INTERNALIZED STIGMA AND STIGMATIZING CULTURAL BELIEFS ON PARENTING WITH MENTAL ILLNESS AMONG FEMALE PATIENTS WITH SCHIZOPHRENIA: A COMPARISON OF FEMALE PARENT VERSUS NON PARENT
DOI:
https://doi.org/10.47604/gjhs.1455Keywords:
Stigma, Culture, Schizophrenia, Female, ParentAbstract
Purpose: Differences in cultural values, norms and conceptualization of mental illness may influence mental illness stigma differently across the globe. Both public and self stigma have widely been researched globally however, little is known about the specific experiences of stigma that females, and in particular mothers, with schizophrenia encounter as parents in Nigeria. The study aims to explore and compare internalized stigma among female parents and female non-parents. The secondary aim is to explore if any association exist between cultural beliefs on parenting with mental illness and internalized stigma among female patients with schizophrenia.
Methodology: 142 female patients with schizophrenia attending the GOPD clinic at FNPH Maiduguri recruited through convenience sampling completed the study. They completed a socio-demographic questionnaire and a modified version of the Internalized stigma of Mental Illness Scale (ISMI). Analysis was done using Statistical Package for Social Sciences (SPSS). Differences in self stigma were compared using chi-square for categorical variables and student t- test for continuous variables. P-value was set at 0.05.
Findings: A total of 65 (75.6%) female parents and 32 (57.1%) of female non parents with schizophrenia had high self stigma. Female parents had a statically significant higher level of self stigma on the alienation subscale as well as the total score. Myths and misconceptions about parenting with mental illness were rampant.
Conclusion: Self stigma is more prevalent among female parents with schizophrenia, with cultural beliefs and practices playing an important role in influencing stigma of mental illness. Further research of the impact of cultural factors on stigma of mental illness and culture specific interventions should be explored to reduce self stigma among parents with mental illness.
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References
Abdullah, T., & Brown, T. L. (2011). Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review. Clinical psychology review, 31(6), 934-948.
Abdulmalik, J., Kola, L., & Gureje, O. (2016). Mental health system governance in Nigeria: challenges, opportunities and strategies for improvement. Global Mental Health, 3.
Arvaniti, A., Spyropoulou, A., & Zervas, I. (2012). Parenting capacity of mothers with schizophrenia. Psychiatrike= Psychiatriki, 23(4), 314-321.
Asrat, B., Ayenalem, A. E., & Yimer, T. (2018). Internalized stigma among patients with mental illness attending psychiatric follow-up at Dilla University Referral Hospital, Southern Ethiopia. Psychiatry journal, 2018.
Bracke, P., Delaruelle, K., & Verhaeghe, M. (2019). Dominant cultural and personal stigma beliefs and the utilization of mental health services: A cross-national comparison. Frontiers in Sociology, 4, 40.
Campbell, L., Hanlon, M. C., Poon, A. W. C., Paolini, S., Stone, M., Galletly, C., ... & Cohen, M. (2012). The experiences of Australian parents with psychosis: The second Australian national survey of psychosis. Australian & New Zealand Journal of Psychiatry, 46(9), 890-900.
Chan, S. Y. Y., Ho, G. W., & Bressington, D. (2019). Experiences of self"stigmatization and parenting in Chinese mothers with severe mental illness. International journal of mental health nursing, 28(2), 527-537.
Chen, L., Reupert, A., & Vivekananda, K. (2021). Chinese mothers' experiences of family life when they have a mental illness: A qualitative systematic review. International Journal of Mental Health Nursing, 30(2), 368-381.
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70.
Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical psychology: Science and practice, 9(1), 35.
Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World psychiatry, 1(1), 16.
Diaz-Caneja, A., & Johnson, S. (2004). The views and experiences of severely mentally ill mothers. Social psychiatry and psychiatric epidemiology, 39(6), 472-482.
Dolman, C., Jones, I., & Howard, L. M. (2013). Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness. Archives of women's mental health, 16(3), 173-196.
Fadipe, B., Adebowale, T. O., Ogunwale, A., Fadipe, Y. O., Ojeyinka, A. H. A., & Olagunju, A. T. (2018). Internalized stigma in schizophrenia: a cross-sectional study of prevalence and predictors. International Journal of Culture and Mental Health, 11(4), 583-594.
Fiske, A. P., Kitayama, S., Markus, H. R., & Nisbett, R. E. (1998). The cultural matrix of social psychology. The handbook of Social Psychology (4th ed., Vol. 2, pp. 915-981).
Girma, E., Tesfaye, M., Froeschl, G., Möller-Leimkühler, A. M., Dehning, S., & Müller, N. (2013). Facility based cross-sectional study of self stigma among people with mental illness: towards patient empowerment approach. International journal of mental health systems, 7(1), 1-8.
Goffman E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice Hall.
Gureje, O. Y. E., Lasebikan, V. O., Ephraim-Oluwanuga, O., Olley, B. O., & Kola, L. (2005). Community study of knowledge of and attitude to mental illness in Nigeria. The British Journal of Psychiatry, 186(5), 436-441.
Gureje, O., Olley, B. O., Olusola, E. O., & Kola, L. (2006). Do beliefs about causation influence attitudes to mental illness?. World Psychiatry, 5(2), 104.
Ibrahim, A. W., Mukhtar, Y. M., Sadique, P. K., Tahir, B. M., Olabisi, A. M., Bukar, R. I., ... & Abayomi, O. B. (2016). A facility-based assessment of internalized stigma among patients with severe mental illnesses in Maiduguri, North-Eastern Nigeria. International Neuropsychiatric Disease Journal, 1-11.
Jenkins, J. H., & Carpenter"Song, E. A. (2008). Stigma despite recovery: Strategies for living in the aftermath of psychosis. Medical Anthropology Quarterly, 22(4), 381-409.
Khan, N., Kausar, R., Khalid, A., & Farooq, A. (2015). Gender differences among discrimination & stigma experienced by depressive patients in Pakistan. Pakistan journal of medical sciences, 31(6), 1432.
Kishore, J., Gupta, A., Jiloha, R. C., & Bantman, P. (2011). Myths, beliefs and perceptions about mental disorders and health-seeking behavior in Delhi, India. Indian journal of Psychiatry, 53(4), 324.
Kranke, D., Guada, J., Kranke, B., & Floersch, J. (2012). What do African American youth with a mental illness think about help-seeking and psychiatric medication?: Origins of stigmatizing attitudes. Social Work in Mental Health, 10(1), 53-71.
Krendl, A. C., & Pescosolido, B. A. (2020). Countries and cultural differences in the stigma of mental illness: the east-west divide. Journal of Cross-Cultural Psychology, 51(2), 149-167.
Labinjo, T., Serrant, L., Ashmore, R., & Turner, J. (2020). Perceptions, attitudes and cultural understandings of mental health in Nigeria: A scoping review of published literature. Mental Health, Religion & Culture, 23(7), 606-624.
Lacey, M., Paolini, S., Hanlon, M. C., Melville, J., Galletly, C., & Campbell, L. E. (2015). Parents with serious mental illness: Differences in internalised and externalised mental illness stigma and gender stigma between mothers and fathers. Psychiatry Research, 225(3), 723-733.
Maharjan, S., & Panthee, B. (2019). Prevalence of self-stigma and its association with self-esteem among psychiatric patients in a Nepalese teaching hospital: A cross-sectional study. BMC psychiatry, 19(1), 1-8.
Oduguwa, T. O., Akinwotu, O. O., Adeoye, A. A., & Oduguwa, T. O. (2014). A comparative study of self stigma between HIV/AIDS and schizophrenia patients. J. Psychiatry, 17(2), 525-531.
Okpalauwaekwe, U., Mela, M., & Oji, C. (2017). Knowledge of and attitude to mental illnesses in Nigeria: a scoping review. Integrative Journal of Global Health, 1(5), 1-14.
Rampou, A. M., Havenga, Y., & Madumo, M. (2015). Parenting experiences of mothers living with a chronic mental illness. health sa gesondheid, 20(1), 118-127.
Ran, M. S., Hall, B. J., Su, T. T., Prawira, B., Breth-Petersen, M., Li, X. H., & Zhang, T. M. (2021). Stigma of mental illness and cultural factors in Pacific Rim region: a systematic review. BMC psychiatry, 21(1), 1-16.
Ran, M. S., Zhang, T. M., Wong, I. Y. L., Yang, X., Liu, C. C., Liu, B., ... & CMHP Study Group. (2018). Internalized stigma in people with severe mental illness in rural China. International Journal of Social Psychiatry, 64(1), 9-16.
Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry research, 121(1), 31-49.
Seay, A., Freysteinson, W. M., & McFarlane, J. (2014, July). Positive parenting. In Nursing Forum (Vol. 49, No. 3, pp. 200-208).
Seeman, M. V. (2010). Parenting issues in mothers with schizophrenia. Current Women's Health Reviews, 6(1), 51-57.
Shalaby, M. H., Sabra, A. I., Mohamed, S. A. (2014). The role of internalized stigma on self esteem and attitude toward seeking professional psychological help among psychiatric patients. International Journal of Current Research, 6(11), 10162-9.
Singh, A., Mattoo, S. K., & Grover, S. (2016). Stigma and its correlates in patients with schizophrenia attending a general hospital psychiatric unit. Indian journal of psychiatry, 58(3), 291.
Stier, A., & Hinshaw, S. P. (2007). Explicit and implicit stigma against individuals with mental illness. Australian Psychologist, 42(2), 106-117.
Ueno, R., & Kamibeppu, K. (2008). Narratives by Japanese mothers with chronic mental illness in the Tokyo metropolitan area: Their feelings toward their children and perceptions of their children's feelings. The Journal of nervous and mental disease, 196(7), 522-530.
Watson, A. C., Corrigan, P., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia bulletin, 33(6), 1312-1318.
Zlomke, K. R., & Hahn, K. S. (2010). Cognitive emotion regulation strategies: Gender differences and associations to worry. Personality and individual Differences, 48(4), 408-413.
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