Experiences of familial stigma among individuals living with mental illnesses: A meta‐synthesis of qualitative literature from high‐income countries

Adu, Joseph; Oudshoorn, Abe; Anderson, Kelly K.; Marshall, Carrie Anne; Stuart, Heather

doi:10.1111/jpm.12869

Cited by 7 publications

(7 citation statements)

References 98 publications

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“…In this study, gender (male) and age were also associated with increased perception of stigma agreement as well as a positive reaction towards mental illness. This finding is in line with previous studies (Adu et al, 2022; Al Omari et al, 2021; Rayan & Jaradat, 2016). There is accumulated research evidence that many younger age groups have a positive attitude towards people with mental illness (DuPont‐Reyes et al, 2020).…”

Section: Discussionsupporting

confidence: 93%

Self and public stigma towards mental illnesses and its predictors among university students in 11 Arabic‐speaking countries: A multi‐site study

Al Omari,

Valsaraj,

Khatatbeh

et al. 2023

Int J Mental Health Nurs

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This study aimed to explore self and public stigma towards mental illness and associated factors among university students from 11 Arabic‐speaking countries. This cross‐sectional study included 4241 university students recruited from Oman, Saudi Arabia, the United Arab Emirates (UAE), Syria, Sudan, Bahrain, Iraq, Jordan, Lebanon, Palestine and Egypt. The participants completed three self‐administrative online questionnaires—Demographic Proforma (age, gender, family income, etc.), Peer Mental Health Stigmatization Scale and Mental Health Knowledge Questionnaire. There was a significant difference in the average mean between the 11 countries (p < 0.01) based on stigma agreement (self) and stigma awareness (public). The mean stigma agreement towards mental illnesses among university students was 19.7 (SD = 6.0), with the lowest in Lebanon, 15.9 (SD = 5.1) and the highest in UAE, 24.1 (SD = 5.6). The factors associated with stigma agreement included poor knowledge, being male, high family income, age, weak cumulative grade point average (cGPA), mothers with primary education, an unemployed parent, students in scientific colleges and fathers who completed secondary or university degrees. Furthermore, the factors associated with stigma awareness included good knowledge, acceptable cGPA and having a father who has a low income and is illiterate. Stigma towards mental illness varies among university students across Arabic‐speaking countries. There is a need to sensitize youngsters to the need for a humanitarian approach in society to individuals affected by mental health concerns. Major governmental reforms must be initiated for the provision of mental health services for individuals with mental illnesses.

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Section: Discussionsupporting

confidence: 93%

Self and public stigma towards mental illnesses and its predictors among university students in 11 Arabic‐speaking countries: A multi‐site study

Al Omari,

Valsaraj,

Khatatbeh

et al. 2023

Int J Mental Health Nurs

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“…An older brother always scolds his ill brother for not going to work, which is seen as lazy and irresponsible 18 . Family abusive behaviors towards PLS are the most visible familial stigma of mental illness, but are rarely reported in the literature, especially in low- and middle-income countries 14 . Family abusive behaviors towards PLS are destructive and hidden.…”

Section: Discussionmentioning

confidence: 99%

“…A scoping review found that the “perpetrators” of microaggressions (brief and commonplace daily verbal, behavioral, or environmental indignities that communicate hostile, derogatory, or insults) toward people with mental illness were predominantly family members, rather than strangers or acquaintances 16 . Researchers have described how PLS experienced abusive behavior from their family caregivers in some qualitative studies 14 , 17 , 18 . Those studies explored the nature, types, and experiences of abusive behavior by family caregivers toward PLS, but rarely reported its prevalence and studied its consequences.…”

Section: Introductionmentioning

confidence: 99%

“…A number of PLS reported negative reactions and unfair treatment from family, including being “scolded or yelled at” and being hit by family caregivers because of their illness 17 , 24 . Those PLS who have been scolded or hit by family caregivers may be aware of their stigmatized condition, feel inferior to others, lose self-esteem, or feel shame 14 . Violence victimization of PLS is also significantly associated with social withdrawal 25 .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, abuse may also occur when the care recipients are highly dependent on the family and the burden of caregiving is excessive 12,13 . Thus, PLS may also be victims of family abuse 14 . A study based on Crime Survey for England and Wales estimated that 30% to 60% of people with severe mental illness reported violence perpetrated by families during their lifetime 15 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Family caregivers’ abusive behaviour and its association with internalized stigma of people living with schizophrenia in China

Li,

Qiu,

et al. 2023

Schizophr

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Family caregiving of people living with schizophrenia (PLS) can be burdensome, and some family caregivers may perpetrate abusive behavior that could be harmful to PLS. This study aims to examine the association of family caregivers’ abusive behavior with internalized stigma of PLS and draw attention to this problem. PLS were recruited from four cities across China and completed measures of abusive behavior and internalized stigma. Linear regression analyses were used to determine the association between family caregivers’ abusive behavior and internalized stigma of PLS. A total of 693 PLS were include in this study. 22.7% of the participants had experienced one or more of the abusive behaviors perpetrated by family caregivers. The most common type of abusive behavior towards PLS was verbal abuse and 4.2% of the participants reported physical abuse. 44.6 % of participants reported a high level of internalized stigma. PLS who experienced any abusive behavior by family caregivers had significantly higher levels of internalized stigma. Family caregivers’ abusive behavior is positively associated with alienation and social withdrawal but not with stereotype endorsement and discrimination of PLS. To end all forms of stigma and discrimination against PLS, more attention needs to be paid to the families of PLS.

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Analyzing Two Decades of Literature on Experiences of Familial Mental Illness Stigma in Four Advanced Countries (2000–2020)

Adu,

Fordjour Owusu,

Martin-Yeboah

et al. 2024

Issues in Mental Health Nursing

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Experiences of familial stigma among individuals living with mental illnesses: A meta‐synthesis of qualitative literature from high‐income countries

Abstract: What is known on the subject?:• Mental illness stigma has been long acknowledged as a social problem that continues to persist and contribute to social exclusion of affected persons globally.

Cited by 7 publications

References 98 publications

Self and public stigma towards mental illnesses and its predictors among university students in 11 Arabic‐speaking countries: A multi‐site study

Self and public stigma towards mental illnesses and its predictors among university students in 11 Arabic‐speaking countries: A multi‐site study

Family caregivers’ abusive behaviour and its association with internalized stigma of people living with schizophrenia in China

Analyzing Two Decades of Literature on Experiences of Familial Mental Illness Stigma in Four Advanced Countries (2000–2020)

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