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Self-stigma in patients with schizophrenia: Impact and management.

Self-stigma in patients with schizophrenia: Impact and management.

Authors :
Ociskova M
Prasko J
Holubova M
Latalova K
Sollar T
Zatkova M
Slepecky M
Bocek J
Source :
Neuro endocrinology letters [Neuro Endocrinol Lett] 2023 Sep 29; Vol. 44 (6), pp. 368-383.
Publication Year :
2023

Abstract

Background: Prejudices against individuals with schizophrenia can interfere with diagnostic and treatment processes, particularly with the patient's further adaptation and reintegration. Self-stigma could have significant detrimental consequences for patients suffering from psychotic disorders, including schizophrenia.<br />Method: This paper reviews findings about self-stigma connected to schizophrenia. The PubMed database used the keywords to find the papers published from January 1997 to March 2023, and 189 articles were included in the review process.<br />Results: The schizophrenia-related stigma decreases patients' self-confidence, worsens their social functioning, and impedes daily functioning. Feelings of embarrassment are prominent in many patients with schizophrenia. Self-stigma predicts many unfavourable outcomes - more severe social anxiety and depressive symptoms, lower self-confidence, hopelessness, worse social functioning, lower quality of life, worse treatment cooperation, and lower adherence to medication adherence. Addressing self-stigma in psychoeducation or psychotherapy may increase the patient's stigma resistance and well-being. Self-help groups present an underutilised but potentially effective strategy.<br />Conclusion: Stigma presents a common issue in patients with schizophrenia. Targeting the issue in clinical management or psychotherapy may be beneficial. Still, more high-quality intervention studies are needed.

Details

Language :
English
ISSN :
2354-4716
Volume :
44
Issue :
6
Database :
MEDLINE
Journal :
Neuro endocrinology letters
Publication Type :
Academic Journal
Accession number :
37776554