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Self-stigma in PTSD: Prevalence and correlates
Kelsey A Bonfils1, Paul H Lysaker2, Philip T Yanos3
1Psychology Department, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.
Self-stigma is prevalent in veterans with post-traumatic stress disorder (PTSD) and impacts depressive symptoms. This internalized stigma affects mental health outcomes, warranting further investigation for targeted interventions.
Area of Science:
- Psychiatry
- Mental Health Research
- Clinical Psychology
Background:
- Self-stigma, the internalization of negative stereotypes, is well-documented in severe mental disorders.
- Its prevalence and impact in post-traumatic stress disorder (PTSD) remain underexplored.
- Understanding self-stigma in PTSD is crucial for developing effective therapeutic strategies.
Purpose of the Study:
- To assess self-stigma in veterans diagnosed with PTSD.
- To compare self-stigma levels between veterans with PTSD and those with schizophrenia.
- To examine the associations between PTSD, depressive symptoms, and self-stigma in the PTSD cohort.
Main Methods:
- Utilized data from two studies involving participants with PTSD (n=46) and schizophrenia-spectrum disorders (n=82).
- Administered the Internalized Stigma of Mental Illness Scale (ISMIS) to all participants.
- Conducted comparative analyses between diagnostic groups and correlational analyses within the PTSD group.
Main Results:
- Veterans with schizophrenia reported higher experiences of discrimination than those with PTSD.
- No significant differences in other self-stigma subscales were found between the PTSD and schizophrenia groups.
- In the PTSD group, alienation correlated with PTSD and depressive symptoms; other subscales correlated only with depressive symptoms.
Conclusions:
- Veterans with PTSD exhibit significant levels of self-stigma.
- Self-stigma demonstrably affects PTSD symptomology and comorbid depressive symptoms.
- Future research should explore adapting existing self-stigma interventions for individuals with PTSD.
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