Anti-stigma psychosocial intervention effects on reducing mental illness self-stigma and increasing self-esteem among patients with schizophrenia in Taiwan: A quasi-experiment

Shih, Chieh-An; Huang, Jiun-Hau; Yang, Man-Hua

doi:10.1016/j.ajp.2022.103171

Cited by 5 publications

(11 citation statements)

References 41 publications

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“…Previous literature shows the benefits of targeting internalized stigma in the clinical setting [ 76 , 77 , 78 ]. In fact, psychological interventions focused specifically on this aspect appear to improve patients’ levels of empowerment, self-esteem, self-efficacy, and functioning in post hoc analyses [ 76 , 77 , 78 , 79 ]. Consequently, psychological and social support for IPV survivors should also focus on this issue [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Taccini

Mannarini

2023

Behavioral Sciences

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The objectives of the present manuscript were to review the literature on stigma toward survivors of intimate partner violence (IPV) and to identify the most widely used assessment techniques to investigate this issue. The PRISMA guidelines were followed, and the systematic review was registered in PROSPERO, registration number: CRD42022327410. PsycINFO, Scopus, Web of Science, and PubMed were searched. Two authors selected and extracted data from eligible studies. In total, 4220 hits were returned from the database search, and of them, 24 articles met the inclusion criteria. The articles included in the review confirm the presence of stigma toward IPV survivors, which can be divided into public stigma and self-stigma. Specifically, 17 studies were related only to public stigma, 1 study focused only on self-stigma, and 6 articles investigated aspects related to both public and self-stigma. Both qualitative and quantitative studies have been conducted on this topic. The considerations on the methodologies and assessment measures used in the included studies will be discussed in the results section. Based on the research included, it was possible to develop a contribution to the definition of stigma, which will be discussed in the article.

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Section: Discussionmentioning

confidence: 99%

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Taccini

Mannarini

2023

Behavioral Sciences

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“…The McMaster Critical Appraisal Tool for Quantitative Studies was used to evaluate the risk of bias, and the results were expressed in percentage based on the number of criteria that were met (refer to Table S1 of Supplementary Materials ). Nine studies were rated >90% [ 32 , 33 , 41 , 49 , 50 , 51 , 52 , 53 , 54 ], sixteen studies were rated 80–90% [ 30 , 31 , 34 , 47 , 48 , 49 , 50 , 51 , 52 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ], while two studies were rated 50–60% [ 29 , 55 ]. The manner in which randomization was conducted was described in each of the included RCTs.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies had samples that have either schizophrenia or schizoaffective disorder as their diagnosis [ 30 , 31 , 54 ]. Nine studies had the majority of patients diagnosed with a condition that falls within the schizophrenia spectrum disorder [ 33 , 43 , 51 , 52 , 53 , 59 , 60 , 61 , 62 ]. Two studies used samples that met the criteria for serious mental illness (SMI); however, exact diagnosis was not stated but claimed that the majority of the participants had a psychotic condition [ 34 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

Evidence for the Effectiveness of Psychological Interventions for Internalized Stigma among Adults with Schizophrenia Spectrum Disorders: A Systematic Review and Meta-Analyses

Jagan

Daud

Chia³

et al. 2023

IJERPH

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In recent years, psychological interventions have been used to alleviate internalized stigma in people with schizophrenia spectrum disorders, but outcomes have been inconsistent. The aim of this review was to examine the existing evidence regarding this matter. Four electronic databases (EMBASE, MEDLINE, PsycINFO, and the Cochrane Central Register of Controlled Trials) were searched from inception until 8 September 2022, using appropriate strategies. The eligibility, quality, and strength of evidence of each study were all evaluated against the predetermined standards. Further quantitative analyses were performed using the RevMan software. A total of 27 studies were included in the systematic review. Eighteen studies with extractable data for meta-analysis yielded a statistically significant overall effect (Z = 3.00; p = 0.003; 95% CI: −0.69 [−1.15, −0.24]; n = 1633), although there was considerable heterogeneity (Tau2 = 0.89; Chi2 = 303.62, df = 17; p < 0.00001; I2 = 94%). Subgroup analyses for Narrative Enhancement and Cognitive Therapy (NECT) produced a statistically significant and highly homogenous effect (Z = 3.40; p = 0.0007; 95% CI: −0.44 [−0.70, −0.19]; n = 241; Tau2 = 0.00; Chi2 = 0.14, df = 2 (p = 0.93); I2 = 0%). In conclusion, the majority of the psychological interventions are successful in lowering levels of internalized stigma, especially NECT, and interventions that integrate multiple therapies may be more beneficial.

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“…On the basis of our study findings, we propose the following suggestions: First, self-stigma warrants intervention among individuals with schizophrenia. Research has supported that psychoeducation and cognitive behavioral therapy can reduce self-stigma among individuals with schizophrenia [ 59 , 60 ]. However, the reduction of public stigma toward schizophrenia is the fundamental approach toward ameliorating self-stigma among individuals with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

“…Second, self-esteem is an intervention target for ameliorating the association between self-stigma and suicide risk in individuals with schizophrenia. Cognitive behavioral therapy can increase the self-esteem of individuals with schizophrenia [ 60 , 61 ]. Third, enhancing social skills and social networks to increase support from friends is necessary to promote the mental health of individuals with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends

Jian

Wang

Lin

et al. 2022

IJERPH

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This cross-sectional study assessed the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk in individuals with schizophrenia. We included 300 participants (267 with schizophrenia and 33 with schizoaffective disorder). Suicide risk was assessed using items adopted from the suicide module of the Mini-International Neuropsychiatric Interview; self-stigma was assessed using the Self-Stigma Scale–Short; perceived support from friends was assessed using the Friend Adaptation, Partnership, Growth, Affection, and Resolve Index; and self-esteem was assessed using the Rosenberg Self-Esteem Scale. A moderation analysis was performed to examine the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk. The results indicated that self-stigma was positively associated with suicide risk after the effects of other factors were controlled for. Both perceived support from friends and self-esteem significantly reduced the magnitude of suicide risk in participants with self-stigma. Our findings highlight the value of interventions geared toward ameliorating self-stigma and enhancing self-esteem in order to reduce suicide risk in individuals with schizophrenia.

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Anti-stigma psychosocial intervention effects on reducing mental illness self-stigma and increasing self-esteem among patients with schizophrenia in Taiwan: A quasi-experiment

Cited by 5 publications

References 41 publications

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

An Attempt to Conceptualize the Phenomenon of Stigma toward Intimate Partner Violence Survivors: A Systematic Review

Evidence for the Effectiveness of Psychological Interventions for Internalized Stigma among Adults with Schizophrenia Spectrum Disorders: A Systematic Review and Meta-Analyses

Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends

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