Factors Affecting Stigma of Schizophrenia: Systematic Review and Meta-Analysis
Objective: The purpose of this study was to analyze the correlation between the intrinsic stigma experienced byschizophrenic patients and the sociodemographic, psychosocial, and psychiatric factors, and to identify whichfactors contribute to the intrinsic stigma either negatively or positively.
Methods: This study included an analysis of the correlation between stigma and other factors in schizophrenicpatients from January 1998 to December 2018. As overseas databases, Pubmed, CINAHL (EBSCOhost), andPSYCINFO were used, and the Korean Research Information Sharing Service (RISS) was applied. Theinternational search terms include “schizophrenia” AND “stigma” AND “correlation analysis,” and as domesticsearch terms, “조현병 또는 정신분열증” 그리고 “낙인 또는 오명” 그리고 “상관관계” were applied.
Results: The sociodemographic factors showed a moderate correlation between financial level and education.
Psychosocial factors were correlated with intrinsic stigma, and in most factors, high correlations wereself-efficacy, depression, avoidance of injury, leisure activities, psychological health, quality of life,self-orientation, social relations, and suicide. Psychiatric factors were highly correlated with severity and negativesymptoms. In addition, overall consciousness, insight, duration of treatment, and perceived stigma wereconsistently correlated with consistent results.
Conclusion: This study examined the correlations among three variables that affect an intrinsic stigma through ameta-analysis. According to the characteristics and experiences of the individuals, various results were shown.
Therefore, studies used to analyze and interpret the characteristics of each factor should be actively conducted.