The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect
Background It is essential to assist individuals with a mental illness who have achieved clinical recovery in their personal recovery. Understanding the relationship between self‐stigma and social support and the effects on perceived recovery can be valuable for clinical professionals in helping pat...
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| Veröffentlicht in: | Journal of advanced nursing 2024-06, Vol.80 (6), p.2340-2350 |
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| container_title | Journal of advanced nursing |
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| creator | Huang, Li Ting Liu, Ya Ling Pao, Che Hao Chang, Yu Ho Chu, Ru Ying Hsu, Hui Min Wei, Dia Ru Yang, Chiu Yueh |
| description | Background
It is essential to assist individuals with a mental illness who have achieved clinical recovery in their personal recovery. Understanding the relationship between self‐stigma and social support and the effects on perceived recovery can be valuable for clinical professionals in helping patients lead meaningful lives.
Aim
To examine the serial mediating roles of social support and perceived hope in self‐stigma and the effects on perceived recovery.
Design
A cross‐sectional study.
Methods
The study was conducted from September 2019 to June 2020. One hundred and fifty‐seven patients with schizophrenia in seven chronic rehabilitation wards were enrolled. Each patient had a Positive and Negative Syndrome Scale score ≤ 60 points, and they regularly participated in occupational rehabilitation. Research tools included demographic data, the Internalized Stigma of Mental Illness Scale (ISMIS), Multidimensional Scale of Perceived Social Support (MSPSS), Herth Hope Index (HHI), and Perceived Recovery Inventory (PRI). IBM SPSS 24.0 was used to analyse the data. Pearson correlation was used to analyse the relationships between variables, and models 4 and 6 of PROCESS macro V3.4 for SPSS were used to examine the mediation model.
Results
The results indicated that self‐stigma and perceived recovery in patients with schizophrenia are negatively correlated, that peer support and perceived hope mediate the relationship between them, and that peer support and perceived hope also have a statistically significant serial mediating effect.
Conclusion
The serial mediation effect of peer support and perceived hope on the relationship between self‐stigma and perceived recovery was statistically significant in this study.
Impact
This research delves into strategies to assist psychiatric patients in reducing self‐stigma and achieving recovery. The findings underscore the heightened significance of peer support for patients in rehabilitative wards and offer valuable insights for medical staff.
Reporting Method
STROBE checklist.
Patient or Public Contribution
No patient or public contribution. |
| doi_str_mv | 10.1111/jan.15980 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2895259980</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2895259980</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3130-f6f173477ba294b4011d2828e859414c478ad677f48ac64b097d2a9950c8a7af3</originalsourceid><addsrcrecordid>eNp1kctu1TAQhi0EoofCghdAltjAIq1viW12VcVVFWzK2vJxxo2PkjjYSavDikeAV-RJ8LmUBRLejKz55v9H8yP0nJIzWt75xo5ntNaKPEArypu6Yo1QD9GKcKIrJgg7QU9y3hBCOWPsMTrhilBFmFyhX9cdYJtzdMHOIY44erz_9Dgv0xTTjO3Y4i5OgO_C3OEMvf_942eew81g970JkoNwCy1O4OItpC22QxxvSiNO_f2Y68L3OHUJxmDf4J1rhrSzGaA9WoP34Oan6JG3fYZnx3qKvr57e335obr68v7j5cVV5TjlpPKNp5ILKdeWabEWhNKWKaZA1VpQ4YRUtm2k9EJZ14g10bJlVuuaOGWl9fwUvTroTil-WyDPZgjZQd_bEeKSDVO6ZrUuVy3oy3_QTVzSWLYznNScK0loXajXB8qlmHMCb6YUBpu2hhKzy8mUnMw-p8K-OCou63KAv-R9MAU4PwB3oYft_5XMp4vPB8k_YUKedw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3053387015</pqid></control><display><type>article</type><title>The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Huang, Li Ting ; Liu, Ya Ling ; Pao, Che Hao ; Chang, Yu Ho ; Chu, Ru Ying ; Hsu, Hui Min ; Wei, Dia Ru ; Yang, Chiu Yueh</creator><creatorcontrib>Huang, Li Ting ; Liu, Ya Ling ; Pao, Che Hao ; Chang, Yu Ho ; Chu, Ru Ying ; Hsu, Hui Min ; Wei, Dia Ru ; Yang, Chiu Yueh</creatorcontrib><description>Background
It is essential to assist individuals with a mental illness who have achieved clinical recovery in their personal recovery. Understanding the relationship between self‐stigma and social support and the effects on perceived recovery can be valuable for clinical professionals in helping patients lead meaningful lives.
Aim
To examine the serial mediating roles of social support and perceived hope in self‐stigma and the effects on perceived recovery.
Design
A cross‐sectional study.
Methods
The study was conducted from September 2019 to June 2020. One hundred and fifty‐seven patients with schizophrenia in seven chronic rehabilitation wards were enrolled. Each patient had a Positive and Negative Syndrome Scale score ≤ 60 points, and they regularly participated in occupational rehabilitation. Research tools included demographic data, the Internalized Stigma of Mental Illness Scale (ISMIS), Multidimensional Scale of Perceived Social Support (MSPSS), Herth Hope Index (HHI), and Perceived Recovery Inventory (PRI). IBM SPSS 24.0 was used to analyse the data. Pearson correlation was used to analyse the relationships between variables, and models 4 and 6 of PROCESS macro V3.4 for SPSS were used to examine the mediation model.
Results
The results indicated that self‐stigma and perceived recovery in patients with schizophrenia are negatively correlated, that peer support and perceived hope mediate the relationship between them, and that peer support and perceived hope also have a statistically significant serial mediating effect.
Conclusion
The serial mediation effect of peer support and perceived hope on the relationship between self‐stigma and perceived recovery was statistically significant in this study.
Impact
This research delves into strategies to assist psychiatric patients in reducing self‐stigma and achieving recovery. The findings underscore the heightened significance of peer support for patients in rehabilitative wards and offer valuable insights for medical staff.
Reporting Method
STROBE checklist.
Patient or Public Contribution
No patient or public contribution.</description><identifier>ISSN: 0309-2402</identifier><identifier>ISSN: 1365-2648</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.15980</identifier><identifier>PMID: 38018027</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Cross-Sectional Studies ; cross‐sectional study ; Female ; Hope ; Humans ; Internalization ; Male ; Measures ; Mental disorders ; Middle Aged ; nursing ; Patients ; Peer tutoring ; Peers ; Perceived social support ; personal recovery ; Recovery ; Recovery (Medical) ; Rehabilitation ; Schizophrenia ; Schizophrenia - rehabilitation ; Schizophrenic Psychology ; Self Concept ; serial mediation effect ; Social Stigma ; Social Support ; Stigma ; Surveys and Questionnaires</subject><ispartof>Journal of advanced nursing, 2024-06, Vol.80 (6), p.2340-2350</ispartof><rights>2023 John Wiley & Sons Ltd.</rights><rights>2024 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3130-f6f173477ba294b4011d2828e859414c478ad677f48ac64b097d2a9950c8a7af3</cites><orcidid>0009-0007-1170-8767 ; 0000-0002-5907-5619</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.15980$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.15980$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,31004,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38018027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Li Ting</creatorcontrib><creatorcontrib>Liu, Ya Ling</creatorcontrib><creatorcontrib>Pao, Che Hao</creatorcontrib><creatorcontrib>Chang, Yu Ho</creatorcontrib><creatorcontrib>Chu, Ru Ying</creatorcontrib><creatorcontrib>Hsu, Hui Min</creatorcontrib><creatorcontrib>Wei, Dia Ru</creatorcontrib><creatorcontrib>Yang, Chiu Yueh</creatorcontrib><title>The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Background
It is essential to assist individuals with a mental illness who have achieved clinical recovery in their personal recovery. Understanding the relationship between self‐stigma and social support and the effects on perceived recovery can be valuable for clinical professionals in helping patients lead meaningful lives.
Aim
To examine the serial mediating roles of social support and perceived hope in self‐stigma and the effects on perceived recovery.
Design
A cross‐sectional study.
Methods
The study was conducted from September 2019 to June 2020. One hundred and fifty‐seven patients with schizophrenia in seven chronic rehabilitation wards were enrolled. Each patient had a Positive and Negative Syndrome Scale score ≤ 60 points, and they regularly participated in occupational rehabilitation. Research tools included demographic data, the Internalized Stigma of Mental Illness Scale (ISMIS), Multidimensional Scale of Perceived Social Support (MSPSS), Herth Hope Index (HHI), and Perceived Recovery Inventory (PRI). IBM SPSS 24.0 was used to analyse the data. Pearson correlation was used to analyse the relationships between variables, and models 4 and 6 of PROCESS macro V3.4 for SPSS were used to examine the mediation model.
Results
The results indicated that self‐stigma and perceived recovery in patients with schizophrenia are negatively correlated, that peer support and perceived hope mediate the relationship between them, and that peer support and perceived hope also have a statistically significant serial mediating effect.
Conclusion
The serial mediation effect of peer support and perceived hope on the relationship between self‐stigma and perceived recovery was statistically significant in this study.
Impact
This research delves into strategies to assist psychiatric patients in reducing self‐stigma and achieving recovery. The findings underscore the heightened significance of peer support for patients in rehabilitative wards and offer valuable insights for medical staff.
Reporting Method
STROBE checklist.
Patient or Public Contribution
No patient or public contribution.</description><subject>Adult</subject><subject>Aged</subject><subject>Cross-Sectional Studies</subject><subject>cross‐sectional study</subject><subject>Female</subject><subject>Hope</subject><subject>Humans</subject><subject>Internalization</subject><subject>Male</subject><subject>Measures</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>nursing</subject><subject>Patients</subject><subject>Peer tutoring</subject><subject>Peers</subject><subject>Perceived social support</subject><subject>personal recovery</subject><subject>Recovery</subject><subject>Recovery (Medical)</subject><subject>Rehabilitation</subject><subject>Schizophrenia</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenic Psychology</subject><subject>Self Concept</subject><subject>serial mediation effect</subject><subject>Social Stigma</subject><subject>Social Support</subject><subject>Stigma</subject><subject>Surveys and Questionnaires</subject><issn>0309-2402</issn><issn>1365-2648</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kctu1TAQhi0EoofCghdAltjAIq1viW12VcVVFWzK2vJxxo2PkjjYSavDikeAV-RJ8LmUBRLejKz55v9H8yP0nJIzWt75xo5ntNaKPEArypu6Yo1QD9GKcKIrJgg7QU9y3hBCOWPsMTrhilBFmFyhX9cdYJtzdMHOIY44erz_9Dgv0xTTjO3Y4i5OgO_C3OEMvf_942eew81g970JkoNwCy1O4OItpC22QxxvSiNO_f2Y68L3OHUJxmDf4J1rhrSzGaA9WoP34Oan6JG3fYZnx3qKvr57e335obr68v7j5cVV5TjlpPKNp5ILKdeWabEWhNKWKaZA1VpQ4YRUtm2k9EJZ14g10bJlVuuaOGWl9fwUvTroTil-WyDPZgjZQd_bEeKSDVO6ZrUuVy3oy3_QTVzSWLYznNScK0loXajXB8qlmHMCb6YUBpu2hhKzy8mUnMw-p8K-OCou63KAv-R9MAU4PwB3oYft_5XMp4vPB8k_YUKedw</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Huang, Li Ting</creator><creator>Liu, Ya Ling</creator><creator>Pao, Che Hao</creator><creator>Chang, Yu Ho</creator><creator>Chu, Ru Ying</creator><creator>Hsu, Hui Min</creator><creator>Wei, Dia Ru</creator><creator>Yang, Chiu Yueh</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0007-1170-8767</orcidid><orcidid>https://orcid.org/0000-0002-5907-5619</orcidid></search><sort><creationdate>202406</creationdate><title>The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect</title><author>Huang, Li Ting ; Liu, Ya Ling ; Pao, Che Hao ; Chang, Yu Ho ; Chu, Ru Ying ; Hsu, Hui Min ; Wei, Dia Ru ; Yang, Chiu Yueh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3130-f6f173477ba294b4011d2828e859414c478ad677f48ac64b097d2a9950c8a7af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cross-Sectional Studies</topic><topic>cross‐sectional study</topic><topic>Female</topic><topic>Hope</topic><topic>Humans</topic><topic>Internalization</topic><topic>Male</topic><topic>Measures</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>nursing</topic><topic>Patients</topic><topic>Peer tutoring</topic><topic>Peers</topic><topic>Perceived social support</topic><topic>personal recovery</topic><topic>Recovery</topic><topic>Recovery (Medical)</topic><topic>Rehabilitation</topic><topic>Schizophrenia</topic><topic>Schizophrenia - rehabilitation</topic><topic>Schizophrenic Psychology</topic><topic>Self Concept</topic><topic>serial mediation effect</topic><topic>Social Stigma</topic><topic>Social Support</topic><topic>Stigma</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Li Ting</creatorcontrib><creatorcontrib>Liu, Ya Ling</creatorcontrib><creatorcontrib>Pao, Che Hao</creatorcontrib><creatorcontrib>Chang, Yu Ho</creatorcontrib><creatorcontrib>Chu, Ru Ying</creatorcontrib><creatorcontrib>Hsu, Hui Min</creatorcontrib><creatorcontrib>Wei, Dia Ru</creatorcontrib><creatorcontrib>Yang, Chiu Yueh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Li Ting</au><au>Liu, Ya Ling</au><au>Pao, Che Hao</au><au>Chang, Yu Ho</au><au>Chu, Ru Ying</au><au>Hsu, Hui Min</au><au>Wei, Dia Ru</au><au>Yang, Chiu Yueh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2024-06</date><risdate>2024</risdate><volume>80</volume><issue>6</issue><spage>2340</spage><epage>2350</epage><pages>2340-2350</pages><issn>0309-2402</issn><issn>1365-2648</issn><eissn>1365-2648</eissn><abstract>Background
It is essential to assist individuals with a mental illness who have achieved clinical recovery in their personal recovery. Understanding the relationship between self‐stigma and social support and the effects on perceived recovery can be valuable for clinical professionals in helping patients lead meaningful lives.
Aim
To examine the serial mediating roles of social support and perceived hope in self‐stigma and the effects on perceived recovery.
Design
A cross‐sectional study.
Methods
The study was conducted from September 2019 to June 2020. One hundred and fifty‐seven patients with schizophrenia in seven chronic rehabilitation wards were enrolled. Each patient had a Positive and Negative Syndrome Scale score ≤ 60 points, and they regularly participated in occupational rehabilitation. Research tools included demographic data, the Internalized Stigma of Mental Illness Scale (ISMIS), Multidimensional Scale of Perceived Social Support (MSPSS), Herth Hope Index (HHI), and Perceived Recovery Inventory (PRI). IBM SPSS 24.0 was used to analyse the data. Pearson correlation was used to analyse the relationships between variables, and models 4 and 6 of PROCESS macro V3.4 for SPSS were used to examine the mediation model.
Results
The results indicated that self‐stigma and perceived recovery in patients with schizophrenia are negatively correlated, that peer support and perceived hope mediate the relationship between them, and that peer support and perceived hope also have a statistically significant serial mediating effect.
Conclusion
The serial mediation effect of peer support and perceived hope on the relationship between self‐stigma and perceived recovery was statistically significant in this study.
Impact
This research delves into strategies to assist psychiatric patients in reducing self‐stigma and achieving recovery. The findings underscore the heightened significance of peer support for patients in rehabilitative wards and offer valuable insights for medical staff.
Reporting Method
STROBE checklist.
Patient or Public Contribution
No patient or public contribution.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38018027</pmid><doi>10.1111/jan.15980</doi><tpages>11</tpages><orcidid>https://orcid.org/0009-0007-1170-8767</orcidid><orcidid>https://orcid.org/0000-0002-5907-5619</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0309-2402 |
| ispartof | Journal of advanced nursing, 2024-06, Vol.80 (6), p.2340-2350 |
| issn | 0309-2402 1365-2648 1365-2648 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Aged Cross-Sectional Studies cross‐sectional study Female Hope Humans Internalization Male Measures Mental disorders Middle Aged nursing Patients Peer tutoring Peers Perceived social support personal recovery Recovery Recovery (Medical) Rehabilitation Schizophrenia Schizophrenia - rehabilitation Schizophrenic Psychology Self Concept serial mediation effect Social Stigma Social Support Stigma Surveys and Questionnaires |
| title | The association of social support and hope with self‐stigma and perceived recovery among people with schizophrenia: The serial mediation effect |
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