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Zäske, H.; Degner, D.; Jockers-Scherübl, M.; Klingberg, S.; Klosterkötter, J.; Maier, W.; Möller, H.-J.; Sauer, H.; Schmitt, A. und Gaebel, W. (2016): Erleben von Stigma und Diskriminierung bei ersterkrankten Schizophreniepatienten. In: Nervenarzt, Bd. 87, Nr. 1: S. 82-87

Volltext auf 'Open Access LMU' nicht verfügbar.

Abstract

Patients with mental illnesses, especially with schizophrenia, suffer from stigma and discrimination. In addition, the stigma is a barrier to recognising and treating patients with first-episode psychosis;however, a self-rating instrument that assesses the general burden due to stigma experiences is still lacking. A total of N = 48 patients with first-episode schizophrenia who were participants in the multicenter first-episode (long-term) study within the German Research Network on Schizophrenia, completed a newly developed self-rating questionnaire to assess the burden due to stigma experiences (B-STE). The following variables were analyzed as possible correlates: psychopathology (CGI, PANSS, CDSS and HAM-D), global functioning (GAF), social adjustment (SAS), self-esteem (FSKN), as well as quality of life (LQLP), subjective well-being under neuroleptic treatment (SWN) and anticipated stigma (PDDQ). Of the participants 25 % showed an increased burden due to stigma experiences, which correlated with a lower quality of life, lower subjective well-being under neuroleptic treatment, lower self-esteem and higher anticipated stigma. The results indicate that patients rated higher on the CGI scale who are at the same time better socially adjusted (SAS), are more intensely affected by the burden due to stigma experiences. The short self-rating instrument burden due to stigma experiences (B-STE) can help to identify patients who might benefit from therapeutic or educational interventions to support coping with stigma experiences.

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