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Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness

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Abstract

Background

With the worldwide shift towards a more community-based psychiatric service delivery approach, stigma and the issues surrounding it have received much attention. However, very little South African data exist and the aim of our study was therefore to investigate the experience of internalized stigma in a South African schizophrenia population with specific emphasis on abuse as a form of stigmatization.

Methods

A total of 100 subjects at various stages of schizophrenic illness were subjected to a the Internalized Stigma of Mental Illness scale (ISMI) that was modified to include six items focusing specifically on investigating the experience of stigmatization within the South African context.

Results

A high overall degree of stigmatization was perceived by most subjects, but not equally so for all ISMI areas. When looking at the modified items, 29% felt media-influence to be negative, this seemed to be specifically true for those with matriculation and higher as well as a home-language other than Afrikaans. Thirty nine percent indicated that they had been victims of physical abuse due to their mental illness, with the data suggesting that especially Xhosa-speaking patients, male subjects and those with more admissions and a longer duration of illness experienced this excessively.

Discussion

Our study confirmed a high overall degree of perceived stigmatization as well as suggesting some evidence for cultural influences on stigma. It was the first to provide South African data and as such can be regarded as central to our efforts in restructuring psychiatric services and clinical practices in a way that would minimize the effects of stigma and ultimately benefit our clients.

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References

  1. Adebowale TO, Ogunlesi AO (1999) Beliefs and knowledge about aetiology of mental illness among Nigerian psychiatric patients and their relatives. Afr J Med Med Sci 28(1–2):35–41

    PubMed  CAS  Google Scholar 

  2. Angermeyer MC, Buyantugs L, Kenzine DV, Matschinger H (2004) Effects of labeling on public attitudes towards people with schizophrenia: are there cultural differences? Acta Psychiatr Scand 109(6):420–425

    Article  PubMed  CAS  Google Scholar 

  3. Angermeyer MC, Matschinger H (2003) The Stigma of Mental illness: effects of labelling on public attitudes towards people with mental disorder. Acta Psychiatr Scand 108(4):304

    Article  PubMed  CAS  Google Scholar 

  4. American Psychiatric Association (1994) The diagnostic and statistical Manual of Mental Disorders, 4th edn. Washington DC. American Psychiatric Press

    Google Scholar 

  5. Ayonrinde O, Gureje O, Lawal R (2004) Psychiatric research in Nigeria: bridging tradition and modernisation. Br J Psychiatry 184:536–538

    Article  PubMed  Google Scholar 

  6. Corrigan PW, Rowan D, Green A, Lundin R, Upoff-Wasowski K, White K, Kubiak MA (2002) Challenging two mental illness stigmas: personal responsibility and dangerousness. Schizoph Bull 28(2):293–309

    PubMed  Google Scholar 

  7. Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ (2000) Stigmatisation of people with mental illnesses. Br J Psychiatry 177:4–7

    Article  PubMed  CAS  Google Scholar 

  8. Cummings E, Cummings J (1957) Closed ranks: an experiment in Mental Health Education. Cambridge, MA, Harvard University Press

    Google Scholar 

  9. Dickerson FB, Sommerville J, Origoni AE, Ringel NB, Parente F (2002) Experiences of stigma among outpatients with schizophrenia. Schizophr Bull 28(1):143–155

    PubMed  Google Scholar 

  10. Dinos S, Stevens S, Serfaty M, Weich S, King M (2004) Stigma: the feelings and experiences of 46 people with mental illness. Qualitative study. Br J Psychiatry 184:176–181

    Article  PubMed  Google Scholar 

  11. Fabrega H, Jr (1991) The culture and history of psychiatric stigma in early modern and modern Western societies: a review of recent literature. Comprehensive Psychiatry 32(2):97–119

    Article  PubMed  Google Scholar 

  12. Fabrega H, Jr (1991) Psychiatric stigma in non-Western societies. Comprehensive Psychiatry 32(6):534–551

    Article  PubMed  Google Scholar 

  13. Harrison G, Holton A, Neilson D, Owens D, Boot D, Cooper J (1989) Severe mental disorder in Afro-Carribean patients: social, demographic and service factors. Psychological Medicine 19(3):683–696

    Article  PubMed  CAS  Google Scholar 

  14. Hayward P, Bright JA (1997) Stigma and mental illness; A review and critique. J Mental Health 6(4):345–354

    Article  Google Scholar 

  15. Hugo CJ, Boshoff DE, Traut A, Zungu-Dirwayi N, Stein DJ (2003) Community atttudes toward and knowledge of mental illness in South Africa. Social Psychiatry Psychiatr Epidemiol 38(12):715–719

    Article  Google Scholar 

  16. Lee S, Lee MT, Chiu MY, Kleinman A (2005) Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry 186:153–157

    Article  PubMed  Google Scholar 

  17. Lee S (2002) The stigma of schizophrenia: a trans-cultural problem. Curr opin Psychiatry 15:37–41

    Article  Google Scholar 

  18. Link BG, Cullen FT (1986) Contact with the mentally ill and perceptions of how dangerous they are. J Health Social Behav 27:289–303

    Article  CAS  Google Scholar 

  19. Mann CE, Himelein J (2004) Factors associated with stigmatization of persons with mental illness. Psychiatr Serv 55:185–187

    Article  PubMed  Google Scholar 

  20. Mayeya J, Chazulwa R, Mayeya PN, Mbewe E, Magolo LM, Kasisi F, Bowa AC (2004) Zambia mental health country profile. Int Rev of Psychiatry 16(1–2):63–72

    Article  Google Scholar 

  21. Mbanga NI, Niehaus DJ, Mzamo NC, Wessels CJ, Allen A, Emsley RA, Stein DJ (2002) Attitudes towards and beliefs about schizophrenia in Xhosa families with affected probands. Curationis 1:69–73

    Google Scholar 

  22. Mkize LP, Uys LR (2004) Pathways to mental health care in KwaZulu–Natal. Curationis 27(3):62–71

    PubMed  CAS  Google Scholar 

  23. Ritsher JB, Otilingam PG, Grajales M (2003) Internalized Stigma of mental Illness:psychometric properties of a new measure. Psychol Res 121(1):31–49

    Article  Google Scholar 

  24. Thompson AH, Stuart H, Bland RC, Arboleda-Florez J, Warner R, Dickson RA, Sartorius N, Lopez-Ibor JJ, Stefanis CN, Wig NN (1996) Attitudes about schizophrenia from the pilot site of WPA worldwide campaign against stigma of schizophrenia. British Journal of Psychiatry 168(2):183–190

    Article  Google Scholar 

  25. Trute B, Loewen A (1978) Public attitudes toward the mentally ill; a function of prior personal experience. Social Psychiatry 13:79–84

    Article  Google Scholar 

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Authors and Affiliations

  1. Dept. of Psychiatry, University of Stellenbosch, PO Box 19063, Tygerberg, 7505, South Africa

    Ulla A. Botha,  Liezl Koen & Dana J. H. Niehaus

Authors
  1. Ulla A. Botha
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  2. Liezl Koen
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  3. Dana J. H. Niehaus
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Correspondence to Liezl Koen.

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Botha, U.A., Koen, L. & Niehaus, D.J. Perceptions of a South African schizophrenia population with regards to community attitudes towards their illness. Soc Psychiat Epidemiol 41, 619–623 (2006). https://doi.org/10.1007/s00127-006-0071-1

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  • DOI: https://doi.org/10.1007/s00127-006-0071-1

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