Self-stigma, insight, and family burden among Israeli mothers of people with serious mental illness: Ethno-national considerations

2017 ◽  
Vol 54 (3) ◽  
pp. 423-441 ◽  
Author(s):  
Yaara Zisman-Ilani ◽  
Ilanit Hasson-Ohayon ◽  
Itamar Levy-Frank ◽  
Rivka Tuval-Mashiach ◽  
David Roe

The current cross-sectional study investigated and compared the associations between insight, self-stigma, and family burden among Jewish and Arab mothers of an adult son or daughter with serious mental illness (SMI) in Israel. A total of 162 Israeli mothers of a person with SMI participated in the study; 95 were Jewish (58.6%), and 67 were Arab (41.4%). Insight, self-stigma, and family burden scales were administered. Jewish mothers reported higher levels of insight into their son’s or daughter’s illness and reported greater family burden compared to Arab mothers. No significant differences in self-stigma scores were found between Jewish and Arab mothers. The pattern of associations between insight, self-stigma, and burden differed between Jewish and Arab mothers. Self-stigma was found to mediate the relationship between insight and burden among Jewish mothers but not among Arab mothers. Ethno-national affiliation should be taken into consideration regarding how family members conceptualize and experience mental illness, as this might affect care.

2016 ◽  
Vol 33 (S1) ◽  
pp. S453-S453
Author(s):  
D. Szczesniak ◽  
I. Wojciechowska ◽  
M. Kłapciński ◽  
E. Zwyrtek ◽  
J. Rymaszewska

IntroductionStigma is a multistage process that makes person marked by the stigma to be perceived as diminished or even as “not fully human”. The internalized stigmatization is seen as one of the levels of stigma to be present in persons with mental illness. A new perspective to mediation models between internalized stigma and illness-related factors is needed.AimTo assess the relationship between insight in mental illness and internalized stigma, as well to verify the knowledge of illness-related factors on the phenomenon of internalized stigma among patients with severe mental illnesses.MethodsA cross-sectional study design conducted among participants of both sexes between 18 years old and 65 years old with diagnosis of psychotic disorders (F20–29) and mood disorders (F30–39), who after reading the information about the study, give their written consent to participate. Among used methods were: a questionnaire of Internalized Stigma of Mental Illness (ISMI) by Ritsher [Boyed] et al. translated into Polish version and self-prepared interviews. Insight into mental illness was assessed using the Positive and Negative Syndrome Scale.ResultsThe preliminary results showed patients with the insight into the mental illness have significantly higher scores on the ISMI scale. Moreover, inpatient participants and those with the diagnosis of depression were characterized by higher level of stereotype endorsement compared with outpatients and psychotic patients.ConclusionsThe obtained results may contribute in the clinical and therapeutic fields, assuming that insight and the type of treatment are strongly linked with the process of recovery and the internalized stigma.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Vol 292 ◽  
pp. 113361 ◽  
Author(s):  
Aspasia Serdari ◽  
Apostolos Manolis ◽  
Dimitrios Tsiptsios ◽  
Theofanis Vorvolakos ◽  
Aikaterini Terzoudi ◽  
...  

Author(s):  
G. A. Batyrova ◽  
G. A. Umarova ◽  
E. A. Umarov ◽  
P. Z. Aitmaganbet ◽  
Z. S. Tlegenova ◽  
...  

The article presents data on the study of the content of lithium in the hair of the adult population of the Aktobe region of the Republic of Kazakhstan and the relationship with mental illness. The aim of the study is to assess the content of lithium in the biosubstrates of the adult population and its relationship with the morbidity of the population of the Aktobe region.Materials and methods: A one-stage cross-sectional study was carried out on the territory of the Aktobe region of the Republic of Kazakhstan. The study included 340 residents aged 18-60 years permanently residing in the study area using the method of simple random sampling. The lithium content in hair was determined by inductively coupled plasma mass spectrometry on a NexION 300D spectrometer (PerkinElmer Inc., USA) equipped with an ESI SC-2 DX4 sampler (Elemental Scientific Inc., USA). The morbidity rates were studied according to the ICD-10 classes per 100 thousand population. To assess the relationship between the Li content in the hair and the morbidity rates, the Spearman rank correlation coefficient was calculated.Results: According to the results of the study, significant deviations from the reference values were observed for the lithium content in the Aktobe region. There is an excess of lithium for 80.59% (CI: 76.38; 84.79) of the subjects, the norm is 19.41% (CI: 15.21; 23.62). Excess lithium is more common in men than in women (χ2  =11.07 df=1; p=0.001). Considering the districts of the Aktobe region, the highest content of Li (Me (q25-q75)) was found in the Aitekebi district (0.084 (0.022 -0.134)) mcg/g, in the Kobda district 0.069 (0.060- 0.076) mcg/g, in the Mugalzhar district 0.046 (0.019-0.066) mcg/g, in the Oiyl district 0.044 (0.021-0.0762) mcg/g, in the Alga district 0.040 (0.024-0.090) mcg/g. Spearman’s correlation rank analysis showed a weak positive association of Li content with age (r=0.20, p =0.0001), no association with body mass index was found (r=0.10, p =0.06). The correlation analysis established a direct inverse average relationship between the content of Li and morbidity in the class of diseases “Mental disorders and behavioral disorders” (r=-0.62; p= 0.044).Conclusions: The high prevalence of excess lithium content in the hair of the population and its relationship with mental illness requires further research. The study of the bioelement status of the population can serve as an indicator of environmental pollution, and also aims at monitoring the ecological situation in the region.


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