Table 4.
Level of the evidence of associations of specific variables with personal stigma
Correlates of perceived/experienced stigmatization | Correlates of self-stigma | |
---|---|---|
Existing association | ||
Risk factors (positive association) | Literacy 52 | Harm avoidance 53 |
Relatives' perceived stigma 52 and evaluation of patient's stigma 52 | Positive symptoms 12,64,65 | |
Belief that illness is a disease 52, due to karma 52 or evil spirit 52 | General psychopathology 34 | |
Number of any 52 and of non-medical causal beliefs 52 | Social anxiety 66 | |
Schizophrenia diagnosis 28,55 | Social avoidance 12 | |
Positive symptoms 5,32,33,35,39,48,52,56,57 | Withdrawal as coping strategy 12 | |
General psychopathology 33,35,48,56,57 | Insight in effect of medication 67 | |
Depression 32,35,48,57–59 or guilt 62 | Discrimination experience 62 | |
Social anxiety 60 | Emotional discomfort 64 | |
Disability 33 | ||
Coping strategy: withdrawal 35,57 or secrecy 35,57 | ||
Discrimination experience 62 | ||
Protective factors (negative association) | Social integration 32,58,61 | Self-directedness 53 and persistence 53 |
Quality of life 32,48,55,58,59,61,63 | Social integration 64 and support 72 | |
Empowerment 57,58 | Treatment compliance 67–70 | |
Self-esteem 30,47,59 and self-efficacy 35,57 | Hope 65,71 and empowerment 58 | |
Satisfaction with finances 32 | Quality of life 58,65,72,73 | |
Support 63 | Self-esteem (12,54,47,49 | |
Mastery 63 | Social 43,62 and vocational functioning 73 | |
Recovery 62,74 | ||
Lack of association | Being married 33,48,58 | Being married 58 |
Living alone 48,58 | Living alone 58 | |
Education 32,33,40,48 | Education 10,54,64,65,75 | |
Age 33,35,48,52,56,58 | Lifetime number of hospitalizations 34,58,64,65 | |
Male gender 5,32,33,35,40,48,52,58 | Diagnosis of schizophrenia 64 | |
Ethnicity 5 | Insight 12 | |
Residency 52 | Medication compliance 76 | |
Employment 33,35,40,48,52 and income 32,41,52 | ||
No. of systems of therapy used 52 | ||
Hospital type 40,48 | ||
Belief that illness is due to punishment by god 52, black magic 52 | ||
Belief that illness should be treated by a doctor/hospital 52, traditional healer 52, mantravadi/shaman 52, be cured by going to a temple/place of worship 52 | ||
Number of treatment beliefs 52 or non-medical treatment beliefs 52 | ||
Duration of illness 48,58 | ||
Lifetime number of hospitalization 48,58 | ||
Negative symptoms 5,32,33,35,48,52,56 | ||
Insight 32,35,40,74 | ||
Mixed/unclear results | Age at onset/first hospitalization 48,58 | Age 10,34,49,54,58,64,65,75 |
Treatment compliance 38,59 | Male gender 10,34,45,58 | |
Social functioning 5,32,58,62 | Age at onset/first hospitalization 12,34,58,65 | |
Duration of illness 34,58 | ||
Depression 12,58 | ||
Negative symptoms 64,65 |