Pathways Between Internalized Stigma and Outcomes Related to Recovery in Schizophrenia Spectrum Disorders

Yanos, Philip T.; Roe, David; Markus, Keith A.; Lysaker, Paul H.

doi:10.1176/appi.ps.59.12.1437

Cited by 247 publications

(190 citation statements)

References 23 publications

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“…chronic pain) is a real clinical entity. The clinical impact chronic pain has on the psychosocial elements including a lowered self-esteem, depression, and anxiety are consistent with the associations previously reported in areas such as mental illness epilepsy, inflammatory bowel disease and HIV infection [2][3][4][5]19]. For example elevated internalized stigma appears to be a clinical issue that affects a substantial number of persons (36%) with severe mental illness such as schizophrenia [20][21][22][23].…”

Section: Discussionsupporting

confidence: 85%

Prevalence Of Stigmatization And Poor Self-Esteem In Chronic Pain Patients

Hegarty¹,

Wall²

2014

J Pain Relief

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Objective: Stigma and poor self-esteem (defined as the internalized cognitive, emotional, and behavioural impact of others' negative attitudes on a person) are associated with many chronic health conditions and have indirect but strongly negative implications for clinical prognosis. We sought to estimate the prevalence of perceived stigmatization and self-esteem in chronic pain patients and its relationship with general health markers.Methods: All adult patients (n=160, >18 years old, chronic pain >3 months) completed a set of validated questionnaires; Stigmata Scale for Chronic Illness (SSCI), Rosenberg's Self-esteem Scale (RSES); Hospital Anxiety Depression Scale (HADS); Brief Pain Inventory short form (BPI); and the General health survey (SF12v2). Data was recorded using Microsoft Excel and analyzed using SPSS. Results:The mean pain intensity score (Visual analogue score (VAS)) was 6.1 ± 1.7. 77% of patients (123/160) had a lowered self-esteem (RSES score=17.2 ± 14.5) with a mean SSCI score of 50.8 ± 19.0 (normal range 24-120). An inverse relationship between (a) stigmatization and self-esteem (Pearson correlation, r=.58, p<0.001) and (b) selfesteem and pain interference (r=.48, p<0.001) was identified. A positive correlation between stigmatization and anxiety (r=.228, p<.05) and an inverse relationship between self-esteem and depression existed (r=.234, p<.05). Conclusions:A high prevalence of stigmatization was identified in individuals experiencing chronic pain and a significant correlation exists between the type of stigma experienced, the level of pain intensity and other psychological factors including self-esteem, anxiety, and depression

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Section: Discussionsupporting

confidence: 85%

Prevalence Of Stigmatization And Poor Self-Esteem In Chronic Pain Patients

Hegarty¹,

Wall²

2014

J Pain Relief

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“…According to the US National Comorbidity Survey, only one third of adolescents with mental disorders received any mental health care [11]. Stigmatization may also contribute to other problems, such as lower self-esteem, or reduced hope for recovery [12,13], decreased quality of life [14], difficulties in social relationships, and embarrassment of close relatives [15] and subsequent suicidal behaviour [16].…”

Section: Introductionmentioning

confidence: 99%

Can video interventions be used to effectively destigmatize mental illness among young people? A systematic review

et al. 2017

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ABSTRACT:Video is considered to be an effective, easy to use tool employed in anti-stigma interventions among young people. Mass media has been shown to be effective for reducing stigma; however, there is insufficient evidence to determine the destigmatization effects of videos specifically. This article systematically reviews the effectiveness of video intervention in reducing stigma among young people between 13 and 25 years.We searched 13 electronic databases including randomized controlled trials, cluster randomized controlled trials, and controlled before and after studies. Of the 1426 abstracts identified, 23 studies (reported in 22 papers) met the inclusion criteria.Video interventions led to improvements in stigmatising attitudes. Video was found to be more effective than other interventions, such as classical face-to-face educational sessions or simulation of hallucinations. According to results of two studies, social contact delivered via video achieved similar destigmatization effect to that delivered via a live intervention.Although the quality of studies as well as the form of video interventions varied, the findings suggest that video is a promising destigmatization tool among young people; however, more studies in this area are needed. There was a lack of evidence for interventions outside of school environments, in low-and middle-income countries, and studies which looked at long-term outcomes or measured impact on actual behaviour and implicit attitudes. The review generates recommendations for video interventions targeted at young people.

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“…Estudos anteriores discutiram ainda que a internalização do estigma acarreta em diversas difi culdades para o tratamento, incluindo não só a baixa adesão (Alvidrez, Snowden, & Kaiser, 2008;Kalichman & Grebler, 2010;Tsang, Fung, & Chung, 2010), como também o agravamento dos sintomas (Ritsher & Phelan, 2004;Yanos, et al, 2008), inibição para a prontidão para a mudança (Tsang et al, 2010), além de reforçar as expectativas pessoais de rejeição e discriminação (Alvidrez et al, 2008). Assim, o suporte social tem sido um construto descrito como um potencial recurso de enfrentamento ao estigma, na medida em que a disponibilidade e a satisfação com o suporte parecem afetar o ajustamento das pessoas (DiMatteo, 2004;Seidl & Tróccoli, 2006), auxiliando na reestruturação e manutenção das relações sociais (Brohan et al, 2010;Lv et al, 2012;Zafran et al, 2012), além de infl uenciar positivamente a progressão e a recuperação de uma doença, no que se refere à adoção de comportamentos saudáveis (Mueller et al, 2006;Schwarzer, Knoll, & Rieckmann, 2003).…”

Section: Discussionunclassified

Implicações da relação entre estigma internalizado e suporte social para a saúde: uma revisão sistemática da literatura

Ferreira

Silveira

Noto

et al. 2014

Estud. psicol. (Natal)

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ResumoConsiderando os impactos negativos da internalização do estigma para a vida do indivíduo, e as possíveis caracterís-ticas protetoras do suporte social para o enfrentamento da condição, objetivou-se realizar uma revisão sistemática da literatura acerca da relação entre estigma internalizado e suporte social, e suas implicações para a saúde. As buscas foram realizadas nas bases PsycInfo, Pubmed, Scopus e Web of Science. A amostra foi composta por 13 estudos que preencheram os critérios de inclusão. Os resultados apresentaram evidências de uma relação negativa entre estigma internalizado e suporte social, considerando o suporte social como uma possível estratégia de enfrentamento ao estigma internalizado, destacando o seu efeito protetor ao amenizar as consequências negativas de eventos estressantes sobre o bem-estar físico e psicológico.Palavras-chave: estigma; suporte social; saúde. AbstractImplications of the relationship between internalized stigma and social support for health: A systematic review of the literature. Considering the negative impact of the internalization of stigma for the life of an individual, and the possible protective characteristics of social support for coping with the condition, the aim of this study was to conduct a systematic review of the literature about the relationship between internalized stigma and social support, and its implications for health. Searches were conducted in PsycInfo, Pubmed, Scopus and Web of Science databases. Th e sample consisted of 13 studies that met the inclusion criteria. Results showed evidence of a negative relationship between internalized stigma and social support, presenting social support as a possible coping strategy for internalized stigma, highlighting its protective eff ect to mitigate the negative consequences of stressful events on physical and psychological well-being.Keywords: stigma; social support; health. ResumenImplicaciones de la relación entre el estigma internalizado y apoyo social para la salud: Una revisión sistemática de la literatura. Teniendo en cuenta los efectos negativos de la internalización de lo estigma para la vida del individuo, y las posibles características de protección de lo apoyo social para hacer frente a la situación, este artículo tiene como objetivo revisar sistemáticamente la literatura sobre la relación entre el estigma internalizado y el apoyo social y sus implicaciones para la salud. Las búsquedas se realizaron en las bases de datos PsycInfo, Pubmed, Scopus y Web of Science. La muestra consistió en 13 estudios que cumplían los criterios de inclusión. Los resultados mostraron evidencia de una relación negativa entre el estigma internalizado y el apoyo social, teniendo en cuenta el apoyo social como una posible estrategia para hacer frente al estigma internalizado, destacando sus efectos protectores para mitigar el impacto negativo de los acontecimientos estresantes en el bienestar físico y psicológico.Palabras clave: estigma; apoyo social; salud.

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Pathways Between Internalized Stigma and Outcomes Related to Recovery in Schizophrenia Spectrum Disorders

Cited by 247 publications

References 23 publications

Prevalence Of Stigmatization And Poor Self-Esteem In Chronic Pain Patients

Prevalence Of Stigmatization And Poor Self-Esteem In Chronic Pain Patients

Can video interventions be used to effectively destigmatize mental illness among young people? A systematic review

Implicações da relação entre estigma internalizado e suporte social para a saúde: uma revisão sistemática da literatura

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