Adolescents with personality disorders suffer from severe psychiatric stigma: evidence from a sample of 131 patients
Open accessAbstract
BACKGROUND: The aim of the study is to assess the severity of psychiatric stigma in a sample of personality disordered adolescents in order to evaluate whether differences in stigma can be found in adolescents with different types and severity of personality disorders (PDs). Not only adults but children and adolescents with mental health problems suffer from psychiatric stigma. In contrast to the abundance of research in adult psychiatric samples, stigma in children and adolescents has hardly been investigated. Personality disordered adolescents with fragile identities and self-esteem might be especially prone to feeling stigmatized, an experience which might further shape their identity throughout this critical developmental phase. MATERIALS AND METHODS: One hundred thirty-one adolescent patients underwent a standard assessment with Axis I and Axis II diagnostic interviews and two stigma instruments, Stigma Consciousness Questionnaire (SCQ) and Perceived Devaluation-Discrimination Questionnaire (PDDQ). Independent sample t-tests were used to investigate differences in the mean SCQ and PDDQ total scores for patients with and without a PD. Multiple regression main effect analyses were conducted to explore the impact of the different PDs on level of stigma, as well as comorbid Axis I disorders. Age and sex were also entered in the regression models. RESULTS AND CONCLUSIONS: Adolescents with severe mental health problems experience a burden of stigma. Personality disordered patients experience more stigma than adolescents with other severe psychiatric Axis I disorders. Borderline PD is the strongest predictor of experiences of stigma. More severely personality disordered adolescents tend to experience the highest level of stigma.
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Young people with BPD severely stigmatize themselves even before they receive the diagnosis of BPD, and when the diagnosis is done well and delivered in a sensitive manner, people find this helpful.
“However, it has been shown that young people with BPD severely stigmatize themselves even before they receive the diagnosis of BPD (77). Moreover, evidence shows that when the diagnosis is done well and delivered in a sensitive manner, people find this helpful (78).”
From The diagnosis that should speak its name: why it is ethically right to diagnose and treat personality disorder during adolescence (2023) · cites this paper as [77]
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“However, it has been shown that young people with BPD severely stigmatize themselves even before they receive the diagnosis of BPD (77).”
BackgroundSelf-citation
- Authors
- Catthoor, K., Hutsebaut, J., Schrijvers, D., Feenstra, D., & Sabbe, B.
- Affiliations
- University of Antwerp (BE)
- Corresponding author
- Catthoor, Kirsten
- Venue
- Adolescent Health, Medicine and Therapeutics
- Publisher
- Informa UK Limited
- Published
- 2015-05
- Volume
- 6
- Pages
- 81
- ISSN
- 1179-318X (ISSN-L)
- PMC
- PMC4427063
- OpenAlex
- W1825689304
- Cited by
- 36
- References
- 50
- Citations by year
- 2026: 5 · 2024: 2 · 2023: 3 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 1 · 2016: 2 · 2015: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Adolescent Health Medicine and Therapeutics (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental health stigma, personality disorders, adolescents, borderline personality disorder, self-esteem, identity construction, Axis I comorbidity
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