Stigma

Stigma is not just a problem which stops people from seeking help for mental health problems.

A recent study  below shows that levels of perceived stigma in individuals with bipolar disorder actually seem to be realated  to their degree of recovery from episodes of illness.

Psychiatr Serv 52:1627-1632, December 2001 Special Section Stigma as a Barrier to Recovery: Adverse Effects of Perceived Stigma on Social Adaptation of Persons Diagnosed With Bipolar Affective Disorder Deborah A. Perlick, Ph.D., Robert A. Rosenheck, M.D., John F. Clarkin, Ph.D., Jo Anne Sirey, Ph.D., Jamelah Salahi, B.S., Elmer L. Struening, Ph.D. and Bruce G. Link, Ph.D.  (full text of article)

All the more reason to work on issues of stigma both at a public education level and amongst people with bipolar disorder.

 

Stigma as a Barrier to Recovery: Adverse Effects of Perceived Stigma on Social Adaptation of Persons Diagnosed With Bipolar Affective Disorder

Deborah A. Perlick, Ph.D., Robert A. Rosenheck, M.D., John F. Clarkin, Ph.D., Jo Anne Sirey, Ph.D., Jamelah Salahi, B.S., Elmer L. Struening, Ph.D. and Bruce G. Link, Ph.D.

OBJECTIVE: The purpose of this study was to evaluate the effect of concerns about stigma on social adaptation among persons with a diagnosis of bipolar affective disorder.

METHODS: The sample comprised 264 persons who were consecutively admitted to a psychiatric inpatient or outpatient service at a university-affiliated hospital and who met research diagnostic criteria for bipolar I disorder, bipolar II disorder, or schizoaffective disorder, manic type. Patients were evaluated with use of the Schedule for Affective Disorders and Schizophrenia, Lifetime Version (SADS-L), the Brief Psychiatric Rating Scale (BPRS), and a measure of perceived stigma. Social adjustment was measured at baseline and seven months later with the Social Adjustment Scale (SAS). RESULTS: As predicted, patients who had concerns about stigma showed significantly more impairment at seven months on the social leisure subscale but not on the SAS extended family subscale, after baseline SAS score and symptom level had been controlled for. More refined models using SAS-derived factors as dependent variables indicated that concerns about stigma predicted higher avoidance of social interactions with persons outside the familyand psychological isolation at seven-month follow-up, after baseline SAS and BPRS scores had been controlled for.

CONCLUSIONS: Concerns about the stigma associated with mental illness reported by patients during an acute phase of bipolar illness predicted poorer social adjustment seven months later with individuals outside the patient’s family. Greater attention to patients’ concerns about stigma is needed from both researchers and clinicians.