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Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study

Author

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  • Tatiana Arboleya-Faedo

    (ISPA—Health Research Institute of the Principality of Asturias, 33011 Oviedo, Spain)

  • Ana González-Menéndez

    (Department of Psychology, University of Oviedo, 33003 Oviedo, Spain)

  • David González-Pando

    (ISPA—Health Research Institute of the Principality of Asturias, 33011 Oviedo, Spain
    Faculty of Nursing, University of Oviedo, 33394 Gijón, Spain)

  • Mercedes Paino

    (Department of Psychology, University of Oviedo, 33003 Oviedo, Spain)

  • Fernando Alonso-Pérez

    (ISPA—Health Research Institute of the Principality of Asturias, 33011 Oviedo, Spain
    Faculty of Nursing, University of Oviedo, 33394 Gijón, Spain)

Abstract

We present the results of a phenomenological study understanding the personal meaning of self-stigma in people with chronic psychosis. Self-stigma is a frequent phenomenon in the lives of people with psychosis and their families and it functions as a barrier to recovery. Semi-structured in-depth interviews were conducted with fourteen outpatients that suffer from chronic psychosis during January 2020. Data analysis was carried out using an inductive approach as described by Graneheim and Lundman through the MAXQDA 2022 program. The themes observed were: “Contextual Stigma”, “Components of Self-Stigma”, “Skills Loss” and “Coping with Self-Stigma”. The main categories and subcategories were avoidance and escape behaviours from their social environment, labelling, loss of social relationships, negative impact and self-concealment of the diagnosis. Our results revealed influence on each other, forming a looping effect that explains and amplifies the lived experience of self-stigma. These findings highlight the need to implement strategies in nursing practice aimed at training the acceptance and distancing necessary to minimize the impact of self-stigma on people with chronic psychosis. This study adheres to the EQUATOR guidelines for the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Suggested Citation

  • Tatiana Arboleya-Faedo & Ana González-Menéndez & David González-Pando & Mercedes Paino & Fernando Alonso-Pérez, 2023. "Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study," IJERPH, MDPI, vol. 20(9), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:9:p:5688-:d:1136408
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    References listed on IDEAS

    as
    1. Tatiana Arboleya & Ana González-Menéndez & Helena Ordoñez & David G. Pando & Mercedes Paino, 2020. "Inflexibility processes as predictors of social functioning in chronic psychosis," Psychosis, Taylor & Francis Journals, vol. 12(3), pages 234-244, July.
    2. Ana González-Menéndez & Tatiana Arboleya Faedo & David González-Pando & Nuria Ordoñez-Camblor & Elena García-Vega & Mercedes Paino, 2021. "Psychological Inflexibility in People with Chronic Psychosis: The Mediating Role of Self-Stigma and Social Functioning," IJERPH, MDPI, vol. 18(23), pages 1-12, November.
    3. Cian-Ruei Jian & Peng-Wei Wang & Huang-Chi Lin & Mei-Feng Huang & Yi-Chun Yeh & Tai-Ling Liu & Cheng-Sheng Chen & Ya-Ping Lin & Shu-Ying Lee & Ching-Hua Chen & Yun-Chi Wang & Yu-Ping Chang & Yi-Lung C, 2022. "Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
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