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Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: the GAMIAN-Europe study.

Abstract：

BACKGROUND:There is little information on the degree to which self-stigma is experienced by individuals with a diagnosis of bipolar disorder or depression across Europe. This study describes the levels of self-stigma, stigma resistance, empowerment and perceived discrimination reported in these groups. METHODS:Data were collected from 1182 people with bipolar disorder or depression using a mail survey with members of national mental health non-governmental organisations. RESULTS:Over one fifth of the participants (21.7%) reported moderate or high levels of self-stigma, 59.7% moderate or high stigma resistance, 63% moderate or high empowerment, and 71.6% moderate or high perceived discrimination. In a reduced multivariate model 27% of the variance in self-stigma scores, among people with a diagnosis of bipolar disorder or depression, was accounted for by levels of empowerment, perceived discrimination, number of areas of social contact, education and employment. LIMITATIONS:Findings are limited by the use of an unweighted sample of members of mental health charity organisations which may be unrepresentative of the reference population. CONCLUSIONS:These findings suggest that self-stigma occurs among approximately 1 in 5 people with bipolar disorder or depression in Europe. The tailoring of interventions to counteract (or fight against) the elements of self-stigma which are most problematic for the group, be they alienation, stereotype endorsement, social withdrawal or discrimination experience, may confer benefit to people with such disorders.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Brohan E,Gauci D,Sartorius N,Thornicroft G,GAMIAN-Europe Study Group.

doi

10.1016/j.jad.2010.09.001

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

56-63

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(10)00569-0

journal_volume

129

pub_type

杂志文章

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