Relationship between internalized stigma and treatment efficacy in mixed neurotic spectrum and depressive disorders
Language English Country Sweden Media print
Document type Journal Article
PubMed
25702300
PII: NEL350814A07
Knihovny.cz E-resources
- MeSH
- Antidepressive Agents therapeutic use MeSH
- Depressive Disorder drug therapy psychology therapy MeSH
- Adult MeSH
- Combined Modality Therapy MeSH
- Middle Aged MeSH
- Humans MeSH
- Neuroticism MeSH
- Psychotherapy methods MeSH
- Self Concept * MeSH
- Social Stigma * MeSH
- Anxiety Disorders drug therapy psychology therapy MeSH
- Treatment Outcome * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Antidepressive Agents MeSH
OBJECTIVE: Many psychiatric patients suffer from self-stigma. One consequence of these internalized prejudices is decreased treatment efficacy. Much has been written about the effects of self-stigma in patients with severe mental disorders. However, individuals with minor psychiatric disorders also suffer from self-stigma. It is therefore necessary to explore the effect of self-stigma on treatment efficacy of neurotic patients. METHOD: Aim of out study was to investigate relationship between self-stigma, severity of symptoms, and presence of comorbidit disorder and treatment outcome in neurotic patients. Patients were treated by combined psycho and pharmacotherapy. Level of self-stigma was measured by Internalized Stigma Of Mental Illness scale. Severity of anxiety and depressive symptoms was assed by Beck Anxiety Inventory, Beck Depressive Inventory and Clinical Global Impression Scale. RESULTS: Level of self-stigma was significantly correlated with the levels of anxiety, depression and global evalutions of a mental state on the beginnig of the therapy. Up to our results patients with higher level of self-stigmatization had lower improvement after combined treatmet in respect to perceived anxiety symptoms. CONCLUSION: Self-stigma seems to be an important factor influencing efficacy of combined treatment. More researches focused on self-stigmatization should be done to find an optimal therapeutic strategy for patients with higher level of self-stigmatization.
