Mental illness stigma. A comparative cross-sectional study of social stigma, internalized stigma and self-esteem

  1. Clara González-Sanguino
  2. Sara González-Domínguez 1
  3. Miguel A Castellanos
  4. Manuel Muñoz
  1. 1 Universidad Cardenal Cisneros CRPS Martínez Campos
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2022

Volumen: 33

Número: 2

Páginas: 59-64

Tipo: Artículo

DOI: 10.5093/CLYSA2021A16 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Objetivos de desarrollo sostenible

Resumen

RESUMEN El objetivo de este estudio ha sido explorar el papel del estigma en los diferentes diagnósticos de la enfermedad mental. Se llevó a cabo un estudio transversal (N = 255) en dos grupos: usuarios de una red de rehabilitación para personas con enfermedad mental grave (grupo I) y personas con diagnósticos comunes en un servicio psiquiátrico ambulatorio (grupo II). Se midió el estigma internalizado, el social, la autoestima y las variables sociodemográficas. Se llevaron a cabo comparaciones medias, ANOVA y modelos de regresión lineal independientes. Se obtuvieron puntuaciones generales similares para el estigma internalizado, pero el grupo I manisfestó más discriminación y resistencia al estigma y también menor estigma social. El modelo de regresión para el grupo I mostró como predictores el estigma social y la autoestima, mientras que en el grupo II sólo la autoestima era significativa. El estudio muestra diferencias en el estigma internalizado según el recurso de atención y los diagnósticos, lo que sugiere diferentes líneas de intervención y subraya la importancia de seguir investigando en este tema.

Referencias bibliográficas

  • Alonso, J,Buron, A,Bruffaerts, R,He, Y,Posada-Villa, J,Lepine, J.-P,Angermeyer, M. C,Levinson, D,de Girolamo, G,Tachimori, H,Mneimneh, Z. N,Medina-Mora, M. E,Ormel, J,Scott, K. M,Gureje, O,Haro, J. M,Gluzman, S,Lee, S,Vilagut, G. (2008). World Mental Health Consortium Association of perceived stigma and mood and anxiety disorders: Results from the world mental health surveys. Acta Psychiatrica Scandinavica. 118. 305
  • Alonso, J,Buron, A,Rojas-Farreras, S,de Graaf, R,Haro, J. M,de Girolamo, G,Bruffaerts, R,Kovess, V,Matschinger, H,Vilagut, G. (2009). ESEMeD/MHEDEA 2000 Investigators Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders. 118. 180
  • Brohan, E,Gauci, D,Sartorius, N,Thornicroft, G. (2011). Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: The GAMIAN-Europe study. Journal of Affective Disorders. 129. 56-63
  • Castro-de Diego, S. E,Vicente-Colomina, A. de. (2019). La atribución causal y las creencias sobre los trastornos mentales en población general y psicólogos. Un estudio exploratorio. Clínica y Salud. 30. 81-90
  • Corrigan, P. W. (2005). On the stigma of mental illness : Practical strategies for research and social change. American Psychological Association.
  • Corrigan, P. W,Powell, K. J,Michaels, P. J. (2014). Brief battery for measurement of stigmatizing versus affirming attitudes about mental illness. Psychiatry Research. 215. 466
  • Corrigan, P. W,Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry : Official Journal of the World Psychiatric Association (WPA). 1. 16-20
  • Çuhadar, D,Çam, M. O. (2014). Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Archives of Psychiatric Nursing. 28. 62
  • Del Rosal, E,González-Sanguino, C,Bestea, S,Boyd, J,Muñoz, M. (2020). Correlates and consequences of internalized stigma assessed through the Internalized Stigma of Mental Illness Scale for people living with mental illness: A scoping review and meta-analysis from 2010. Stigma and Health.
  • Ertugrul, A,Ulug, B. (2004). Perception of stigma among patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology. 39. 73
  • Fadipe, B,Adebowale, T. O,Ogunwale, A,Fadipe, Y. O,Ojeyinka, A.-H. A,Olagunju, A. T. (2018). Internalized stigma in schizophrenia: A cross-sectional study of prevalence and predictors. International Journal of Culture and Mental Health. 11. 583
  • Grambal, A,Prasko, J,Kamaradova, D,Latalova, K,Holubova, M,Marackova, M,Ociskova, M,Slepecky, M. (2016). Self-stigma in borderline personality disorder - cross-sectional comparison with schizophrenia spectrum disorder, major depressive disorder, and anxiety disorders. Neuropsychiatric Disease and Treatment. 12. 2439
  • Gronholm, P. C,Thornicroft, G,Laurens, K. R,Evans-Lacko, S. (2017). Mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis: A systematic review. Psychological Medicine. 47. 1867
  • Holubova, M,Prasko, J,Ociskova, M,Vanek, J,Slepecky, M,Zatkova, M,Latalova, K,Kolek, A. (2018). Three diagnostic psychiatric subgroups in comparison to self-stigma, quality of life, disorder severity and coping management cross-sectional outpatient study. Neuro Endocrinology Letters. 39. 331
  • Karidi, M. V,Vassilopoulou, D,Savvidou, E,Vitoratou, S,Maillis, A,Rabavilas, A,Stefanis, C. N. (2015). Bipolar disorder and self-stigma: A comparison with schizophrenia. Journal of Affective Disorders. 184. 209
  • Kim, W. J,Song, Y. J,Ryu, H.-S,Ryu, V,Kim, J. M,Ha, R. Y,Lee, S. J,Namkoong, K,Ha, K,Cho, H.-S. (2015). Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness. Psychiatry Research. 225. 433
  • Kular, A,Perry, B. I,Brown, L,Gajwani, R,Jasini, R,Islam, Z,Birchwood, M,Singh, S. P. (2019). Stigma and access to care in first-episode psychosis. Early Intervention in Psychiatry. 13. 1208
  • Link, B. G,Struening, E. L,Neese-Todd, S,Asmussen, S,Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services. 52. 1621
  • Livingston, J. D,Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine. 71. 2150
  • López-Navarro, E,Del Canto, C,Mayol, A,Fernández-Alonso, O,Munar, E. (2018). Psychotic symptoms and quality of life: A mediation analysis of daily-life coping. Psychiatry Research. 262. 505
  • Maharjan, S,Panthee, B. (2019). Prevalence of self-stigma and its association with self-esteem among psychiatric patients in a Nepalese teaching hospital: A cross-sectional study. BMC Psychiatry. 19.
  • Muñoz, M,Guillén, A. I,Pérez-Santos, E,Corrigan, P. W. (2015). A structural equation modeling study of the Spanish Mental Illness Stigma Attribution Questionnaire (AQ-27-E). American Journal of Orthopsychiatry. 85. 243
  • Muñoz, M,Sanz, M,Pérez-Santos, E,Quiroga, M. de los Á. (2011). Proposal of a socio-cognitive-behavioral structural equation model of internalized stigma in people with severe and persistent mental illness. Psychiatry Research. 186. 402
  • Ociskova, M,Prasko, J,Kamaradova, D,Grambal, A,Latalova, K,Sigmundova, Z. (2014). Relationship between internalized stigma and treatment efficacy in mixed neurotic spectrum and depressive disorders. Neuro Endocrinology Letters. 35. 711
  • Oliveira, S. E. H,Esteves, F,Carvalho, H. (2015). Clinical profiles of stigma experiences, self-esteem and social relationships among people with schizophrenia, depressive, and bipolar disorders. Psychiatry Research. 229. 167
  • Ottati, V,Bodenhausen, G. V,Newman, L. S. (2005). On the stigma of mental illness: Practical strategies for research and social change. American Psychological Association.
  • Pellet, J,Golay, P,Nguyen, A,Suter, C,Ismailaj, A,Bonsack, C,Favrod, J. (2019). The relationship between self-stigma and depression among people with schizophrenia-spectrum disorders: A longitudinal study. Psychiatry Research. 275. 115
  • Picco, L,Lau, Y. W,Pang, S,Abdin, E,Vaingankar, J. A,Chong, S. A,Subramaniam, M. (2017). Mediating effects of self-stigma on the relationship between perceived stigma and psychosocial outcomes among psychiatric outpatients: Findings from a cross-sectional survey in Singapore. BMJ Open. 7.
  • (2015). R Core team R: A language and environment for statistical computing. R Foundation for Statistical Computing.
  • Ran, M.-S,Zhang, T.-M,Wong, I. Y.-L,Yang, X,Liu, C.-C,Liu, B,Luo, W,Kuang, W.-H,Thornicroft, G,Chan, C. L.-W. (2017). CMHP Study Group Internalized stigma in people with severe mental illness in rural China. International Journal of Social Psychiatry. 64. 9-16
  • Ritsher, J. B,Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research. 129. 257
  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.
  • Rössler, W. (2006). Psychiatric rehabilitation today: An overview. World Psychiatry : Official Journal of the World Psychiatric Association (WPA). 5. 151
  • Sedlácková, Z,Kamarádová, D,Prásko, J,Látalová, K,Ocisková, M,Ocisková, M,Cinculová, A,Kubínek, R,Mainerová, B,Tichácková, A,Vrbová, K. (2015). Treatment adherence and self-stigma in patients with depressive disorder in remission - a cross-sectional study. Neuro Endocrinology Letters. 36. 171
  • Szcześniak, D,Kobyłko, A,Wojciechowska, I,Kłapciński, M,Rymaszewska, J. (2018). Internalized stigma and its correlates among patients with severe mental illness. Neuropsychiatric Disease and Treatment. 14. 2599
  • Utz, F,Böge, K,Hahn, E,Fuchs, L,Schomerus, G,Angermeyer, M,von Lersner, U. (2019). Public attitudes towards depression and schizophrenia in an urban Turkish sample. Asian Journal of Psychiatry. 45. 1-6
  • Vauth, R,Kleim, B,Wirtz, M,Corrigan, P. W. (2007). Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatry Research. 150. 71-80
  • Vrbova, K,Prasko, J,Ociskova, M,Kamaradova, D,Marackova, M,Holubova, M,Grambal, A,Slepecky, M,Latalova, K. (2017). Quality of life, self-stigma, and hope in schizophrenia spectrum disorders: A cross-sectional study. Neuropsychiatric Disease and Treatment. 13. 567
  • Wood, L,Birtel, M,Alsawy, S,Pyle, M,Morrison, A. (2014). Public perceptions of stigma towards people with schizophrenia, depression, and anxiety. Psychiatry Research. 220. 604
  • Yanos, P. T,Roe, D,Lysaker, P. H. (2011). Narrative enhancement and cognitive therapy: A new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy. 61. 577