TY - JOUR
T1 - Resilience, internalized stigma, self-esteem, and hopelessness among people with schizophrenia
T2 - Cultural comparison in Austria and Japan
AU - Hofer, Alex
AU - Mizuno, Yuya
AU - Frajo-Apor, Beatrice
AU - Kemmler, Georg
AU - Suzuki, Takefumi
AU - Pardeller, Silvia
AU - Welte, Anna Sophia
AU - Sondermann, Catherine
AU - Mimura, Masaru
AU - Wartelsteiner, Fabienne
AU - Fleischhacker, W. Wolfgang
AU - Uchida, Hiroyuki
N1 - Funding Information:
This work was supported by Grant-in-Aid for Young Scientists-B from the Ministry of Education, Culture, Sports, Science and Technology (H.U., grant number 25870713 ); Astellas Foundation for Research on Metabolic Disorders (H.U.); SENSHIN Medical Research Foundation (H.U.); Keio University Grant-in-Aid for Encouragement of Young Medical Scientists (Y.M.); and the Inokashira Hospital Foundation (Y.M.). These funding sources had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.
Publisher Copyright:
© 2016 Elsevier B.V.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Resilience is becoming an important topic in people with schizophrenia since there is evidence that it increases the probability for long-term recovery. The current study investigated transcultural differences in resilience across schizophrenia patients from two different geographical regions, Austria and Japan. Another objective was to examine transcultural differences in internalized stigma, self-esteem, and hopelessness, which can be expected to be relevant in this context, as well as the interrelations between these subjective elements of recovery and symptom severity. To this end, patients from outpatient mental health services in Innsbruck, Austria (= 52) and Tokyo, Japan (= 60) as well as 137 healthy comparison subjects from both countries were included into this cross-sectional study. Notably, we detected a significant country effect with markedly lower resilience (= 74.4, p < 0.001) and self-esteem scores (= 226.0, p < 0.001) as well as higher hopelessness scores (= 37.4, p < 0.001) among Japanese subjects in general. In addition, both Austrian and Japanese patients indicated significantly lower degrees of resilience (= 57.5, p < 0.001), self-esteem (= 51.8, p < 0.001), and hope (= 29.5, p < 0.001) compared to healthy control subjects. The inter-correlations between subjective elements of recovery were comparable in size in the two patient samples, but the inter-correlations between these issues and residual symptoms of schizophrenia as objective domains of recovery were markedly higher in Austrian subjects. This suggests that schizophrenia patients from Western European and Japanese cultures may have different needs to achieve recovery. In conclusion, it will be critical to develop culture-specific psychosocial programs and to examine their feasibility and effectiveness among these patients.
AB - Resilience is becoming an important topic in people with schizophrenia since there is evidence that it increases the probability for long-term recovery. The current study investigated transcultural differences in resilience across schizophrenia patients from two different geographical regions, Austria and Japan. Another objective was to examine transcultural differences in internalized stigma, self-esteem, and hopelessness, which can be expected to be relevant in this context, as well as the interrelations between these subjective elements of recovery and symptom severity. To this end, patients from outpatient mental health services in Innsbruck, Austria (= 52) and Tokyo, Japan (= 60) as well as 137 healthy comparison subjects from both countries were included into this cross-sectional study. Notably, we detected a significant country effect with markedly lower resilience (= 74.4, p < 0.001) and self-esteem scores (= 226.0, p < 0.001) as well as higher hopelessness scores (= 37.4, p < 0.001) among Japanese subjects in general. In addition, both Austrian and Japanese patients indicated significantly lower degrees of resilience (= 57.5, p < 0.001), self-esteem (= 51.8, p < 0.001), and hope (= 29.5, p < 0.001) compared to healthy control subjects. The inter-correlations between subjective elements of recovery were comparable in size in the two patient samples, but the inter-correlations between these issues and residual symptoms of schizophrenia as objective domains of recovery were markedly higher in Austrian subjects. This suggests that schizophrenia patients from Western European and Japanese cultures may have different needs to achieve recovery. In conclusion, it will be critical to develop culture-specific psychosocial programs and to examine their feasibility and effectiveness among these patients.
KW - Hopelessness
KW - Resilience
KW - Schizophrenia
KW - Self-esteem
KW - Stigma
KW - Transcultural
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U2 - 10.1016/j.schres.2016.01.027
DO - 10.1016/j.schres.2016.01.027
M3 - Article
C2 - 26805413
AN - SCOPUS:84958114960
VL - 171
SP - 86
EP - 91
JO - Schizophrenia Research
JF - Schizophrenia Research
SN - 0920-9964
IS - 1-3
ER -