title: Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia.
abstract: Research suggests global self-esteem among persons with schizophrenia may be negatively affected by stigma or stereotyped beliefs about persons with severe mental illness. Less clear however, is whether particular dimensions of self-esteem are linked to particular domains of stigma. To examine this we surveyed a range of self-esteem dimensions including lovability, personal power, competence and moral self-approval and four domains of stigma: Stereotype endorsement, Discrimination experience, Social withdrawal and Stigma rejection. Participants were 133 adults with diagnoses of schizophrenia or schizoaffective disorder. Stepwise multiple regressions controlling for a possible defensive response bias suggested that aspects of self-esteem related to lovability by others were more closely linked with lesser feelings of being alienated from others due to mental illness. Aspects of self-esteem related to the ability to manage one's own affairs were more closely associated with the rejection of stereotypes of mental illness. A sense of being able to influence others was linked to both the absence of discrimination experiences and the ability to ward off stigma. Implications for treatment are discussed.
authors.affiliation: Day Hospital 116H, 1481 West 10th St, Roudebush VA Medical Center, Indianapolis Indiana 46202, Indiana University School of Medicine, United States. plysaker@iupui.edu
authors.forename: Paul H
authors.initials: PH
authors.lastname: Lysaker
authors.forename: Jack
authors.initials: J
authors.lastname: Tsai
authors.forename: Philip
authors.initials: P
authors.lastname: Yanos
authors.forename: David
authors.initials: D
authors.lastname: Roe
mesh_terms: D003674:Defense Mechanisms; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011287:Prejudice; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D012044:Regression Analysis; D012559:Schizophrenia / Q000175:diagnosis* / Q000453:epidemiology; D012565:Schizophrenic Psychology; D012649:Self Concept; D020377:Self Efficacy; D012918:Social Alienation; D012928:Social Desirability; D013240:Stereotyping; D011795:Surveys and Questionnaires