Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 8/2019

26.02.2019 | Brief Report

Self-stigma in patients with schizophrenia: a multicentric study from three Latin-America countries

verfasst von: Alejandra Caqueo-Urízar, Laurent Boyer, Alfonso Urzúa, David R. Williams

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 8/2019

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to describe the degree of self-stigma in patients with schizophrenia across three Latin-Americans countries (Bolivia, Chile and Peru). The study included 253 outpatients that were assessed using the Internalized Stigma of Mental Illness Scale (ISMI). The results show that 48.7% of patients from Bolivia report high internalized stigma compared to 38.6% from Chile and 28.6% from Peru. There were no statistically significant differences in ISMI mean total scores for country (p = 0.057), however, there were significant differences on two subscales: alienation and social withdrawal for which Bolivia had the highest scores. In conclusion, even though these countries share several common cultural characteristics, there are also some differences between them on patients’ self-stigma.
Literatur
1.
Zurück zum Zitat Wang XQ, Petrini MA, Morisky DE (2017) Predictors of quality of life among Chinese people with schizophrenia. Nurs Health Sci 19(2):142–148PubMedCrossRef Wang XQ, Petrini MA, Morisky DE (2017) Predictors of quality of life among Chinese people with schizophrenia. Nurs Health Sci 19(2):142–148PubMedCrossRef
2.
Zurück zum Zitat Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71(12):2150–2161PubMedCrossRef Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71(12):2150–2161PubMedCrossRef
3.
Zurück zum Zitat Vrbova K, Prasko J, Ociskova M, Kamaradova D, Marackova M, Holubova M, Latalova K (2017) Quality of life, self-stigma, and hope in schizophrenia spectrum disorders: a cross-sectional study. Neuropsychiatr Dis Treat 13:567–576PubMedPubMedCentralCrossRef Vrbova K, Prasko J, Ociskova M, Kamaradova D, Marackova M, Holubova M, Latalova K (2017) Quality of life, self-stigma, and hope in schizophrenia spectrum disorders: a cross-sectional study. Neuropsychiatr Dis Treat 13:567–576PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Jacobasson L, Ghanea H, Törnkvist B (2013) Internalized stigma of mental illness in Sweden and Iran—a comparative study. Open J Psychiatr 3:370–374CrossRef Jacobasson L, Ghanea H, Törnkvist B (2013) Internalized stigma of mental illness in Sweden and Iran—a comparative study. Open J Psychiatr 3:370–374CrossRef
6.
Zurück zum Zitat Corrigan PW, Watson AC (2002) The paradox of self-stigma and mental illness. Clin Psychol Sci Pract 9:35–53.10.1093/clipsy.9.1.35CrossRef Corrigan PW, Watson AC (2002) The paradox of self-stigma and mental illness. Clin Psychol Sci Pract 9:35–53.10.1093/clipsy.9.1.35CrossRef
7.
Zurück zum Zitat Ben-Zeev D, Frounfelker R, Morris SB, Corrigan PW (2012) Predictors of self-stigma in schizophrenia: new insights using mobile technologies. J Dual Diagn 8:305–314PubMedPubMedCentralCrossRef Ben-Zeev D, Frounfelker R, Morris SB, Corrigan PW (2012) Predictors of self-stigma in schizophrenia: new insights using mobile technologies. J Dual Diagn 8:305–314PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Gerlinger G, Hauser M, De Hert M, Lacluyse K, Wampers M, Correll CU (2013) Personal stigma in schizophrenia spectrum disorders: a systematic review of prevalence rates, correlates, impact and interventions. World Psychiatry 12(2):155–164PubMedPubMedCentralCrossRef Gerlinger G, Hauser M, De Hert M, Lacluyse K, Wampers M, Correll CU (2013) Personal stigma in schizophrenia spectrum disorders: a systematic review of prevalence rates, correlates, impact and interventions. World Psychiatry 12(2):155–164PubMedPubMedCentralCrossRef
9.
Zurück zum Zitat Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121(1):31–49PubMedCrossRef Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121(1):31–49PubMedCrossRef
10.
Zurück zum Zitat Boyd JE, Adler EP, Otilingam PG, Peters T (2014) Internalized stigma of mental illness (ISMI) scale: a multinational review. Compr Psychiatry 55(1):221–231PubMedCrossRef Boyd JE, Adler EP, Otilingam PG, Peters T (2014) Internalized stigma of mental illness (ISMI) scale: a multinational review. Compr Psychiatry 55(1):221–231PubMedCrossRef
11.
Zurück zum Zitat Rusch N, Zlati A, Black G, Thornicroft G (2014) Does the stigma of mental illness contribute to suicidality. British J Psychiatry 205(4):257–259CrossRef Rusch N, Zlati A, Black G, Thornicroft G (2014) Does the stigma of mental illness contribute to suicidality. British J Psychiatry 205(4):257–259CrossRef
12.
Zurück zum Zitat Latalova K, Kamaradova D, Prasko J (2014) Perspectives on perceived stigma and self-stigma in adult male patients with depression. Neuropsychiatr Dis Treat 10:1399–1405PubMedPubMedCentralCrossRef Latalova K, Kamaradova D, Prasko J (2014) Perspectives on perceived stigma and self-stigma in adult male patients with depression. Neuropsychiatr Dis Treat 10:1399–1405PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat Vrbová K, Kamarádová D, Látalová K, Ocisková M, Praško J, Mainerová B, Cinculová A, Kubínek R, Ticháčková A (2014) Self-stigma and adherence to medication in patients with psychotic disorders—a cross-sectional study. Neuro Endocrinol Lett 35(7):645–652PubMed Vrbová K, Kamarádová D, Látalová K, Ocisková M, Praško J, Mainerová B, Cinculová A, Kubínek R, Ticháčková A (2014) Self-stigma and adherence to medication in patients with psychotic disorders—a cross-sectional study. Neuro Endocrinol Lett 35(7):645–652PubMed
14.
Zurück zum Zitat Tsang HW, Fung KM, Chung RC (2010) Self-stigma and stages of change as predictors of treatment adherence of individuals with schizophrenia. Psychiatry Res 180(1):10–15PubMedCrossRef Tsang HW, Fung KM, Chung RC (2010) Self-stigma and stages of change as predictors of treatment adherence of individuals with schizophrenia. Psychiatry Res 180(1):10–15PubMedCrossRef
15.
Zurück zum Zitat Ociskova M, Prasko J, Vrbova K, Kamaradova D, Jelenova D, Latalova K (2014) Stigma and self-stigma in patients with schizophrenia. Česká Slov Psychiatr 110(5):250–258 Ociskova M, Prasko J, Vrbova K, Kamaradova D, Jelenova D, Latalova K (2014) Stigma and self-stigma in patients with schizophrenia. Česká Slov Psychiatr 110(5):250–258
16.
Zurück zum Zitat Uhlmann C, Kaehler J, Harris MS, Unser J, Arolt V, Lencer R (2014) Negative impact of self-stigmatization on attitude toward medication adherence in patients with psychosis. J Psychiatr Pract 20(5):405–410PubMedCrossRef Uhlmann C, Kaehler J, Harris MS, Unser J, Arolt V, Lencer R (2014) Negative impact of self-stigmatization on attitude toward medication adherence in patients with psychosis. J Psychiatr Pract 20(5):405–410PubMedCrossRef
17.
Zurück zum Zitat Tang IC, Wu HC (2012) Quality of life and self-stigma in individuals with schizophrenia. Psychiatr Q 83(4):497–507PubMedCrossRef Tang IC, Wu HC (2012) Quality of life and self-stigma in individuals with schizophrenia. Psychiatr Q 83(4):497–507PubMedCrossRef
18.
Zurück zum Zitat Boyd JE, Katz EP, Link BG, Phelan JC (2009) The relationship of multiple aspects of stigma and personal contact with someone hospitalized for mental illness, in a nationally representative sample. Soc Psychiatry Psychiatr Epidemiol 45:1063–1070PubMedPubMedCentralCrossRef Boyd JE, Katz EP, Link BG, Phelan JC (2009) The relationship of multiple aspects of stigma and personal contact with someone hospitalized for mental illness, in a nationally representative sample. Soc Psychiatry Psychiatr Epidemiol 45:1063–1070PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Sirey J, Bruce M, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS (2001) Stigma as a barrier to recovery: perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52(12):1615–1620PubMedCrossRef Sirey J, Bruce M, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS (2001) Stigma as a barrier to recovery: perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52(12):1615–1620PubMedCrossRef
20.
Zurück zum Zitat Acuña C, Bolis M. La estigmatización y el acceso a la atención de salud en América Latina: Amenazas y perspectivas. París, Francia: 29° Organización Panamericana de la Salud. Organización Mundial de la Salud; 4–8 julio, 2005. [Stigmatization and access to health care in Latin-America: Threats and perspectives. Paris France: 29º Pan American Health Organization. World Health Organization; 4–8 July, 2005] Acuña C, Bolis M. La estigmatización y el acceso a la atención de salud en América Latina: Amenazas y perspectivas. París, Francia: 29° Organización Panamericana de la Salud. Organización Mundial de la Salud; 4–8 julio, 2005. [Stigmatization and access to health care in Latin-America: Threats and perspectives. Paris France: 29º Pan American Health Organization. World Health Organization; 4–8 July, 2005]
21.
Zurück zum Zitat Brohan E, Elgie R, Sartorius N, Thornicroft G et al (2010) Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophr Res 122(1):232–238PubMedCrossRef Brohan E, Elgie R, Sartorius N, Thornicroft G et al (2010) Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophr Res 122(1):232–238PubMedCrossRef
22.
Zurück zum Zitat Mora-Ríos J, Bautista-Aguilar N, Natera G, Pedersen D (2013) Adaptación cultural de instrumentos de medida sobre estigma y enfermedad mental en la Ciudad de México [Cultural adaptation of measurement instruments on stigma and mental illness in Mexico City]. Salud Mental 36(1):9–18CrossRef Mora-Ríos J, Bautista-Aguilar N, Natera G, Pedersen D (2013) Adaptación cultural de instrumentos de medida sobre estigma y enfermedad mental en la Ciudad de México [Cultural adaptation of measurement instruments on stigma and mental illness in Mexico City]. Salud Mental 36(1):9–18CrossRef
23.
Zurück zum Zitat World Health Organization (1992) ICD-10 classifications of mental and behavioural disorder: clinical descriptions and diagnostic guidelines. World Health Organization, Geneva World Health Organization (1992) ICD-10 classifications of mental and behavioural disorder: clinical descriptions and diagnostic guidelines. World Health Organization, Geneva
25.
Zurück zum Zitat Lysaker PH, Roe D, Yanos PT (2007) Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophr Bull 33(1):192–199PubMedCrossRef Lysaker PH, Roe D, Yanos PT (2007) Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophr Bull 33(1):192–199PubMedCrossRef
26.
Zurück zum Zitat Ritsher JB, Phelan JC (2004) Internalized stigma predicts the erosion of morale among psychiatric outpatients. Psychiatry Res 129:257–265PubMedCrossRef Ritsher JB, Phelan JC (2004) Internalized stigma predicts the erosion of morale among psychiatric outpatients. Psychiatry Res 129:257–265PubMedCrossRef
27.
Zurück zum Zitat Bengochea-Seco R, Arrieta-Rodríguezb M, Fernández-Modamio M, Santacoloma-Cabero I, Gómez de Tojeiro-Roce J, García-Polavieja B, Santos-Zorrozúa B, Gil-Sanz D (2016) Adaptación al español de la escala Internalized Stigma of Mental Illness para valorar el estigma personal [Adaptation to Spanish of the Internalized Stigma of Mental Illness scale to assess personal stigma] Rev Psiquiatr Salud Ment (Barc). https://doi.org/10.1016/j.rpsm.2016.01.007 (in press)CrossRef Bengochea-Seco R, Arrieta-Rodríguezb M, Fernández-Modamio M, Santacoloma-Cabero I, Gómez de Tojeiro-Roce J, García-Polavieja B, Santos-Zorrozúa B, Gil-Sanz D (2016) Adaptación al español de la escala Internalized Stigma of Mental Illness para valorar el estigma personal [Adaptation to Spanish of the Internalized Stigma of Mental Illness scale to assess personal stigma] Rev Psiquiatr Salud Ment (Barc). https://​doi.​org/​10.​1016/​j.​rpsm.​2016.​01.​007 (in press)CrossRef
28.
Zurück zum Zitat Caqueo-Urízar A, Fond G, Urzúa A, Boyer L, Williams DR (2016) Violent Behavior and aggression in Schizophrenia: prevalence and risk factors. A multicentric study from three Latin-America countries. Schizophr Res 178(1–3):23–28PubMedCrossRef Caqueo-Urízar A, Fond G, Urzúa A, Boyer L, Williams DR (2016) Violent Behavior and aggression in Schizophrenia: prevalence and risk factors. A multicentric study from three Latin-America countries. Schizophr Res 178(1–3):23–28PubMedCrossRef
29.
Zurück zum Zitat Tanabe Y, Hayashi K, Ideno Y (2016) The Internalized stigma of mental illness (ISMI) scale: validation of the Japanese version. BMC Psychiatry 16:116PubMedPubMedCentralCrossRef Tanabe Y, Hayashi K, Ideno Y (2016) The Internalized stigma of mental illness (ISMI) scale: validation of the Japanese version. BMC Psychiatry 16:116PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Brohan E, Elgie R, Sartorius N, Thornicroft G, GAMIAN-Europe Study Group (2010) Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophr Res 122(1–3):232–238PubMedCrossRef Brohan E, Elgie R, Sartorius N, Thornicroft G, GAMIAN-Europe Study Group (2010) Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophr Res 122(1–3):232–238PubMedCrossRef
31.
Zurück zum Zitat Sibitz I, Unger A, Woppmann A, Zidek T, Amering M (211). Stigma resistance in patients with schizophrenia. Schizoph Bull 37(2):316–323 Sibitz I, Unger A, Woppmann A, Zidek T, Amering M (211). Stigma resistance in patients with schizophrenia. Schizoph Bull 37(2):316–323
32.
Zurück zum Zitat Lysaker PH, Tsai J, Yanos P, Roe D (2008) Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia. Schizophr Res 98(1–3):194–200PubMedCrossRef Lysaker PH, Tsai J, Yanos P, Roe D (2008) Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia. Schizophr Res 98(1–3):194–200PubMedCrossRef
33.
Zurück zum Zitat Lysaker PH, Davis LW, Warman DM, Strasburger A, Beattie N (2007) Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: associations across 6 months. Psychiatry Res 149(1–3):89–95PubMedCrossRef Lysaker PH, Davis LW, Warman DM, Strasburger A, Beattie N (2007) Stigma, social function and symptoms in schizophrenia and schizoaffective disorder: associations across 6 months. Psychiatry Res 149(1–3):89–95PubMedCrossRef
34.
Zurück zum Zitat Assefa D, Shibre T, Asher L, Fekadu A (2012) Internalized stigma among patients with schizophrenia in Ethiopia: a cross-sectional facility-based study. BMC Psychiatry 12:239PubMedPubMedCentralCrossRef Assefa D, Shibre T, Asher L, Fekadu A (2012) Internalized stigma among patients with schizophrenia in Ethiopia: a cross-sectional facility-based study. BMC Psychiatry 12:239PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Botha UA, Koen L, Niehaus DJ (2006) Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness. Soc Psych Psych Epid 41(8):619–623CrossRef Botha UA, Koen L, Niehaus DJ (2006) Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness. Soc Psych Psych Epid 41(8):619–623CrossRef
36.
Zurück zum Zitat Gutiérrez-Maldonado J, Caqueo-Urízar A, Ferrer-García M, Fernández-Dávila P (2012) Influencia de la percepción de apoyo y del funcionamiento social en la calidad de vida de pacientes con Esquizofrenia y sus cuidadores [Influence of the perception of support social functioning on the quality of life of patients with schizophrenia their caregivers] Psicothema 24(2):255–262PubMed Gutiérrez-Maldonado J, Caqueo-Urízar A, Ferrer-García M, Fernández-Dávila P (2012) Influencia de la percepción de apoyo y del funcionamiento social en la calidad de vida de pacientes con Esquizofrenia y sus cuidadores [Influence of the perception of support social functioning on the quality of life of patients with schizophrenia their caregivers] Psicothema 24(2):255–262PubMed
Metadaten
Titel
Self-stigma in patients with schizophrenia: a multicentric study from three Latin-America countries
verfasst von
Alejandra Caqueo-Urízar
Laurent Boyer
Alfonso Urzúa
David R. Williams
Publikationsdatum
26.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 8/2019
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-019-01671-4

Weitere Artikel der Ausgabe 8/2019

Social Psychiatry and Psychiatric Epidemiology 8/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.