Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit
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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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Some studies found a direct link between insight and stigma, while others failed to replicate it.
“Other studies have also found a direct link between insight and stigma 148 , though others have failed to replicate that 149 .”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [149]
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Sousa, A. D., Dikshit, R., Lodha, P., Maheshwari, A. R., & Shrivastava, A. (2020) · Springer eBooks · doi:10.1007/978-3-030-19847-3_13
Mother's Employment Status With Fine Motor Development
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Jamal, S., Gupta, B., Nischal, A., & Tripathi, A. (2024) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_49_23
Ohira, S. (2024) · Journal of Japan Academy of Nursing Science · doi:10.5630/jans.44.317
Internalized Stigma and its correlates amongst patients with Common Mental DisordersPreprint
Manghani, P., Udupa, S. T., Chandrashekar, P., & Pattanshetty, S. M. (2025) · Research Square · doi:10.21203/rs.3.rs-5968430/v1
A New Lens on the District Mental Health Program: Strategies for Sustainable Mental Healthcare
Singh, G., Singh, A., Shukla, D., Singh, A., Srivastava, P. K., & Ahlawat, S. (2025) · Journal of Advance Research in Science and Social Science · doi:10.46523/jarssc.08.01.01
Making Sense of Visual Hallucinations in Lewy Body Dementia for Informal Caregivers
Hutchinson, J. G., Knox, A., Collerton, D., & Prout, A. (2025) · Alzheimer Disease & Associated Disorders · doi:10.1097/wad.0000000000000705
Kumar, M. T., & Kar, N. (2026) · Indian Journal of Psychological Medicine · doi:10.1177/02537176251415360
Garg, T., Dhiman, V., Das, A., & Grover, N. (2026) · Indian Journal of Psychiatry · doi:10.4103/indianjpsychiatry_26_26
- 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)
- PMC
- PMC5100121
- 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
- diamond
- doi.org
- 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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