A scale to measure the impact of a schizophrenic illness on an individual's self-concept
Archives of Psychiatric NursingPublished 1 February 1998
Elizabeth McCay, Mary V. Seeman
Citations68
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TL;DR
Clinical findings revealed that increased levels of engulfment were associated with an earlier age of onset, a longer illness, a greater number of hospitalizations and decreased social adjustment, suggesting that individuals with a more severe form of the illness are vulnerable to engulfment.
Abstract
This study was conducted to assess the reliability and validity of the Modified Engulfment Scale (MES) which measures the impact of schizophrenia on self-concept. The concept of engulfment offers a theoretical framework for understanding how a person's self-concept incorporates the experience of mental illness. In a homogeneous sample of 100 outpatients with a Diagnostic and Statistical Manual of Mental Disorders-III-R diagnosis of schizophrenia or schizoaffective disorder increased engulfment was found to correlate positively with hopelessness and low self-esteem and negatively with self-efficacy. In addition, clinical findings revealed that increased levels of engulfment were associated with an earlier age of onset, a longer illness, a greater number of hospitalizations and decreased social adjustment. These results suggest that individuals with a more severe form of the illness are vulnerable to engulfment. The study results also show substantial evidence for the reliability and validity of the MES.
Keywords
PsychologyArts and Humanities
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