A Facility-based Assessment of Internalized Stigma among Patients with Severe Mental Illnesses in Maiduguri, North-Eastern Nigeria

Ibrahim, Abdu Wakawa; Mukhtar, Yerima; Sadique, Pindar; Tahir, Bolori; Olabisi, Amodu; Bukar, Rabbebe Isa; Abba, Wakil Musa; Abayomi, Omotara

doi:10.9734/indj/2016/21958

Cited by 21 publications

(33 citation statements)

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“…Our finding is higher compared to other study findings, 25.1% in southwest Ethiopia and 22.5% in Nigeria [ 8 , 18 ]. The higher prevalence of internalized stigma identified in this study might be explained by a low level of awareness about the nature of mental illness among community dwellers in the current study area.…”

Section: Discussioncontrasting

confidence: 94%

“…Similarly, a study result from the University of Maryland, USA, reported a 35% prevalence of internalized stigma among this group of people [ 7 ]. Another institution-based study from Nigeria, Federal Neuro Psychiatric Hospital, revealed a 22.5% prevalence of internalized stigma [ 8 ]. A study in Addis Ababa, Ethiopia, found that 97.4% of people with mental illness experienced at least one internalized stigma item [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Internalized Stigma among Patients with Mental Illness Attending Psychiatric Follow-Up at Dilla University Referral Hospital, Southern Ethiopia

2018

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Background This study tried to reflect evidences regarding internalized stigma and assessed risk factors of internalized stigma. Objective It aims to assess the magnitude, domains, and covariates of internalized stigma among patients with mental illness in southern Ethiopia. Methods The study was carried out by using a cross-sectional study design at Dilla University Referral Hospital (DURH). A total of 317 patients with mental illness were involved. Internalized stigma was measured using Internalized Stigma of Mental Illness (ISMI) scale. Data analysis was done using SPSS version 20. Descriptive statistics and logistic regression were done. Result The prevalence of internalized stigma was 32.1% among people living with mental illness in Dilla University Referral Hospital. Being female, medication nonadherence, and lack of family support were factors independently associated with internalized stigma. Conclusion The results of this study found an intermediate prevalence of internalized stigma among people living with mental illness in Dilla University Referral Hospital (DURH). It revealed how much antistigma campaigns are so much important to tackle internalized stigma among people living with mental illness. Incorporating counseling and structured therapy played an important role in maximizing their quality of life.

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Section: Discussioncontrasting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Internalized Stigma among Patients with Mental Illness Attending Psychiatric Follow-Up at Dilla University Referral Hospital, Southern Ethiopia

2018

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“…However, the finding of the current study was higher than studies done in Nigeria 25.3% [35], Taiwan 25% [21], Israel 20% [23], and 13 European countries 21.7% [19]. The reason for the discrepancy might be due to differences in sample size, study design, data collection method, and tools.…”

Section: Discussioncontrasting

confidence: 83%

“…The reason for the discrepancy might be due to differences in sample size, study design, data collection method, and tools. In the study done in Nigeria, the sample size (n = 116) [35] is different from the current study (n = 415). The study done in Taiwan used a self-stigma assessment tool which has only eight items, unlike ISMI which has twenty-four items.…”

Section: Discussionmentioning

confidence: 74%

“…Respondents having poor social support were 4.72 times more likely to have a high internalized stigma when compared with those who have strong social support. This association is supported by studies done in Nigeria [35], Singapore [22], Czech Republic [27], and the UK [38]. The possible reason for the association might be the introverting or internalizing of the social environment in which they might perceive the lack of a person who supports and helps them as isolation and stereotype due to their illness or against their illness.…”

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confidence: 57%

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Internalized Stigma and Associated Factors among Patients with Major Depressive Disorder at the Outpatient Department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, 2019: A Cross-Sectional Study

Alemayehu

Demilew

Asfaw³

et al. 2020

Psychiatry Journal

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Background. Internalized stigma has been found to be widespread among patients with major depressive disorder. When internalized stigma exists in patients with depression at a high level, it worsens the treatment outcome and quality of life. So the aim of the study is to assess the magnitude of internalized stigma and associated factors among outpatients with major depressive disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Methods and Materials. An institutional-based cross-sectional study was conducted among 415 respondents from May 6 to June 13, 2019. Internalized stigma was assessed by using the internalized stigma of mental illness scale. Data was entered to Epi-data version 3.1 and analyzed using SPSS version 20. Bivariable and multivariable binary logistic analysis was done, and p values less than 0.05 were considered statistically significant with 95% CI. Results. The prevalence of high internalized stigma among patients with major depressive disorder was 33.5% (95% CI: 29.2, 38.3). Being single (AOR=2.54, 95% CI: 1.30, 4.95), having an illness greater than or equal to 2 years of duration (AOR=3.21, 95% CI: 1.66, 6.19), history of suicidal attempt (AOR=2.33, 95% CI: 1.35, 3.99), nonadherence to treatment (AOR=2.93, 95% CI: 1.62, 5.29), poor social support (AOR=4.72, 95% CI: 2.09, 10.64), and poor quality of life (AOR=3.16, 95% CI: 1.82, 5.49) were significantly associated with high internalized stigma at p value < 0.05. Conclusion. The magnitude of internalized stigma was high among patients with major depressive disorder. Reduction of internalized stigma through antistigma campaigns and supports given to patients at the earliest possible time is important to improve treatment outcome and quality of life and minimize suicidal behavior in patients with major depressive disorder.

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Prevalence and associated factors of anxiety disorder symptoms among people with epilepsy in Mekelle, Ethiopia, 2019: Institutional‐based cross‐sectional study

2022

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A Facility-based Assessment of Internalized Stigma among Patients with Severe Mental Illnesses in Maiduguri, North-Eastern Nigeria

Cited by 21 publications

References 0 publications

Internalized Stigma among Patients with Mental Illness Attending Psychiatric Follow-Up at Dilla University Referral Hospital, Southern Ethiopia

Internalized Stigma among Patients with Mental Illness Attending Psychiatric Follow-Up at Dilla University Referral Hospital, Southern Ethiopia

Internalized Stigma and Associated Factors among Patients with Major Depressive Disorder at the Outpatient Department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, 2019: A Cross-Sectional Study

Prevalence and associated factors of anxiety disorder symptoms among people with epilepsy in Mekelle, Ethiopia, 2019: Institutional‐based cross‐sectional study

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