Internalized-stigma and dissociative experiences in bipolar disorder.

bipolar disorder dissociation internalized stigma mental health mood disorders psychopathology quality of life trauma

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 26 05 2022
accepted: 11 07 2022
entrez: 15 8 2022
pubmed: 16 8 2022
medline: 16 8 2022
Statut: epublish

Résumé

Dissociative symptoms have been recently related to bipolar disorder (BD) symptomatology. Moreover, the disease burden carries on a share of perceived self-stigma that amplifies the BD impairment. Internalized stigma and dissociative symptoms often seem overlapping, leading toward common outcomes, with reduced treatment seeking and poor adherence. We hypothesize a potential relationship between dissociation and self-stigma in patients suffering from BD. In this cross-sectional study we enrolled a total of 120 adult clinically stable BD outpatients. All participants completed the Internalized Stigma of Mental Illness (ISMI), Dissociative Experiences Scale-II (DES-II), and Manchester Short Assessment of Quality of Life (MANSA). Average age and age at BD (BD-I For the first time, our data suggests that self-stigma is associated to dissociative symptoms, reducing overall quality of life in BD. The early identification of at-risk patients with previous lifetime abuse and high perceived stigma could lead the way for an ever more precise tailoring of treatment management.

Identifiants

pubmed: 35966460
doi: 10.3389/fpsyt.2022.953621
pmc: PMC9372275
doi:

Types de publication

Journal Article

Langues

eng

Pagination

953621

Informations de copyright

Copyright © 2022 de Filippis, Menculini, D'Angelo, Carbone, Tortorella, De Fazio and Steardo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Br J Psychiatry. 1998 Dec;173:514-8
pubmed: 9926081
J Consult Clin Psychol. 2012 Oct;80(5):719-29
pubmed: 22823857
Compr Psychiatry. 2013 Aug;54(6):665-72
pubmed: 23601987
Brain Behav Immun. 2020 Oct;89:555-558
pubmed: 32731007
J Nerv Ment Dis. 1986 Dec;174(12):727-35
pubmed: 3783140
Schizophr Bull. 2021 Aug 21;47(5):1261-1287
pubmed: 33459793
Curr Psychiatry Rep. 2016 Jan;18(1):11
pubmed: 26780206
Acta Biomed. 2018 Mar 27;89(1):93-98
pubmed: 29633749
Soc Sci Med. 2019 May;228:25-29
pubmed: 30870669
Handb Clin Neurol. 2012;106:251-63
pubmed: 22608626
Psychiatry Res. 2016 Dec 30;246:500-506
pubmed: 27821360
Psychol Med. 2019 May;49(7):1109-1117
pubmed: 29950190
J Affect Disord. 2015 Apr 1;175:116-23
pubmed: 25601311
J Affect Disord. 2018 Oct 1;238:399-404
pubmed: 29909303
Schizophr Res. 2010 Sep;122(1-3):232-8
pubmed: 20347271
Am Psychol. 2016 Nov;71(8):742-751
pubmed: 27977256
Neuropsychiatr Dis Treat. 2016 Nov 24;12:3021-3030
pubmed: 27920539
Compr Psychiatry. 2014 Jan;55(1):221-31
pubmed: 24060237
BMJ Open. 2021 Apr 26;11(4):e044824
pubmed: 33903143
BMC Psychiatry. 2016 Apr 29;16:116
pubmed: 27129370
Compr Psychiatry. 2012 Jul;53(5):484-9
pubmed: 22036011
PLoS Med. 2019 Sep 20;16(9):e1002908
pubmed: 31539373
Front Public Health. 2021 Jun 07;9:685003
pubmed: 34178932
J Affect Disord. 2013 Dec;151(3):805-20
pubmed: 24135506
Psychiatry Res. 2017 Dec;258:158-165
pubmed: 29028582
J Affect Disord. 2013 Sep 5;150(2):181-91
pubmed: 23759420
Psychiatry Res. 2017 Nov;257:550-558
pubmed: 28918241
Br J Psychiatry. 2000 Jul;177:4-7
pubmed: 10945080
Indian J Psychol Med. 2021 May;43(3):187-194
pubmed: 34345093
Int J Soc Psychiatry. 1999 Spring;45(1):7-12
pubmed: 10443245
Neuro Endocrinol Lett. 2009;30(6):769-73
pubmed: 20038932
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
Am J Orthopsychiatry. 2002 Oct;72(4):505-13
pubmed: 15792036
Psychiatry Res. 2013 Jun 30;208(1):15-20
pubmed: 23570969
J Clin Psychiatry. 2015 Feb;76(2):155-62
pubmed: 25742202
Psychiatry Res. 2015 Sep 30;229(1-2):167-73
pubmed: 26208983
Issues Ment Health Nurs. 2021 Jan;42(1):79-86
pubmed: 32881602
Psychol Med. 2013 Apr;43(4):789-99
pubmed: 22804920
Nat Rev Dis Primers. 2018 Mar 08;4:18008
pubmed: 29516993
Front Psychiatry. 2021 May 21;12:678807
pubmed: 34093288
Compr Psychiatry. 2016 Oct;70:174-80
pubmed: 27557395
J Affect Disord. 2015 Sep 15;184:209-15
pubmed: 26112330
Arch Psychiatr Nurs. 2014 Feb;28(1):62-6
pubmed: 24506989
Prim Care. 2016 Jun;43(2):269-84
pubmed: 27262007
Clin Cosmet Investig Dermatol. 2019 Oct 16;12:785-790
pubmed: 31802927
Neuropsychiatr Dis Treat. 2016 Oct 07;12:2539-2552
pubmed: 27785031
Psychol Res Behav Manag. 2021 Feb 05;14:85-97
pubmed: 33574718
Med Monatsschr Pharm. 2016 Sep;39(9):363- 9
pubmed: 29956510
Health Educ Behav. 2021 Jun;48(3):342-351
pubmed: 34080480
Psychiatry Res. 1997 Dec 5;73(3):159-71
pubmed: 9481807
Transcult Psychiatry. 2020 Jun;57(3):455-467
pubmed: 32148189
Nord J Psychiatry. 2005;59(4):302-6
pubmed: 16195135
J Nerv Ment Dis. 2016 Jul;204(7):547-53
pubmed: 27218219
Psychiatry Res. 2003 Nov 1;121(1):31-49
pubmed: 14572622
J Affect Disord. 2001 Mar;63(1-3):67-78
pubmed: 11246082
Front Psychiatry. 2021 Oct 25;12:732843
pubmed: 34759848
J Affect Disord. 2013 Jul;149(1-3):430-4
pubmed: 23267727
Neuropsychiatr Dis Treat. 2013;9:31-40
pubmed: 23355778
J Nerv Ment Dis. 2021 Jan;209(1):54-58
pubmed: 33093358

Auteurs

Renato de Filippis (R)

Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

Giulia Menculini (G)

Department of Psychiatry, University of Perugia, Perugia, Italy.

Martina D'Angelo (M)

Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

Elvira Anna Carbone (EA)

Psychiatry Unit, Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

Alfonso Tortorella (A)

Department of Psychiatry, University of Perugia, Perugia, Italy.

Pasquale De Fazio (P)

Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

Luca Steardo (L)

Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.

Classifications MeSH