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Internalized stigma in people with severe mental illness in rural China

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Internalized stigma in people with severe mental illness in rural China. / CMHP Study Group; Ran, Mao Sheng; Zhang, Tian Ming; Wong, Irene Yin Ling; Yang, Xin; Liu, Chang Cheng; Liu, Bo; Luo, Wei; Kuang, Wei Hong; Thornicroft, Graham; Chan, Cecilia Lai Wan.

In: International Journal of Social Psychiatry, Vol. 64, No. 1, 29.11.2017, p. 9-16.

Research output: Contribution to journalArticle

Harvard

CMHP Study Group, Ran, MS, Zhang, TM, Wong, IYL, Yang, X, Liu, CC, Liu, B, Luo, W, Kuang, WH, Thornicroft, G & Chan, CLW 2017, 'Internalized stigma in people with severe mental illness in rural China', International Journal of Social Psychiatry, vol. 64, no. 1, pp. 9-16. https://doi.org/10.1177/0020764017743999, https://doi.org/10.1177/0020764017743999

APA

CMHP Study Group, Ran, M. S., Zhang, T. M., Wong, I. Y. L., Yang, X., Liu, C. C., ... Chan, C. L. W. (2017). Internalized stigma in people with severe mental illness in rural China. International Journal of Social Psychiatry, 64(1), 9-16. https://doi.org/10.1177/0020764017743999, https://doi.org/10.1177/0020764017743999

Vancouver

CMHP Study Group, Ran MS, Zhang TM, Wong IYL, Yang X, Liu CC et al. Internalized stigma in people with severe mental illness in rural China. International Journal of Social Psychiatry. 2017 Nov 29;64(1):9-16. https://doi.org/10.1177/0020764017743999, https://doi.org/10.1177/0020764017743999

Author

CMHP Study Group ; Ran, Mao Sheng ; Zhang, Tian Ming ; Wong, Irene Yin Ling ; Yang, Xin ; Liu, Chang Cheng ; Liu, Bo ; Luo, Wei ; Kuang, Wei Hong ; Thornicroft, Graham ; Chan, Cecilia Lai Wan. / Internalized stigma in people with severe mental illness in rural China. In: International Journal of Social Psychiatry. 2017 ; Vol. 64, No. 1. pp. 9-16.

Bibtex Download

@article{290f86f37d254540941eccb4273bf7a6,
title = "Internalized stigma in people with severe mental illness in rural China",
abstract = "Background: It is unknown whether there are differences in self-stigma among persons with different types of severe mental illness (SMI) in rural communities. Aim: This study was to examine the differences of self-stigma and its correlates in persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community in China. Methods: A total of 453 persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community participated in the study. The Internalized Stigma of Mental Illness (ISMI) was used to measure self-stigma. The t-test and analyses of variance (ANOVA) were used to examine the differences in mean scores of ISMI and subscales among the three diagnoses. Logistic regression was used to explore the contributing factors to the level of self-stigma among the three groups. Results: Self-stigma was moderate and severe with 94.7{\%} of the total sample. Persons with schizophrenia had significantly higher mean scores of total ISMI, alienation and discrimination experience than those with bipolar disorders. Lower family income was significantly associated with higher levels of self-stigma in persons with schizophrenia and major depressive disorder. Factors predicting the level of self-stigma among the three groups were various. Conclusion: Self-stigma is common and severe in persons with schizophrenia, major depressive disorder and bipolar disorder, especially those with lower income status in rural community in China. Persons with schizophrenia may have higher levels of self-stigma than those with bipolar disorder. Individual-level interventions should be developed to reduce self-stigma among persons with SMI in Chinese rural communities.",
keywords = "people with severe mental illness, rural China, Self-stigma",
author = "{CMHP Study Group} and Ran, {Mao Sheng} and Zhang, {Tian Ming} and Wong, {Irene Yin Ling} and Xin Yang and Liu, {Chang Cheng} and Bo Liu and Wei Luo and Kuang, {Wei Hong} and Graham Thornicroft and Chan, {Cecilia Lai Wan}",
year = "2017",
month = "11",
day = "29",
doi = "10.1177/0020764017743999",
language = "English",
volume = "64",
pages = "9--16",
journal = "The International journal of social psychiatry",
issn = "0020-7640",
publisher = "SAGE Publications Ltd",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Internalized stigma in people with severe mental illness in rural China

AU - CMHP Study Group

AU - Ran, Mao Sheng

AU - Zhang, Tian Ming

AU - Wong, Irene Yin Ling

AU - Yang, Xin

AU - Liu, Chang Cheng

AU - Liu, Bo

AU - Luo, Wei

AU - Kuang, Wei Hong

AU - Thornicroft, Graham

AU - Chan, Cecilia Lai Wan

PY - 2017/11/29

Y1 - 2017/11/29

N2 - Background: It is unknown whether there are differences in self-stigma among persons with different types of severe mental illness (SMI) in rural communities. Aim: This study was to examine the differences of self-stigma and its correlates in persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community in China. Methods: A total of 453 persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community participated in the study. The Internalized Stigma of Mental Illness (ISMI) was used to measure self-stigma. The t-test and analyses of variance (ANOVA) were used to examine the differences in mean scores of ISMI and subscales among the three diagnoses. Logistic regression was used to explore the contributing factors to the level of self-stigma among the three groups. Results: Self-stigma was moderate and severe with 94.7% of the total sample. Persons with schizophrenia had significantly higher mean scores of total ISMI, alienation and discrimination experience than those with bipolar disorders. Lower family income was significantly associated with higher levels of self-stigma in persons with schizophrenia and major depressive disorder. Factors predicting the level of self-stigma among the three groups were various. Conclusion: Self-stigma is common and severe in persons with schizophrenia, major depressive disorder and bipolar disorder, especially those with lower income status in rural community in China. Persons with schizophrenia may have higher levels of self-stigma than those with bipolar disorder. Individual-level interventions should be developed to reduce self-stigma among persons with SMI in Chinese rural communities.

AB - Background: It is unknown whether there are differences in self-stigma among persons with different types of severe mental illness (SMI) in rural communities. Aim: This study was to examine the differences of self-stigma and its correlates in persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community in China. Methods: A total of 453 persons with schizophrenia, major depressive disorder or bipolar disorder in a rural community participated in the study. The Internalized Stigma of Mental Illness (ISMI) was used to measure self-stigma. The t-test and analyses of variance (ANOVA) were used to examine the differences in mean scores of ISMI and subscales among the three diagnoses. Logistic regression was used to explore the contributing factors to the level of self-stigma among the three groups. Results: Self-stigma was moderate and severe with 94.7% of the total sample. Persons with schizophrenia had significantly higher mean scores of total ISMI, alienation and discrimination experience than those with bipolar disorders. Lower family income was significantly associated with higher levels of self-stigma in persons with schizophrenia and major depressive disorder. Factors predicting the level of self-stigma among the three groups were various. Conclusion: Self-stigma is common and severe in persons with schizophrenia, major depressive disorder and bipolar disorder, especially those with lower income status in rural community in China. Persons with schizophrenia may have higher levels of self-stigma than those with bipolar disorder. Individual-level interventions should be developed to reduce self-stigma among persons with SMI in Chinese rural communities.

KW - people with severe mental illness

KW - rural China

KW - Self-stigma

UR - http://www.scopus.com/inward/record.url?scp=85040734440&partnerID=8YFLogxK

U2 - 10.1177/0020764017743999

DO - 10.1177/0020764017743999

M3 - Article

AN - SCOPUS:85040734440

VL - 64

SP - 9

EP - 16

JO - The International journal of social psychiatry

JF - The International journal of social psychiatry

SN - 0020-7640

IS - 1

ER -

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