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Correlates of Self-Stigma Among Outpatients With Mental Illness in Lagos, Nigeria

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  • Abiodun O. Adewuya

    (Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria, biodunwuya@yahoo.com)

  • Adekile O. Owoeye

    (Federal Neuropsychiatry Hospital, Yaba, Lagos, Nigeria)

  • A.O. Erinfolami

    (Department of Psychiatry, College of Medicine, University of Lagos, Lagos, Nigeria)

  • Bolanle A. Ola

    (Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria)

Abstract

Background: Studies in this region have all been limited to public stigma whereas little is known about the extent of self-stigma. Aims: To assess the extent, domains and correlates of self-stigma among psychiatric outpatients in Lagos, Nigeria. Method: Psychiatric outpatients ( n = 342) from three centres completed a modified version of the Internalized Stigma of Mental Illness scale (ISMI) as a measure of their self-stigma. They were also evaluated for various sociodemographic and clinical related variables. Results: A total of 74 ( n = 21.6%) patients were classified as having ‘high selfstigma’. The correlates of high self-stigma included unemployment (OR 3.85, 95% CI 2.55—7.00), poor social support (OR 10.82, 95% CI 4.85—24.84), longer duration of illness (OR 10.35, 95% CI 4.36—25.78) and having full insight into the illness (OR 4.23, 95% CI 2.16—8.76). Conclusions: Self-stigma is a common phenomenon in psychiatric outpatients in this environment. The present anti-stigma programmes must extend to regions of sub-Saharan Africa and incorporate self-stigma as a matter of priority.

Suggested Citation

  • Abiodun O. Adewuya & Adekile O. Owoeye & A.O. Erinfolami & Bolanle A. Ola, 2011. "Correlates of Self-Stigma Among Outpatients With Mental Illness in Lagos, Nigeria," International Journal of Social Psychiatry, , vol. 57(4), pages 418-427, July.
    • Handle: RePEc:sae:socpsy:v:57:y:2011:i:4:p:418-427
    DOI: 10.1177/0020764010363522
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    References listed on IDEAS

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    1. Mieke Verhaeghe & Piet Bracke & Kevin Bruynooghe, 2008. "Stigmatization and Self-Esteem of Persons in Recovery From Mental Illness: the Role of Peer Support," International Journal of Social Psychiatry, , vol. 54(3), pages 206-218, May.
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    Cited by:

    1. Giulia Barbareschi & Mark T. Carew & Elizabeth Aderonke Johnson & Norah Kopi & Catherine Holloway, 2021. "“When They See a Wheelchair, They’ve Not Even Seen Me”—Factors Shaping the Experience of Disability Stigma and Discrimination in Kenya," IJERPH, MDPI, vol. 18(8), pages 1-20, April.

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