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The impact of self-stigma on functioning 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, B, Manouba, Tunisia
R. Ghachem
Affiliation:
Razi Hospital, Psychiatry B, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Self-stigma is widespread in patients with bipolar disorder, with many consequences for family, social and occupational functioning, as well as treatment adherence.

Objectives

The aim of this study was to evaluate self-stigma in remitted patients with bipolar disorder and to investigate its impact upon functioning.

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, the Functioning Assessment Short Test (FAST) to assess functioning.

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. Regarding functioning, a global impairment was noted in more than two thirds of the patients (71%). Occupational functioning was the most affected area (82%). Patients with higher self-stigma scores had significantly more impaired functioning (p<10-3). To decompose the relationship between stigma and functioning into more specific spheres, we found that all scores on the different domains of functioning were associated with a significantly higher mean self-stigma score.

Conclusions

The relationship between self-stigma and functioning seems to be bidirectional. Therefore, improved social functioning could reduce self-stigma and improve self-esteem.

Disclosure

No significant relationships.

Keywords

functioningbipolar disorderself-stigma
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S403
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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