
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0695-7

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