Association between self-stigma and self-compassion in patients with schizophrenia: A longitudinal study from hospital admission to first follow-up after discharge.

The study followed a small number of patients from one private acute psychiatric ward in Japan, so the findings may not apply to other settings. Twenty-nine patients agreed to participate, but 6 withdrew consent, leaving 23 at the first assessment and 19 at the first follow-up. The analysis did not adjust for demographic and clinical characteristics. Follow-up was limited to the first outpatient visit, so longer-term changes in the community are unknown. The study did not test any intervention, so it cannot show that reducing over-identification lowers self-stigma. Patients received psychiatric evaluations 1 to 3 times per week, pharmacotherapy, and occupational therapy for 17 of 23 patients, so the contribution of any single component cannot be separated.

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Do not conclude that nurse-led mindfulness or self-compassion training reduces self-stigma. This was an observational association, no such intervention was tested, and self-stigma scores did not change over time.