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Correlates of internalized stigma levels in people with psychosis in the Czech Republic

Author

Listed:
  • Aneta Alexová
  • Anna KÃ¥gström
  • Petr Winkler
  • Lucie Kondrátová
  • Miroslava JanouÅ¡ková

Abstract

Background: Internalized stigma negatively affects lives and prognosis of individuals with psychosis. Aim: This study aimed to identify correlates of internalized stigma among individuals with psychosis in a sample of community care users in the Czech Republic. Methods: A cross-sectional study was conducted among 133 community service users with psychosis. A shortened version of the Internalized Stigma of Mental Illness (ISMI-10) scale was used alongside the 5-level EQ-5D version (EQ-5D-5L), assessing health-related quality of life. Descriptive and linear regression analyses were performed in order to determine levels of internalized stigma and its correlates. Results: High levels of internalized stigma were reported in 25% of participants. Lower internalized stigma levels were associated with better self-reported health status and being married, and higher internalized stigma with a longer period of time since initial contact with psychiatric care. Conclusion: Lower internalized stigma levels are associated with better self-reported health-related quality of life. In addition, clients having used psychiatric care for longer periods of time reported significantly higher internalized stigma levels. Therefore, authors suggest self-stigma reduction interventions based in a community setting with an emphasis on targeting clients with chronic psychosis.

Suggested Citation

  • Aneta Alexová & Anna KÃ¥gström & Petr Winkler & Lucie Kondrátová & Miroslava JanouÅ¡ková, 2019. "Correlates of internalized stigma levels in people with psychosis in the Czech Republic," International Journal of Social Psychiatry, , vol. 65(5), pages 347-353, August.
    • Handle: RePEc:sae:socpsy:v:65:y:2019:i:5:p:347-353
    DOI: 10.1177/0020764019850204
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