Reframing stigma in Tourette syndrome: an updated scoping review.

Discrimination Scoping review Social–ecological Stigma Tic Tourette syndrome

Journal

European child & adolescent psychiatry
ISSN: 1435-165X
Titre abrégé: Eur Child Adolesc Psychiatry
Pays: Germany
ID NLM: 9212296

Informations de publication

Date de publication:
30 Dec 2023
Historique:
received: 04 09 2023
accepted: 28 11 2023
medline: 2 1 2024
pubmed: 2 1 2024
entrez: 30 12 2023
Statut: aheadofprint

Résumé

Persistent tic disorders (PTD) such as Tourette's syndrome (TS) are common childhood-onset neurodevelopmental disorders. Stigmatization of individuals with these disorders remains an ongoing problem. The purpose of this scoping review is to serve as an updated review of the research regarding stigmatization in youth with PTD since the publication of the original systematic review about this topic in 2016. The electronic databases Embase, Web of Science, PubMed, PsycINFO, and CINAHL were searched. Of the 4751 initial articles screened after removing duplications, 47 studies met the inclusion criteria. The studies were examined under the social-ecological stigmatization model, which helps categorize stigmatization into individual, interpersonal, community, and structural levels and serves as a broader definition of stigmatization than the previous systematic review. On the individual level, youth with PTD had lower self-esteem than peers, often leading to fear of future stigmatization, avoidant behaviors, and self-stigmatization. They also experienced higher rates of bullying and other forms of abuse than peers at the interpersonal level. At the community level, youth with PTD faced discriminatory environments in school and work and limited availability of community services and healthcare access. At the structural level, knowledge about PTD was limited in the general population, often about the limited portrayals of PTD in the media. We hope that the broader scope of this review serves to help inform future efforts to decrease the stigmatization faced by this group.

Identifiants

pubmed: 38159134
doi: 10.1007/s00787-023-02332-3
pii: 10.1007/s00787-023-02332-3
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s).

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Auteurs

Kelly Pring (K)

Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Melina Malli (M)

Institute of Population Ageing, University of Oxford, Oxford, UK.

Brandy W Hardy (BW)

Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Stephen R Rapp (SR)

Department of Psychology and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Eric A Storch (EA)

Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.

Jaclyn M Martindale (JM)

Department of Neurology, Wake Forest University School of Medicine, North Carolina, Winston-Salem, NC, USA. jmartind@wakehealth.edu.

Classifications MeSH