The Effect of Internalized Stigma on the Adherence to Treatment in Patients With Schizophrenia
Section snippets
Design
Population of this descriptive study constituted patients with schizophrenia who consult Psychiatry Clinics of Ataturk University, Yakutiye Medical Research Hospital, and Erzurum Regional Training and Research Hospital. All patients meeting the study inclusion criteria were enrolled without using any specific sampling method. The final study sample comprised 63 patients that met the study inclusion criteria and accepted to participate in the study. Dependent variables were internalized stigma,
Results
Sixty-three patients diagnosed with schizophrenia (47 men and 16 women) participated in the study. The average age of the patients was 38.11 ± 9.57, and the duration of the disease was 14:58 ± 9:07. Among the patients, 74.6% were male, 55.6% were primary school graduates, 73.0% were unemployed, 61.9% were single, 90.5% were living with their families, 61.5% had been forced to quit work because of the disease, and 85.7% had social security (Table 1).
The total mean score of the internalized stigma of
Discussion
This study examined the moderating effect of internalized stigma on the adherence to treatment of individuals with schizophrenia. The mean internalized stigma total score of patients 76.39 ± 14.3. Considering the mean scores of this scale, this value suggests high levels of internalized stigma in patients. In a study conducted in Turkey, the mean of the internalized stigma score was found to be high in patients with psychosis (Sevindik, Özer, Kolat, & Önem, 2014). In another study, a high level
Suggestions
The significance of this study is that it presents the clear interrelationship between the adherence to treatment of people with schizophrenia and internalized stigma, and it shows that stereotype endorsement is the most affected subscale of the internalized stigma scale of patients. The study conducted in Turkey specifically shows the importance of stereotype endorsement. In particular, we want to highlight the importance of raising awareness of stereotype endorsement both externally and
References (40)
- et al.
Adolescent stigma towards drug addiction effects of age and drug use behaviour
Addictive Behaviors
(2009) - et al.
). Adherence to antipsychotic drug treatment in early-episode schizophrenia: A six-month naturalistic follow-up study
Schizophrenia Research
(2011) - et al.
Are we addressing the right stuff’ to enhance adherence in schizophrenia? Understanding the role of insight and attitudes towards medication
Schizophrenia Research
(2011) - et al.
Drug attitude and other predictors of medication adherence in schizophrenia: 12 months of electronic monitoring (MEMS®) in the Swedish COAST-study
European Neuropsychopharmacology
(2013) - et al.
GAMIAN-Europe Study Group. Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries
Schizophrenia Research
(2010) - et al.
Relationship between internalized stigma, negative symptoms and social functioning in schizophrenia: The mediating, role of self-efficacy
Psychiatry Research
(2013) - et al.
Internalization of stigma and self esteem as it affects the capacity for intimacy among patients with schizophrenia
Archieves of psychiatric nursing
(2013) - et al.
The impact of the social network, stigma and empowerment on the quality of life in patients with schizophrenia
European Psychiatry
(2011) - et al.
Correlates of self-stigma among outpatients with mental illness in Lagos, Nigeria
International Journal of Social Psychiatry
(2011) - et al.
Birinci basamak hekimlerinin şizofreniye bakış açısı
Anadolu Psikiyatri Dergisi
(2002)
Şizofreni Hastalarının Psikiyatrik Tedaviye Olan Tutumları
Internalized stigma among patients with schizophrenia in Ethiopia: Across-sectional facility-based study
BioMedCentral Psychiatry
The stigma of mental illness in Southern Ghana: Attitudes of the urban population and patients'viewsr
Social Psychiatry and Psychiatric Epidemiology
Türkiye’de Ruhsal Hastalığa/Hastaya Yönelik İnanç, Tutum ve Damgalama Süreci: Sistematik Derleme
Psikiyatri Hemşileği Dergisi
The self-stigma of mentalillness: Implications for self-esteem and self-efficacy
Journal of Social and Clinical Psychology
Internalized stigma and of quality of life in schizophrenia and depression
Dokuz Eylul UniversityInstitute of Health Sciences
Reliability and validity of the Turkish Version Internalized Stigma of Mental Illness Scale
Turkish Journal of Psychiatry
Self-stigma of people with schizophrenia as predictor of their adherence to psychosocial treatment
Psychiatr Rehabilitaion journal
Measuring selfstigma of mental illness in China and its implications for recovery
International Journal of Social Psychiatry
Personal stigma in schizophrenia spectrum disorders: A systematic review of prevalence rates, correlates, impact and interventions
World Psychiatry
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