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<p>This study examined the impact of how gender and ethnicity are associated with internalized stigma and psychological recovery in Aymara individuals diagnosed with Schizophrenia. A cross-sectional, descriptive design was used, involving 178 participants diagnosed with schizophrenia all users of outpatient Mental Health Services in Arica, Chile; 71 (39.9%) were women, and 69 (38.8%) identified as Aymara. Sociodemographic, clinical, and treatment data were analyzed. Participants completed the Chile-validated Recovery Assessment Scale (RAS-18) and the Internalized Stigma of Mental Illness Scale (ISMI-29). Multivariate analysis of variance (MANOVA) assessed gender and ethnicity effects. Significant differences emerged in internalized stigma and psychological recovery regarding gender-ethnicity interaction. Aymara women reported higher hope (M = 16.13) and personal confidence (M = 16.13), than non-Aymara women (M = 14.32). Aymara men showed lower goal and success orientation (M = 13.78), and higher stigma resistance (M = 12.05) compared to non-Aymara men. Ethnicity also was associated with perceived discrimination. Aymara men reported more discrimination (M = 11.83) than non-Aymara men, while Aymara women reported less (M = 10.31) than non-Aymara women. These findings emphasize the importance of considering the intersectionality of gender and ethnicity in mental health research and practice. Aymara women demonstrated greater resilience and hope, possibly linked to gender roles and empowerment. Conversely, Aymara men faced challenges related to traditional cultural expectations. Interpretations should be made cautiously due to the study’s cross-sectional design.</p>

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Indigenous Women Diagnosed with Schizophrenia: The Role of Ethnicity in Their Subjective Recovery

  • 期刊论文

  • 发表日期：

    2026年6月2日

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  • Alejandra Caqueo-Urízar,
  • Sofía Beristain-Hurtado,
  • Felipe Ponce-Correa,
  • Alfonso Urzúa,
  • Nicolás A. Crossley,
  • Laurent Boyer

摘要

This study examined the impact of how gender and ethnicity are associated with internalized stigma and psychological recovery in Aymara individuals diagnosed with Schizophrenia. A cross-sectional, descriptive design was used, involving 178 participants diagnosed with schizophrenia all users of outpatient Mental Health Services in Arica, Chile; 71 (39.9%) were women, and 69 (38.8%) identified as Aymara. Sociodemographic, clinical, and treatment data were analyzed. Participants completed the Chile-validated Recovery Assessment Scale (RAS-18) and the Internalized Stigma of Mental Illness Scale (ISMI-29). Multivariate analysis of variance (MANOVA) assessed gender and ethnicity effects. Significant differences emerged in internalized stigma and psychological recovery regarding gender-ethnicity interaction. Aymara women reported higher hope (M = 16.13) and personal confidence (M = 16.13), than non-Aymara women (M = 14.32). Aymara men showed lower goal and success orientation (M = 13.78), and higher stigma resistance (M = 12.05) compared to non-Aymara men. Ethnicity also was associated with perceived discrimination. Aymara men reported more discrimination (M = 11.83) than non-Aymara men, while Aymara women reported less (M = 10.31) than non-Aymara women. These findings emphasize the importance of considering the intersectionality of gender and ethnicity in mental health research and practice. Aymara women demonstrated greater resilience and hope, possibly linked to gender roles and empowerment. Conversely, Aymara men faced challenges related to traditional cultural expectations. Interpretations should be made cautiously due to the study’s cross-sectional design.