Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study
Abstract
There is a growing interest in examining self-stigma as a barrier to recovery from schizophrenia. To date, no studies have examined mental health service user's experiences of self-stigma throughout Europe. This study describes the level of self-stigma, stigma resistance, empowerment and perceived discrimination reported by mental health service users with a diagnosis of schizophrenia or other psychotic disorder across 14 European countries. Data were collected from 1229 people using a postal survey from members of mental health non-governmental organisations. Almost half (41.7%) reported moderate or high levels of self-stigma, 49.2% moderate or high stigma resistance, 49.7% moderate or high empowerment and 69.4% moderate or high perceived discrimination. In a reduced multivariate model 42% of the variance in self-stigma scores was predicted by levels of empowerment, perceived discrimination and social contact. These results suggest that self-stigma appears to be common and sometimes severe among people with schizophrenia or other psychotic disorders in Europe.
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Self-stigma is mutually dependent of empowerment.
“Furthermore, self-stigma is mutually dependent of empowerment (Brohan, Elgie, Sartorius, & Thornicroft, 2010).”
From "What an eye-opener" - a qualitative study of vulnerable citizens participating in a municipality-based intervention. (2018) · cites this paper as Brohan, Elgie, Sartorius, & Thornicroft, 2010
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- Authors
- Brohan, E., Elgie, R., Sartorius, N., & Thornicroft, G.
- Affiliations
- King's College London (GB)
- Global Alliance of Mental Illness Advocacy Networks-Europe (BE)
- Corresponding author
- Brohan, Elaine
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 122
- Issue
- 1-3
- Pages
- 232-238
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W1982540987
- Cited by
- 539
- References
- 5
- Citations by year
- 2026: 13 · 2025: 23 · 2024: 34 · 2023: 23 · 2022: 43 · 2021: 35 · 2020: 38 · 2019: 37 · 2018: 43 · 2017: 41 · 2016: 54 · 2015: 33 · 2014: 42 · 2013: 45 · 2012: 18
- FWCI
- 34.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institutes of Health
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- self-stigma, stigma resistance
- MeSH terms
- Adult, Cross-Sectional Studies, Discrimination, Psychological, Europe, Female, Humans, International Cooperation, Male, Mental Health Services, Middle Aged, Power, Psychological, Psychiatric Status Rating Scales, Surveys and Questionnaires, Schizophrenia, Schizophrenic Psychology, Self Concept, Stereotyping
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