Psychoeducation may Reduce Self-Stigma of People with Schizophrenia and Schizoaffective Disorder

Uchino, Toshiro; Maeda, Masaharu; Uchimura, Naohisa

doi:10.2739/kurumemedj.59.25

Cited by 39 publications

(48 citation statements)

References 23 publications

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“…On the other hand, our study noted the association between the higher level of knowledge about the disorder, especially the diagnosis and causes, being associated with lower level of internalized stigma. Previous studies have come up with similar findings,[48] and this finding emphasizes the need for proper psychoeducation about the illness.…”

Section: Discussionsupporting

confidence: 80%

Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit

Singh

Mattoo

Grover

2016

Indian J Psychiatry

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Background:Very few studies from India have studied stigma experienced by patients with schizophrenia.Aim of the Study:To study stigma in patients with schizophrenia (in the form of internalized stigma, perceived stigma and social-participation-restriction stigma) and its relationship with specified demographic and clinical variables (demographic variables, clinical profile, level of psychopathology, knowledge about illness, and insight).Materials and Methods:Selected by purposive random sampling, 100 patients with schizophrenia in remission were evaluated on internalized stigma of mental illness scale (ISMIS), explanatory model interview catalog stigma scale, participation scale (P-scale), positive and negative syndrome scale for schizophrenia, global assessment of functioning scale, scale to assess unawareness of mental disorder, and knowledge of mental illness scale.Results:On ISMIS scale, 81% patients experienced alienation and 45% exhibited stigma resistance. Stereotype endorsement was seen in 26% patients, discrimination experience was faced by 21% patients, and only 16% patients had social withdrawal. Overall, 29% participants had internalized stigma when total ISMIS score was taken into consideration. On P-scale, 67% patients experienced significant restriction, with a majority reporting moderate to mild restriction. In terms of associations between stigma and sociodemographic variables, no consistent correlations emerged, except for those who were not on paid job, had higher participation restriction. Of the clinical variables, level of functioning was the only consistent predictor of stigma. While better knowledge about the disorder was associated with lower level of stigma, there was no association between stigma and insight.Conclusion:Significant proportion of patients with schizophrenia experience stigma and stigma is associated with lower level of functioning and better knowledge about illness is associated with lower level of stigma.

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Section: Discussionsupporting

confidence: 80%

Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit

Singh

Mattoo

Grover

2016

Indian J Psychiatry

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“…Study characteristics and baseline demographics are outlined in table 1. A total of seven studies used a RCT design (Fung et al, 2011;Link et al, 2002;McCay et al, 2007;Morrison et al, 2015;Rusch et al, 2014;Russinova et al, 2014;Yanos et al, 2012) and five were CTs or CSs (Knight et al, 2006;Lucksted et al, 2011;Roe et al, 2014;Sousa et al, 2012;Uchino et al, 2012). All studies were relatively small with the biggest sample including sixty six participants.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The remaining studies used: six session group psychoeducation to teach participants accurate nonstigmatising perceptions of schizophrenia with an emphasis on violence and criminal activity (Uchino et al, 2012); 16 session group psychoeducation focusing on developing awareness of stigma, recognising the possibility of internalising stigma and identifying stigma in social interactions and learning how to cope (Link et al, 2002); 15 session group sociodrama, where participants discuss their experiences and understanding of stigma and act out related scenes, alongside online educational classes about stigma (Sousa et al, 2012); and a 12 session recovery focused group which helped participants develop a healthy self-concept through acceptable appraisals of psychosis, minimising self-stigmatising attitudes, developing hope and future goals (McCay et al, 2007).…”

Section: Characteristics Of Self-stigma Interventions Usedmentioning

confidence: 99%

Psychosocial interventions for internalised stigma in people with a schizophrenia-spectrum diagnosis: A systematic narrative synthesis and meta-analysis

Wood

Byrne

Varese

et al. 2016

Schizophrenia Research

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It is acknowledged that people with a schizophrenia-spectrum diagnosis experience higher levels of stigma compared to any other mental health diagnosis. As a consequence, their experience of internalised stigma is likely to be the most detrimental and pervasive. Internalised stigma interventions have shown some benefits in those who experience serious mental illness including those with a schizophrenia-spectrum diagnosis. A systematic narrative review and meta-analysis were conducted examining the efficacy of internalised stigma interventions for people with a schizophrenia-spectrum diagnosis. Randomised Controlled Trials, controlled trials, and cohort studies were included and assessed against quality criteria. The search identified 12 studies; 7 randomised controlled trials, 3 cohort studies and 2 controlled trials. A variety of psychosocial interventions were utilised with the majority employing Cognitive Behaviour Therapy (CBT), psychoeducation and social skills training. The core outcomes used to examine the efficacy of the intervention were internalised stigma, self-esteem, empowerment, and functioning. The meta-analysis revealed an improvement in internalised stigma favouring the internalised stigma intervention but was not significant (5 RCTs, n=200). Self-efficacy and insight were significantly improved favouring the internalised stigma intervention. Internalised stigma interventions show promise in those with schizophrenia-spectrum diagnoses. Existing interventions have demonstrated small effects and employed small samples. Large scale RCTs are required to further develop the evidence base of more targeted interventions.

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“…Psychoeducation programs for patients with schizophrenia have been shown to have the following positive effects: to induce improvements in medication adherence (von Maffei, Görges, Kissling, Schreiber, & Rummel-Kluge, 2015;Xia, Merinder, & Belgamwar, 2011), patients' views about medication (Hayama et al, 2002;Hornung, Klingberg, Feldmann, Schonauer, & Schulze Mönking, 1998), the acquisition of condition-specific knowledge (Aho-Mustonen et al, 2010;Hasan, Callaghan, & Lymn, 2015;Renri, 1995), patients' awareness of the symptoms of their illness (Chien & Thompson, 2014), patients' coping and social skills (Chien & Thompson, 2014), and QOL (Guo, Zhai, Liu, et al, 2010;von Maffei et al, 2015) and to reduce the frequency of relapse and rehospitalization (Hasan et al, 2015;Pekkala & Merinder, 2002) and the severity of self-stigma (Uchino, Maeda, & Uchimura, 2012).…”

mentioning

confidence: 99%

Effects of the Nursing Psychoeducation Program on the Acceptance of Medication and Condition-Specific Knowledge of Patients with Schizophrenia

Matsuda

Kohno

2016

Archives of Psychiatric Nursing

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The objective of this study was to evaluate the clinical utility of the nursing psychoeducation program (NPE) for improving the acceptance of medication of inpatients with schizophrenia as well as their knowledge regarding their illness and the effects of medication on it. This study was a quasi-experimental study involving a convenience sample and was performed at the acute treatment units of two Japanese psychiatric hospitals. The subjects were recruited from among the inpatients being treated at the acute treatment units and were assigned to either the experimental or control group. The experimental group took part in the NPE, and the control group received the standard treatments for schizophrenia. Data were collected using structured questionnaires; i.e., the Medication Perception Scale for Patients with Schizophrenia (MPS), Drug Attitude Inventory-10 Questionnaire (DAI-10), and Knowledge of Illness and Drugs Inventory. Forty-three patients (13 men and 30 women) agreed in writing to participate in this study. During pre-/postintervention comparisons, the total MPS score, the 'efficacy of medication' subscale score, and the total DAI-10 score exhibited significant group×time interactions.

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Psychoeducation may Reduce Self-Stigma of People with Schizophrenia and Schizoaffective Disorder

Cited by 39 publications

References 23 publications

Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit

Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit

Psychosocial interventions for internalised stigma in people with a schizophrenia-spectrum diagnosis: A systematic narrative synthesis and meta-analysis

Effects of the Nursing Psychoeducation Program on the Acceptance of Medication and Condition-Specific Knowledge of Patients with Schizophrenia

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