The Kurume Medical Journal
Online ISSN : 1881-2090
Print ISSN : 0023-5679
Psychoeducation may Reduce Self-Stigma of People with Schizophrenia and Schizoaffective Disorder
Author information

2012 Volume 59 Issue 1.2 Pages 25-31


Previous studies suggest that self-stigma is related to social isolation and discrimination. Although it is known that stigma has cultural and social impacts, only a few studies in Japan have explored self-stigma in people with schizophrenia. The present study was conducted to investigate self-stigma in people with schizophrenia and schizoaffective disorder in Japan under a typical clinical setting, and to examine the effect of psychoeducation on self-stigma. Fifty-six participants (44 men and 12 women) who met the DSM-IV criteria for schizophrenia and schizoaffective disorder were recruited. All participants completed several questionnaires including social distance scale. Collected data were classified into an experiential or non-experiential group according to hospital records. The experiential group received psychoeducation which focused on reducing self-stigma by correcting inaccurate ideas about schizophrenia, and the relation between schizophrenia and criminal activity or violence, by watching videotapes and analyzing data from a report published by the National Police Agency. After the intervention, participants completed the Japanese version of the Social Distance Scale (SDS-J), the Knowledge of Illness and Drugs Inventory (KIDI) questionnaire, the Drug Attitude Inventory 10 (DAI-10), and the Birchwood’s Psychosis Insight Scale (BPIS). In addition Global Assessment of Functioning Scale (GAF) scores were calculated for each participant. Significant differences between the 2 groups were observed for the SDS-J, KIDI, and BPIS (P<0.01 for each). However, no significant differences were observed for the DAI-10, GAF, age, and duration of treatment. The results of a path analysis showed that increasing knowledge about schizophrenia and its treatment might play an important role in reducing the self-stigma associated with this disease. When performing psychoeducation for people with schizophrenia and schizoaffective disorder, we need to discuss the pervasive effects of stigma and discrimination.

Information related to the author
© 2012 Kurume University School of Medicine
Previous article Next article