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Self-stigma in a Tunisian population of stabilized outpatients with schizophrenia

Published online by Cambridge University Press:  27 August 2024

S. Ajmi*
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
M. Bouhamed
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
R. Ouali
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
R. Masmoudi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
I. Feki
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
R. Sallemi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
J. Masmoudi
Affiliation:
Psychiatry A, Hedi Chaker University Hospital, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

The internalized stigma associated with mental illness is considered as an additional burden faced by people with mental disease. Among mental illnesses, schizophrenia is considered as the most stigmatizing.

Objectives

To Assess the level of stigma in a sample of people with schizophrenia

Methods

This is a cross-sectional and descriptive study carried out on 72 stabilized patients followed at the post-cure psychiatry consultation ‘A’ at the CHU Hedi Chaker in Sfax diagnosed with schizophrenia according to the DSM 5 criteria. Socio-demographic and clinical data were collected using a pre-established sheet

We used The Internalized Stigma of Mental Illness (ISMI) scale to assess internalized stigma

Results

The mean age of the patients in our study was 46.83 ± 11.6 years, with a sex ratio (M/F) of 2.

They were single in 48.5%, unemployed in 69.4%. Their level of education did not exceed primary school in 44.4% and their socio-economic level was low in 63.9%. 2% of the patients had no somatic history and 36.1% had a history of attempted suicide.

The median for the total ISMI score was 2.45, which corresponded to the absence of strong stigma. The median of the subscales was distributed as follows: 2 for the level of alienation, 2.28 for stereotype endorsement, 2.4 discrimination experience, 2.36 for social withdrawal and 2.60 for stigma resistance.

In our study, 45.8% of patients reported experiencing high levels of self-stigma (total score>2,5).

Conclusions

Our study found levels of self-stigma in individuals with schizophrenia that align with previous research, suggesting that schizophrenia-related stigma is a global phenomenon unaffected by factors such as origin or ethnicity.

Disclosure of Interest

None Declared

Type
Abstract
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 (https://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), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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