Perceived and self-stigma in people with epilepsy in East Africa: Systematic review and meta-analysis

Tinsae, Techilo; Shumet, Shegaye; Takelle, Girmaw Medfu; Rtbey, Gidey; Fentahun, Setegn; Getinet, Wondale

doi:10.1016/j.seizure.2024.03.003

Cited by 2 publications

(1 citation statement)

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“…Presumably, people with a strong need to confirm their high position in a social group are permanently exposed to chronic stress. Chronic experiences of stigmatization and social exclusion are frequently shown to predispose individuals to low self-esteem [41,42] and, consequently, may also trigger self-esteem hyper-compensation.…”

Section: Introductionmentioning

confidence: 99%

Pain of Threatened Self: Explicit and Implicit Self-Esteem, Cortisol Responses to a Social Threat and Pain Perception

Wojtyna,

Hyla,

Hachuła

2024

JCM

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Background: Rejection, injustice, and exclusion from meaningful interpersonal relationships are often extremely painful and stress-generating experiences. This study aimed to define the role of explicit and implicit self-esteem in pain perception as a component of the physiological–psychological system that regulates the body’s response to stress associated with the threat of social rejection. Methods: In total, 360 individuals participated in this study. The measurement of cortisol in saliva, the assessment of pain thresholds using thermal stimuli, the IAT to assess implicit self-esteem, and a questionnaire on global self-esteem and social pain were used. The study included three measurements: baseline and 15 and 45 min after the application of a laboratory socially threatening stimulus (the Trier Social Stress Test). Results: People experiencing chronic social pain (CSP) are more likely to have fragile self-esteem, higher pain thresholds, and tend to experience reduced pain tolerance in situations of acute social threat than people without CSP experience. In people with CSP and fragile self-esteem, after the introduction of a social threat, an increase in pain tolerance was observed along with a longer-lasting increase in cortisol levels. Conclusions: Fragile self-esteem, along with feelings of chronic exclusion, injustice, and rejection, may prolong stress reactions and produce a hypoalgesic effect.

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Section: Introductionmentioning

confidence: 99%