The relationship between self-stigma and depression among people with schizophrenia-spectrum disorders : a longitudinal study

Pellet, Joanie (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale; Institute of Higher Education and Research in Healthcare - IUFRS, Faculty of Biology and Medicine, Lausanne University, Lausanne, Switzerland) ; Golay, Philippe (Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland) ; Nguyen, Alexandra (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Suter, Caroline (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Ismailaj, Alban (Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland) ; Bonsack, Charles (SISP SA, Lausanne, Switzerland) ; Favrod, Jérôme (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale)

Harmful consequences of self-stigma in schizophrenia are well established in the literature, but its relationship with symptomatology remains unclear. Self-stigma describes the process by which some patients eventually accept, adhere to and apply to themselves the stereotypes associated with schizophrenia. This study aims to describe self-stigma experienced by people with schizophrenia in French-speaking Switzerland and to examine the relationship between self-stigma and depression. This was a longitudinal study including 80 participants. Correlation and regression analyses were used to examine the relationship between self-stigma and depression over three points of time. Correlations between Stigma Scale subdimensions and sociodemographic variables indicated that age and duration of illness were associated with the discrimination subscale. Self-stigma was strongly correlated with depression over time, whereby higher scores of self-stigma were associated with higher depression. More precisely, the more the patient felt discriminated against and the less he or she perceived the positive aspects of his or her illness, the greater the symptoms of depression. This study highlights the severity of self-stigma endorsed by people with schizophrenia in French-speaking Switzerland. The results provide new knowledge about self-stigma and its potential impact on depressive symptoms. Implementation of self-stigma assessment in clinical practice will allow distinctions to be made between the impact of self-stigma and the consequences of schizophrenia to recommend appropriate intervention.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
La Source
Institute:
Secteur Recherche et Développement (Ra&D) de l'Institut et Haute Ecole de la Santé La Source
Subject(s):
Santé
Date:
2019-01
Pagination:
5 p.
Published in:
Psychiatry Research
Numeration (vol. no.):
2019, vol. 275, p. 115-119
DOI:
ISSN:
01651781
Appears in Collection:

Note: The status of this file is: restricted


 Record created 2019-05-28, last modified 2019-06-04

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