Skip to main navigation Skip to search Skip to main content

Prevalence and Correlates of Self-Stigma in Post-Traumatic Stress Disorder (PTSD)

  • Catrin Lewis*
  • , Stanley Zammit
  • , Ian Jones
  • , Jonathan I. Bisson
  • *Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

21 Citations (Scopus)

Abstract

Background:
Self-stigma refers to the internalisation of negative societal views and stereotypes. Self-stigma has been well-characterised in the context of mental disorders such as schizophrenia but has received little attention in relation to post-traumatic stress disorder (PTSD).

Objective:
This work aimed to determine the prevalence of self-stigma in a sample of adults with PTSD and to establish factors associated with the internalisation of stigma in this population.

Method:
Participants were 194 adults (mean age 46.07 (SD = 12.39); 64.4% female; 96.6% white Caucasian; residing in the UK), who self-reported a diagnosis of PTSD and currently screened positive for the disorder according to the PTSD Checklist for DSM-5 (PCL-5). Structured interviews and validated self-report questionnaires were used to ascertain clinical and sociodemographic information for analysis.

Results:
The prevalence of self-stigma measured by the Internalized Stigma of Mental Illness Scale (ISMIS) was 41.2% (95% CI 34.24–48.22). There was no evidence of an association between self-stigma and gender (β = −2.975 (95% CI −7.046–1.097) p = .151), age (β = 0.007 (95% CI −0.152–0.165) p = .953), sexual trauma (β = 0.904 (95% CI −3.668–5.476) p = .697), military trauma (β = −0.571 (95% CI −4.027–7.287) p = .571). Self-stigma was associated with lower income and higher levels of anxiety (β = 5.722 (95% CI 2.922–8.522) p = <.001), depression (β = 6.937 (95% CI 4.287–9.588) p = <.000), and traumatic stress symptoms (β = 3.880 (95% CI 1.401–6.359) p = .002).

Conclusions:
The results indicate that self-stigma may be a significant issue among people with a diagnosis of PTSD. Further work is needed to understand the long-term impact and to develop interventions to address the internalisation of stigma in this population.

Highlights
- The prevalence of self-stigma among a sample of participants with PTSD was 41.2%.
- There was no evidence of an association between self-stigma and gender, age or sexual / military trauma.
- Self-stigma was associated with lower income and higher levels of anxiety, depression, and traumatic stress symptoms.
Original languageEnglish
Article number2087967
Number of pages10
JournalEuropean Journal of Psychotraumatology
Volume13
Issue number1
DOIs
Publication statusPublished - 22 Jul 2022

Fingerprint

Dive into the research topics of 'Prevalence and Correlates of Self-Stigma in Post-Traumatic Stress Disorder (PTSD)'. Together they form a unique fingerprint.

Cite this