Mao?Sheng Ran|Tianming Zhang|Irene Yin-Ling Wong|Xin Yang|Changcheng Liu|Bo Liu|Wei Luo|Weihong Kuang|Graham Thornicroft|Cecilia Lai-Wan Chan
Internalized stigma in people with severe mental illness in rural China
University of Hong Kong|University of Hong Kong|University of Pennsylvania|Jingzhou Central Hospital|Jingzhou Central Hospital|Sichuan University|West China Hospital of Sichuan University|King's College London|University of Hong Kong
backgroundit unknown whether differences selfstigma among persons different types severe mental illness smi rural communitiesaimthis study examine differences selfstigma correlates persons schizophrenia major depressive disorder bipolar disorder rural community chinamethodsa total 453 persons schizophrenia major depressive disorder bipolar disorder rural community participated study internalized stigma mental illness ismi used measure selfstigma ttest analyses variance anova used examine differences mean scores ismi subscales among three diagnoses logistic regression used explore contributing factors level selfstigma among three groupsresultsselfstigma moderate severe 947 total sample persons schizophrenia significantly higher mean scores total ismi alienation discrimination experience bipolar disorders lower family income significantly associated higher levels selfstigma persons schizophrenia major depressive disorder factors predicting level selfstigma among three groups variousconclusionselfstigma common severe persons schizophrenia major depressive disorder bipolar disorder especially lower income status rural community china persons schizophrenia may higher levels selfstigma bipolar disorder individuallevel interventions developed reduce selfstigma among persons smi chinese rural communities