Clinical profiles of stigma experiences, self-esteem and social relationships among people with schizophrenia, depressive, and bipolar disorders

Oliveira, Sandra; Esteves, Francisco; Carvalho, Helena

doi:10.1016/j.psychres.2015.07.047

Cited by 57 publications

(40 citation statements)

References 43 publications

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“…The ISMI total score in connection with the employment status was supported by domains, stereotype endorsement and social withdrawal, which both were significantly higher in the subgroup without a job. The link between self-stigma and unemployment was also described in another study 18,38. Nevertheless, in the regression analysis, the employment status was removed from the variables.…”

Section: Discussionmentioning

confidence: 80%

Self-stigma and schizophrenia: a cross-sectional study

Vrbová¹,

Praško²,

Holubová³

et al. 2016

NDT

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ObjectiveThe aim of this study was to investigate the degree of self-stigma in schizophrenia and its association with clinical and demographic factors.Patients and methodsA total of 197 outpatients (54.3% females) diagnosed with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, delusional disorder) according to International Classification of Diseases – tenth edition participated in the study. The mean age of the patients was 40.10±11.49 years. All individuals completed the Internalized Stigma of Mental Illness (ISMI) scale and a demographic questionnaire. The disorder severity was assessed by both a psychiatrist (the objective version of Clinical Global Impression – severity scale [objCGI-S]) and the patients (the subjective version of Clinical Global Impression – severity scale [subjCGI-S]). Treatment with antipsychotics stabilized the patients.ResultsThe overall level of self-stigma measured by the total score of the ISMI was 63.32±13.59. The total score of the ISMI positively correlated with the severity of the disorder measured by the objCGI-S and subjCGI-S. In addition, self-stigma positively correlated with the treatment duration and the number of psychiatric hospitalizations. The backward stepwise regression was applied to identify the most significant factors connected to self-stigma. The regression analysis identified the following regressors as the most relevant to self-stigma: the number of previous psychiatric hospitalizations, the severity of the disorder rated by a psychiatrist, and the difference between the objective rating and the subjective rating of the severity of the disorder.ConclusionOutpatients with schizophrenia spectrum disorders, who have undergone a higher number of psychiatric hospitalizations, who dispose of a higher severity of the disorder and show a higher discrepancy between their rating of the severity and the psychiatric rating, showed a greater degree of self-stigma. The management of self-stigma in patients with schizophrenia should be implemented in the routine care.

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Section: Discussionmentioning

confidence: 80%

Self-stigma and schizophrenia: a cross-sectional study

Vrbová¹,

Praško²,

Holubová³

et al. 2016

NDT

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“…Arguably SMI's are not comparable in terms of their experiences of stigma which will also hinder reliability and validity. Those with a schizophrenia spectrum disorder are viewed most negatively by the public (Crisp et al, 2005;Wood et al, 2014), are most discriminated against (Dinos et al, 2004;Thornicroft et al, 2009), have the most intense internalised stigma beliefs, worst social exclusion and significantly lower levels of functioning, compared to those with a diagnosis of bipolar disorder and depression (Karidi et al, 2015;Oliveria et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Semi-structured Interview Measure of Stigma (SIMS) in psychosis: Assessment of psychometric properties

Wood

Burke

Byrne

et al. 2016

Schizophrenia Research

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Stigma is a significant difficulty for people who experience psychosis. To date, there have been no outcome measures developed to examine stigma exclusively in people with psychosis. The aim of this study was develop and validate a semi-structured interview measure of stigma (SIMS) in psychosis. The SIMS is an eleven item measure of stigma developed in consultation with service users who have experienced psychosis. 79 participants with experience of psychosis were recruited for the purposes of this study. They were administered the SIMS alongside a battery of other relevant outcome measures to examine reliability and validity. A one-factor solution was identified for the SIMS which encompassed all ten rateable items. The measure met all reliability and validity criteria and illustrated good internal consistency, inter-rater reliability, test retest reliability, criterion validity, construct validity, sensitivity to change and had no floor or ceiling effects. The SIMS is a reliable and valid measure of stigma in psychosis. It may be more engaging and acceptable than other stigma measures due to its semi-structured interview format.

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“…U pacjentów cierpiących na zaburzenia z kręgu psychoz, którzy doświadczyli przejawów dyskryminacji ze względu na stan zdrowia, wyższa samoocena pełniła funkcję czynnika łagodzącego poczucie samotności i odrzucenia [21]. Zarówno u pacjentów cierpiących na schizofrenię, jak i na zaburzenia nastroju obniżona samoocena współwystę-powała z uwewnętrznionym poczuciem stygmatyzacji i niż-szą satysfakcją z relacji interpersonalnych, przyczyniając się do pogłębiania wykluczenia społecznego, które jest dużym problemem dla pacjentów psychiatrycznych [22]. Wysoka i stabilna samoocena uznawana jest za jeden z głównych czynników ochronnych nie tylko w zaburzeniach psychotycznych czy nastroju, ale i przy zagrożeniu uzależnieniem od alkoholu [23] oraz przy innych problemach natury psychologicznej.…”

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Nasilenie osobowościowych przejawów schizotypii wśród osób zdrowych a wartościowanie siebie i świata w kontekście zdrowia psychicznego. Próba walidacji skróconej skali schizotypii Oxford–Liverpool Inventory of Feelings and Experiences w warunkach polskich

Starkowska

Adamowicz

Kaleta

et al. 2017

Pomeranian J Life Sci

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Introduction:The object of this study was the expression of schizotypal personality traits observed in healthy people, and their relationship with self-esteem and a positive attitude to life. The practical aim was the first attempt to use the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE) in the Polish-language population. Materials and methods:The questionnaire-based study on a group of 70 men and women employed the Polish translation of the English short version of the O-LIFE scale. In the previous pilot study (n = 202, age 19-88 years) analysis of reliability showed very satisfactory accuracy of the overall score (α = 0.82), and ranged from the low to high reliability of factor scores. Research on the adaptation of the O-LIFE scale to the conditions of the Polish population is currently continuing in the Department of Psychiatry at The Pomeranian Medical University in Szczecin in Poland. Results: The study demonstrated negative relationships between self-esteem, positive orientation and all measures of schizotypal traits, particularly in relation to the overall score (r = −0.518) and the dimension of cognitive disorganization (r = −0.531). Those coincide with the stronger manifestations of individual differences in schizotypy which (in the case of mental overload) may predispose patients to the development of schizotypal personality disorder or schizophrenia. Conclusions: Within the limits of mental health, symptoms of schizotypal personality characteristics were associated with low self-esteem, greater pessimism and lower assessment of life satisfaction. These may reduce the sense of mental and physical well-being, and are risk factors for a variety of mental problems, especially from the psychotic spectrum. In addition, we noted the usefulness of the Polish version of the short O-LIFE scale, mainly in quantitative research and in outlining further research possibilities. Keywords: personality measurement; schizotypy; personality disorders; schizophrenia. ABSTRAKT Wstęp: Przedmiotem badania były przejawy schizotypii -rozumiane jako cechy osobowości ludzi zdrowych -oraz ich związek z samooceną i pozytywnym nastawieniem do życia. Celem praktycznym była próba walidacji skróconej skali schizotypii Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE). Materiały i metody: W badaniu kwestionariuszowym na grupie 70 kobiet i mężczyzn wykorzystano przetłumaczoną z języka angielskiego skróconą wersję O-LIFE. W uprzednim badaniu pilotażowym (n = 202) na zdrowych osobach w wieku 19-88 lat analiza rzetelności wykazała bardzo satysfakcjonującą dokład-ność pomiaru ogólnej skali schizotypii (α = 0,82) oraz wahającą się od niskiej po wysoką rzetelność wyników czynnikowych. Badania nad adaptacją skali O-LIFE do warunków populacji polskiej obecnie kontynuowane są w Katedrze Psychiatrii Pomorskiego Uniwersytetu Medycznego w Szczecinie. Wyniki: Wykazano ujemne związki pomiędzy samooceną i orientacją pozytywną a wszystkimi miarami cech schizotypowych, zwłaszcza w odniesieniu do wyniku ogólnego ...

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Clinical profiles of stigma experiences, self-esteem and social relationships among people with schizophrenia, depressive, and bipolar disorders

Cited by 57 publications

References 43 publications

Self-stigma and schizophrenia: a cross-sectional study

Self-stigma and schizophrenia: a cross-sectional study

Semi-structured Interview Measure of Stigma (SIMS) in psychosis: Assessment of psychometric properties

Nasilenie osobowościowych przejawów schizotypii wśród osób zdrowych a wartościowanie siebie i świata w kontekście zdrowia psychicznego. Próba walidacji skróconej skali schizotypii Oxford–Liverpool Inventory of Feelings and Experiences w warunkach polskich

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