The clinical and psychosocial correlates of self-stigma among people with schizophrenia spectrum disorders across cultures: A systematic review and meta-analysis
Individuals with schizophrenia spectrum disorders (SSD) are at heightened risk of experiencing self-stigma, and some cultures are more stigmatizing towards SSD than others. The first purpose of this review is to provide an estimate of the relationship between self-stigma and clinical and psychosocia...
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| Veröffentlicht in: | Schizophrenia research 2022-10, Vol.248, p.64-78 |
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| creator | Sarraf, Lisa Lepage, Martin Sauvé, Geneviève |
| description | Individuals with schizophrenia spectrum disorders (SSD) are at heightened risk of experiencing self-stigma, and some cultures are more stigmatizing towards SSD than others. The first purpose of this review is to provide an estimate of the relationship between self-stigma and clinical and psychosocial outcomes. The second purpose is to examine how these relationships vary across cultures.
Studies reporting correlations between self-stigma and outcome variable(s) were identified through electronic database searches from June 1, 2021, to January 2, 2022. Mean effect sizes were calculated using Fisher's r-to-Z-transformation.
Sixty-three articles (N = 8925, 22 countries) were included in the systematic review and fifty-three articles (N = 7756) were included in the meta-analysis. For the most studied clinical correlates, self-stigma had a moderate, positive correlation with depressive symptoms (r = 0.49, p |
| doi_str_mv | 10.1016/j.schres.2022.08.001 |
| format | Article |
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Studies reporting correlations between self-stigma and outcome variable(s) were identified through electronic database searches from June 1, 2021, to January 2, 2022. Mean effect sizes were calculated using Fisher's r-to-Z-transformation.
Sixty-three articles (N = 8925, 22 countries) were included in the systematic review and fifty-three articles (N = 7756) were included in the meta-analysis. For the most studied clinical correlates, self-stigma had a moderate, positive correlation with depressive symptoms (r = 0.49, p < .001), a moderate, negative correlation with functioning (r = −0.39, p < .001), and a positive, small correlation with severity of psychotic symptoms (r = 0.29, p < .001), negative symptoms (r = 0.18, p < .001) and positive symptoms (r = 0.13, p = .01). For the most studied psychosocial correlates, self-stigma had a strong, negative correlation with quality of life (r = −0.52, p < .001) and self-esteem (r = −0.55, p < .001). The correlates of self-stigma were similar across cultures.
Self-stigma shows strong to small correlations with clinical and psychosocial variables similarly across cultures. More research is needed to examine underlying mechanisms to develop effective interventions.
•Self-stigma had a moderate, positive correlation with depressive symptoms and a moderate, negative correlation with functioning.•Self-stigma had a strong, negative correlation with quality of life and self-esteem.•The correlates of self-stigma were similar across cultures.]]></description><identifier>ISSN: 0920-9964</identifier><identifier>EISSN: 1573-2509</identifier><identifier>DOI: 10.1016/j.schres.2022.08.001</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Effect size ; Functioning ; Internalized stigma ; Psychosis ; Quality of life ; Self-esteem</subject><ispartof>Schizophrenia research, 2022-10, Vol.248, p.64-78</ispartof><rights>2022 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c269t-ef48ffc3ae67e01eceb545dcf75cdccbf00fc03f4bf83075bf71777761a222283</citedby><cites>FETCH-LOGICAL-c269t-ef48ffc3ae67e01eceb545dcf75cdccbf00fc03f4bf83075bf71777761a222283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.schres.2022.08.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids></links><search><creatorcontrib>Sarraf, Lisa</creatorcontrib><creatorcontrib>Lepage, Martin</creatorcontrib><creatorcontrib>Sauvé, Geneviève</creatorcontrib><title>The clinical and psychosocial correlates of self-stigma among people with schizophrenia spectrum disorders across cultures: A systematic review and meta-analysis</title><title>Schizophrenia research</title><description><![CDATA[Individuals with schizophrenia spectrum disorders (SSD) are at heightened risk of experiencing self-stigma, and some cultures are more stigmatizing towards SSD than others. The first purpose of this review is to provide an estimate of the relationship between self-stigma and clinical and psychosocial outcomes. The second purpose is to examine how these relationships vary across cultures.
Studies reporting correlations between self-stigma and outcome variable(s) were identified through electronic database searches from June 1, 2021, to January 2, 2022. Mean effect sizes were calculated using Fisher's r-to-Z-transformation.
Sixty-three articles (N = 8925, 22 countries) were included in the systematic review and fifty-three articles (N = 7756) were included in the meta-analysis. For the most studied clinical correlates, self-stigma had a moderate, positive correlation with depressive symptoms (r = 0.49, p < .001), a moderate, negative correlation with functioning (r = −0.39, p < .001), and a positive, small correlation with severity of psychotic symptoms (r = 0.29, p < .001), negative symptoms (r = 0.18, p < .001) and positive symptoms (r = 0.13, p = .01). For the most studied psychosocial correlates, self-stigma had a strong, negative correlation with quality of life (r = −0.52, p < .001) and self-esteem (r = −0.55, p < .001). The correlates of self-stigma were similar across cultures.
Self-stigma shows strong to small correlations with clinical and psychosocial variables similarly across cultures. More research is needed to examine underlying mechanisms to develop effective interventions.
•Self-stigma had a moderate, positive correlation with depressive symptoms and a moderate, negative correlation with functioning.•Self-stigma had a strong, negative correlation with quality of life and self-esteem.•The correlates of self-stigma were similar across cultures.]]></description><subject>Effect size</subject><subject>Functioning</subject><subject>Internalized stigma</subject><subject>Psychosis</subject><subject>Quality of life</subject><subject>Self-esteem</subject><issn>0920-9964</issn><issn>1573-2509</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UclqHDEQFSGGTOz8QQ465tKdUu-dQ8CYbGDIxTkLTXXJo0Hd6qjUMZO_8Z9a9uScuhQU7xVvEeK9glKB6j4eS8ZDJC4rqKoShhJAvRI71fZ1UbUwvhY7GCsoxrFr3oi3zEfIiBb6nXi8O5BE7xaHxkuzTHLlEx4CB3T5gCFG8iYRy2Alk7cFJ3c_G2nmsNzLlcLqST64dJBZg_sb1ixkcUbySpjiNsvJcYgTRZYGY2CWuPm0ZbWf5LXkEyeaTXIoI_1x9PAiYaZkCrMYf2LHV-LCGs_07t--FL--frm7-V7c_vz24-b6tsCqG1NBthmsxdpQ1xMoQtq3TTuh7VucEPcWwCLUttnboYa-3dte9Xk6Zao8Q30pPpz_rjH83oiTnh0jeW8WChvrqodKDV3dqQxtztAXQ5GsXqObTTxpBfq5EX3U50b0cyMaBp3zzrTPZxplG9lszCBHC9LkYg5LT8H9_8ETuPmcOQ</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Sarraf, Lisa</creator><creator>Lepage, Martin</creator><creator>Sauvé, Geneviève</creator><general>Elsevier B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202210</creationdate><title>The clinical and psychosocial correlates of self-stigma among people with schizophrenia spectrum disorders across cultures: A systematic review and meta-analysis</title><author>Sarraf, Lisa ; Lepage, Martin ; Sauvé, Geneviève</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c269t-ef48ffc3ae67e01eceb545dcf75cdccbf00fc03f4bf83075bf71777761a222283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Effect size</topic><topic>Functioning</topic><topic>Internalized stigma</topic><topic>Psychosis</topic><topic>Quality of life</topic><topic>Self-esteem</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarraf, Lisa</creatorcontrib><creatorcontrib>Lepage, Martin</creatorcontrib><creatorcontrib>Sauvé, Geneviève</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Schizophrenia research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarraf, Lisa</au><au>Lepage, Martin</au><au>Sauvé, Geneviève</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical and psychosocial correlates of self-stigma among people with schizophrenia spectrum disorders across cultures: A systematic review and meta-analysis</atitle><jtitle>Schizophrenia research</jtitle><date>2022-10</date><risdate>2022</risdate><volume>248</volume><spage>64</spage><epage>78</epage><pages>64-78</pages><issn>0920-9964</issn><eissn>1573-2509</eissn><abstract><![CDATA[Individuals with schizophrenia spectrum disorders (SSD) are at heightened risk of experiencing self-stigma, and some cultures are more stigmatizing towards SSD than others. The first purpose of this review is to provide an estimate of the relationship between self-stigma and clinical and psychosocial outcomes. The second purpose is to examine how these relationships vary across cultures.
Studies reporting correlations between self-stigma and outcome variable(s) were identified through electronic database searches from June 1, 2021, to January 2, 2022. Mean effect sizes were calculated using Fisher's r-to-Z-transformation.
Sixty-three articles (N = 8925, 22 countries) were included in the systematic review and fifty-three articles (N = 7756) were included in the meta-analysis. For the most studied clinical correlates, self-stigma had a moderate, positive correlation with depressive symptoms (r = 0.49, p < .001), a moderate, negative correlation with functioning (r = −0.39, p < .001), and a positive, small correlation with severity of psychotic symptoms (r = 0.29, p < .001), negative symptoms (r = 0.18, p < .001) and positive symptoms (r = 0.13, p = .01). For the most studied psychosocial correlates, self-stigma had a strong, negative correlation with quality of life (r = −0.52, p < .001) and self-esteem (r = −0.55, p < .001). The correlates of self-stigma were similar across cultures.
Self-stigma shows strong to small correlations with clinical and psychosocial variables similarly across cultures. More research is needed to examine underlying mechanisms to develop effective interventions.
•Self-stigma had a moderate, positive correlation with depressive symptoms and a moderate, negative correlation with functioning.•Self-stigma had a strong, negative correlation with quality of life and self-esteem.•The correlates of self-stigma were similar across cultures.]]></abstract><pub>Elsevier B.V</pub><doi>10.1016/j.schres.2022.08.001</doi><tpages>15</tpages></addata></record> |
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| subjects | Effect size Functioning Internalized stigma Psychosis Quality of life Self-esteem |
| title | The clinical and psychosocial correlates of self-stigma among people with schizophrenia spectrum disorders across cultures: A systematic review and meta-analysis |
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