Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia

Paul H. Lysaker, Jack Tsai, Philip Yanos, David Roe

Research output: Contribution to journalArticlepeer-review


Research suggests global self-esteem among persons with schizophrenia may be negatively affected by stigma or stereotyped beliefs about persons with severe mental illness. Less clear however, is whether particular dimensions of self-esteem are linked to particular domains of stigma. To examine this we surveyed a range of self-esteem dimensions including lovability, personal power, competence and moral self-approval and four domains of stigma: Stereotype endorsement, Discrimination experience, Social withdrawal and Stigma rejection. Participants were 133 adults with diagnoses of schizophrenia or schizoaffective disorder. Stepwise multiple regressions controlling for a possible defensive response bias suggested that aspects of self-esteem related to lovability by others were more closely linked with lesser feelings of being alienated from others due to mental illness. Aspects of self-esteem related to the ability to manage one's own affairs were more closely associated with the rejection of stereotypes of mental illness. A sense of being able to influence others was linked to both the absence of discrimination experiences and the ability to ward off stigma. Implications for treatment are discussed.

Original languageEnglish
Pages (from-to)194-200
Number of pages7
JournalSchizophrenia Research
Issue number1-3
StatePublished - Jan 2008


  • Function
  • Recovery
  • Schizophrenia
  • Self
  • Self-esteem
  • Stigma

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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