Department of Nursing Science, University of Turku, Turku, Finland.
Turku University Hospital, Turku, Finland.
PLoS One. 2022 Jul 1;17(7):e0269465. doi: 10.1371/journal.pone.0269465. eCollection 2022.
Self-stigma is common among people with mental disorders. A large body of research has examined associations between self-stigma and sociodemographic, clinical and psychosocial factors but the results are still conflicting. The aim of this study was to describe self-stigma among persons with affective and psychotic disorders and identify sociodemographic and clinical factors associated with experiences of self-stigma. A cross-sectional survey was performed with Finnish clients (N = 898) at 16 psychiatric clinics using self-reported questionnaires. The data were analyzed using descriptive statistics and with one-way and multi-way analysis of variance (ANOVA). The results showed that clients in community settings experience self-stigma (a total mean SSMIS-SF score of 74.8 [SD 22.3]). Having a diagnosis of an affective disorder, having a long history of mental disorder (>16 years) and the severity of depressive symptoms were the key factors associated with experiences of self-stigma. Clients living in community settings should be assessed regularly for depressive symptoms of mental disorders, and interventions should be conducted, especially at an early stage of the illness, to reduce self-stigma. Factors associated with self-stigma should be taken into account in the future development of interventions to reduce stigma.
自我污名在精神障碍患者中很常见。大量研究已经检验了自我污名与社会人口学、临床和心理社会因素之间的关联，但结果仍存在冲突。本研究的目的是描述情感和精神病性障碍患者的自我污名，并确定与自我污名体验相关的社会人口学和临床因素。采用横断面调查方法，对 16 家芬兰精神病诊所的 898 名客户使用自我报告问卷进行调查。使用描述性统计和单因素及多因素方差分析（ANOVA）对数据进行分析。结果表明，社区环境中的患者存在自我污名（SSMIS-SF 总分的平均值为 74.8[标准差 22.3]）。患有情感障碍、精神障碍病史较长（>16 年）和抑郁症状严重是与自我污名体验相关的关键因素。应定期评估社区环境中的患者是否存在精神障碍的抑郁症状，并应开展干预措施，尤其是在疾病的早期阶段，以减少自我污名。在未来减少污名的干预措施的发展中，应考虑与自我污名相关的因素。
