The stigma associated with mental illness can potentially be a reason for lower quality of life among persons with mental illness. Since self stigma can also exist without actual stigma from the public, more hidden and inside, it seems to be the worst form of stigma against people with mental illness and can directly affect the overall well being of people with mental illness. Moreover, it is also a great barrier for social interaction. However, no study is available on impact of self stigma on quality of life of people with mental illness in South Ethiopia generally and particularly in Dilla town. The purpose of this study was to assess the impact of self stigma on quality of life of people with mental illness at Dilla University Referral Hospital, south Ethiopia. The study was conducted in the psychiatry outpatient department of Dilla University referral hospital. An institutional based cross-sectional study was conducted on 317 people with mental illness that attended psychiatric clinic for mental health service from June 1st to 30th, 2016. Data were collected using a pre tested interviewer administered structured questionnaires. Self-stigma was measured using Internalized Stigma of Mental Illness (ISMI) Scale which was validated and used in many other similar settings. Quality of life was measured using quality of life assessment tool Short Form, Version-2 (SF-36). In this study, the prevalence of self stigma among people with mental illness was 32.1%. Regarding Quality of life (QoL) of people with mental illness, 54.6% were experiencing lower quality of life. As self stigma increases by one unit in studied participants, quality of life decreases by 4.1% (OR=0.041; 95% C.I: -0.065,-0.012). In other words, self stigma and QOL were inversely correlated(r=-0.076) which indicates that stigma worsen QoL of people with mental illness. The result of this study was revealed that, apparently high prevalence of self-stigma among persons with mental illness and lower quality of life. To improve QoL of people with mental illness, tackling stigma need to be addressed by health professionals, community, researchers, policy makers and stakeholders.
Published in | American Journal of Health Research (Volume 5, Issue 5) |
DOI | 10.11648/j.ajhr.20170505.12 |
Page(s) | 125-130 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Impact, Self Stigma, Quality of Life, Mental Illness
[1] | Woldegiworgise T, Simme K: National mental health strategy, Ethiopia: Federal ministry of Health; 2012/13. |
[2] | World Health Organization (WHO): Depression as a global crisis: World mental health day. 2012. |
[3] | Daneil E, Marilyn F, Efra G: Stigma & Help seeking for mental health among college students: Medical care research & review. 2009. |
[4] | World Health Organization (WHO): Reducing stigma & discrimination against older people with mental disorders. Geneva, Switzerland: World Health Organization Press. 2002. |
[5] | World Health Organization (WHO): Investing in mental health. Geneva, Switzerland: World Health Organization Press. 2003. |
[6] | Patrick JM, Marcelino L, Nicolas R: Constructs & concepts comprising the stigma of mental illness. Psychology, Society & Education 2012, 4(2): 183-194. |
[7] | Pitkanen A, Anneli: Improving quality of life of patients with schizophrenia. In acute psychiatric wards. 010. |
[8] | World Health Organization (WHO): Mental health and stigma, a call for action by world health ministries. Geneva, Switzerland: World Health Organization Press. 2001. |
[9] | Mc Daid, David: Countering the stigmatization & discrimination of people with mental health problems in Europe: European commission. 2008. |
[10] | Helia G, Marzih N, Lars J: Internalized stigma of mental illness. Stigma research &action 2011, 1(1): 11-17. |
[11] | Aphroditiz S, Michael M: Stigma related to help seeking from mental health professionals. Health Science Journal 2010, 4(2): 77-83. |
[12] | Girma E, Tesfaye M, Froseschl G, Norbert Moller-Lekimku AM, Muller N, Dehning S: Publicstigma against people with mental illness in Gilgel Gibe field research center (GGFRC)in south west Ethiopia. PLOS One 2013, 8(12): 1-9. |
[13] | Assefa D, Shibre T, Asher L, Fekadu A: Internalized stigma among patients with schizophrenia in Ethiopia: a cross-sectional facility-based study. BMC Psychiatry 2012, 12: 239. |
[14] | Faith BD, Jawel S, Andrea E: Experience of stigma among out patients with schizophrenia. Schizophrenia bulletin 2002, 28(1): 143-155. |
[15] | Sabah M E, Faten H A: Effectiveness of Psychiatric Nursing Intervention on Adherence to Medications and Quality of Life of Schizophrenic Patients. American Journal of Nursing Science 2016, 5(6): 232-239. |
[16] | Girma E, Tesfaye M, Guenter F, Sandra D, et al: Facility based cross-sectional study of self stigma among people with mental illness: towards patient empowerment approach. International Journal of Mental Health Systems 2013, 7: 21. |
[17] | Joan B, Steven DT: The Clinical Global Impressions Scale: Applying a Research Tool in Clinical Practice. Psychiatry 2007, 4(7): 28-37. |
[18] | Dan S, Mihae M: Gender disparities in mental health. Journal of affective disorder 2005, 86(2): 205-213. |
[19] | Mittal D, Sullivan G, Chekuri L, Allee E, Corrigan PW: Empirical studies of self-stigma reductionstrategies: A critical review of the Literature. Psychiatrserv 2012, 63(10): 974-981. |
[20] | Kebede D, Alem A, Negash A, Shibrie T, etal: Health related quality of life (SF-36) survey in Butajira, rural Ethiopia: Normative data and evaluation of reliability and validity. Ethiopian medical journal 2004, 42(4): 289-297. |
[21] | Aloba O, FatoyeO, Mapayi B, Akinsulore S: A review of Quality of Life studies in Nigerian patients with psychiatric disorders. Afr J Psychiatry 2013, 16(5): 333-337. |
[22] | Minale TT, Niguse YM, Teketel TW, Andargie AA, Tilahun BM, Molla AY: Assessment of quality of life and associated factors among people with epilepsy attending at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Science Journal of Public Health 2014, 2(5): 378-383. |
[23] | Ehab SR, Wessam AE: Relation between insight & quality of life in patients with schizophrenia. Current psychiatry 2010, 17(3): 43-48. |
[24] | West ML, Yanos PT, Smith SM, Reo D, Lysaker PH: Prevalence of Internalized Stigma among Persons with Severe Mental Illness. Stigma Res action 2011, 1(1): 3-10. |
[25] | Omnia MA, Enayat AEW, Zeinab AEH, et al: The Effect of Stigma on Quality of Life among People with Mental Illnesses. 2015. |
[26] | Amin M, AbdelAziz HE, Lawindy M: Schizophrenic Patients Families Psycho-Education: Outcomes on Patient Quality Of Life and Disease Relapse Rate. Egyptian Journal of Psychiatry 2004, 1(23): 59-74. |
[27] | James L: Self stigma and quality of life among people with mental illness who receive compulsory treatment. Journal of community psychology 2012, 40 (6): 699-714. |
APA Style
Alem Eskeziya Ayenalem, Tenaw Yimer Tiruye, Muhammed Seid Muhammed. (2017). Impact of Self Stigma on Quality of Life of People with Mental Illness at Dilla University Referral Hospital, South Ethiopia. American Journal of Health Research, 5(5), 125-130. https://doi.org/10.11648/j.ajhr.20170505.12
ACS Style
Alem Eskeziya Ayenalem; Tenaw Yimer Tiruye; Muhammed Seid Muhammed. Impact of Self Stigma on Quality of Life of People with Mental Illness at Dilla University Referral Hospital, South Ethiopia. Am. J. Health Res. 2017, 5(5), 125-130. doi: 10.11648/j.ajhr.20170505.12
AMA Style
Alem Eskeziya Ayenalem, Tenaw Yimer Tiruye, Muhammed Seid Muhammed. Impact of Self Stigma on Quality of Life of People with Mental Illness at Dilla University Referral Hospital, South Ethiopia. Am J Health Res. 2017;5(5):125-130. doi: 10.11648/j.ajhr.20170505.12
@article{10.11648/j.ajhr.20170505.12, author = {Alem Eskeziya Ayenalem and Tenaw Yimer Tiruye and Muhammed Seid Muhammed}, title = {Impact of Self Stigma on Quality of Life of People with Mental Illness at Dilla University Referral Hospital, South Ethiopia}, journal = {American Journal of Health Research}, volume = {5}, number = {5}, pages = {125-130}, doi = {10.11648/j.ajhr.20170505.12}, url = {https://doi.org/10.11648/j.ajhr.20170505.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20170505.12}, abstract = {The stigma associated with mental illness can potentially be a reason for lower quality of life among persons with mental illness. Since self stigma can also exist without actual stigma from the public, more hidden and inside, it seems to be the worst form of stigma against people with mental illness and can directly affect the overall well being of people with mental illness. Moreover, it is also a great barrier for social interaction. However, no study is available on impact of self stigma on quality of life of people with mental illness in South Ethiopia generally and particularly in Dilla town. The purpose of this study was to assess the impact of self stigma on quality of life of people with mental illness at Dilla University Referral Hospital, south Ethiopia. The study was conducted in the psychiatry outpatient department of Dilla University referral hospital. An institutional based cross-sectional study was conducted on 317 people with mental illness that attended psychiatric clinic for mental health service from June 1st to 30th, 2016. Data were collected using a pre tested interviewer administered structured questionnaires. Self-stigma was measured using Internalized Stigma of Mental Illness (ISMI) Scale which was validated and used in many other similar settings. Quality of life was measured using quality of life assessment tool Short Form, Version-2 (SF-36). In this study, the prevalence of self stigma among people with mental illness was 32.1%. Regarding Quality of life (QoL) of people with mental illness, 54.6% were experiencing lower quality of life. As self stigma increases by one unit in studied participants, quality of life decreases by 4.1% (OR=0.041; 95% C.I: -0.065,-0.012). In other words, self stigma and QOL were inversely correlated(r=-0.076) which indicates that stigma worsen QoL of people with mental illness. The result of this study was revealed that, apparently high prevalence of self-stigma among persons with mental illness and lower quality of life. To improve QoL of people with mental illness, tackling stigma need to be addressed by health professionals, community, researchers, policy makers and stakeholders.}, year = {2017} }
TY - JOUR T1 - Impact of Self Stigma on Quality of Life of People with Mental Illness at Dilla University Referral Hospital, South Ethiopia AU - Alem Eskeziya Ayenalem AU - Tenaw Yimer Tiruye AU - Muhammed Seid Muhammed Y1 - 2017/08/25 PY - 2017 N1 - https://doi.org/10.11648/j.ajhr.20170505.12 DO - 10.11648/j.ajhr.20170505.12 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 125 EP - 130 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20170505.12 AB - The stigma associated with mental illness can potentially be a reason for lower quality of life among persons with mental illness. Since self stigma can also exist without actual stigma from the public, more hidden and inside, it seems to be the worst form of stigma against people with mental illness and can directly affect the overall well being of people with mental illness. Moreover, it is also a great barrier for social interaction. However, no study is available on impact of self stigma on quality of life of people with mental illness in South Ethiopia generally and particularly in Dilla town. The purpose of this study was to assess the impact of self stigma on quality of life of people with mental illness at Dilla University Referral Hospital, south Ethiopia. The study was conducted in the psychiatry outpatient department of Dilla University referral hospital. An institutional based cross-sectional study was conducted on 317 people with mental illness that attended psychiatric clinic for mental health service from June 1st to 30th, 2016. Data were collected using a pre tested interviewer administered structured questionnaires. Self-stigma was measured using Internalized Stigma of Mental Illness (ISMI) Scale which was validated and used in many other similar settings. Quality of life was measured using quality of life assessment tool Short Form, Version-2 (SF-36). In this study, the prevalence of self stigma among people with mental illness was 32.1%. Regarding Quality of life (QoL) of people with mental illness, 54.6% were experiencing lower quality of life. As self stigma increases by one unit in studied participants, quality of life decreases by 4.1% (OR=0.041; 95% C.I: -0.065,-0.012). In other words, self stigma and QOL were inversely correlated(r=-0.076) which indicates that stigma worsen QoL of people with mental illness. The result of this study was revealed that, apparently high prevalence of self-stigma among persons with mental illness and lower quality of life. To improve QoL of people with mental illness, tackling stigma need to be addressed by health professionals, community, researchers, policy makers and stakeholders. VL - 5 IS - 5 ER -