The relationship between the evaluations of patients with psychotic symptoms for the communication of health professionals and the levels of internalized stigma, self-esteem and subjective improvement

4. This study was conducted to determine whether the evaluations of patients with psychotic symptoms towards the communication of health professionals affect their perceptions of subjective recovery and whether internalised stigma and self-esteem mediate this relationship. The study was conducted with a total of 156 patients in three institutions in Ankara, where adult psychiatric patients with psychotic symptoms over the age of 18 were followed up as outpatients and inpatients, and research permission was obtained. "Patient Information Form", "Health Care Communication Questionnaire (HCQ)", "Internalised Stigma Scale in Mental Illnesses (ISIS)", "Self-Esteem Assessment Scale-Short Form (SES-SF)" and "Recovery Assessment Scale (RAS)" were used as data collection tools. All analyses were performed using IBM SPSS Version 20 software. Descriptive statistics, Shapiro-Wilk test, t test in independent groups, Mann Whitney U test, One-Way Analysis of Variance (ANOVA), Kruskal Wallis Analysis of Variance, Spearman's Correlation Coefficient test, Structural Equation Modelling were used in the evaluation of the data. According to the results of the study, it was found that the evaluations of individuals with psychotic symptoms towards the communication of healthcare professionals had a direct effect on their subjective recovery levels (β=0.160; p<0.05). This relationship was partially mediated by the BSDO-CF-positive mediator variable (p<0.05). According to these results, in order to improve the subjective recovery perceptions of individuals with psychotic symptoms, it is recommended that communication intervention studies should be carried out for health professionals involved in the treatment process to communicate in a way that supports patients' self-esteem. Key Words: Communication, recovery, self-esteem, health professional, stigma.