Self-stigma and schizophrenia: a cross-sectional study

Kristyna Vrbova,1 Jan Prasko,1 Michaela Holubova,1,2 Dana Kamaradova,1 Marie Ociskova,1 Marketa Marackova,1 Klara Latalova,1 Ales Grambal,1 Milos Slepecky,3 Marta Zatkova3 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University in Olomouc, University Hospital Olomouc, Olomo...

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Autores principales:	Vrbova K, Prasko J, Holubova M, Kamaradova D, Ociskova M, Marackova M, Latalova K, Grambal A, Slepecky M, Zatkova M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Schizophrenia / self-stigma / duration of the treatment / number of hospitalizations Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/68c8173224834fdd82b4889ca0ef7455
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spelling	oai:doaj.org-article:68c8173224834fdd82b4889ca0ef74552021-12-02T07:48:05ZSelf-stigma and schizophrenia: a cross-sectional study1178-2021https://doaj.org/article/68c8173224834fdd82b4889ca0ef74552016-11-01T00:00:00Zhttps://www.dovepress.com/self-stigma-and-schizophrenia-a-cross-sectional-study-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Kristyna Vrbova,1 Jan Prasko,1 Michaela Holubova,1,2 Dana Kamaradova,1 Marie Ociskova,1 Marketa Marackova,1 Klara Latalova,1 Ales Grambal,1 Milos Slepecky,3 Marta Zatkova3 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University in Olomouc, University Hospital Olomouc, Olomouc, 2Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic; 3Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University, Nitra, Slovak Republic Objective: The aim of this study was to investigate the degree of self-stigma in schizophrenia and its association with clinical and demographic factors. Patients and methods: A total of 197 outpatients (54.3% females) diagnosed with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, delusional disorder) according to International Classification of Diseases – tenth edition participated in the study. The mean age of the patients was 40.10±11.49 years. All individuals completed the Internalized Stigma of Mental Illness (ISMI) scale and a demographic questionnaire. The disorder severity was assessed by both a psychiatrist (the objective version of Clinical Global Impression – severity scale [objCGI-S]) and the patients (the subjective version of Clinical Global Impression – severity scale [subjCGI-S]). Treatment with antipsychotics stabilized the patients. Results: The overall level of self-stigma measured by the total score of the ISMI was 63.32±13.59. The total score of the ISMI positively correlated with the severity of the disorder measured by the objCGI-S and subjCGI-S. In addition, self-stigma positively correlated with the treatment duration and the number of psychiatric hospitalizations. The backward stepwise regression was applied to identify the most significant factors connected to self-stigma. The regression analysis identified the following regressors as the most relevant to self-stigma: the number of previous psychiatric hospitalizations, the severity of the disorder rated by a psychiatrist, and the difference between the objective rating and the subjective rating of the severity of the disorder. Conclusion: Outpatients with schizophrenia spectrum disorders, who have undergone a higher number of psychiatric hospitalizations, who dispose of a higher severity of the disorder and show a higher discrepancy between their rating of the severity and the psychiatric rating, showed a greater degree of self-stigma. The management of self-stigma in patients with schizophrenia should be implemented in the routine care. Keywords: schizophrenia, self-stigma, duration of the treatment, number of hospitalizationsVrbova KPrasko JHolubova MKamaradova DOciskova MMarackova MLatalova KGrambal ASlepecky MZatkova MDove Medical PressarticleSchizophrenia / self-stigma / duration of the treatment / number of hospitalizationsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 3011-3020 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Schizophrenia / self-stigma / duration of the treatment / number of hospitalizations Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Schizophrenia / self-stigma / duration of the treatment / number of hospitalizations Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Vrbova K Prasko J Holubova M Kamaradova D Ociskova M Marackova M Latalova K Grambal A Slepecky M Zatkova M Self-stigma and schizophrenia: a cross-sectional study
description	Kristyna Vrbova,1 Jan Prasko,1 Michaela Holubova,1,2 Dana Kamaradova,1 Marie Ociskova,1 Marketa Marackova,1 Klara Latalova,1 Ales Grambal,1 Milos Slepecky,3 Marta Zatkova3 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University in Olomouc, University Hospital Olomouc, Olomouc, 2Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic; 3Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University, Nitra, Slovak Republic Objective: The aim of this study was to investigate the degree of self-stigma in schizophrenia and its association with clinical and demographic factors. Patients and methods: A total of 197 outpatients (54.3% females) diagnosed with schizophrenia spectrum disorders (schizophrenia, schizoaffective disorder, delusional disorder) according to International Classification of Diseases – tenth edition participated in the study. The mean age of the patients was 40.10±11.49 years. All individuals completed the Internalized Stigma of Mental Illness (ISMI) scale and a demographic questionnaire. The disorder severity was assessed by both a psychiatrist (the objective version of Clinical Global Impression – severity scale [objCGI-S]) and the patients (the subjective version of Clinical Global Impression – severity scale [subjCGI-S]). Treatment with antipsychotics stabilized the patients. Results: The overall level of self-stigma measured by the total score of the ISMI was 63.32±13.59. The total score of the ISMI positively correlated with the severity of the disorder measured by the objCGI-S and subjCGI-S. In addition, self-stigma positively correlated with the treatment duration and the number of psychiatric hospitalizations. The backward stepwise regression was applied to identify the most significant factors connected to self-stigma. The regression analysis identified the following regressors as the most relevant to self-stigma: the number of previous psychiatric hospitalizations, the severity of the disorder rated by a psychiatrist, and the difference between the objective rating and the subjective rating of the severity of the disorder. Conclusion: Outpatients with schizophrenia spectrum disorders, who have undergone a higher number of psychiatric hospitalizations, who dispose of a higher severity of the disorder and show a higher discrepancy between their rating of the severity and the psychiatric rating, showed a greater degree of self-stigma. The management of self-stigma in patients with schizophrenia should be implemented in the routine care. Keywords: schizophrenia, self-stigma, duration of the treatment, number of hospitalizations
format	article
author	Vrbova K Prasko J Holubova M Kamaradova D Ociskova M Marackova M Latalova K Grambal A Slepecky M Zatkova M
author_facet	Vrbova K Prasko J Holubova M Kamaradova D Ociskova M Marackova M Latalova K Grambal A Slepecky M Zatkova M
author_sort	Vrbova K
title	Self-stigma and schizophrenia: a cross-sectional study
title_short	Self-stigma and schizophrenia: a cross-sectional study
title_full	Self-stigma and schizophrenia: a cross-sectional study
title_fullStr	Self-stigma and schizophrenia: a cross-sectional study
title_full_unstemmed	Self-stigma and schizophrenia: a cross-sectional study
title_sort	self-stigma and schizophrenia: a cross-sectional study
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/68c8173224834fdd82b4889ca0ef7455
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Self-stigma and schizophrenia: a cross-sectional study

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