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Self-stigma as a barrier to recovery: a longitudinal study

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Stigma limits life opportunities of persons with mental illness. Self-stigma, the internalization of negative stereotypes, undermines empowerment and could hinder recovery. Here we examined self-stigma’s effect on recovery among 222 disability pensioners with mental illness over 2 years, controlling for age, gender, symptoms and recovery at baseline measured by the Recovery Assessment Scale. More self-stigma at baseline was associated with a significant decrease in recovery after 1 year (not significant after 2 years). An increase of self-stigma from baseline to follow-up predicted less recovery 1 and 2 years later. Interventions that reduce self-stigma could therefore improve recovery.

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We are grateful to all participants.

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Correspondence to Nathalie Oexle.

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The study was approved by the ethics committee of the canton of Zurich (reference number: KEK-ZH-NR: 2010 − 0311/0).

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Oexle, N., Müller, M., Kawohl, W. et al. Self-stigma as a barrier to recovery: a longitudinal study. Eur Arch Psychiatry Clin Neurosci 268, 209–212 (2018).

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