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Self-stigma and schizophrenia: a cross-sectional study.

Kristyna Vrbova1, Jan Prasko1, Michaela Holubova2

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Self-stigma in schizophrenia patients is linked to disorder severity and hospitalization history. Addressing self-stigma is crucial for routine care in schizophrenia spectrum disorders.

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duration of the treatmentnumber of hospitalizationsschizophreniaself-stigma

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Schizophrenia spectrum disorders present significant challenges in patient management.
  • Self-stigma is a recognized issue impacting individuals with severe mental illness.
  • Understanding factors associated with self-stigma is vital for effective treatment.

Purpose of the Study:

  • To investigate the prevalence of self-stigma in schizophrenia outpatients.
  • To explore the relationship between self-stigma and clinical/demographic factors.
  • To identify key predictors of self-stigma in this population.

Main Methods:

  • 197 outpatients with schizophrenia spectrum disorders were assessed.
  • The Internalized Stigma of Mental Illness (ISMI) scale measured self-stigma.
  • Disorder severity was evaluated using objective and subjective Clinical Global Impression scales.

Main Results:

  • Overall self-stigma scores averaged 63.32±13.59.
  • Self-stigma positively correlated with disorder severity (objCGI-S, subjCGI-S), treatment duration, and psychiatric hospitalizations.
  • Regression analysis identified hospitalization number, psychiatrist-rated severity, and severity rating discrepancy as significant predictors.

Conclusions:

  • Higher self-stigma is associated with increased psychiatric hospitalizations and disorder severity in schizophrenia patients.
  • A significant discrepancy between patient and clinician severity ratings correlates with higher self-stigma.
  • Integrating self-stigma management into routine care for schizophrenia is recommended.