Top

European Archives of Psychiatry and Clinical Neuroscience

Published in:

01-03-2018 | Short Communication

Self-stigma as a barrier to recovery: a longitudinal study

Authors: Nathalie Oexle, Mario Müller, Wolfram Kawohl, Ziyan Xu, Sandra Viering, Christine Wyss, Stefan Vetter, Nicolas Rüsch

Published in: European Archives of Psychiatry and Clinical Neuroscience | Issue 2/2018

Abstract

Stigma limits life opportunities of persons with mental illness. Self-stigma, the internalization of negative stereotypes, undermines empowerment and could hinder recovery. Here we examined self-stigma’s effect on recovery among 222 disability pensioners with mental illness over 2 years, controlling for age, gender, symptoms and recovery at baseline measured by the Recovery Assessment Scale. More self-stigma at baseline was associated with a significant decrease in recovery after 1 year (not significant after 2 years). An increase of self-stigma from baseline to follow-up predicted less recovery 1 and 2 years later. Interventions that reduce self-stigma could therefore improve recovery.

Rüsch N, Angermeyer MC, Corrigan PW (2005) Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry 20:529–539CrossRefPubMed

Corrigan PW, Bink AB, Schmidt A, Jones N, Rüsch N (2016) What is the impact of self-stigma? Loss of self-respect and the ‘why try’ effect. J Ment Health 25:10–15CrossRefPubMed

Bellack AS, Drapalski A (2012) Issues and developments on the consumer recovery construct. World Psychiatry 11:156–160CrossRefPubMedPubMedCentral

Muñoz M, Sanz M, Pérez-Santos E, Quiroga M de LÁ (2011) Proposal of a socio-cognitive-behavioral structural equation model of internalized stigma in people with severe and persistent mental illness. Psychiatry Res 186:402–408CrossRefPubMed

Drapalski AL, Lucksted A, Perrin PB, Aakre JM, Brown CH, DeForge BR, Boyd JE (2013) A model of internalized stigma and its effects on people with mental illness. Psychiatr Serv Wash DC 64:264–9.CrossRef

Dimitropoulos G, McCallum L, Colasanto M, Freeman VE, Gadalla T (2016) The effects of stigma on recovery attitudes in people with anorexia nervosa in intensive treatment. J Nerv Ment Dis 204:370–380CrossRefPubMed

Livingston JD, Boyd JE (2010) Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 71:2150–2161CrossRefPubMed

Vass V, Morrison AP, Law H, Dudley J, Taylor P, Bennett KM, Bentall RP (2015) How stigma impacts on people with psychosis: the mediating effect of self-esteem and hopelessness on subjective recovery and psychotic experiences. Psychiatry Res 230:487–495CrossRefPubMed

Mittal D, Sullivan G, Chekuri L, Allee E, Corrigan PW (2012) Empirical studies of self-stigma reduction strategies: a critical review of the literature. Psychiatr Serv 63:974–981CrossRefPubMed

10.

Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 42:1741–1752CrossRefPubMed

11.

Viering S, Bärtsch B, Obermann C, Rüsch N, Rössler W, Kawohl W (2013) The effectiveness of individual placement and support for people with mental illness new on social benefits: a study protocol. BMC Psychiatry 13:195CrossRefPubMedPubMedCentral

12.

Oexle N, Rüsch N, Viering S, Wyss C, Seifritz E, Xu Z Kawohl W (2017) Self-stigma and suicidality: a longitudinal study. Eur Arch Psychiatry Clin Neurosci. doi:10.1007/s00406-016-0698-1. (published online)

13.

Corrigan PW, Salzer M, Ralph RO, Sangster Y, Keck L (2004) Examining the factor structure of the recovery assessment scale. Schizophr Bull 30:1035CrossRefPubMed

14.

Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121:31–49CrossRefPubMed

15.

Derogatis LR (1977) SCL-90-R, administration, scoring and procdures manual for the R(evised) version. John Hopkins University, School of Medicine, Baltimore

16.

Tsang HWH, Ching SC, Tang KH, Lam HT, Law PYY, Wan CN (2016) Therapeutic intervention for internalized stigma of severe mental illness: a systematic review and meta-analysis. Schizophr Res 173:45–53CrossRefPubMed

17.

Corrigan PW, Larson JE, Michaels PJ, Buchholz BA, Rossi RD, Fontecchio MJ, Castro D, Gause M, Krzyżanowski R, Rüsch N (2015) Diminishing the self-stigma of mental illness by coming out proud. Psychiatry Res 229:148–154CrossRefPubMed

18.

Thornicroft G, Mehta N, Clement S, Evans-Lacko S, Doherty M, Rose D, Koschorke Mirja, Shidhaye R, O’Reilly C, Henderson C (2016) Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387(10023):1123–1132CrossRefPubMed

Title: Self-stigma as a barrier to recovery: a longitudinal study
Authors: Nathalie Oexle
Mario Müller
Wolfram Kawohl
Ziyan Xu
Sandra Viering
Christine Wyss
Stefan Vetter
Nicolas Rüsch
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Psychiatry and Clinical Neuroscience / Issue 2/2018
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI: https://doi.org/10.1007/s00406-017-0773-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Self-stigma as a barrier to recovery: a longitudinal study

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2018

Gender differences in subtypes of depression by first incidence and age of onset: a follow-up of the Lundby population

Chronobiological theories of mood disorder

Use and safety of antiepileptic drugs in psychiatric inpatients—data from the AMSP study

Alternative versions of stigma: attitudes of the Greek public toward refugees amid economic recession

In vivo imaging of oxidative stress and fronto-limbic white matter integrity in young adults with mood disorders

Oxidative stress in drug-naïve first episode patients with schizophrenia and major depression: effects of disease acuity and potential confounders