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Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit
BACKGROUND: Very few studies from India have studied stigma experienced by patients with schizophrenia. AIM OF THE STUDY: To study stigma in patients with schizophrenia (in the form of internalized stigma, perceived stigma and social-participation-restriction stigma) and its relationship with specif...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100121/ https://www.ncbi.nlm.nih.gov/pubmed/28066007 http://dx.doi.org/10.4103/0019-5545.192024 |
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author | Singh, Aakanksha Mattoo, Surendra K. Grover, Sandeep |
author_facet | Singh, Aakanksha Mattoo, Surendra K. Grover, Sandeep |
author_sort | Singh, Aakanksha |
collection | PubMed |
description | BACKGROUND: Very few studies from India have studied stigma experienced by patients with schizophrenia. AIM OF THE STUDY: To study stigma in patients with schizophrenia (in the form of internalized stigma, perceived stigma and social-participation-restriction stigma) and its relationship with specified demographic and clinical variables (demographic variables, clinical profile, level of psychopathology, knowledge about illness, and insight). MATERIALS AND METHODS: Selected by purposive random sampling, 100 patients with schizophrenia in remission were evaluated on internalized stigma of mental illness scale (ISMIS), explanatory model interview catalog stigma scale, participation scale (P-scale), positive and negative syndrome scale for schizophrenia, global assessment of functioning scale, scale to assess unawareness of mental disorder, and knowledge of mental illness scale. RESULTS: On ISMIS scale, 81% patients experienced alienation and 45% exhibited stigma resistance. Stereotype endorsement was seen in 26% patients, discrimination experience was faced by 21% patients, and only 16% patients had social withdrawal. Overall, 29% participants had internalized stigma when total ISMIS score was taken into consideration. On P-scale, 67% patients experienced significant restriction, with a majority reporting moderate to mild restriction. In terms of associations between stigma and sociodemographic variables, no consistent correlations emerged, except for those who were not on paid job, had higher participation restriction. Of the clinical variables, level of functioning was the only consistent predictor of stigma. While better knowledge about the disorder was associated with lower level of stigma, there was no association between stigma and insight. CONCLUSION: Significant proportion of patients with schizophrenia experience stigma and stigma is associated with lower level of functioning and better knowledge about illness is associated with lower level of stigma. |
format | Online Article Text |
id | pubmed-5100121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-51001212017-01-06 Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit Singh, Aakanksha Mattoo, Surendra K. Grover, Sandeep Indian J Psychiatry Original Article BACKGROUND: Very few studies from India have studied stigma experienced by patients with schizophrenia. AIM OF THE STUDY: To study stigma in patients with schizophrenia (in the form of internalized stigma, perceived stigma and social-participation-restriction stigma) and its relationship with specified demographic and clinical variables (demographic variables, clinical profile, level of psychopathology, knowledge about illness, and insight). MATERIALS AND METHODS: Selected by purposive random sampling, 100 patients with schizophrenia in remission were evaluated on internalized stigma of mental illness scale (ISMIS), explanatory model interview catalog stigma scale, participation scale (P-scale), positive and negative syndrome scale for schizophrenia, global assessment of functioning scale, scale to assess unawareness of mental disorder, and knowledge of mental illness scale. RESULTS: On ISMIS scale, 81% patients experienced alienation and 45% exhibited stigma resistance. Stereotype endorsement was seen in 26% patients, discrimination experience was faced by 21% patients, and only 16% patients had social withdrawal. Overall, 29% participants had internalized stigma when total ISMIS score was taken into consideration. On P-scale, 67% patients experienced significant restriction, with a majority reporting moderate to mild restriction. In terms of associations between stigma and sociodemographic variables, no consistent correlations emerged, except for those who were not on paid job, had higher participation restriction. Of the clinical variables, level of functioning was the only consistent predictor of stigma. While better knowledge about the disorder was associated with lower level of stigma, there was no association between stigma and insight. CONCLUSION: Significant proportion of patients with schizophrenia experience stigma and stigma is associated with lower level of functioning and better knowledge about illness is associated with lower level of stigma. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5100121/ /pubmed/28066007 http://dx.doi.org/10.4103/0019-5545.192024 Text en Copyright: © Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Singh, Aakanksha Mattoo, Surendra K. Grover, Sandeep Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title | Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title_full | Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title_fullStr | Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title_full_unstemmed | Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title_short | Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
title_sort | stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100121/ https://www.ncbi.nlm.nih.gov/pubmed/28066007 http://dx.doi.org/10.4103/0019-5545.192024 |
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