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Factors influencing stigma in bipolar disorder type I

Published online by Cambridge University Press:  27 August 2024

A. Adouni*
Affiliation:
psychiatry department A, Razi hospital, Manouba, Tunisia
Y. Zgueb
Affiliation:
psychiatry department A, Razi hospital, Manouba, Tunisia
I. Bouguerra
Affiliation:
psychiatry department A, Razi hospital, Manouba, Tunisia
F. Ben Othman
Affiliation:
psychiatry department A, Razi hospital, Manouba, Tunisia
R. Jomli
Affiliation:
psychiatry department A, Razi hospital, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Given the recurrence of mood episodes, with their negative repercussions such as high suicidal risk, significant cognitive decline and the persistence of residual signs with a negative impact on the patient’s family, social and professional functioning, Bipolar Disorder is a mental disorder with a significant social stigma.

Objectives

Identify the socio-demographic and clinical factors that may influence the experience of stigma in bipolar disorder type I

Methods

We conducted a cross-sectional, comparative study over a six-month period at the aftercare unit of Razi Hospital’s psychiatric ward “A”, including patients treated for TB I according to DSM 5 criteria and stable on treatment.

The study was conducted in two stages: first, sociodemographic and clinical characteristics were collected using a pre-established form. The DISCUS scale, validated in Arabic, was then administered.

Results

We included 100 patients (60 men and 40 women) with a mean age of 43.55 years.

The median DISCUS stigma score was 6 (0-19).

The mean value of the DISCUS scale was high for patients of urban origin (p=0.042), with a low socioeconomic level (p=0.001), and poor family dynamics (p<0.001).

The presence of a comorbid personality disorder was significantly associated with stigma (p=0.006). The DISCUS scale was positively associated with the number of years of follow-up, the number of hospitalizations, the number of manic episodes, the number of depressive episodes and the number of episodes with psychotic or melancholic features.

Conclusions

This stigma can have a negative impact on patients’ quality of life in a whole range of ways, including limiting their opportunities for education, employment and housing.

Intensive therapeutic interventions should be considered for vulnerable patients to limit the consequences.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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