Computational psychiatry approach to stigma subtyping in patients with mental disorders: explicit and implicit internalized stigma.
| Autor: | Sorokin MY; V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology., Lutova NB; V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology., Bocharova MO; V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology.; IoPPN-King's College London., Khobeysh MA; V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology., Wied VD; V.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology. |
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| Jazyk: | angličtina |
| Zdroj: | Consortium psychiatricum [Consort Psychiatr] 2023 Sep 29; Vol. 4 (3), pp. 13-21. Date of Electronic Publication: 2023 Sep 29. |
| DOI: | 10.17816/CP6556 |
| Abstrakt: | Background: Psychiatric stigma has potentially controversial effects on patients health-related behaviors. It appears that both stigmatization and motivation in psychiatric patients are heterogeneous and multi-dimensional, and that the relationship between stigma and treatment motivation may be more complex than previously believed. Aim: To determine psychiatric stigma subtypes as they relate to treatment motivation among inpatients with various mental disorders. Methods: Sixy-three psychiatric inpatients were examined by the Treatment Motivation Assessment Questionnaire (TMAQ) and the Russian version of Internalized Stigma of Mental Illness scale (ISMI). K-Means cluster and dispersion analysis were conducted. Results: Cluster 3 (25 subjects) was the least stigmatized. Cluster 1 (18 subjects) showed an explicit stigma. Cluster 2 (20 subjects) showed an implicit stigma that took the form of the lowest treatment motivation compared to other clusters. Implicitly stigmatized patients, in contrast to explicitly stigmatized individuals, showed a decline in 3 out of 4 TMAQ factors (Mean dif.=1.051.67). Conclusion: Cooperation with doctors, together with reliance on ones own knowledge and skills to cope with the disorder, might be the way to overcome an internalized stigma for patients with mental disorders. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023, Sorokin M.Y., Lutova N.B., Bocharova M.O., Khobeysh M.A., Wied V.D.) |
| Databáze: | MEDLINE |
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