ArticleNeuropsychiatric disease and treatment2018
Self-stigma and treatment effectiveness in patients with anxiety disorders - a mediation analysis.
Article in Neuropsychiatric disease and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Co-occurrence of dissociation and anxiety and depressive disorders in adults: a scoping review.Frontiers in psychiatry · 2026Pooled it
- Psychological symptom clusters in pregnant women: a scoping review.BMC psychology · 2026Article
- Longitudinal Evaluation of Adolescent Mental Illness Self-Stigma Following Psychotherapy Initiation.Child psychiatry and human development · 2026Article
- Anxiety and attitudes toward help-seeking: the mediating roles of mental health literacy and stigma in a Romanian sample.Frontiers in psychology · 2026Article
- Treatment stigma mediates relationships between morally injurious events and depression, PTSD and anxiety symptoms.European journal of psychotraumatology · 2025Article
- Association of self-stigma, impulsivity, and insomnia with anxiety and depression in patients with Kallmann syndrome.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Rasch analysis and application research of the Chinese version of the Skidmore anxiety stigma scale: a cross-sectional study.Scientific reports · 2025Article
- Self and other mental health stigma among public safety professionals: a psychometric study.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025Review
- Assessing the dimensionality and construct validity of the military stigma scale across current service members.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024Article
- Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety.European journal of psychotraumatology · 2024Article
- Generalized Anxiety Disorder in Canadian Adults: to what Extent Might Social Support Subdomains and Negative Social Interactions Predict Psychological Distress?The Psychiatric quarterly · 2023Article
- Self-stigma predicts post-traumatic and depressive symptoms in traumatized individuals seeking interventions for dissociative symptoms: a preliminary investigation.European journal of psychotraumatology · 2023Article
- Early Maladaptive Schemas and Self-Stigma in People with Physical Disabilities: The Role of Self-Compassion and Psychological Flexibility.International journal of environmental research and public health · 2022Article
- Self-Stigma and Treatment Effectiveness in Patients with SSRI Non-Responsive Obsessive-Compulsive Disorder.Psychology research and behavior management · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
goalThe goal of this study was to explore the impact of self-stigma on the treatment outcomes in patients with anxiety disorders and to find possible mediators of this relationship.
methodTwo hundred and nine patients with anxiety disorders, who were hospitalized in a psychotherapeutic department, attended the study. The average age was 39.2±12.4 years; two-thirds were women. Most of the patients used a long-term medication. The participants underwent either cognitive behavioral therapy (CBT) or short psychodynamic therapy. The selection to the psychotherapy was not randomized. All individuals completed several scales - Beck Depression Inventory, the second edition (BDI-II), Beck Anxiety Inventory (BAI), Dissociative Experience Scale (DES), Sheehan Disability Scale (SDS), subjective Clinical Global Impression (subjCGI), and The Internalized Stigma of Mental Illness Scale (ISMI). A senior psychiatrist filled out the objective CGI (objCGI).
resultsThe patients significantly improved in the severity of anxiety (BAI), depression (BDI-II), and overall severity of the mental disorder (objCGI). The self-stigma predicted a lower change of the objCGI, but not a change of the anxiety and depressive symptoms severity. Anxiety, depressive symptoms, dissociation, and disability were assessed as possible mediators of the relationship between the self-stigma and the treatment change. None of them were significant.
conclusionSelf-stigma lowers the effectiveness of the combined treatment of anxiety disorders. Future research should explore other possible mediators influencing this relationship.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.