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Comparing stigma between French people experiencing schizophrenia versus bipolar disorders.

M Villani1, V Kovess-Masféty1

  • 1Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, Boulogne, France.

The International Journal of Social Psychiatry
|January 27, 2024
PubMed
Summary

People with schizophrenia experience more discrimination than those with bipolar disorder, though both groups report negative healthcare experiences. Public health policies need to address schizophrenia discrimination and leverage positive aspects from bipolar disorder care.

Keywords:
Stigmabipolar disordersmental healthcare systempublic healthschizophrenia

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Area of Science:

  • Mental Health Research
  • Public Health Policy
  • Sociology of Mental Illness

Background:

  • Stigma is a significant challenge for individuals with mental illness, particularly schizophrenia and bipolar disorder.
  • Research on stigma in these populations is growing in France but lags behind other Western countries.

Purpose of the Study:

  • To compare stigma experiences and mental healthcare system interactions among French individuals with schizophrenia and bipolar disorder.
  • To inform public health policies for better support and intervention.

Main Methods:

  • A comparative study involving 20 individuals with schizophrenia and 20 with bipolar disorder in France.
  • Utilized the Stigma Scale to assess discrimination, disclosure difficulties, and perceived positive aspects.
  • Employed semi-structured interviews to evaluate mental healthcare system experiences (diagnosis, treatment, information access).

Main Results:

  • Individuals with schizophrenia reported higher levels of perceived discrimination compared to those with bipolar disorder.
  • Both groups shared similar negative experiences within the mental healthcare system and comparable information levels, except for diagnosis disclosure.
  • Individuals with bipolar disorder had better access to their diagnosis information.

Conclusions:

  • Public health policies must acknowledge and address the heightened perception of discrimination among individuals with schizophrenia.
  • Strategies should consider successful elements from the mental healthcare experiences of individuals with bipolar disorder to improve overall care.