Moving beyond perceptions: internalized stigma in the irritable bowel syndrome

Taft, Tiffany; Riehl, Megan E.; Dowjotas, K. L.; Keefer, Laurie

doi:10.1111/nmo.12357

Cited by 40 publications

(60 citation statements)

References 66 publications

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“…Research in IBS and IBD has previously been conducted for perceived and internalized stigma but is lacking in the area of enacted stigma . One recent study of young adults with IBD found that the experience of perceived and enacted stigma frequently leads to patients choosing not to disclose or to attempt to conceal these conditions .…”

Section: Introductionmentioning

confidence: 99%

Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort

Taft

Bedell

Naftaly

et al. 2016

Neurogastroenterology Motil

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Background Stigma is associated with many negative health outcomes. Research has examined perceived and internalized stigma in individuals with irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), but less has been done to evaluate levels of enacted stigma associated with these conditions. The aim of this study was to evaluate the presence of enacted stigma toward IBS and IBD in the general population compared to an adult-onset asthma (AOA) control group. Methods Participants were recruited via social media and a research-dedicated website and completed all measures online. Participants were randomized to one of six clinical vignettes: (i) IBD male, (ii) IBD female, (iii) IBS male, (iv) IBS female, (v) AOA male, or (vi) AOA female. Participants read the assigned vignette and then completed measures of emotional empathy, level of familiarity, and enacted stigma. Key Results Participants reported higher levels of enacted stigma toward IBS compared to both IBD and AOA. No differences in stigma were found between IBD and AOA. Higher levels of familiarity were most strongly correlated with reduced IBD-related stigma, with weaker but still significant correlations between level of familiarity and IBS and AOA. Higher levels of emotional empathy were associated with reduced stigma for IBD, IBS, and AOA. Conclusions & Inferences Individuals with IBS experience greater levels of enacted stigma compared to IBD and AOA. This finding is consistent with previous research that has shown greater levels of perceived and internalized stigma in IBS compared to IBD.

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Section: Introductionmentioning

confidence: 99%

Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort

Taft

Bedell

Naftaly

et al. 2016

Neurogastroenterology Motil

Self Cite

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“…While there are similar findings in the IBS population 30 , one study investigating a variety of chronic illnesses found anticipated stigma resulted in less healthcare utilization 13 . The nature and newness of EGIDs may explain the increase in healthcare utilization.…”

Section: Discussionmentioning

confidence: 74%

“…The negative impact of perceived stigma on HRQOL and other psychosocial variables has been noted throughout literature in IBS and IBD 27–30 . Therefore, we anticipated the relationship between perceived stigma and HRQOL in people with an EGID to be similar.…”

Section: Discussionmentioning

confidence: 94%

“…Finally, individuals who sought psychotherapy reported less perceived stigma from significant others than those who did not. There is strong evidence supporting the efficacy of psychological therapies for treatment in IBS 37–39 , including reducing stigma perception 30 . There is also evidence supporting the notion that psychological therapies can decrease healthcare utilization amongst patients with Crohn’s Disease 40 .…”

Section: Discussionmentioning

confidence: 99%

“…Examples of perceived illness stigma include feeling as though others do not regard their illness as serious, do not believe it is ‘real’, or that their illness is self-inflicted or a result of something they did 27 . Individuals have reported perceived stigmatization in relation to other gastrointestinal illnesses such as inflammatory bowel disease (IBD) 28, 29 and irritable bowel syndrome (IBS) 27, 29, 30 . However, there are very few studies that have investigated prevalence and impact of perceived stigma in patients with EGIDs.…”

Section: Introductionmentioning

confidence: 99%

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Stigma perceptions in patients with eosinophilic gastrointestinal disorders

Guadagnoli

Taft

Keefer

2017

Diseases of the Esophagus

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This study aims to evaluate the presence of perceived stigma in people diagnosed (self-reported) with an eosinophilic gastrointestinal disorder and examine the relationship to the patient’s health related quality of life and additional psychosocial patient-reported outcomes. 149 patients diagnosed for a minimum of 6 months participated in the study. Eligible participants completed questionnaires to assess perceived stigma, psychological functioning, and health related quality of life. Perceived stigma was moderately associated with a decrease in total health related quality of life and perceived treatment efficacy. Additionally, greater perceived stigma was positively correlated with an increase in anxiety, depression, and healthcare utilization. The study demonstrates the influence of perceived stigma on several aspects of health related quality of life in patients with these illnesses. As such, it is important for health professionals to be aware of stigma in patients diagnosed with an eosinophilic gastrointestinal disorder.

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Utilizing Google Trends to Assess Worldwide Interest in Irritable Bowel Syndrome and Commonly Associated Treatments

2020

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Moving beyond perceptions: internalized stigma in the irritable bowel syndrome

Abstract: Patients with IBS report both perceived and IS with alienation most reported. However, IS significantly predicts several patient outcomes when controlling for PS. Cultural and illness traits may influence how stigma is perceived and internalized. Future research is warranted.

Cited by 40 publications

References 66 publications

Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort

Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort

Stigma perceptions in patients with eosinophilic gastrointestinal disorders

Utilizing Google Trends to Assess Worldwide Interest in Irritable Bowel Syndrome and Commonly Associated Treatments

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