Perceived stigma among individuals with common mental disorders.
ABSTRACT Severe mental disorders are associated with social distance from the general population, but there is lack of data on the stigma reported by individuals with common mental disorders.
To identify the correlates and the impact of stigma among individuals with common mental disorders.
Cross-sectional, household interview survey of 8796 representing the non-institutionalized adults of Belgium, France, Germany, Italy, the Netherlands and Spain. Two perceived stigma questions (embarrassment and discrimination) were asked to respondents with significant disability. Health-related quality of life measured by the SF-12, work and activity limitation and social limitation were also assessed.
Among the 815 participants with a 12-month mental disorder and significant disability, 14.8% had perceived stigma. Stigma was significantly associated with low education, being married/living with someone and being unemployed. Perceived stigma was associated with decreased quality of life (SF-12 PCS score -4.65; p<0.05), higher work and role limitation and higher social limitation.
Individuals with mental disorders are more likely to report stigma if they have lower education, are married, or are unemployed. Perceived stigma is associated with considerably decrease in quality of life and role functioning. Health professionals and society at large must be aware of these findings, which suggest that fighting stigma should be a public health priority.
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ABSTRACT: This research was conducted as an experiment-control experimental study which aimed to determine the effectiveness of a psychoeducation program prepared to reduce internalized stigmatization. The study included 47 patients (24 experimental, 23 control) who had been diagnosed with bipolar disorder. At the end of the psychoeducation program, a significant decrease was observed in the total ISSMI mean scores, as well as in the ISSMI subscale mean scores for subscales such as alienation, approval of stereotypes, perceived discrimination and social withdrawal (p<0.05). The results demonstrated that a psychoeducation program designed for internalized stigmatization may have positive effects on the internalized stigmatization levels of patients with bipolar disorder.Archives of psychiatric nursing 02/2014; 28(1):62-6. DOI:10.1016/j.apnu.2013.10.008
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ABSTRACT: There is little information on the degree to which self-stigma is experienced by individuals with a diagnosis of bipolar disorder or depression across Europe. This study describes the levels of self-stigma, stigma resistance, empowerment and perceived discrimination reported in these groups. Data were collected from 1182 people with bipolar disorder or depression using a mail survey with members of national mental health non-governmental organisations. Over one fifth of the participants (21.7%) reported moderate or high levels of self-stigma, 59.7% moderate or high stigma resistance, 63% moderate or high empowerment, and 71.6% moderate or high perceived discrimination. In a reduced multivariate model 27% of the variance in self-stigma scores, among people with a diagnosis of bipolar disorder or depression, was accounted for by levels of empowerment, perceived discrimination, number of areas of social contact, education and employment. Findings are limited by the use of an unweighted sample of members of mental health charity organisations which may be unrepresentative of the reference population. These findings suggest that self-stigma occurs among approximately 1 in 5 people with bipolar disorder or depression in Europe. The tailoring of interventions to counteract (or fight against) the elements of self-stigma which are most problematic for the group, be they alienation, stereotype endorsement, social withdrawal or discrimination experience, may confer benefit to people with such disorders.Journal of Affective Disorders 09/2010; 129(1-3):56-63. DOI:10.1016/j.jad.2010.09.001
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ABSTRACT: Numerical simulations of numerous quantum systems suffer from the notorious sign problem. Important examples include QCD and other field theories at non-zero chemical potential, at non-zero vacuum angle, or with an odd number of flavors, as well as the Hubbard model for high-temperature superconductivity and quantum antiferromagnets in an external magnetic field. In all these cases standard simulation algorithms require an exponentially large statistics in large space-time volumes and are thus impossible to use in practice. Meron-cluster algorithms realize a general strategy to solve severe sign problems but must be constructed for each individual case. They lead to a complete solution of the sign problem in several of the above cases.Nuclear Physics B - Proceedings Supplements 04/2000; DOI:10.1016/S0920-5632(00)91804-8