Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Chang, Chih Cheng; Wu, Tsung Hsien; Chen, Chih Yin; Lin, Chung‐Ying

doi:10.1097/nmd.0000000000000537

Cited by 78 publications

(56 citation statements)

References 43 publications

(53 reference statements)

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“…Higher insight into illness significantly predicted the level of self-stigma, in accordance with several studies [11,66]. A history of suicide attempt was associated with elevated self-stigma as found in other studies [67,68]. As self-stigma moderates the relationship between insight into illness and depression, it can be supposed that recoveryoriented interventions targeting self-stigma reduction could protect against depression and suicidal ideation and should be further developed [13,14].…”

Section: European Psychiatrysupporting

confidence: 87%

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Dubreucq

Plasse²,

Gabayet³

et al. 2020

Eur. Psychiatr.

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Background. Self-stigma is a major issue in serious mental illness (SMI) and is negatively associated with patient outcomes. Most studies have been conducted in schizophrenia (SZ). Less is known about self-stigma in other SMI and autism spectrum disorder (ASD). The objectives of this study are: (i) to assess the frequency of self-stigma in a multicentric nonselected psychiatric rehabilitation SMI and ASD sample; and (ii) to investigate the correlates of elevated self-stigma in different SMI conditions and in ASD. Methods. A total of 738 SMI or ASD outpatients were recruited from the French National Centers of Reference for Psychiatric Rehabilitation cohort (REHABase). Evaluations included sociodemographic data, illness characteristics, and standardized scales for clinical severity, quality of life, satisfaction with life, wellbeing, personal recovery, a large cognitive battery, and daily functioning assessment. Results. 31.2% of the total sample had elevated self-stigma. The highest prevalence (43.8%) was found in borderline personality disorder and the lowest (22.2%) in ASD. In the multivariate analysis, elevated self-stigma was best predicted by early stages of personal recovery (moratorium, p = 0.001, OR = 4.0 [1.78–8.98]; awareness, p = 0.011, OR = 2.87 [1.28–6.44]), history of suicide attempt (p = 0.001, OR = 2.27 [1.37–3.76]), insight (p = 0.002, OR = 1.22 [1.08–1.38]), wellbeing (p = 0.037, OR = 0.77 [0.60–0.98]), and satisfaction with interpersonal relationships (p < 0.001, OR = 0.85 [0.78–0.93]). Conclusions. The present study has confirmed the importance of addressing self-stigma in SMI and ASD patients enrolled in psychiatric rehabilitation. The effectiveness of psychiatric rehabilitation on self-stigma and the potential mediating effects of changes in self-stigma on treatment outcomes should be further investigated.

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Section: European Psychiatrysupporting

confidence: 87%

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Dubreucq

Plasse²,

Gabayet³

et al. 2020

Eur. Psychiatr.

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“…In our interviews, one female participant reported she was often a target of both verbal and emotional abuse from her mother who often accused her of being lazy and useless and that she (her mother) wished she was dead. This emotional abandonment and abuse by family members aligns with results from other studies [70,71], and has particular implications for health service providers who may be unaware of the nature and dynamics of familial relations.…”

Section: Stigma and Discrimination Compounded By Socio-cultural Beliefssupporting

confidence: 79%

An ethnography exploring the quality of life of people living with schizophrenia in Zimbabwe: Implications for health service policy and practice

Chidarikire¹,

Cross

Skinner

et al. 2019

Preprint

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BackgroundSchizophrenia is a complex and severe mental disorder affecting more than 20 million people worldwide. Although understanding peoples' experiences of living with an illness is core to assessment, planning and delivering culture specific health care, little is known about the experiences of people living with schizophrenia in resource-poor countries. This article reports on a study that explored the everyday lives of eighteen people living with schizophrenia in Zimbabwe and its impact on their quality of life. MethodsThis focused ethnography was conducted over a three-month period in 2015. Data were collected using semi-structured interviews, non-participant observational fieldwork, and the short form of the World Health Organization Quality of Life questionnaire. Interview data were digitally recorded, transcribed and translated from Shona (local language) to English. Descriptive statistics and nonparametric tests were used to analyse questionnaire data. Qualitative data were analysed thematically using an established framework. ResultsSurvey data indicate internal consistency in the psychological and social relationships domains and poor quality of life for people aged 20-40. The major factors related to quality of life were: age, gender, family dislocation: living with stigma and discrimination; and limited and variable access to treatment and support. Obtaining and paying for antipsychotic medications were challenging and female participants recounted experiencing gender-based stigma. ConclusionsFindings from our study suggest that age, gender, family dislocation, stigma, discrimination, and variable limited access to affordable medications and support undermine quality of life by disrupting participants' ability to function in socially acceptable ways, their sense of belonging and self-worth, and family, work and social relations. Strengthening access to mental health services, addressing the affordability and availability of medications and initiatives to alleviate stigma and promote a sense of 3 belonging, especially for younger adults and women should be a priority for government and health service providers. Further research on managing mental health issues such as schizophrenia in Zimbabwe, should focus on initiatives to strengthen quality of life. Background Mental disorders, including schizophrenia, account for 5 per cent of the total burden of disease, 19 per cent of all disability in Africa [1] and exert an enormous financial, caring and support burden on the individual, family and community [2, 3]. The majority of those seeking help are unable to access treatment [2, 4, 5]. The urgent need for mental health service improvement and provision in all sectors including at country level, has been widely reported [6-9]. However, there is a paucity of literature concerning the experiences and quality of life of people living with schizophrenia in Zimbabwe. Schizophrenia is a complex and debilitating mental disorder that affects a person's thinking, emotions, language, behaviour and sense of self....

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“…Affiliate stigma associated with Alzheimer's disease has three key components: cognitive attributions (neglectful caregiver and punishment from God), emotional reactions (anger, fear and shame) and behavioral reactions (concealment, isolation, and not seeking help) [13]. This internalization may lead to serious consequences, such as lower self-esteem and self-efficacy, feelings of hopelessness, and poor quality of life according to the stigma studies with family caregivers of people with mental illness [14][15][16][17]. Studies have indicated that family caregivers who perceive stigmatization experience high stress, negative emotions, a high care burden, and social isolation; they engage in less help-seeking behaviors and may be unable to provide high-quality care [18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Association Between Family Caregiver Burden and Affiliate Stigma in the Families of People with Dementia

Chang

2020

IJERPH

Self Cite

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Family caregivers of people with dementia (PWD) have a heavy care burden. Affiliate stigma is the stigma internalized by individuals associated with PWD. Limited research has addressed the affiliate stigma among caregivers of PWD and its influence on caregiver burden. Thus, our study investigated the burden of caregivers of PWD and its relationship with affiliate stigma. In addition, we examined the factors related to affiliate stigma. This cross-sectional study was conducted in a general hospital in Taiwan. We recruited 270 PWD and their family caregivers from the outpatient department. Relevant demographic and clinical assessment data of the patients and caregivers were evaluated. Regression analysis was performed to examine the factors associated with affiliate stigma. In total, 23.7% of the family caregivers had depression and 37.4% had anxiety. Male caregivers had higher levels of anxiety and heavier care burdens related to affiliate stigma compared with female caregivers. Moreover, characteristics such as younger age and low levels of dependence in daily activities among PWD were associated with increased affiliate stigma. A higher family caregiver burden was related to more severe affiliate stigma. Interventions for decreasing the family caregiver burden might reduce the effect of affiliate stigma.

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Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Cited by 78 publications

References 43 publications

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

An ethnography exploring the quality of life of people living with schizophrenia in Zimbabwe: Implications for health service policy and practice

Association Between Family Caregiver Burden and Affiliate Stigma in the Families of People with Dementia

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