Cited by 61Mental Health Treatment and AccessSchizophrenia research and treatmentMental Health and Psychiatry

Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit

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Grover, Sandeep, Singh, Aakanksha, Mattoo, SurendraK·2016·Indian Journal of Psychiatry

Abstract

BACKGROUND: Very few studies from India have studied stigma experienced by patients with schizophrenia. AIM OF THE STUDY: To study stigma in patients with schizophrenia (in the form of internalized stigma, perceived stigma and social-participation-restriction stigma) and its relationship with specified demographic and clinical variables (demographic variables, clinical profile, level of psychopathology, knowledge about illness, and insight). MATERIALS AND METHODS: Selected by purposive random sampling, 100 patients with schizophrenia in remission were evaluated on internalized stigma of mental illness scale (ISMIS), explanatory model interview catalog stigma scale, participation scale (P-scale), positive and negative syndrome scale for schizophrenia, global assessment of functioning scale, scale to assess unawareness of mental disorder, and knowledge of mental illness scale. RESULTS: On ISMIS scale, 81% patients experienced alienation and 45% exhibited stigma resistance. Stereotype endorsement was seen in 26% patients, discrimination experience was faced by 21% patients, and only 16% patients had social withdrawal. Overall, 29% participants had internalized stigma when total ISMIS score was taken into consideration. On P-scale, 67% patients experienced significant restriction, with a majority reporting moderate to mild restriction. In terms of associations between stigma and sociodemographic variables, no consistent correlations emerged, except for those who were not on paid job, had higher participation restriction. Of the clinical variables, level of functioning was the only consistent predictor of stigma. While better knowledge about the disorder was associated with lower level of stigma, there was no association between stigma and insight. CONCLUSION: Significant proportion of patients with schizophrenia experience stigma and stigma is associated with lower level of functioning and better knowledge about illness is associated with lower level of stigma.

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  1. [26]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders 1994 4th ed Washington (DC) American Psychiatric Press

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Authors
Grover, S., Singh, A., & Mattoo, S.
Affiliations
Post Graduate Institute of Medical Education and Research (IN)
Corresponding author
Grover, Sandeep
Venue
Indian Journal of Psychiatry
Published
2016
Volume
58
Issue
3
Pages
291
ISSN
0019-5545 (ISSN-L)
OpenAlex
W2530730085
Cited by
61
References
53
Citations by year
2026: 2 · 2025: 8 · 2024: 9 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 12 · 2019: 6 · 2018: 5 · 2017: 3
FWCI
7.34
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Indian Journal of Psychiatry (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
schizophrenia, stigma, self-stigma, perceived stigma, stigma resistance, alienation, discrimination, functioning, disease knowledge, insight

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