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Self-stigma in PTSD: Prevalence and correlates.

Kelsey A Bonfils1, Paul H Lysaker2, Philip T Yanos3

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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.

Keywords:
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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.