Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2016

Open Access 01-12-2016 | Research article

An exploratory cross-sectional study on the impact of education on perception of stigma by Chinese patients with schizophrenia

Authors: Zhibin Ren, Heqiu Wang, Bin Feng, Chenyu Gu, Yongchun Ma, Hong Chen, Bingling Li, Lanying Liu

Published in: BMC Health Services Research | Issue 1/2016

Login to get access

Abstract

Background

Stigma is a major issue across various society and cultures, and few studies focus on the perception of stigma by Chinese patients with schizophrenia. In the current cross-sectional study, we sought to assess the extent of internalized stigma among outpatients with schizophrenia in China and to investigate whether education level correlated with the experience of stigma.

Methods

Outpatients with schizophrenia were evaluated using the brief psychosis rating scale (BPRS), the positive and negative syndrome scale (PANSS), the clinical global impression-severity of illness (CGI-SI) scale and the Stigma Scale for Mental Illness (SSMI 2C). Patients were categorized into the high education and low education group according to their educational levels.

Results

One hundred thirty-three subjects were included in the study. Their mean course of illness was 4.32 ± 6.14 years (range, 1 month to 15 years). Their mean BPRS score was 19.87 ± 5.46, their mean PANSS score was 44.11 ± 13.1, and their mean CGI-SI score was 2.22 ± 0.81. In addition, the mean SSMI 2C score of the high education group (7.15 ± 0.98) was markedly higher than that of the low education group (5.75 ± 0.79, P < 0.05). The mean domain I score of the high education group (2.30 ± 0.76) was comparable to that of the low education group (2.07 ± 0.78, P > 0.05). The mean domain II score of the high education group (2.42 ± 0.96) was markedly higher than that of the low education group (2.01 ± 0.79, P < 0.05). Moreover, the mean domain III score of the high education group (2.43 ± 0.79) was significantly higher than that of the low education group (1.67 ± 0.77, P < 0.05).

Conclusions

Education level impacts on the perception of stigma by patients with schizophrenia and more psycho-education should be done to improve patients’ knowledge about schizophrenia.
Literature
1.
Angermeyer MC, Matschinger H. Public beliefs about schizophrenia and depression: similarities and differences. Soc Psychiatry Psychiatr Epidemiol. 2003;38(9):526–34.CrossRefPubMed
2.
Brohan E, Slade M, Clement S, Thornicroft G. Experiences of mental illness stigma, prejudice and discrimination: a review of measures. BMC Health Serv Res. 2010;10:80.CrossRefPubMedPubMedCentral
3.
Chen Y, Yue Y, Song LS. Investigation and related factors analysis of psychiatric patients’ families stigma. Shanghai Arch Psychiatry. 2000;12(3):153–6.
4.
Gao SY, Fei LP, Wang XQ, et al. Discrimination in schizophrenia patients and their families. Chin Mental Health J. 2005;19(2):82–5.
5.
Huang PR. Introduction to the improvement of the mental health service system - analysis focus on long-term hospitalized psychiatric patients present. Chin Med Eth. 2009;22(3):72–6.
6.
Phillips MR, Pearson V, Li F, et al. Stigma and expressed emotion: A study of people with schizophrenia and their family members in China. Br J Psychiatry. 2002;181(4):488–93.CrossRefPubMed
7.
Ritshera JB, Phelanb JC. Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Res. 2004;30(129):257–65.CrossRef
8.
Sartonus N. Stigma: what can psychiatrists do about it? Lancent. 1998;26(352):1058–9.CrossRef
9.
Prince PN, Prince CR. Perceived stigma and community integration among clients of assertive community treatment. Psychiatr Rehabil J. 2002;25(4):323–31.CrossRefPubMed
10.
Schulze B, Angermeyer MC. Subjective experiences of stigma: A focus group study of schizophrenic patients, their relatives and mental health professionals. Soc Sci Med. 2003;56:299–312.CrossRefPubMed
11.
Chee CYI, Ng TP, Kua EH. Comparing the stigma of mental illness in a general hospital with a state mental hospital. Soc Psych Psych Epid. 2005;40:648–53.CrossRef
12.
13.
Xiang YT, Weng YZ, Leung CM, Tang WK, Ungvari GS. Subjective quality of life in outpatients with schizophrenia in Hong Kong and Beijing: relationship to socio-demographic and clinical factors. Qual Life Res. 2008;17(1):27–36.CrossRefPubMed
14.
The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. WHO 1993.
15.
Nan H, Zheng L. Clinical application of the standard for alleviating schizophrenia. Shanghai Arch Psychiatry. 2010;22(3):316–8.
16.
Geng F, Dong Y, King M, Liu H. Reliability and validity of the Chinese-version of Stigma Scale for Mental Illness. Chin Mental Health J. 2010;24(5):343–6.
17.
Freudenreich O, Catcher C, Evins AE, Henderson DC, Goff DC. Attitudes of schizophrenia outpatients toward psychiatric medications: Relationship to chinical variable and insight. J Clin Psychiatry. 2004;65(10):1372–6.CrossRefPubMed
18.
Brohan E, Elgie R, Sartorius N, Thornicroft G. Self-stigma empowerment and perceived discrimination among people with schizophrenia in 14European countries. The GAMIAN-Europe study. 2010;122(1-3):232–8.
19.
Huang P. On the Perfection of Service System in Mental Health-An Analysis based on the Status Quo of Long-Period Hospitalized Psychiatric Patients. Chin Med Eth. 2009;22(3):72–6.
20.
Editorial. Reducing the stigma of mental illness. Lancent 2001;357(9262):1055.
21.
World Health Organization (WHO). Mental Health: New Understanding, New Hope. WHO: Geneva; 2001.
Metadata
Title
An exploratory cross-sectional study on the impact of education on perception of stigma by Chinese patients with schizophrenia
Authors
Zhibin Ren
Heqiu Wang
Bin Feng
Chenyu Gu
Yongchun Ma
Hong Chen
Bingling Li
Lanying Liu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1424-4

Other articles of this Issue 1/2016

BMC Health Services Research 1/2016 Go to the issue

Research article

Stigma, explanatory models and unmet needs of caregivers of children with developmental disorders in a low-income African country: a cross-sectional facility-based survey

Research article

Assessing the potential of rural and urban private facilities in implementing child health interventions in Mukono district, central Uganda–a cross sectional study

Research article

Organizational factors associated with Health Care Provider (HCP) influenza campaigns in the Veterans health care system: a qualitative study

Research article

Hospital in the Nursing Home program reduces emergency department presentations and hospital admissions from residential aged care facilities in Queensland, Australia: a quasi-experimental study

Erratum

Erratum to: Implications of early and guideline adherent physical therapy for low back pain on utilization and costs

Research article

Affordable care act: comparison of healthcare indicators among different insurance beneficiaries with new coverage eligibility