Self-stigma, stigma coping and functioning in remitted bipolar disorder

Au, Cheuk Chung; Wong, Chi Fong; Law, C.W.; Wong, Ming-Cheuk; Chung, Ka Fai

doi:10.1016/j.genhosppsych.2018.12.007

Cited by 24 publications

(18 citation statements)

References 49 publications

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“…Concurrently, those who had not married and presumably had no children to perpetuate their lineage were most likely to develop a sense of internalised stigma in failing to accomplish ‘what matters most’ for in many Chinese societies (Yang & Kleinman, 2008). In line with previous studies (Au et al, 2019; Michalak et al, 2007), those with unemployment reported higher levels of self-stigma. In Chinese societies, where collectivist and Confucian ethics are highly valued, mental illness is conceived as a strain of harmonious social network and solidarity, thereby employees with SMI are more prone to be excluded by labor markets (Han et al, 2017; Tsang et al, 2007).…”

Section: Discussionsupporting

confidence: 92%

“…Overtly, the deterioration of social functioning not only prevents persons with SMI from developing interpersonal relationship and fulfilling satisfied social requirements (Sevinik & Ceylan, 2016), but also leads to avoidant behaviours and less contact with others, thereby contributing to higher levels of self-stigma. In sum, improving social functioning of persons with SMI might work effectively in reducing self-stigma and improving self-esteem (Au et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong

Zhang

Yau

et al. 2020

Int J Soc Psychiatry

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Background: Self-stigma exerts a range of adversities for persons with severe mental illness (SMI), however, little is known about the association between peer contact, social support and self-stigma. Aims: This study aimed to explore the mediating role of social support on the relationship between peer contact and self-stigma among persons with SMI in Hong Kong. Methods: A total of 159 persons with SMI (schizophrenia and mood disorder) in community service centres participated in the study through completing a survey on self-stigma, social functioning, social support, perception of peer contact and mass media. Logistic regression was utilised to explore the influencing factors of self-stigma among the participants. Results: The results showed that 81.1% of participants reported moderate to severe levels of self-stigma. Self-stigma was significantly associated with diverse factors (e.g. social functioning). Importantly, positive peer contact was significantly associated with lower self-stigma of persons with SMI. Social support acted as a mediator between peer contact and self-stigma. Conclusion: The results of this study suggest that contact-based interventions, such as enhancing positive peer-to-peer contact, should be conducted for reducing self-stigma among persons with SMI.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong

Zhang

Yau

et al. 2020

Int J Soc Psychiatry

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“…The evidence consistently supports many of the model's predictions, including that self-stigma is negatively associated with self-esteem, motivation to achieve personal life goals, shared-decision making, adherence into treatment, well-being, quality of life, personal recovery and social function [6][7][8][9][10][11][12][13][14]. People with elevated self-stigma report more dysfunctional attitudes, social withdrawal, depressive symptoms and increased suicidal ideation [5,[15][16][17][18][19][20][21]. High insight into illness directly predicts and compounds the effects of self-stigma on depression [15,17,[22][23][24].…”

Section: Introductionsupporting

confidence: 52%

Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial

Dubreucq

Faraldo

Abbes

et al. 2021

Trials

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Background Self-stigma is highly prevalent in serious mental illness (SMI) and is associated with poorer clinical and functional outcomes. Narrative enhancement and cognitive therapy (NECT) is a group-based intervention combining psychoeducation, cognitive restructuring and story-telling exercises to reduce self-stigma and its impact on recovery-related outcomes. Despite evidence of its effectiveness on self-stigma in schizophrenia-related disorders, it is unclear whether NECT can impact social functioning. Methods This is a 12-centre stepped-wedge cluster randomized controlled trial of NECT effectiveness on social functioning in SMI, compared to treatment as usual. One hundred and twenty participants diagnosed with schizophrenia, bipolar disorder or borderline personality disorder will be recruited across the 12 sites. The 12 centres participating to the study will be randomized into two groups: one group (group 1) receiving the intervention at the beginning of the study (T0) and one group (group 2) being a control group for the first 6 months and receiving the intervention after (T1). Outcomes will be compared in both groups at T0 and T1, and 6-month and 12-month outcomes for groups 1 and 2 will be measured without a control group at T2 (to evaluate the stability of the effects over time). Evaluations will be conducted by assessors blind to treatment allocation. The primary outcome is personal and social performance compared across randomization groups. Secondary outcomes include self-stigma, self-esteem, wellbeing, quality of life, illness severity, depressive symptoms and personal recovery. Discussion NECT is a promising intervention for reducing self-stigma and improving recovery-related outcomes in SMI. If shown to be effective in this trial, it is likely that NECT will be implemented in psychiatric rehabilitation services with subsequent implications for routine clinical practice. Trial registration ClinicalTrials.gov NCT03972735. Trial registration date 31 May 2019.

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“…Presently, there has stood huge proof for assessing QOL in individuals with BD. 14 The word "social help" appears in several conversations, though, regularly. Social assistance entails providing companions and other people, including relatives, to lean on during times of need or emergency to provide you with a broader focus and a more optimistic emotional self-view.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and Social Support Among Diagnose Bipolar Patients

Adnan¹,

Khan²,

Razzaq³

et al. 2021

PJMHS

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Aim: To ascertain the relationship between quality of life and social support in bipolar patients who have been diagnosed. STUDY DESIGN: cross-sectional research design Place and duration of the study: The research was performed impatiently on the Sheikh Zayed Medical College, Rahim Yar Khan at the Department of Psychiatry and Behavioral Sciences, which ran from January 2018 to July of 2019. Method: Data was retrieved from 100 patients, with diagnosed patients of bipolar affective disorder. Quality of life and social support were assessed by quality of life scale (QOLS) developed by Burckhardt and Berline social support scale (BSSS) developed by Berline. Results: Research claims a close relationship between the presence of such things as quality of life and social help for people with Bipolar Disorder. Conclusion: Bipolar is linked to inadequate health and quality of life and social isolation, mostly due to ineffective social skills. Social support is critical to emotional stability and quality of life. It may help patients deal with difficulties and reduce depression and help in both the recovery phase and positive results of psychiatric treatment. What is currently being sought to be learned is how social care has an impact on the level of well-being for bipolar patients. Keywords: Quality of life, bipolar, validation, generalization

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Self-stigma, stigma coping and functioning in remitted bipolar disorder

Cited by 24 publications

References 49 publications

Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong

Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong

Narrative enhancement and cognitive therapy (NECT) to improve social functioning in people with serious mental illness: study protocol for a stepped-wedge cluster randomized controlled trial

Quality of life and Social Support Among Diagnose Bipolar Patients

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