Self-stigma and bipolar disorder: A systematic review and best-evidence synthesis

Favre, Sophie; Richard-Lepouriel, Hélène

doi:10.1016/j.jad.2023.05.041

Cited by 5 publications

(2 citation statements)

References 177 publications

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“…Self‐stigma refers to individuals being stigmatized by others when they accept and endorse these stigmas as true (Corrigan & Watson, 2002; Favre & Richard‐Lepouriel, 2023). Studies have shown that approximately one‐third of children with mental illness have experienced stigmatization (Zhou et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“I am not a good enough parent”: The experience of self‐stigma in parents of children with mental illness in China

Zhang,

Wu,

Zeng

et al. 2024

Child Adoles Psych Nursing

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ProblemSelf‐stigma in parents of children with mental illness is an area easily overlooked by mental health providers. Many studies have shown that self‐stigma in parents may result in social interaction avoidance, lower self‐esteem, increased psychological pressure, and so on. However, a comprehensive picture of how parents of children with mental illness in China experience self‐stigma is lacking.MethodsIndividual semistructured face‐to‐face interviews were conducted with 20 parents from China during their child's psychiatric hospitalization. We followed the consolidated criteria for reporting qualitative research (COREQ) checklist.FindingsFour main themes were identified that captured the experience of self‐stigma in parents of children with mental illness: (1) losing face and fear, (2) internalizing affiliate stigma, (3) feeling of self‐blame and self‐doubt, and (4) keeping oneself away from society.ConclusionsThese findings explain how Chinese parents of children with mental illness experience self‐stigma. To better effect the treatment and rehabilitation of children with mental illness, it is necessary to recognize this self‐stigma in parents and take action to improve their mental health.

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Section: Introductionmentioning

confidence: 99%

“I am not a good enough parent”: The experience of self‐stigma in parents of children with mental illness in China

Zhang,

Wu,

Zeng

et al. 2024

Child Adoles Psych Nursing

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“…Advising patients with BD on Ramadan fasting remains difficult compared to, for example, diabetic patients ( 13 , 14 ). However, providing such guidance would be important, as participating in Ramadan fasting can give a person a sense of belonging, which is important for this group of patients that is often marginalized by society ( 15 , 16 ). On the contrary, not taking part in this religious practice can cause stigma, guilt and exclusion: literature shows that stigma is a major concern for people with BD, with a significant impact on social support, functioning, quality of life ( 17 , 18 ) and self-esteem ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

“To fast or not to fast?” Ramadan and religiosity through the eyes of people with bipolar disorder: an exploratory study

Mejri,

Ouali,

Gronholm

et al. 2023

Front. Psychiatry

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BackgroundThe month of Ramadan, due to its changes in social rhythms, can seriously affect the course of bipolar disorder (BD). Therefore, psychiatrists sometimes find it necessary to discourage Ramadan practices, especially fasting, although taking part in this practice can give a sense of belonging and accomplishment to patients. Research on this subject is limited.AimThe aim of the present work was to explore: (i) religious practices with special attention to Ramadan before and after the onset of BD, (ii) the perceptions and behaviors related to not fasting during Ramadan in patients with BD and their families’ attitudes, (iii) religiosity and self-stigmatization and their relationships with religious practices, and (iv) the doctor-patient relationship around fasting.MethodsWe conducted a retrospective, cross-sectional and descriptive study in clinically stabilized patients with BD in a public mental hospital and in a private psychiatric practice in Tunis, Tunisia. Socio-demographic and clinical data, as well as data related to general religious practices and Ramadan practices were collected using a self-established questionnaire. We assessed (i) religiosity of the patients with the Duke University Religion Index and (ii) self-stigma using the Internalized Stigma of Mental Illness scale.ResultsOur sample consisted of 118 patients of whom 65.3% were fasting regularly before BD onset. More than half had stopped this practice following BD onset. Of the patients who did not fast, 16% felt guilty about this and 4.9% reported receiving negative remarks from their surroundings. High self-stigma scores were observed in 11% of the patients. Self-stigma was associated significantly with negative perception of not fasting, negative remarks regarding not fasting and taking both meals at regular times during Ramadan. The decision whether to fast or not was taken without seeking medical advice in 71.2% of the sample, and 16.9% of the sample reported that their psychiatrist had spontaneously approached the issue of Ramadan fasting.ConclusionReligiosity and more specifically the practice of Ramadan remains an important point that should be considered when treating patients with psychiatric problems. It seems necessary that healthcare professionals should integrate the positive and the negative side of fasting into their reflections. Our results remain exploratory and encourage further work on the subject.

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A synopsis of multitarget therapeutic effects of anesthetics on depression

Wu,

2023

European Journal of Pharmacology

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Self-stigma and bipolar disorder: A systematic review and best-evidence synthesis

Cited by 5 publications

References 177 publications

“I am not a good enough parent”: The experience of self‐stigma in parents of children with mental illness in China

“I am not a good enough parent”: The experience of self‐stigma in parents of children with mental illness in China

“To fast or not to fast?” Ramadan and religiosity through the eyes of people with bipolar disorder: an exploratory study

A synopsis of multitarget therapeutic effects of anesthetics on depression

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