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Self-stigma, quality of life and schizophrenia: An outpatient clinic survey in Nigeria

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  • Temilola J Mosanya
  • Adegoke O Adelufosi
  • Olaolu T Adebowale
  • Adegboyega Ogunwale
  • Olaide K Adebayo

Abstract

Background: Stigma is a major obstacle to the treatment and recovery of people with mental illness. In Nigeria, there is a dearth of information on internalization of stigma and its effect on treatment outcome measures such as quality of life. Aim and objectives: The aim of the study was to assess self-stigma among patients with schizophrenia attending a psychiatric hospital outpatient clinic, and the relationship of self-stigma to the socio-demographic, clinical characteristics and quality of life of the patients. Method: Two hundred and fifty-six consecutive outpatient attendees of the Neuropsychiatric Hospital, Aro, Abeokuta in Nigeria with a Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) diagnosis of schizophrenia were recruited for the study. The diagnosis of schizophrenia was established with the Structured Clinical Interview Schedule for DSM-IV Axis I disorder (SCID), while item 17 of the Present State Examination was used to ascertain the presence of insight into the illness. The subjects were interviewed with a socio-demographic questionnaire, the Internalized Stigma of Mental Illness (ISMI) scale, the Brief Psychiatric Rating Scale (BPRS) and the World Health Organization’s Quality of Life (WHOQOL-Bref) questionnaire. Results: The mean age of the subjects was 39.5 (SD = 10.6) years with males constituting 52.0% of the sample. High self-stigma was found in 18.8% of the subjects. The socio-demographic and clinical correlates of high self-stigma found using univariate analysis were low educational level ( χ 2 = 22.69, p

Suggested Citation

  • Temilola J Mosanya & Adegoke O Adelufosi & Olaolu T Adebowale & Adegboyega Ogunwale & Olaide K Adebayo, 2014. "Self-stigma, quality of life and schizophrenia: An outpatient clinic survey in Nigeria," International Journal of Social Psychiatry, , vol. 60(4), pages 377-386, June.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:4:p:377-386
    DOI: 10.1177/0020764013491738
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    References listed on IDEAS

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    1. Mechanic, David & McAlpine, Donna & Rosenfield, Sarah & Davis, Diane, 1994. "Effects of illness attribution and depression on the quality of life among persons with serious mental illness," Social Science & Medicine, Elsevier, vol. 39(2), pages 155-164, July.
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