Internalized Stigma in Patients With Bipolar Disorder or Schizophrenia (ESTINT)
Recruitment status was: Recruiting
|Study Design:||Observational Model: Ecologic or Community
Time Perspective: Cross-Sectional
|Official Title:||Internalized Stigma in a Sample of Young Adults With Bipolar Disorder or Schizophrenia.|
|Study Start Date:||June 2012|
|Estimated Study Completion Date:||January 2013|
|Estimated Primary Completion Date:||January 2013 (Final data collection date for primary outcome measure)|
Bipolar Disorder Patients
Bipolar Disorder Patients, with age between 18 to 40 years old, at euthymic phase.
Schizophrenia Patients, with age between 18 to 40 years old, with minimum or none positive symptoms.
The stigma is considered by patients, government organizations and health professionals a key point in mental illness (Griffiths et al, 2006). The related literature has focused on individuals with schizophrenia although there are indications that stigma act negatively in patients with bipolar disorder; this, in turn, is described in a few studies, always with heterogeneous samples, chronic and symptomatic patients (Perlick et al, 2001). It is also known that there is a significant association between affective symptoms and the presence of stigma, (Vázquez et al, 2010).
There are reports of higher levels of public stigma towards people with schizophrenia, compared to patients with bipolar disorder or unipolar depression, however there are no studies available on internalized stigma in such samples, especially in remitted patients . Since schizophrenia coexists with significant impairment of insight, such individuals may exhibit more difficulty internalizing the external bias and stereotypes. On the other hand, patients with bipolar disorder - despite being less discriminated by the public in relation to schizophrenia - probably have a high potential for self-stigma and its fearsome consequences, justified by higher levels of insight.
The investigators would like to examine whether the lower impairment of insight in young bipolar patients(in relation to young people with schizophrenia) could be accompanied by an increase in internalized stigma in this sample. It´s an observational, cross-sectional study with no intervention.
Hypothesis: the internalized stigma in young adults with bipolar disorder is identical to that of young patients with schizophrenia.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01664884
|PROGRUDA-Institute of Psychiatry- HCFMUSP|
|Sao Paulo, SP, Brazil|
|Study Director:||Ricardo Alberto Moreno, MD PhD||University of Sao Paulo|