ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020
Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Experiences of females on the autism spectrum through the perspective of minority stress theory: a review.Frontiers in psychiatry · 2025Pooled it
- Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences.Schizophrenia bulletin · 2021Pooled it
- Anticipating incomplete patient-reported outcomes in schizophrenia: a machine learning approach to predict the occurrence of missing data.Health and quality of life outcomes · 2026Article
- Evaluation of a pro-recovery training intervention (REFOCUS-RETAFORM) in specialist mental health services across France: stepped-wedge cluster randomised controlled trial protocol.BMC psychiatry · 2025Article
- Should We Continue to Tell Autistic People that Their Brains are Different?Psychological reports · 2025Review
- Predictive factors for referral to a peer support worker in psychosocial rehabilitation centers.Frontiers in psychiatry · 2025Article
- Diagnosing the context is as important as diagnosing the individual.Frontiers in psychiatry · 2025Article
- Borderline Personality as a Factor in Late, Missed, and Mis-Diagnosis in Autistic Girls and Women: A Conceptual Analysis.Autism in adulthood · 2024Article
- "I've Spent My Whole Life Striving to Be Normal": Internalized Stigma and Perceived Impact of Diagnosis in Autistic Adults.Autism in adulthood · 2023Article
- Conceptualization of the latent structure of autism: further evidence and discussion of dimensional and hybrid models.European child & adolescent psychiatry · 2023Article
- Understanding Psychiatrists' Knowledge and Attitudes to Suicidality in Individuals with Autism Spectrum Disorder.Alpha psychiatry · 2023Article
- Linehan's biosocial model applied to emotion dysregulation in autism: a narrative review of the literature and an illustrative case conceptualization.Frontiers in psychiatry · 2023Review
- Compassion focused therapy for self-stigma and shame in autism: a single case pre-experimental study.Frontiers in psychiatry · 2023Article
- A mixed method examination: how stigma experienced by autistic adults relates to metrics of social identity and social functioning.Frontiers in psychiatry · 2023Article
- Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends.International journal of environmental research and public health · 2022Article
- The central role of self-esteem in the quality of life of patients with mental disorders.Scientific reports · 2022Article
- Self-stigma among clients of outpatient psychiatric clinics: A cross-sectional survey.PloS one · 2022Article
- Self-Stigma Among People With Mental Health Problems in Terms of Warmth and Competence.Frontiers in psychology · 2022Article
- Characteristics associated with self-reported medication adherence in persons with psychosis referred to psychosocial rehabilitation centers.European archives of psychiatry and clinical neuroscience · 2021Article
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Corrections and comments
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Authors and funding
22 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-stigma is a major issue in serious mental illness (SMI) and is negatively associated with patient outcomes. Most studies have been conducted in schizophrenia (SZ). Less is known about self-stigma in other SMI and autism spectrum disorder (ASD). The objectives of this study are: (i) to assess the frequency of self-stigma in a multicentric nonselected psychiatric rehabilitation SMI and ASD sample; and (ii) to investigate the correlates of elevated self-stigma in different SMI conditions and in ASD.
methodsA total of 738 SMI or ASD outpatients were recruited from the French National Centers of Reference for Psychiatric Rehabilitation cohort (REHABase). Evaluations included sociodemographic data, illness characteristics, and standardized scales for clinical severity, quality of life, satisfaction with life, wellbeing, personal recovery, a large cognitive battery, and daily functioning assessment.
results31.2% of the total sample had elevated self-stigma. The highest prevalence (43.8%) was found in borderline personality disorder and the lowest (22.2%) in ASD. In the multivariate analysis, elevated self-stigma was best predicted by early stages of personal recovery (moratorium, p = 0.001, OR = 4.0 [1.78-8.98]; awareness, p = 0.011, OR = 2.87 [1.28-6.44]), history of suicide attempt (p = 0.001, OR = 2.27 [1.37-3.76]), insight (p = 0.002, OR = 1.22 [1.08-1.38]), wellbeing (p = 0.037, OR = 0.77 [0.60-0.98]), and satisfaction with interpersonal relationships (p < 0.001, OR = 0.85 [0.78-0.93]).
conclusionsThe present study has confirmed the importance of addressing self-stigma in SMI and ASD patients enrolled in psychiatric rehabilitation. The effectiveness of psychiatric rehabilitation on self-stigma and the potential mediating effects of changes in self-stigma on treatment outcomes should be further investigated.
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