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Experience of stigma and discrimination reported by people experiencing the first episode of schizophrenia and those with a first episode of depression: The FEDORA project

Author

Listed:
  • Elizabeth A Corker
  • Alina Beldie
  • Cecilia Brain
  • Miro Jakovljevic
  • Marek Jarema
  • Oguz Karamustafalioglu
  • Josef Marksteiner
  • Pavel Mohr
  • Dan Prelipceanu
  • Anamaria Vasilache
  • Margda Waern
  • Norman Sartorius
  • Graham Thornicroft

Abstract

Aim: To record and measure the nature and severity of stigma and discrimination experienced by people during a first episode of schizophrenia and those with a first episode of major depressive disorder. Methods: The Discrimination and Stigma Scale (DISC-12) was used in a cross-sectional survey to elicit service user reports of anticipated and experienced discrimination by 150 people with a diagnosis of first-episode schizophrenia and 176 with a diagnosis of first-episode major depressive disorder in seven countries (Austria, Croatia, Czech Republic, Poland, Romania, Sweden and Turkey). Results: Participants with a diagnosis of major depressive disorder reported discrimination in a greater number of life areas than those with schizophrenia, as rated by the total DISC-12 score ( p  = .03). With regard to specific life areas, participants with depression reported more discrimination in regard to neighbours, dating, education, marriage, religious activities, physical health and acting as a parent than participants with schizophrenia. Participants with schizophrenia reported more discrimination with regard to the police compared to participants with depression. Conclusion: Stigma and discrimination because of mental illness change in the course of the mental diseases. Future research may take a longitudinal perspective to better understand the beginnings of stigmatisation and its trajectory through the life course and to identify critical periods at which anti-stigma interventions can most effectively be applied.

Suggested Citation

  • Elizabeth A Corker & Alina Beldie & Cecilia Brain & Miro Jakovljevic & Marek Jarema & Oguz Karamustafalioglu & Josef Marksteiner & Pavel Mohr & Dan Prelipceanu & Anamaria Vasilache & Margda Waern & No, 2015. "Experience of stigma and discrimination reported by people experiencing the first episode of schizophrenia and those with a first episode of depression: The FEDORA project," International Journal of Social Psychiatry, , vol. 61(5), pages 438-445, August.
    • Handle: RePEc:sae:socpsy:v:61:y:2015:i:5:p:438-445
    DOI: 10.1177/0020764014551941
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    References listed on IDEAS

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    1. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
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