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首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community
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The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community

机译：自我污名和未满足的需求对社区精神分裂症患者的康复具有中介作用

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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 (R2 = .24) and a greater number of unmet needs (R2 = .53). Self-stigma and unmet needs were in turn negatively related to subjective quality of life (R2 = .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.
机译：目的：对于居住在社区并接受门诊治疗的精神分裂症患者，污名化和歧视问题以及面向恢复的服务匮乏仍然是恢复和社区融合的障碍。无论症状状态或疾病进程如何，都会出现自我羞辱和未得到满足的恢复需求的经验，从而降低生活满意度并破坏整体健康状况。本研究探讨了自尊和未满足需求在精神症状严重程度与主观生活质量之间的中介作用。方法：以400名精神分裂症患者的社区样本为基础，进行结构方程建模和中介分析结果：症状和严重程度与主观生活质量之间的中介因素是自我耻辱和未满足需求的模型与数据非常吻合（GFI = .93，CFI = .93，NNFI = .92，RMSEA = .06，χ2/ df比= 2.62）。较高的症状严重程度与自尊的增加（R2 = .24）和大量未满足需求（R2 = .53）显着相关。自我污名和未满足的需求反过来与主观生活质量负相关（R2 = .45）。结论：服务提供商和管理员必须做出更大的努力，消除或减少自我污名和未满足的恢复需求，这是至关重要的与改善整体生活质量和长期康复有关。将赋权和基于倡导的干预措施纳入面向恢复的服务中，并根据个人定义的需求向人们提供基于社区的，以人为本的服务，这都是未来面向恢复的工作的重要方向。

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