Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness

Kim, Woo Jung; Song, Youn Joo; Ryu, Hyunsook; Ryu, Vin; Kim, Jae Min; Ha, Ra Yeon; Lee, Su Jin; Namkoong, Kee; Ha, Kyooseob; Cho, Hyun Sang

doi:10.1016/j.psychres.2014.11.071

Cited by 46 publications

(36 citation statements)

References 66 publications

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“…Another participant described hiding their BD medication use from their partner. These qualitative results support previous findings that internalized stigma is connected to relational anxiety with intimate partners and social anxiety in general in individuals with BD [12] and [45]. …”

Section: Discussionsupporting

confidence: 90%

Mixed-methods analysis of internalized stigma correlates in poorly adherent individuals with bipolar disorder

Howland

Levin

Blixen

et al. 2016

Comprehensive Psychiatry

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Background Internalized stigma, which occurs when stigmatized individuals accept society’s assessment and incorporate this assessment into their sense of self, is prevalent in individuals with bipolar disorder (BD). This study explored the correlates of internalized stigma in a research sample of patients with BD who were poorly adherent to their medications. Methods Both quantitative and qualitative analyses were performed. Scores of 115 individuals with BD on the Internalized Stigma of Mental Illness (ISMI) scale were correlated with scores on the General Self-Efficacy (GSE) Scale, Brief Psychiatric Rating Scale (BPRS), Montgomery-Asberg Depression Rating Scale (MADRS), and Young Mania Rating Scale (YMRS). Regression was run for GSE (dependent variable) and ISMI (independent variable). In-depth qualitative interviews were conducted on a representative subsample (N=21). Results Internalized stigma levels were moderately high. Internalized stigma and self-efficacy correlated, and internalized stigma related to self-efficacy after adjusting for demographic variables (age, gender, years of education), comorbidities, and symptom severity (BPRS and MADRS). Internalized stigma was also associated with the BD symptoms of depression, anxiety, guilt feelings, suspiciousness, and hallucinogenic behaviors. No association was found with mania. Conclusions Because internalized stigma has strong psychosocial and psychiatric symptom associations, it is recommended that clinicians address both societal stigma and internalized stigma. Strategies such as cognitive-behavioral therapy may help modify BD patients’ internalized stigma.

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Section: Discussionsupporting

confidence: 90%

Mixed-methods analysis of internalized stigma correlates in poorly adherent individuals with bipolar disorder

Howland

Levin

Blixen

et al. 2016

Comprehensive Psychiatry

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“…Substitution with less potent ACs and deprescribing should be encouraged with regard to these drugs. The proportion of antipsychotics among strong ACs was small compared with that in previous studies and the strong social stigma surrounding mental illness in Korea may be a contributing factor …”

Section: Discussioncontrasting

confidence: 72%

“…The proportion of antipsychotics among strong ACs was small compared with that in previous studies 21 and the strong social stigma surrounding mental illness in Korea may be a contributing factor. 42 Chlorpheniramine and amitriptyline were more often prescribed, accounting for more than half of the total amount of strong ACs prescribed. Because chlorpheniramine is present in many combined nonprescription drugs, the real usage is expected be greater than that measured.…”

Section: Discussionmentioning

confidence: 99%

Features of anticholinergic prescriptions and predictors of high use in the elderly: Population‐based study

Joung

Shin

Cho

2019

Pharmacoepidemiology and Drug

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Purpose Older people are especially vulnerable to negative anticholinergic effects. Although anticholinergic drugs are commonly used among older people, drugs with potent antimuscarinic properties are considered as potentially inappropriate medications for older people. Here, we examined features of anticholinergic use and investigated predictors for the high use of strong anticholinergic agents (ACs) in the elderly. Methods A total of 388,629 Korean elderly aged ≥70 years were recruited from the 2012 National Health Insurance Service Elderly cohort database. The use of ACs in 2012 was quantitatively assessed by calculating standardized prescribed doses. Multivariate logistic regression was conducted to identify predictors of the high use of strong ACs (≥90 doses). Results Almost half of the subjects (47.2%) used more than 15 doses of strong ACs during 2012. 17.0% of the subjects had an annual cumulative use of strong ACs over 90 doses. Morbidities such as depression (odds ratio [OR], 95% confidence interval [CI] = 2.56, 2.48–2.63), Parkinson's disease (2.41, 2.26–2.56), genitourinary diseases (2.12, 2.07–2.16), polypharmacy (3.28, 3.21–3.36), and low income (1.29, 1.25–1.33) were strong predictors of their high use. Antihistamines (chlorpheniramine) and antidepressants (amitriptyline) greatly contributed to the total prescription of strong ACs. Conclusions Despite the vulnerability of older people to the adverse reactions of strong ACs, their use seems to be at a high level in terms of cumulative usage among some elderly. More attention should be paid to older people with predictive factors of high use of strong ACs.

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“…It is the vulnerable internalized stigma which leads to a further reduction in their hopes and their self-esteem (Vauth, Klein, Wirtz, & Corrigan, 2007). There was a significant negative relationship between internalized stigma and self-esteem in patients with schizophrenia whose self-esteem scores decreased as their internalized stigma scores increased (Kim et al, 2015;Lysaker et al, 2009). …”

mentioning

confidence: 99%

The Effect of Internalized Stigma on the Self Esteem in Patients with Schizophrenia

Karakaş

Okanlı

Yilmaz

2016

Archives of Psychiatric Nursing

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Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness

Cited by 46 publications

References 66 publications

Mixed-methods analysis of internalized stigma correlates in poorly adherent individuals with bipolar disorder

Mixed-methods analysis of internalized stigma correlates in poorly adherent individuals with bipolar disorder

Features of anticholinergic prescriptions and predictors of high use in the elderly: Population‐based study

The Effect of Internalized Stigma on the Self Esteem in Patients with Schizophrenia

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