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Self-stigma in patients with major depressive disorder: An exploratory study from India

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  • Bichitra Nanda Patra
  • Vaibhav Patil
  • Yatan Pal Singh Balhara
  • Sudhir K Khandelwal

Abstract

Background: One of the barriers to effective care in patients with depression is stigma associated with having a mental disorder, which also acts as a barrier to recovery and increases the disability. Aims: To study the stigma and disabilities experienced by the patients with depressive disorders seeking treatment in a tertiary care hospital Methodology: Fifty patients diagnosed to have depressive disorder as per ICD-10 were recruited by convenient sampling. To measure the stigma, the Discrimination and Stigma Scale -12 was applied. The severity of depression was determined by applying Hamilton Depression Rating Scale (HAMD). The disability was calculated by using WHO Disability Assessment Schedule 2.0 Results: Fifty percentages of the participants reported unfair treatment and they experienced discrimination in at least one life domain. There was significant positive correlation between unfair treatment subscale of stigma and disability. Around one fourth of the participants reported to be treated unfairly by their own families. Seventy percent reported to have concealed their mental health problems, 54% have stopped themselves from having a close personal relationship and 32% didn’t apply for work in anticipating discrimination. Experienced and anticipated discrimination were significantly associated with concealing the mental health problem. Conclusion: Stigma due to having depression acts as a barrier to vocational & social integration and functional recovery. Concealment of the diagnosis of depression is itself barrier for help seeking and to receiving appropriate treatment. Small sample size and adopting the purposive sampling method are the limitations of the study.

Suggested Citation

  • Bichitra Nanda Patra & Vaibhav Patil & Yatan Pal Singh Balhara & Sudhir K Khandelwal, 2022. "Self-stigma in patients with major depressive disorder: An exploratory study from India," International Journal of Social Psychiatry, , vol. 68(1), pages 147-154, February.
    • Handle: RePEc:sae:socpsy:v:68:y:2022:i:1:p:147-154
    DOI: 10.1177/0020764020975811
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    1. Koschorke, Mirja & Padmavati, R. & Kumar, Shuba & Cohen, Alex & Weiss, Helen A. & Chatterjee, Sudipto & Pereira, Jesina & Naik, Smita & John, Sujit & Dabholkar, Hamid & Balaji, Madhumitha & Chavan, An, 2017. "Experiences of stigma and discrimination faced by family caregivers of people with schizophrenia in India," Social Science & Medicine, Elsevier, vol. 178(C), pages 66-77.
    2. Kelvin M.T. Fung & Hector W.H. Tsang & Patrick W. Corrigan & Chow S. Lam & Wai-ming Cheng, 2007. "Measuring Self-Stigma of Mental Illness in China and Its Implications for Recovery," International Journal of Social Psychiatry, , vol. 53(5), pages 408-418, September.
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