Influence of Self-Esteem and Resilience on the Internalized Stigma and Quality of Life Among Patients with Schizophrenia

Background: Internalized stigma negatively impacts the quality of life in individuals with schizophrenia, but psychological factors such as self-esteem and resilience may influence this relationship. Understanding how these factors interact can help develop more effective nursing interventions to improve patient outcomes. Aim: This study aimed to examine the influence of self-esteem and resilience on the internalized stigma and quality of life among patients with schizophrenia. Method: A descriptive correlational design was employed, using a purposive sample of 150 schizophrenia patients recruited from the psychiatric outpatient clinic at El Qaser Alaini Hospital. Data were collected using the Internalized Stigma of Mental Illness (ISMI) scale, Rosenberg Self-Esteem Scale (RSES), Connor-Davidson Resilience Scale, and Schizophrenia Quality of Life Scale. Statistical analysis was performed to assess this influence. Results: The findings indicated that both self-esteem and resilience independently influence the relationship between internalized stigma and quality of life. Higher levels of internalized stigma were associated with lower resilience and poorer quality of life, suggesting that stigma negatively affects psychological coping mechanisms and overall well-being. Conclusion: The study highlights the importance of addressing self-esteem and resilience in schizophrenia patients to mitigate the harmful effects of internalized stigma. Nursing interventions focusing on enhancing these psychological resources may lead to better quality of life and recovery outcomes. Future research should explore targeted programs that strengthen self-esteem and resilience in this population.