Unpacking stigma: Meta-analyses of correlates and moderators of personal stigma in psychosis.

Autor: Eliasson ET; Department of Clinical Psychology, School of Health in Social Science, The University of Edinburgh, Medical School, Doorway 6, Teviot Place, Edinburgh, EH8 9AG, United Kingdom.. Electronic address: Emma.Eliasson@ed.ac.uk., McNamee L; Division of Psychiatry, The University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Pl, Edinburgh, EH11 5HF, United kingdom., Swanson L; Department of Clinical Psychology, School of Health in Social Science, The University of Edinburgh, Medical School, Doorway 6, Teviot Place, Edinburgh, EH8 9AG, United Kingdom.; Centre for Clinical Research Sörmland, Sveavägen entré 9, 631 88 Eskilstuna, Sweden., Lawrie SM; Division of Psychiatry, The University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Morningside Pl, Edinburgh, EH11 5HF, United kingdom., Schwannauer M; Department of Clinical Psychology, School of Health in Social Science, The University of Edinburgh, Medical School, Doorway 6, Teviot Place, Edinburgh, EH8 9AG, United Kingdom.
Jazyk: angličtina
Zdroj: Clinical psychology review [Clin Psychol Rev] 2021 Nov; Vol. 89, pp. 102077. Date of Electronic Publication: 2021 Aug 28.
DOI: 10.1016/j.cpr.2021.102077
Abstrakt: Personal stigma entails perceived, experienced and internalised stigmatisation. Mental Health stigma has been widely researched across a range of countries and a meta-analysis of their associations and moderators in psychosis is timely. Meta-analyses were conducted examining the correlates and moderators of personal stigma in terms of: (1) demographic variables (2) illness related variables (3) symptoms/negative outcomes, and (4) aspects of wellbeing. Associations were obtained from a total of 216 records. Several demographic factors including age, economic status, employment, and rural residence had small associations with aspects of personal stigma (r's = 0.12 to -0.13). Personal stigma aspects were inversely related to medication adherence (r's = -0.20, -0.21), and positively associated with insight and number of hospitalisations (r's = 0.09-0.19). Most symptoms were positively associated with personal stigma (r's = 0.10-0.43), whereas inverse relations with wellbeing variables were identified (r's = -0.13 to -0.54). Moderator effects emerged including that of cultural setting and sex, age and education level, highlighting the role of cultural and demographic factors in shaping personal stigma aspects in psychosis. The present study also highlights the importance of recognizing the negative effect of actual stigma and discrimination experiences; particularly its detrimental impact on self-image and its complex role in shaping the internalisation of societal stigma.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: