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Aug 19, 2019

WCP-2019

03 - How well do patients with schizophrenia deflect public stigma? Findings from a Nigerian cohort.

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schizophrenia

stigma resistance

self stigma

internalized stigma

Abstract

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Abstract

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Keywords

schizophrenia

stigma resistance

self stigma

internalized stigma

Abstract

Objectives The study set out to explore stigma resistance among outpatients with schizophrenia. Background and aims Stigma resistance (SR) is the ability of persons with mental illness to deflect/counteract public stigma towards them and has recently emerged as a key contributory factor to outcome in persons with schizophrenia. Our study set out to determine the relationship between stigma resistance, sociodemographic and clinical variables including self-stigma and level of psychopathology. Materials and methods We performed a cross-sectional cohort analytic/descriptive study among 370 stable outpatients with schizophrenia. Participants completed the Internalized Stigma of Mental Illness (ISMI) Scale including its SR subscale. Levels of psychopathology, demographic and clinical variables were obtained. All recruited participants voluntarily consented to participate in the study. Data was analyzed using descriptive and inferential statistics. Factors showing significant association in univariate analyses were included in a binary logistic regression model. Results About two-thirds (71.9%) of the study participants reported reduced ability to deflect public stereotypes towards them (i.e. low SR levels). Following univariate analysis, there was association between stigma resistance and participants’ perceived social support, living arrangement, satisfaction with quality of outpatient visit, length of outpatient visits, outpatient default, level of psychopathology, medication use recall scores and self-stigma. Following binary logistic regression, feeling devalued as members of the society predicted low SR levels. Conclusions Low SR levels are prevalent among persons with schizophrenia. Addressing public attitudes towards person with mental illness, particularly alienation may serve as an effective public health intervention aimed at improving outcome among persons with schizophrenia

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© Copyright 2019 Morressier GmbH.
All rights reserved.