AlAteeq Deemah, AlDaoud Abdullah, AlHadi Ahmad, AlKhalaf Hanoof, Milev Roumen
1Department of Psychiatry, College of Medicine, King Saud University, P.O. box 92949, Riyadh, 11683 Saudi Arabia.
2SABIC Psychological Health Research & Applications Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ann Gen Psychiatry. 2018 Nov 27;17:51. doi: 10.1186/s12991-018-0221-3. eCollection 2018.
Stigma plays a powerful role in an individual's attitude towards mental illness and in their seeking psychiatric and psychological services. Assessing stigma from the perspective of people with mood disorders is important as these disorders have been ranked as major causes of disability.
To determine the extent and impact of stigma experiences in Saudi patients with depression and bipolar disorder, and to examine stigma experiences across cultures.
Ninety-three individuals with a mood disorder were interviewed at King Saud University Medical City using the Inventory of Stigmatizing Experiences (ISE).
We detected no significant differences in experiences of stigma or stigma impact in patients with bipolar vs. depressive disorder. However, over 50% of respondents reported trying to hide their mental illness from others to avoiding situations that might cause them to feel stigmatized. In comparison with a Canadian population, the Saudi participants in this study scored significantly lower on the ISE, which might be due to cultural differences.
More than half of the Saudi participants with a mood disorder reported avoiding situations that might be potentially stigmatizing. There are higher levels of stigma in Canada and Korea than in Saudi Arabia. Our results suggest that cultural differences and family involvement in patient care can significantly impact self-stigmatization. The ISE is a highly reliable instrument across cultures.
污名在个体对精神疾病的态度以及他们寻求精神科和心理服务方面起着重要作用。从情绪障碍患者的角度评估污名很重要，因为这些障碍已被列为残疾的主要原因。
确定沙特抑郁症和双相情感障碍患者污名经历的程度和影响，并跨文化审视污名经历。
在沙特国王大学医学城，使用污名经历量表（ISE）对93名情绪障碍患者进行了访谈。
我们发现双相情感障碍患者与抑郁症患者在污名经历或污名影响方面没有显著差异。然而，超过50%的受访者表示试图向他人隐瞒自己的精神疾病，以避免可能使他们感到受污名化的情况。与加拿大人群相比，本研究中的沙特参与者在ISE上的得分显著更低，这可能是由于文化差异。
超过一半的沙特情绪障碍患者表示会避免可能有潜在污名化的情况。加拿大和韩国的污名程度高于沙特阿拉伯。我们的结果表明，文化差异和家庭参与患者护理会显著影响自我污名化。ISE在跨文化中是一种高度可靠的工具。
