Factors related to internalization of stigma for alcohol dependence among Korean men

2017 ◽  
Vol 45 (1) ◽  
pp. 127-142 ◽  
Author(s):  
Kyoung Yul Lyu ◽  
Kyunghee Lee ◽  
Ivy Lynne Bejerano

We investigated the relationships among internalized stigma and insight, depression, and self-esteem with a convenience sample of 174 alcohol-dependent Korean men being treated in the alcoholic ward of a psychiatric hospital. Data were collected using the Korean version of the Internalized Stigma of Mental Illness Scale, Rosenberg's Self-Esteem Scale, the Beck Depression Inventory II and the Hanil Alcohol Insight Scale. Results showed a significant variation in internalized stigma in relation to age, employment status, and frequency of admission to hospital for treatment for alcohol dependence. The correlation between internalized stigma and insight was not significant but the correlation between depression and self-esteem was statistically significant. The results provide information for the formulating of relevant interventions to address depressive symptoms, improve self-esteem, and devise a plan to enable people with alcohol-related problems or alcohol dependence to have good access to community resources.

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed

Context: Mentally ill patients challenging dual difficulties that are illness and stigma. Internalized stigma viewed as maladaptive psychosocial phenomena that can affect all aspects of mentally ill patient life. Aim: The current study emerged aiming to assess internalized stigma of mental illness and its relation with self-esteem and social support among psychiatric patients. Methods: Descriptive research design used to achieve the aim of this study. A convenience sample of one hundred hospitalized psychiatric patients recruited for the study from inpatient units of Mental Health and Addiction Treatment Hospital in Minia governorate. The data collection tools included socio-demographic and clinical data questionnaire, Internalized Stigma of Mental Illness Scale, Rosenberg's Self Esteem Scale, and Multidimensional Scale of Perceived Social Support. Results: The findings show that less than half of patients have a severe level of total internalized stigma score. There is a highly significant correlation between overall internalized stigma score and its all subscales with self-esteem and social support. Conclusions: Internalized stigma level was high among psychiatric patients. A significant negative correlation found between total internalized stigma score with self-esteem and social support of the studied patients. The study recommended further studies regarding educational interventions to raise awareness and decrease internalized stigma among patient with mental illness. Besides, providing support for patient and families of mentally ill patients to promote their capacity to manage and cope with stigma. 


2011 ◽  
Vol 26 (S2) ◽  
pp. 461-461
Author(s):  
I. Keser ◽  
N. Saygin ◽  
S. Turkan ◽  
B. Kulaksizoglu ◽  
K. Buldukoglu

IntroductionInternalized stigmatization means a internalized reaction in the person with mentally illness as a answer against the people reject and discrimination.ObjectiveThe peoples with mentally illness believe that most people reject and devalue people with mental illnesses, they may suffer a number of negative outcomes, such as demoralization, lowered self-esteem.AimThe aim of our study was to identify the relationship between the factors effecting the internalized stigmatization and self-esteem among patients with mentally illness.MethodsIn this study, we measured the prevalence of internalized stigma among 115 outpatients referring to the Psychiatry Service of Antalya Education and Research Hospital between 2009–2010 using Rosenberg Self-Esteem(SE) Scale, the Internalized Stigma of Mental Illness(ISMI) Scale, and Personel Datasheet.ResultsOf the patients, 53.9% had middle level of SE and the 22.00–70.00 ranging of ISMI, 30.4% of the patients were found to be 21–30 years-old. We found the increase of ISMI when SE was decreased in both of gender(p = 0.01, r = -0.67) and it was also found to be decreased of ISMI when the education level was increased in the patients(p = 0.004,r = -0.27). Recurrent hospitalization of the patients increased their ISMI points(p = 0.014, r = 0.23). There was no statistical relation between the living place of the patients and their ISMI points(p = 0.523).ConclusionsOur results suggest that some factors effected internalized stigma and showed the relationship between the internalized stigmatization and self-esteem among patients with mentally illness. To decrease and prevent internalized stigmatization, a specific education should be provided to patients, families and society by health professionals.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Elias Tesfaye ◽  
Chalachew Kassaw ◽  
Liyew Agenagnew

Background. Stigma resistance is described as the capacity to counteract or remain unaffected by the stigma of mental illness. Patients who have high stigma resistance have shown good treatment outcome, so working on this issue is crucial since little is known about the stigma resistance level among patients with mood disorders. Objectives. To determine the magnitude and determinant factors of stigma resistance among patients with mood disorder attending at St. Paul’s Hospital. Methods. A cross-sectional study design was conducted on 238 study samples, and systematic random sampling was used to get the study participants. Internalized Stigma of Mental Illness Scale was used to measure stigma resistance. Data was entered using EpiData 3.1 and exported to the Statistical Package for Social Science 22.0 for analysis. Linear regression analysis (P<0.05) was used to identify a significant association between the outcome and predictor variable. Results. Out of 238 study samples, 235 patients took part with a 99% response rate. The overall percentage of stigma resistance was 49.5%. Low educational status (B=−1.465, 95% CI (-2.796, -0.134), P≤0.031), disability (B=−0.064, 95% CI (-0.102, -0.026), P≤0.001), nonadherence due to stigma (B=−1.365, 95% CI (-2.151, -0.580), P≤0.001), duration of treatment (B=0.091, 95% CI (0.042, 0.141), P≤0.001), internalized stigma (B=−2.948, 95% CI (-3.642, -2.254), P≤0.001), and self-esteem (B=1.859, 95% CI (0.812, 2.906), P≤0.001) were significantly associated with stigma resistance. Conclusion. This study found that only half of the patients had stigma resistance. Low educational status, high self-stigma, low self-esteem, disability, and short duration of treatment were negatively associated with stigma resistance, so working on those modifiable identified factors with focal stakeholders will be crucial to promote the stigma resistance level of patients with mood disorder.


1995 ◽  
Vol 166 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Kate M. Davidson

BackgroundDepression and alcohol dependence are frequently found to co-exist but the relationship between these disorders requires further elucidation. This study tested several hypotheses related to the relevance of whether the diagnosis of depression was made before admission or after detoxification in the current episode for those with alcohol dependence.MethodThe Schedule for Affective Disorders and Schizophrenia (SADS) was administered to obtain Research Diagnostic Criteria (RDC) on 82 randomly selected alcohol dependent in-patients. Alcohol-related (Severity of Alcohol Dependence Questionnaire (SADQ), alcohol consumption and alcohol-related problems), socio-demographic variables and treatment for depression were assessed.ResultsFor the episode of drinking which led to admission, a diagnosis of major depression was found in the majority of patients (67%). Once detoxification from alcohol took place, only the minority (13%) met criteria for major depression.ConclusionsIt is suggested that depression is largely associated with the episode of drinking which led to admission in patients who are dependent on alcohol and may be due to the effect of chronic alcohol intoxication. Socio-demographic and alcohol-related characteristics appear to bear little relation to the presence of depression. Clinicians exercise appropriate judgement in not prescribing antidepressant treatments to patients whose depression may remit with abstinence from alcohol.


2013 ◽  
Vol 2 (1) ◽  
pp. 37-44
Author(s):  
Indri Jayanti ◽  
Fellianti Muzdalifah

The aim of this study is to analyze the influence internalized stigma on self-esteem in people with schizophrenia (outpatients) in Jakarta. The research was held in Komunitas Peduli Skizofrenia Indonesia, Puskesmas Tebet, and Klender Islamic Mental Hospital on November 2012. This research used quantitative ex-post facto research method. This research used incidental sampling. Collecting data used scale of internalization stigma which is adapted from ISMI (Internalization Stigma of Mental Illness) scale and self-esteem scale’s Rosenberg, were assessed among 42 outpatients who have schizophrenia. Statistical analysis obtainded using the Regression test. Based on the result of data analysis found that adjusted R square internalized stigma on self-esteem was 0,176 (17,6%), which means that influence internalized stigma to self-esteem was 17,6% and 82,4% influenced by others factors beyond self-esteem. This result showed that fluctuation of self-esteem in people with schizophrenia (outpatients) contrary to fluctuation of internalized stigma variable.


Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 232-235 ◽  
Author(s):  
Christopher R. DeCou ◽  
Monica C. Skewes

Abstract. Background: Previous research has demonstrated an association between alcohol-related problems and suicidal ideation (SI). Aims: The present study evaluated, simultaneously, alcohol consequences and symptoms of alcohol dependence as predictors of SI after adjusting for depressive symptoms and alcohol consumption. Method: A sample of 298 Alaskan undergraduates completed survey measures, including the Young Adult Alcohol Consequences Questionnaire, the Short Alcohol Dependence Data Questionnaire, and the Beck Depression Inventory – II. The association between alcohol problems and SI status was evaluated using sequential logistic regression. Results: Symptoms of alcohol dependence (OR = 1.88, p < .05), but not alcohol-related consequences (OR = 1.01, p = .95), emerged as an independent predictor of SI status above and beyond depressive symptoms (OR = 2.39, p < .001) and alcohol consumption (OR = 1.08, p = .39). Conclusion: Alcohol dependence symptoms represented a unique risk for SI relative to alcohol-related consequences and alcohol consumption. Future research should examine the causal mechanism behind the relationship between alcohol dependence and suicidality among university students. Assessing the presence of dependence symptoms may improve the accuracy of identifying students at risk of SI.


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