Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study

We present the results of a phenomenological study understanding the personal meaning of self-stigma in people with chronic psychosis. Self-stigma is a frequent phenomenon in the lives of people with psychosis and their families and it functions as a barrier to recovery. Semi-structured in-depth int...

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Bibliographic Details
Published in:International journal of environmental research and public health 2023-04, Vol.20 (9), p.5688
Main Authors: Arboleya-Faedo, Tatiana, González-Menéndez, Ana, González-Pando, David, Paino, Mercedes, Alonso-Pérez, Fernando
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Analysis
Avoidance behavior
Codes
Confidentiality
Data analysis
Data collection
Escape behavior
Humans
Information management
Interpersonal Relations
Interviews
Mental disorders
Mental health
Participation
Perceptions
Psychosis
Psychotic Disorders
Qualitative Research
Quality of life
Schizophrenia
Social environment
Social Stigma
Sociodemographics
Software
Stereotypes
Stigma
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Summary:We present the results of a phenomenological study understanding the personal meaning of self-stigma in people with chronic psychosis. Self-stigma is a frequent phenomenon in the lives of people with psychosis and their families and it functions as a barrier to recovery. Semi-structured in-depth interviews were conducted with fourteen outpatients that suffer from chronic psychosis during January 2020. Data analysis was carried out using an inductive approach as described by Graneheim and Lundman through the MAXQDA 2022 program. The themes observed were: "Contextual Stigma", "Components of Self-Stigma", "Skills Loss" and "Coping with Self-Stigma". The main categories and subcategories were avoidance and escape behaviours from their social environment, labelling, loss of social relationships, negative impact and self-concealment of the diagnosis. Our results revealed influence on each other, forming a looping effect that explains and amplifies the lived experience of self-stigma. These findings highlight the need to implement strategies in nursing practice aimed at training the acceptance and distancing necessary to minimize the impact of self-stigma on people with chronic psychosis. This study adheres to the EQUATOR guidelines for the Consolidated Criteria for Reporting Qualitative Research (COREQ).
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20095688