Effect of family sense of coherence on internalized stigma and health-related quality of life among individuals with schizophrenia

Chiu Yueh Hsiao, Huei Lan Lu, Yun Fang Tsai*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

31 Scopus citations

Abstract

Health-related quality of life is an increasingly critical outcome of mental healthcare, yet its disease-independent attributes, particularly family-focused resilient indicators, for individuals with schizophrenia have not been explicitly examined. The aim of this study was to explore the degree of health-related quality of life and to examine the mediating effect of family sense of coherence on internalized stigma and health-related quality of life in individuals with schizophrenia. A cross-sectional and correlational study design was used. A total of 111 individuals with schizophrenia were enrolled from the in-patient psychiatric rehabilitation services of two psychiatric hospitals in Taiwan. Face-to-face structured interviews were applied to collect information. Data were analyzed with descriptive statistics and multiple regression analyses. The results indicated that affected individuals experienced impaired health-related quality of life. Family sense of coherence partially mediated the relationship between internalized stigma and health-related quality of life. This study indicates that knowledge about the role of family sense of coherence in mental health rehabilitation may assist mental healthcare professionals to provide therapeutic interventions to address internalized stigma, thereby promoting health-related quality of life in individuals living with schizophrenia.

Original languageEnglish
Pages (from-to)138-146
Number of pages9
JournalInternational Journal of Mental Health Nursing
Volume27
Issue number1
DOIs
StatePublished - 01 02 2018

Bibliographical note

Publisher Copyright:
© 2017 Australian College of Mental Health Nurses Inc.

Keywords

  • family sense of coherence
  • health-related quality of life
  • internalized stigma
  • schizophrenia

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