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Stigma and mental illness

Julia F Sowislo, Claudia Lange, Sebastian Euler, Henning Hachtel, Marc Walter, Stefan Borgwardt, Undine E Lang, Christian G Huber
Background There is evidence for two different types and/or sources of mental illness stigma, namely the display of psychiatric symptoms and the use of psychiatric service institutions. However, no current study has compared the two. Furthermore, gaps exist in our knowledge of both types of stigma. Little is known about the perceived stigma of specific psychiatric service treatment environments, for instance forensic settings. In addition, systematic research on stigma attached to symptoms of personality disorders in the general population is scarce, and for borderline personality disorder, nonexistent...
October 19, 2016: European Archives of Psychiatry and Clinical Neuroscience
Jennifer M Hensel, Jay Shaw, Lianne Jeffs, Noah M Ivers, Laura Desveaux, Ashley Cohen, Payal Agarwal, Walter P Wodchis, Joshua Tepper, Darren Larsen, Anita McGahan, Peter Cram, Geetha Mukerji, Muhammad Mamdani, Rebecca Yang, Ivy Wong, Nike Onabajo, Trevor Jamieson, R Sacha Bhatia
BACKGROUND: Mental illness is a substantial and rising contributor to the global burden of disease. Access to and utilization of mental health care, however, is limited by structural barriers such as specialist availability, time, out-of-pocket costs, and attitudinal barriers including stigma. Innovative solutions like virtual care are rapidly entering the health care domain. The advancement and adoption of virtual care for mental health, however, often occurs in the absence of rigorous evaluation and adequate planning for sustainability and spread...
October 18, 2016: BMC Psychiatry
Olaf von dem Knesebeck, Christopher Kofahl, Anna Christin Makowski
BACKGROUND: Ethnic minorities and people with a low socio-economic status (SES) are often mentioned groups potentially affected by double stigma when faced with the burden of mental illness. Against this background we examine differences in public attitudes towards a) migrant vs. non-migrant persons with depression and b) low vs. high SES persons with depression. METHOD: Analyses are based on data of a representative cross-sectional telephone survey among the adult population in Germany (N=2013)...
October 11, 2016: Journal of Affective Disorders
Martha Sajatovic, Curtis Tatsuoka, Elisabeth Welter, Adam T Perzynski, Kari Colon-Zimmermann, Jamie R Van Doren, Ashley Bukach, Mary Ellen Lawless, Eleanor R Ryan, Katherine Sturniolo, Samden Lhatoo
OBJECTIVES: Serious mental illness is disproportionately common in people with epilepsy and contributes to complications and mortality. Few care approaches specifically target individuals who have epilepsy and severe mental illness. We used an iterative process to refine an existing intervention and tested the novel intervention, Targeted Self-Management for Epilepsy and Mental Illness (TIME) in individuals with epilepsy and comorbid mental illness (E-MI). METHODS: The TIME intervention was developed with input from a community advisory board and then tested for feasibility, acceptability, and preliminary efficacy in people with E-MI, using a 16-week prospective, randomized controlled design comparing TIME (N=22) vs...
October 12, 2016: Epilepsy & Behavior: E&B
Pallab K Maulik, Abha Tewari, Siddhardha Devarapalli, Sudha Kallakuri, Anushka Patel
INTRODUCTION: Common mental disorders (CMD) such as depression, suicidal risk and emotional/medically unexplained complaints affect a large number of people in India, but few receive appropriate care. Key reasons for this include few trained mental health professionals and stigma associated with mental health. A potential approach to address poor access to care is by training village healthcare workers in providing basic mental health care, and harnessing India's vast mobile network to support such workers using mobile-based applications...
2016: PloS One
Ruirui Zhang, Winnie W S Mak, Randolph C H Chan
Although people in recovery from mental illness can continue to live a personally meaningful life despite their mental illness, their perception of mental illness as being a threat to their basic needs may influence the way they view themselves as a person with mental illness and their sense of mastery over their condition. The present study explored the effects of perceived primal threat on the recovery of people with mental illness, considering the mediating roles of self-stigma and self-empowerment. Latent variable structural equation modeling was conducted among 376 individuals with mental illness in Hong Kong...
August 15, 2016: American Journal of Orthopsychiatry
Andrea L Murphy, Ruth Martin-Misener, Stan P Kutcher, Claire L O'Reilly, Timothy F Chen, David M Gardner
BACKGROUND: The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements...
October 12, 2016: BMC Health Services Research
Autumn Harnish, Patrick Corrigan, Thomas Byrne, Debra A Pinals, Stephanie Rodrigues, David Smelson
OBJECTIVE: This pilot study examined whether substance use or mental illness was more stigmatizing among individuals with co-occurring mental health and substance abuse problems. METHODS: This study included 48 individuals with co-occurring substance use and mental health problems enrolled in a Substance Abuse and Mental Health Services funded treatment program. Subjects received a baseline assessment that included addiction, mental health, and stigma measures. RESULTS: The sample consisted primarily of white males with an average age of 38 years...
October 10, 2016: Journal of Dual Diagnosis
Lorna Moxham
This article considers the relationship between where a person lives and who they live with and their mental health and well-being. In particular, this article considers the regional locale as an important factor in understanding the perspective of a person with lived experience of mental illness. This article questions the influential, yet somewhat narrow, argument that living in the community and in the family home is somehow better for people with mental illness. The arguments presented in this article illustrate that for some people with mental illness, the issues of stigma, autonomy, and lack of alternatives (choice) are just as prevalent for them now, living in the community, as when they lived in institutions...
October 2016: Journal of Prevention & Intervention in the Community
Glenn S Pransky, Jean-Baptise Fassier, Elyssa Besen, Peter Blanck, Kerstin Ekberg, Michael Feuerstein, Fehmidah Munir
Introduction Many disability prevention strategies are focused on acute injuries and brief illness episodes, but there will be growing challenges for employers to manage circumstances of recurrent, chronic, or fluctuating symptoms in an aging workforce. The goal of this article is to summarize existing peer-review research in this area, compare this with employer discourse in the grey literature, and recommend future research priorities. Methods The authors participated in a year-long sponsored collaboration that ultimately led to an invited 3-day conference, "Improving Research of Employer Practices to Prevent Disability", held October 14-16, 2015, in Hopkinton, Massachusetts, USA...
October 4, 2016: Journal of Occupational Rehabilitation
Anna C Makowski, Eva E Mnich, Matthias C Angermeyer, Olaf von dem Knesebeck
BACKGROUND: Individuals with mental illness often experience stigmatization and encounter stereotypes such as being dangerous or unpredictable. To further improve measures against psychiatric stigma, it is of importance to understand its components. In this study, we attend to the step of separation between "us" and "them" in the stigma process as conceptualized by Link and Phelan. In using the belief in continuity of mental illness symptoms as a proxy for separation, we explore its associations with stereotypes, emotional responses and desire for social distance in the stigma process...
2016: PeerJ
Ales Grambal, Jan Prasko, Dana Kamaradova, Klara Latalova, Michaela Holubova, Marketa Marackova, Marie Ociskova, Milos Slepecky
INTRODUCTION: Self-stigma arises from one's acceptance of societal prejudices and is common in psychiatric patients. This investigation compares the self-stigma of a sample of patients with borderline personality disorder (BPD), schizophrenia spectrum disorder (SCH), major depressive disorder (MDD), bipolar affective disorder (BAD), and anxiety disorders (AD) and explores of the self-stigma with the subjective and objective measures of the severity of the disorder and demographic factors...
2016: Neuropsychiatric Disease and Treatment
Maurilio Giuseppe Maria Tavormina, Giuseppe Tavormina, Eugenio Nemoianni, Francesco Franza, Immacolata d'Errico, Maria Grazia Spurio, Romina Tavormina, Nicolas Zdanowicz, Stephanie De Mesmaeker, Judit Harangozó, Anna Nyulászi, Tünde Bulyáki, Ivan Urlic, Andrea Russo, Mark Agius
Prejudice and stigma about mental illness is still present in society. Patients suffer both from the disease, and from the marginalization behavior exhibited by others towards them and their families. Psychiatric professionals may also become ill and suffer for the same reason. The authors of this international multicenter study have set themselves the question of whether there may be prejudice and/or stigma among psychiatric professionals towards their suffering colleagues, among patients towards nursing staff affected by the same disease and between patients themselves...
September 2016: Psychiatria Danubina
Krzysztof Maria Wilczyński, Elżbieta Mazgaj, Oleg Fedyk, Dominika Wizner, Krzysztof Krysta
BACKGROUND: In modern psychiatry, deinstitutionalization of mentally ill became an essential part of improving state of being of those affected. Integration in community, despite obvious benefits, led to increase in social distance and rejection towards mentally ill. Social stigma affects different life domains of those afflicted, and therefore it is crucial to introduce methods to deal with it. Our objective was to assess and compare psychiatrists' and public attitudes and beliefs about mentally ill people...
September 2016: Psychiatria Danubina
Randolph C H Chan, Winnie W S Mak
The present study applied the common sense model to understand the underlying mechanism of how cognitive and emotional representations of mental illness among people in recovery of mental illness would impact their endorsement of self-stigma, and how that would, in turn, affect clinical and personal recovery. A cross-sectional survey was administered to 376 people in recovery. Participants were recruited from seven public specialty outpatient clinics and substance abuse assessment clinics across various districts in Hong Kong...
September 13, 2016: Psychiatry Research
Antonios Paraschakis, Ioannis Michopoulos, Christos Christodoulou, Filippos Koutsaftis, Athanassios Douzenis
Frequency and gender differences of psychiatric medication intake in a sample of suicide victims from the Athens Greater Area were investigated with a particular focus on the implications for suicide prevention. Data were collected from the toxicological analyses of the suicide cases of the period November 2007-October 2009. Information was available for 262 individuals, 196 men (74.8%) and 66 women (25.2%); 109 of these (41.6%) were receiving psychiatric medication(s). Women were statistically more frequently under treatment: antidepressants (32...
September 19, 2016: Journal of Forensic Sciences
Eleonora F Bianchi, Mimi R Bhattacharyya, Richard Meakin
OBJECTIVE: To explore the views of senior doctors on mental illness within the medical profession. BACKGROUND: There has been increasing interest on the issue of doctors' mental health. However, there have been few qualitative studies on senior doctors' general attitude towards mental illness within the medical profession. SETTING: Large North London teaching hospital. PARTICIPANTS: 13 hospital consultants and senior academic general practitioners...
September 16, 2016: BMJ Open
Tamsen J Rochat, Joanie Mitchell, Alan Stein, Ntombizodumo Brilliant Mkwanazi, Ruth M Bland
Advances in access to HIV prevention and treatment have reduced vertical transmission of HIV, with most children born to HIV-infected parents being HIV-uninfected themselves. A major challenge that HIV-infected parents face is disclosure of their HIV status to their predominantly HIV-uninfected children. Their children enter middle childhood and early adolescence facing many challenges associated with parental illness and hospitalization, often exacerbated by stigma and a lack of access to health education and support...
2016: Frontiers in Public Health
David Satcher, Sharon A Rachel
People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health; the social determinants of health can enable or impede health equity. Recommendations from the U.S. government and the World Health Organization support mental health promotion while recognizing barriers that preclude health equity...
September 14, 2016: Journal of Clinical Psychology in Medical Settings
Minale Tareke Tegegne, Andargie Abate Awoke
OBJECTIVE: Stigma is a major problem for people living with epilepsy. Perceived stigma may be more prevalent than enacted stigma and causes excessive worry for the individual even if it does not arise from a social interaction. Therefore, we assessed perceived stigma and associated factors among people with epilepsy. METHODS: An institution-based cross-sectional study was conducted from April to May, 2013, among 423 samples of people with epilepsy. RESULTS: One hundred sixty-nine (40...
September 14, 2016: International Journal of Psychiatry in Clinical Practice
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