Relationship between self-disclosure to first acquaintances and subjective well-being in people with schizophrenia spectrum disorders living in the community

English version

Autoři: Kazuki Yokoyama ^aff001; Takafumi Morimoto ^aff001; Satoe Ichihara-Takeda ^aff002; Junichi Yoshino ^aff003; Kiyoji Matsuyama ^aff001; Nozomu Ikeda ^aff001
Působiště autorů: Department of Occupational Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Hokkaido, Japan ^aff001; Department of Clinical Psychology, Faculty of Health Sciences, Kyorin University, Mitaka, Tokyo, Japan ^aff002; Department of Nursing, Faculty of Health Sciences, Japan Health Care College, Sapporo, Hokkaido, Japan ^aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0223819

Souhrn

Objective

Focusing on people with schizophrenia spectrum disorders living in the community, the present study aims to examine the characteristics of and gender differences in self-disclosure to first acquaintances, and to clarify the relationship between self-disclosure and subjective well-being.

Methods

Participants (32 men and 30 women with schizophrenia spectrum disorders) were examined using the subjective well-being inventory, an original self-disclosure scale for people with mental illness, as well as the Rosenberg self-esteem scale, the Link devaluation-discrimination scale, and the affiliation scale.

Results

The self-disclosure content domains in descending order were as follows: “living conditions,” “own strengths,” “experiences of distress,” and “mental illness and psychiatric disability.” There were no significant gender differences in self-disclosure in the total and domain scores. Multiple regression analyses by gender revealed that: (1) in men, decreasing feelings of ill-being were significantly predicted by self-disclosure about “living conditions,” self-esteem, and perceived stigma; (2) in women, increasing feelings of well-being were significantly predicted by self-disclosure about “own strengths,” self-esteem, and sensitivity to rejection.

Conclusions

Self-disclosure to first acquaintances was related to subjective well-being in people with schizophrenia spectrum disorders living in the community. This result supports the recovery model and the strengths model. It suggests the importance of interventions targeting self-disclosure to first acquaintances about experiences as human beings, such as “living conditions” and “own strengths,” as it relates to subjective well-being in community-based mental health rehabilitation.

Klíčová slova:

Mental health and psychiatry – Habits – Questionnaires – Schizophrenia – Regression analysis – Psychometrics – Interpersonal relationships – Mental health rehabilitation

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