中華心理衛生協會

Purpose: This study examined the mediating effect of family function on the relationship between self-stigma and psychological well-being (i.e., self-esteem, depressive symptoms, quality of life, hopelessness, and self-efficacy) in patients with schizophrenia and patients with depression. Methods: A total of 225 outpatients (150 patients with schizophrenia, 75 patients with depression) were recruited from 2012 to 2014. The mediating effect of family function on the relationship between self-stigma and psychological wellbeing was examined by regression analysis. The degree of significance of indirect effects was estimated via bootstrapping. Results: Significant correlations between self-stigma, family function, and psychological well-being were found in patients with schizophrenia and patients with depression. Family function partially mediated the relation of self-stigma to self-esteem and to depressive symptoms in patients with schizophrenia. Family function partially mediated the relation of self-stigma to self-esteem, depressive symptoms, quality of life, and hopelessness in patients with depression. However, regardless of whether the patient had schizophrenia or depression, family function did not mediate the relationship between self-stigma and self-efficacy. Conclusions: Self-stigma influenced psychological well-being via family function in schizophrenia and depression patients. Enhancing family functioning is a plausible intervention target to improve psychological well-being in patients with mental illness.