Self-stigma, quality of life and schizophrenia: An outpatient clinic survey in Nigeria

Temilola J Mosanya, Adegoke O Adelufosi, Olaolu T Adebowale, Adegboyega Ogunwale and Olaide K Adebayo

International Journal of Social Psychiatry, 2014, vol. 60, issue 4, 377-386

Abstract: Background: Stigma is a major obstacle to the treatment and recovery of people with mental illness. In Nigeria, there is a dearth of information on internalization of stigma and its effect on treatment outcome measures such as quality of life. Aim and objectives: The aim of the study was to assess self-stigma among patients with schizophrenia attending a psychiatric hospital outpatient clinic, and the relationship of self-stigma to the socio-demographic, clinical characteristics and quality of life of the patients. Method: Two hundred and fifty-six consecutive outpatient attendees of the Neuropsychiatric Hospital, Aro, Abeokuta in Nigeria with a Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) diagnosis of schizophrenia were recruited for the study. The diagnosis of schizophrenia was established with the Structured Clinical Interview Schedule for DSM-IV Axis I disorder (SCID), while item 17 of the Present State Examination was used to ascertain the presence of insight into the illness. The subjects were interviewed with a socio-demographic questionnaire, the Internalized Stigma of Mental Illness (ISMI) scale, the Brief Psychiatric Rating Scale (BPRS) and the World Health Organization’s Quality of Life (WHOQOL-Bref) questionnaire. Results: The mean age of the subjects was 39.5 (SD = 10.6) years with males constituting 52.0% of the sample. High self-stigma was found in 18.8% of the subjects. The socio-demographic and clinical correlates of high self-stigma found using univariate analysis were low educational level ( χ 2 = 22.69, p

Keywords: Self-stigma; quality of life; schizophrenia (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:60:y:2014:i:4:p:377-386

DOI: 10.1177/0020764013491738

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