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The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia

Published online by Cambridge University Press:  16 April 2020

I. Sibitz ,
M. Amering ,
A. Unger ,
M.E. Seyringer ,
A. Bachmann ,
B. Schrank ,
T. Benesch ,
B. Schulze  and
A. Woppmann
I. Sibitz*
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria Dublin City University, School of Nursing, Dublin, Ireland
M. Amering
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
A. Unger
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria
M.E. Seyringer
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria
A. Bachmann
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria
B. Schrank
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria
T. Benesch
Affiliation:
Medical University of Vienna, Core Unit for Medical Statistics and Informatics, Vienna, Austria
B. Schulze
Affiliation:
University of Zurich, Research Unit for Clinical und Social Psychiatry, Zurich, Switzerland
A. Woppmann
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Währinger Gürtel 18-20, 1090 Vienna, Austria
*
*Corresponding author. Tel.: +0043/1/40400 3546; fax: +0043/1/40400-3605. E-mail address: [email protected](I. Sibitz)
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Abstract:

Objective:

The quality of life (QOL) of patients with schizophrenia has been found to be positively correlated with the social network and empowerment, and negatively correlated with stigma and depression. However, little is known about the way these variables impact on the QOL. The study aims to test the hypothesis that the social network, stigma and empowerment directly and indirectly by contributing to depression influence the QOL in patients with schizophrenia and schizoaffective disorders.

Method:

Data were collected on demographic and clinical variables, internalized stigma, perceived devaluation and discrimination, empowerment, control convictions, depression and QOL. Structural equation modelling (SEM) was applied to examine the impact of the above-mentioned constructs on QOL.

Results:

The influences of the social network, stigma, empowerment and depression on QOL were supported by the SEM. A poor social network contributed to a lack of empowerment and stigma, which resulted in depression and, in turn, in poor QOL. Interestingly, however, the social network and stigma did not show a direct effect on QOL.

Conclusions:

Following a recovery approach in mental health services by focusing on the improvement of the social network, stigma reduction and especially on the development of personal strength has the potential to reduce depression in patients with psychosis and improving their QOL.

Keywords

SchizophreniaQuality of lifeSocial networkStigmaEmpowermentStructural equation modelling
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 1 , January 2011 , pp. 28 - 33
Copyright
Copyright © Elsevier Masson SAS 2011

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