The relationship between internalized stigma and coping strategies in bipolar disorder

INTRODUCTION: The aim of this study was to evaluate the relationship between internalized stigma and coping attitudes in patients in remission of bipolar disorder. METHODS: The study included 77 patients in remission who were diagnosed with bipolar affective disorder according to DSM-IV by applying...

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Main Authors: Zeynep Çalışkan İlter, Sıdıka Baziki Çetin, Evrim Özkorumak, Ahmet Tiryaki, Ismail Ak
Format: Article
Language:English
Published: ANP Publishing 2023-03-01
Series:Klinik Psikiyatri Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-93265
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author Zeynep Çalışkan İlter
Sıdıka Baziki Çetin
Evrim Özkorumak
Ahmet Tiryaki
Ismail Ak
author_facet Zeynep Çalışkan İlter
Sıdıka Baziki Çetin
Evrim Özkorumak
Ahmet Tiryaki
Ismail Ak
author_sort Zeynep Çalışkan İlter
collection DOAJ
description INTRODUCTION: The aim of this study was to evaluate the relationship between internalized stigma and coping attitudes in patients in remission of bipolar disorder. METHODS: The study included 77 patients in remission who were diagnosed with bipolar affective disorder according to DSM-IV by applying the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Euthymia was established using the Young Mania Rating Scale and the Hamilton Depression Rating Scale. All patients were evaluated with a Sociodemographic Data Form, the Internalized Stigma in Mental Illness Scale (ISMI) and the Coping Attitudes Rating Scale (COPE). RESULTS: The perceived discrimination subscale scores of patients living in towns/villages were found to be significantly higher than those living in urban areas (p=0.038). A positive correlation was found between the total number of episodes (10.0+-10.8), the number of depressive episodes (3.7+-4.8) and the history of depression with psychotic features and internalized stigma. Patients showing active coping, planning, use of useful social support, positive reinterpretation and development of coping styles were found to have lower internalized stigma scores and higher stigma resistance; moreover, patients using behaviorally disengaged coping styles had higher internalized stigma scores and lower stigma resistance. DISCUSSION AND CONCLUSION: According to the results of our study, active coping, planning, use of useful social support, positive reinterpretation and support of developmental coping attitudes, which are among the functional coping attitudes, and attempts to reduce the behavioral disregard of maladaptive coping attitudes can be targeted to reduce internalized stigma.
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spelling doaj.art-2b3be4117f95451397a147ae97c701132023-03-16T08:46:02ZengANP PublishingKlinik Psikiyatri Dergisi1302-00992023-03-01261606810.5505/kpd.2023.93265KPD-93265The relationship between internalized stigma and coping strategies in bipolar disorderZeynep Çalışkan İlter0Sıdıka Baziki Çetin1Evrim Özkorumak2Ahmet Tiryaki3Ismail Ak4Şanlıurfa Mehmet Akif İnan Education And Research HospitallŞanlıurfa- Harran University, Faculty Of Medicine, Department Of PsychiatryKaradeniz Technical University Department Of Psychiatry, Medicana İnternational, Psychiatry Departmant İstanbul, BeylikdüzüKarabuk University, Karabuk Training And Research Hospital, Psychiatry DepartmentINTRODUCTION: The aim of this study was to evaluate the relationship between internalized stigma and coping attitudes in patients in remission of bipolar disorder. METHODS: The study included 77 patients in remission who were diagnosed with bipolar affective disorder according to DSM-IV by applying the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Euthymia was established using the Young Mania Rating Scale and the Hamilton Depression Rating Scale. All patients were evaluated with a Sociodemographic Data Form, the Internalized Stigma in Mental Illness Scale (ISMI) and the Coping Attitudes Rating Scale (COPE). RESULTS: The perceived discrimination subscale scores of patients living in towns/villages were found to be significantly higher than those living in urban areas (p=0.038). A positive correlation was found between the total number of episodes (10.0+-10.8), the number of depressive episodes (3.7+-4.8) and the history of depression with psychotic features and internalized stigma. Patients showing active coping, planning, use of useful social support, positive reinterpretation and development of coping styles were found to have lower internalized stigma scores and higher stigma resistance; moreover, patients using behaviorally disengaged coping styles had higher internalized stigma scores and lower stigma resistance. DISCUSSION AND CONCLUSION: According to the results of our study, active coping, planning, use of useful social support, positive reinterpretation and support of developmental coping attitudes, which are among the functional coping attitudes, and attempts to reduce the behavioral disregard of maladaptive coping attitudes can be targeted to reduce internalized stigma.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-93265bipolar disorderstigmacoping strategies
spellingShingle Zeynep Çalışkan İlter
Sıdıka Baziki Çetin
Evrim Özkorumak
Ahmet Tiryaki
Ismail Ak
The relationship between internalized stigma and coping strategies in bipolar disorder
Klinik Psikiyatri Dergisi
bipolar disorder
stigma
coping strategies
title The relationship between internalized stigma and coping strategies in bipolar disorder
title_full The relationship between internalized stigma and coping strategies in bipolar disorder
title_fullStr The relationship between internalized stigma and coping strategies in bipolar disorder
title_full_unstemmed The relationship between internalized stigma and coping strategies in bipolar disorder
title_short The relationship between internalized stigma and coping strategies in bipolar disorder
title_sort relationship between internalized stigma and coping strategies in bipolar disorder
topic bipolar disorder
stigma
coping strategies
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-93265
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