探討思覺失調症病患尊嚴覺知、自我烙印與憂鬱症狀之關係

The aim of this study was to explore the relations of self-stigma, perceived dignity and depressive symptoms to patients having schizophrenia. A total of 166 participants suffering from schizophrenia were recruited from four psychiatric rehabilitation units in northern Taiwan. The demographic data, the perceived psychiatric stigma scale (PPSS), Perceived Dignity Inventory and the Beck Depression Inventory II were used to evaluate the participants. IBM SPSS 20.0 was employed to analyze data, including descriptive statistics, t test, Chi-square test and multiple logistic regressions. Comparing with the participants who have no depressive symptoms, those having depressive symptoms showed higher self-stigma, lower perceived dignity and duration of disease (all p ＜ .05). Multiple logistic regressions analysis with six controlled covariates indicated that self-stigma (OR = 1.052, p ＜ .001) and perceived stigma (OR = .945, p ＜ .001) remained significantly associated with depressive symptoms. This study provides evidence for the role of perceived dignity and self-stigma to patients suffering from schizophrenia. A designed intervention of promoting dignity and decreasing self-stigma should be considered when patients suffer from depression.