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Internalized stigma and self-esteem among remitted patients with bipolar disorder

Published online by Cambridge University Press:  01 September 2022

R. Jenhani ,
S. Ellouze ,
D. Bougacha ,
F. Znaidi  and
R. Ghachem
R. Jenhani*
Affiliation:
Razi hospital, Psychiatry B, Manouba, Tunisia
S. Ellouze
Affiliation:
Hedi Chaker University Hospital, Psychiatry B, Sfax, Tunisia
D. Bougacha
Affiliation:
Razi hospital, B, Manouba, Tunisia
F. Znaidi
Affiliation:
Razi Hospital, Psychiatry B, Manouba, Tunisia
R. Ghachem
Affiliation:
Razi Hospital, Psychiatry B, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Self-stigmatization in patients with bipolar disorder could lead to shame, self-judgement, impaired quality of life, and could negatively affect self-esteem imeding recovery.

Objectives

The aim of this study was to assess self-stigma in remitted patients with bipolar disorder and to evaluate its impact on self-esteem.

Methods

We conducted a cross-sectional, descriptive, and analytical study of 61 patients with bipolar disorder. Euthymia was verified using the Hamilton scale for depression and the Young scale for mania. We used the Internalized Stigma of Mental Illness (ISMI) to evaluate self-stigma, and the Rosenberg scale to assess self-esteem.

Results

The mean age of patients was 43.4 years. The sex ratio was 2.4. The mean score on the ISMI was 2.36. More than half of our patients (59%) were self-stigmatized. With regard to self-esteem, the mean score obtained on the Rosenberg scale was 27.72. Low or very low self-esteem was found in 54% of patients. The most self-stigmatized patients had significantly lower self-esteem (p<10-3).

Conclusions

Internalized stigmatization negatively affects self-esteem of patients with bipolar disorder. Psychoeducation and cognitive behavioral therapy would improve self-esteem and enhance psychosocial treatment adherence and move people with bipolar disorder toward a culture of recovery based on hope and self-determination.

Disclosure

No significant relationships.

Keywords

bipolar disorderself-stigmaself-esteem
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S361
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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