Dereje Assefa|Teshome Shibre|Laura Asher|Abebaw Fekadu
Internalized stigma among patients with schizophrenia in Ethiopia: a cross-sectional facility-based study
Addis Ababa University|University College London|Addis Ababa University
despite potential impact treatment adherence recovery dearth data extent correlates internalized stigma patients schizophrenia low income countries conducted study determine extent domains correlates internalized stigma amongst outpatients schizophrenia ethiopiathe study crosssectional facilitybased survey conducted specialist psychiatric hospital addis ababa ethiopia consecutive consenting individuals diagnosis schizophrenia recruited assessed using amharic version internalized stigma mental illness ismi scaledata collected 212 individuals mostly single 712 unemployed 703 male 651 nearly participants 974 expressed agreement least one stigma item contained ismi 467 moderate high mean stigma score rural residence 567 95 ci 230 1300 p 0001 single marital status 339 95 ci 140 822 p 0019 prominent psychotic symptoms 233 95 ci 117 461 p 0016 associated independently higher stigma score almost half discontinued treatment reported done perceived stigma attempted suicide 453 likely high stigma score 229 95 ci 127 411 p 0006 60 variation experience stigma explained four factors social withdrawal 167 perceived discrimination 141 alienation 139 stereotype endorsement 127internalized stigma major problem among persons schizophrenia outpatient setting ethiopia internalized stigma potential substantially affect adherence medication likely affect recovery process