IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v70y2024i4p639-652.html
   My bibliography  Save this article

Systematic review and meta-analysis of internalised stigma and stigma resistance in patients with psychosis: The impact of individualism-collectivism culture and other individual factors

Author

Listed:
  • Min Yi Sum
  • Charmaine Tsz Wing Wong
  • Sin Ting Chu
  • Angel Li
  • Athena Hoi Ting Lee
  • Eric Yu Hai Chen
  • Sherry Kit Wa Chan

Abstract

Purpose: This study aimed to meta-analysis the level of internalised stigma experienced by individuals with psychosis worldwide, and the impact of cultural differences, economic status of the studied regions and duration of illness on their levels of internalised stigma. Clinical and individual level factors associated with internalised stigma and stigma resistance were also systematically reviewed. Methods: A systematic search of keywords on two scholarly databases were conducted. The individualism index of the countries or regions where the studies were conducted was retrieved from Hofstede’s updated measurement of individualism. Economic status of regions was categorised based on their per capita gross national income. Meta-analysis and meta-regression were conducted using the ‘metafor’ package in R. Factors associated with internalised stigma and stigma resistance were also systematically consolidated. Results: Seventy-three articles were included in the meta-analysis and the pooled score of both internalised stigma and stigma resistance of individuals with psychosis were within the mild range (2.20 and 2.44, respectively). The meta-regression analysis found high collectivism culture is significantly related to a higher level of internalised stigma. Economic status was not significant. Thirty-five articles were included in the systematic review and clinical, psychological, psychosocial variables, cognition and sociodemographic factors were found to be associated with internalised stigma. Conclusion: Internalised stigma in psychosis is ubiquitous worldwide and high collectivism culture may be related with high internalised stigma. With the presence of multiple individual factors related to internalised stigma, intervention programmes to reduce internalised stigma should consider focussing on both macro- and micro-level factors.

Suggested Citation

  • Min Yi Sum & Charmaine Tsz Wing Wong & Sin Ting Chu & Angel Li & Athena Hoi Ting Lee & Eric Yu Hai Chen & Sherry Kit Wa Chan, 2024. "Systematic review and meta-analysis of internalised stigma and stigma resistance in patients with psychosis: The impact of individualism-collectivism culture and other individual factors," International Journal of Social Psychiatry, , vol. 70(4), pages 639-652, June.
    • Handle: RePEc:sae:socpsy:v:70:y:2024:i:4:p:639-652
    DOI: 10.1177/00207640231216924
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/00207640231216924
    Download Restriction: no
    File URL: https://libkey.io/10.1177/00207640231216924?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Yuriy Gorodnichenko & Gérard Roland, 2012. "Understanding the Individualism-Collectivism Cleavage and Its Effects: Lessons from Cultural Psychology," International Economic Association Series, in: Masahiko Aoki & Timur Kuran & Gérard Roland (ed.), Institutions and Comparative Economic Development, chapter 11, pages 213-236, Palgrave Macmillan.
    2. Aneta Alexová & Anna Kågström & Petr Winkler & Lucie Kondrátová & Miroslava Janoušková, 2019. "Correlates of internalized stigma levels in people with psychosis in the Czech Republic," International Journal of Social Psychiatry, , vol. 65(5), pages 347-353, August.
    3. Lucy Mersh & Fergal Jones & Joseph Oliver, 2015. "Mindfulness, self-stigma and social functioning in first episode psychosis: A brief report," Psychosis, Taylor & Francis Journals, vol. 7(3), pages 261-264, July.
    4. Kyriacou, Andreas P., 2016. "Individualism–collectivism, governance and economic development," European Journal of Political Economy, Elsevier, vol. 42(C), pages 91-104.
    5. Paul Brewer & Sunil Venaik, 2011. "Individualism–Collectivism in Hofstede and GLOBE," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 42(3), pages 436-445, April.
    6. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    7. Necati Berk, 2021. "Analysis of the role of collectivism in light of the recent literature on the big triangle: Institutions, culture, and economic development," Russian Journal of Economics, ARPHA Platform, vol. 7(3), pages 185-199, December.
    8. Bruce Kogut & Harbir Singh, 1988. "The Effect of National Culture on the Choice of Entry Mode," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 19(3), pages 411-432, September.
    9. Richard Ball, 2001. "Individualism, Collectivism, and Economic Development," The ANNALS of the American Academy of Political and Social Science, , vol. 573(1), pages 57-84, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Teodor Sedlarski, 2022. "Individualism, collectivism, social capital, and economic development," Economic Thought journal, Bulgarian Academy of Sciences - Economic Research Institute, issue 2, pages 171-204.
    2. Liu, Yuli & Ge, Yuejing & Hu, Zhiding & Wang, Shufang, 2018. "Culture and capital flows—Exploring the spatial differentiation of China's OFDI," China Economic Review, Elsevier, vol. 48(C), pages 27-45.
    3. Israel Eruchimovitch & Moti Michaeli & Assaf Sarid, 2024. "On the coevolution of individualism and institutions," Journal of Economic Growth, Springer, vol. 29(3), pages 391-432, September.
    4. Yun Hyeong Choi & Qingyuan Wei & Luyao Zhang & Seong-Jin Choi, 2022. "The Impact of Cultural Distance on Performance at the Summer Olympic Games," SAGE Open, , vol. 12(1), pages 21582440221, March.
    5. Sjoerd Beugelsdijk & Björn Ambos & Phillip C Nell, 2018. "Conceptualizing and measuring distance in international business research: Recurring questions and best practice guidelines," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 49(9), pages 1113-1137, December.
    6. Yeganeh, Hamid, 2014. "A Weighted, Mahalanobian, and Asymmetrical Approach to Calculating National Cultural Distance," Journal of International Management, Elsevier, vol. 20(4), pages 436-463.
    7. Cláudia Frias Pinto & Fernando Ribeiro Serra & Manuel Portugal Ferreira, 2014. "A bibliometric study on culture research in International Business," Working Papers 107, globADVANTAGE, Polytechnic Institute of Leiria.
    8. Sasaki, Innan & Yoshikawa, Katsuhiko, 2014. "Going beyond national cultures – Dynamic interaction between intra-national, regional, and organizational realities," Journal of World Business, Elsevier, vol. 49(3), pages 455-464.
    9. Nikolaev, Boris & Boudreaux, Christopher & Salahodjaev, Rauf, 2017. "Are individualistic societies less equal? Evidence from the parasite stress theory of values," Journal of Economic Behavior & Organization, Elsevier, vol. 138(C), pages 30-49.
    10. Assmann, Daisy & Ehrl, Philipp, 2021. "Individualistic culture and entrepreneurial opportunities," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 1248-1268.
    11. Dahlgrün, Philipp W. & Bausch, Andreas, 2019. "How Opportunistic Culture Affects Financial Performance in Outsourcing Relationships: A Meta-Analysis," Journal of International Management, Elsevier, vol. 25(1), pages 81-100.
    12. Golesorkhi, Sougand & Mersland, Roy & Randøy, Trond & Shenkar, Oded, 2019. "The Performance Impact of Informal and Formal Institutional Differences in Cross-Border Alliances," International Business Review, Elsevier, vol. 28(1), pages 104-118.
    13. Srivastava, Saurabh & Singh, Shiwangi & Dhir, Sanjay, 2020. "Culture and International business research: A review and research agenda," International Business Review, Elsevier, vol. 29(4).
    14. Gupta, Deepika R. & Veliyath, Rajaram & George, Rejie, 2018. "Influence of national culture on IPO activity," Journal of Business Research, Elsevier, vol. 90(C), pages 226-246.
    15. Cristina López-Duarte & Marta M. Vidal-Suárez & Belén González-Díaz, 2019. "Cross-national distance and international business: an analysis of the most influential recent models," Scientometrics, Springer;Akadémiai Kiadó, vol. 121(1), pages 173-208, October.
    16. Carola Conces Binder, 2019. "Redistribution and the Individualism–Collectivism Dimension of Culture," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(3), pages 1175-1192, April.
    17. Saunoris, James W., 2024. "Individualism, economic freedom, and the development of the shadow economy," Economic Systems, Elsevier, vol. 48(1).
    18. Richter, Nicole Franziska & Hauff, Sven & Schlaegel, Christopher & Gudergan, Siegfried & Ringle, Christian M. & Gunkel, Marjaana, 2016. "Using Cultural Archetypes in Cross-cultural Management Studies," Journal of International Management, Elsevier, vol. 22(1), pages 63-83.
    19. Silbiger, Avi & Barnes, Bradley R. & Berger, Ron & Renwick, Douglas W.S., 2021. "The role of regulatory focus and its influence on the cultural distance – Adjustment relationship for expatriate managers," Journal of Business Research, Elsevier, vol. 122(C), pages 398-410.
    20. Ilhan-Nas, Tulay & Okan, Tarhan & Tatoglu, Ekrem & Demirbag, Mehmet & Wood, Geoffrey & Glaister, Keith W., 2018. "Board composition, family ownership, institutional distance and the foreign equity ownership strategies of Turkish MNEs," Journal of World Business, Elsevier, vol. 53(6), pages 862-879.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:70:y:2024:i:4:p:639-652. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.