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Self-stigma as a barrier to recovery: a longitudinal study
Nathalie Oexle1, Mario Müller2, Wolfram Kawohl2
1Department of Psychiatry II, University of Ulm and BKH Günzburg, Parkstrasse 11, 89073, Ulm, Germany. nathalie.oexle@uni-ulm.de.
European Archives of Psychiatry and Clinical Neuroscience
|February 12, 2017
Summary
Internalizing negative stereotypes, or self-stigma, hinders mental illness recovery. Reducing self-stigma is crucial for improving life opportunities and empowerment in individuals with mental illness.
Area of Science:
- Mental Health
- Psychiatry
- Social Psychology
Background:
- Stigma significantly impacts life opportunities for individuals with mental illness.
- Self-stigma, the internalization of negative stereotypes, can impede empowerment and recovery.
- Understanding the longitudinal impact of self-stigma is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the effect of self-stigma on the recovery of individuals with mental illness over a two-year period.
- To control for baseline recovery, symptoms, age, and gender in the analysis.
- To determine if changes in self-stigma over time predict recovery outcomes.
Main Methods:
- A longitudinal study involving 222 disability pensioners with mental illness.
- Baseline assessment of self-stigma and recovery using the Recovery Assessment Scale.
- Follow-up assessments over two years to measure changes in self-stigma and recovery.
- Statistical analysis controlling for relevant demographic and clinical variables.
Main Results:
- Higher baseline self-stigma was associated with a significant decrease in recovery after one year.
- The association between baseline self-stigma and recovery was not significant after two years.
- An increase in self-stigma from baseline to follow-up predicted poorer recovery at both one and two-year marks.
Conclusions:
- Self-stigma poses a significant barrier to mental illness recovery.
- Interventions aimed at reducing self-stigma may enhance empowerment and improve recovery trajectories.
- Longitudinal studies are essential for understanding the dynamic relationship between self-stigma and recovery in mental illness.
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