ABSTRACT
Background: There are an increasing number of studies of internalized stigma among patients with schizophrenia, but still few coming from low- and middle-income countries. Internalized stigma will negatively influence the mentally ill persons to engage the treatment and the process of illness adaptation and recovery.
Purpose: To identify levels of internalized stigma among outpatients with schizophrenia in Indonesia and its relationships with demographic, illness and social
related factors.
Methods: The correlative study with cross-sectional design was applied to identify the associated factors with internalized stigma. Total of 300 patients recruited using convenience sampling and screening by Psychotic Symptom Rating Scales
(PSYRATS). The Internalized Stigma of Mental Illness scale (ISMI) in five domains used to assess the levels of internalized stigma and factors associated. A multiple
linear regression was used to determine significant predictor.
Results: The highest levels of internalized stigma in domain of discrimination experience (mean= 2.90); following in social withdrawal (mean= 2.51); stigma resistance (mean= 2.44); alienation (mean= 2.14) and stereotype endorsement (mean= 1.87). Overall reported high internalized stigma 33.30%. The PSYRATS was the only one significant predictor variable.
Conclusion: The highest internalized stigma in domain discrimination experience and domain social withdrawal. Several significant factors were correlation on internalized stigma and the nurse collaborates with health care providers to encourage patients in their treatment, accept their disease and reduce internalized stigma.
Keywords: Internalized stigma, schizophrenia, Indonesia.

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