PURPOSE: Stigma negatively affects individuals as well as entire families; therefore, it is necessary to understand "family stigma" in order to reduce the social and emotional distress of families suffering from stigma and prevent the resulting avoidance of social support and treatment. Thus, this study clarifies the concept of "family stigma" by using concept analysis method. METHODS: In order to analyze the concept, we reviewed the relevant literatures. Characteristics that appeared repeatedly throughout the literature were noted and categorized. RESULTS: Three key defining attributes were identified: (a) others' negative perceptions, attitudes, emotions, and avoidant behaviors toward a family, because of the unusualness of the family, including the negative situations, events, behaviors, problems or diseases associated with that family, or because of the unordinary characteristics or structures of that family; (b) others' belief that the unusualness of the family is somehow harmful, dangerous, unhealthy, capable of affecting them negatively, or different from general social norms; and (c) others' belief that the family members are directly or indirectly contaminated by the problematic family member, so that every family member is also considered as harmful, dangerous, unhealthy, capable of having a negative effect on others, or different from general social norms. CONCLUSION: The results of this study are expected not only to guide future research but also to enhance family care in nursing practice.
Humans ; Nursing ; Social Stigma ; Stereotyping

INTRODUCTION: Stigmatizing attitudes are barriers to treatment of mental health disorders. The burden of stigma has not been established locally. This study aimed to assess the stigma in the community by determining the knowledge, attitudes and behaviors of barangay residents towards mental health and persons with mental health illness. METHODS: A total of 422 participants were included using convenience sampling. Participants were given self-administered questionnaires that consisted of the Mental Health Knowledge Schedule (MAKS), Community Attitudes Towards the Mentally Ill (CAMI), and Reported and Intended Behavior Scale (RIBS) tools. The mean scores and percentages were computed and compared across the sociodemographic data of the respondents. RESULTS: Knowledge levels were relatively high with a mean score of 26.63. Depression, stress, bipolar disorder and drug addiction were recognized as mental illnesses by the majority of the participants. Scores in the stigmatizing ideologies authoritarianism (3.07) and social restrictiveness (2.58) were low, while the positive ideologies benevolence (3.76) and community health ideology (3.85) had higher scores. Participants were reluctant to work with mentally-ill people (3.18) but were willing to be friends with them (3.87). CONCLUSION This study concludes that the respondents were generally knowledgeable about mental health illness. There was a general acceptance and less stigmatizing attitude, and a willingness to interact with people with mental illness.
psychiatry ; Mental health ; Social Stigma

OBJECTIVE: This paper aimed to describe and correlate the knowledge, attitudes and behaviors towards mental illness among adult college students.

METHODOLOGY: Experts from the Department of Psychiatry reviewed the Mental Health Knowledge Schedule (MAKS), Community Attitude towards the Mental Illness III (CAMI-III) and Reported and Intended Behavior Scale (RIBS) appropriateness for the intended population. These were administered to randomly selected 260 adult college students from a selected university in Metro Manila. Data was analyzed using mean, frequencies, item analysis and correlation coefficient.

RESULTS: Mean score for knowledge was 48.17 of 60. Mean scores for authoritarianism, social restrictiveness, benevolence and community mental health ideology were 21.67, 18.82, 43.26 and 41.38 of 50. Mean score for nondiscriminatory behavior was 17.39 of 20. Nondiscriminatory behavior positively correlated with benevolence (r=0.34) and community mental health ideology (r=0.45). Nondiscriminatory behavior negatively correlated with authoritarianism (r=-0.34) and social restrictiveness (r=-0.39). Knowledge positively correlated with benevolence (r=0.3) and negatively correlated with social restrictiveness (r=-0.35).

CONCLUSION: College students have high mental literacy but were confused with stress and grief. They were tolerant, respectful and inclusive of the mentally ill's role in society but half viewed mental hospital as indispensable and were guarded regarding the mentally ill's role in young children, and a quarter had fallacies with mental illness recognition and etiology. Educational interventions only improve some attitudes but have no effect on discriminatory behaviors. Instead, behavioral interventions holistically improve attitudes. Compared with previous generations, the challenge in reducing discrimination is to improve attitudes instead of knowledge. Hence, stigma may not only vary by culture, but may also vary by generation.

PURPOSE: To assess parental knowledge and understanding of epilepsy including social stigma and evaluate the effects of educational programs on parents in an epilepsy camp. METHODS: We conducted an epilepsy camp on August 23-24, 2008, at Gyeongsan. Twenty families with an epileptic child each participated in the camp. We performed a survey before and after the camp to obtain data concerning parental understanding of epilepsy and the effects of the camp-based educational programs on the parents. The data were analyzed with SPSS 14.0 using frequency analysis. RESULTS: The parents were sufficiently knowledgeable about epilepsy before the camp, and their knowledge and understanding of epilepsy improved further after the camp. Both perceived stigma and enacted stigma against epilepsy were found in 30.0% of the parents. The perceived stigma decreased to 15.0% after the camp. CONCLUSION: This study suggests that social approaches such as epilepsy camps are effective in improving parental knowledge and understanding about epilepsy as well as decreasing their perceived social stigma.
Child ; Epilepsy ; Humans ; Parents ; Social Stigma

PURPOSE: To assess parental knowledge and understanding of epilepsy including social stigma and evaluate the effects of educational programs on parents in an epilepsy camp. METHODS: We conducted an epilepsy camp on August 23-24, 2008, at Gyeongsan. Twenty families with an epileptic child each participated in the camp. We performed a survey before and after the camp to obtain data concerning parental understanding of epilepsy and the effects of the camp-based educational programs on the parents. The data were analyzed with SPSS 14.0 using frequency analysis. RESULTS: The parents were sufficiently knowledgeable about epilepsy before the camp, and their knowledge and understanding of epilepsy improved further after the camp. Both perceived stigma and enacted stigma against epilepsy were found in 30.0% of the parents. The perceived stigma decreased to 15.0% after the camp. CONCLUSION: This study suggests that social approaches such as epilepsy camps are effective in improving parental knowledge and understanding about epilepsy as well as decreasing their perceived social stigma.
Child ; Epilepsy ; Humans ; Parents ; Social Stigma

Introduction: This study investigated the association of selected biopsychosocial factors (i.e., CD4 cell count, self-stigma, and social stigma) with the quality of life and adherence to treatment of people living with HIV in the National Capital Region. Methods: A cross-sectional study design was conducted to document the health status and behavior of respondents affiliated with a clinic in Quezon City. Participants answered an online questionnaire containing the Berger HIV Stigma Scale, WHO-QOL for HIV, and HIV Treatment Adherence SelfEfficacy Scale. Bivariate analyses and prevalence risk ratios were used to determine the association of selected biopsychosocial factors with quality of life and adherence to treatment. Results: One hundred respondents were analyzed, of which 42% had CD4 cell counts < 350 cells/mm3, 43% had high self-stigma and 36% had high social stigma while 11% had poor QOL and 7% had poor ATT. There was no significant association of CD4 cell count, self-stigma and social stigma with quality of life and with adherence to treatment. Conclusion A weak association was noted between poor QOL and low CD4 cell counts and among those who felt higher social stigma, but the relationships were not significant. The association between poor ATT and the selected biopsychosocial factors was not significant.
CD4 Lymphocyte Count ; Social Stigma ; Quality of Life

OBJECTIVES: This study was designed to evaluate differences in the quality of life(QOL) according to insight in patients with schizophrenia. The author speculated that insight might have an effect on individual's QOL, especially subjective QOL. METHOD: The study group consisted of patients with schizophrenia(N=55). Subjects were divided into two groups, patients with insight(N=22)and without insight(N=15), based on Scale of Unawareness of Mental Disorders(SUMD). All of the patients were administered the Quality of Life Interview (QOLI)by Lehman and compared in objective and subjective QOL between two groups. Additionally, they completed BDI and F scale on MMPI. RESULTS: The patients with insight showed a tendency of lower scores in total subjective QOLI scores and the safety issues compared to the patients without insight although not significant statistically. And they showed significantly less satisfaction with social relations. In objective QOL, there are no statistically significant differences between two groups. CONCLUSION: Such differences support the notion that schizophrenic patients with insight are less satisfied with their lives, especially in the aspect of interpersonal relations. It reflects the awareness of functional decline due to lifetime disability, disconnection from social relations, poor resources and supports, social stigma, and also depressive or anxiety symptoms. The authors propose that the treatment strategies for schizophrenia must include concern and support for domains of life with which patients feel themselves least satisfied, to increase effectiveness and efficacy of treatment and improve QOL.
Anxiety ; Humans ; Interpersonal Relations ; MMPI ; Quality of Life* ; Schizophrenia* ; Social Stigma

PURPOSE: This study was conducted to investigate the clear concept of proactivity of people with mental disabilities and to provide basic evidence for mental health nursing. METHODS: The research was conducted using Walker & Avant's conceptual analysis process. RESULTS: Proactivity of people with mental disabilities is defined as the ability of obtaining self-determination by putting continuous efforts toward their recovery, overcoming social stigma, recovering in a positive way from being withdrawn from relationships, and gaining self-confidence and willingness that they can recover from their mental illness. Antecedents were found to be persistent disease management, active participation and support of significant person. Consequences were found to be maintenance of a productive life. CONCLUSION: The results of this study accurately define the vague concept of proactivity of people with mental disabilities and contribute to mental health nursing related to proactivity for people with mental disabilities.
Disease Management ; Humans ; Mental Health ; Mentally Disabled Persons ; Social Stigma

This study assessed the poverty-related attitudes of pre-clinical medical students (first and second years) versus clinical medical students (third and fourth years). First through fourth year medical students voluntarily completed the Attitude Towards Poverty scale. First and second year students were classified together in the preclinical group and third and fourth year students together in the clinical group. A total of 297 students participated (67% response rate). Statistically significant differences were noted between pre-clinical and clinical students for scores on the subscales personal deficiency (P<0.001), stigma (P=0.023), and for total scores (P=0.016). Scores across these subscales and for total scores were all higher in the clinical group. The only subscale which did not show statistical significance between pre-clinical and clinical students was the structural perspective. Medical students in their clinical training have a less favorable attitude towards the poor than their preclinical counterparts.
Humans ; Poverty ; Social Stigma ; Students, Medical ; United States*

The goal of treatment for schizophrenia has been changed since the atypical antipsychotics have been introduced. In the past, control of psychiatric symptoms of schizophrenia was the main issue in the treatment of schizophrenia. Recently, however, reintegration into society is the final goal of treatment for patients with schizophrenia and the definitions of remission and recovery are discussed among experts group and newly introduced. For this goal, the factors which affect social dysfunctions of schizophrenia have been explored and the intervention which have been known to be helpful for improvement of social dysfunction of the patients with schizophrenia have been suggested. In this article, recent findings about social dysfunction and treatment programs for social dysfunction of schizophrenia are reviewed and introduced. Cognitive dysfunction, partial or noncompliance to treatment, social stigma and discrimination are major factors contributing social dysfunction of the patients with schizophrenia. In this regard, cognitive enhancement therapy, long-acting injectable atypical antipsychotic drugs, and psychosocial interventions which enhance treatment adherence and empower the patients in the society have been known to be helpful for social dysfunction of the patients with schizophrenia. Further biological and psychoscial studies and efforts should be made for achieving the final goal of treatment for schizophrenia-'reintegration into society'.
Antipsychotic Agents ; Discrimination (Psychology) ; Humans ; Schizophrenia* ; Social Stigma