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Psychiatric stigma in patients with comorbid hiv infection

Published online by Cambridge University Press:  13 August 2021

M. Khobeysh  and
N. Lutova
M. Khobeysh*
Affiliation:
The Integrative Pharmaco-psychotherapy Of Mental Disorders, V.M. Bekhterev National medical research center for psychiatry and neurology, Saint-Petersburg, Russian Federation
N. Lutova
Affiliation:
The Integrative Pharmaco-psychotherapy Of Mental Disorders, V.M. Bekhterev National medical research center for psychiatry and neurology, Saint-Petersburg, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

HIV-positive patients with schizophrenia spectrum disorders experience burden of double stigma. Comorbid pathology may alter structure of stigma and shall be considered in development of individual destigmatization programs.

Objectives

Study of psychiatric stigma features in HIV-positive and HIV-negative patients with schizophrenic disorders.

Methods

ISMI (Ritsher et al., 2003), PDD (Link et al., 1991) – to study stigma in 70 patients divided into three groups with respect to their diagnosis (I — F20.x, II — F21.x, III— F2x+HIV); BPRS (Overall & Gorham, 1962) – to assess psychiatric status, RSAS (Eckblad et al., 1982) – to assess anhedonia. Dispersion analysis (Kruskal and Mann–Whitney tests), Spearman and Pearson correlation were used.

Results

Patients with comorbid HIV-infection showed increased level of perceived stigma, although they resisted the stigma internalization better than others did (Table 1).

Patients with schizotypal disorders and patients at early stages of HIV infection experienced the most alienation and frailty to internalization of stigma (Tables 1, 2).

Correlation relationship between social anhedonia and perceived stigma (r=0.5, p<0.05) observed in patients with HIV infection.

Conclusions

Comorbid HIV infection in psychiatric patients contributes to the psychiatric stigma structure. Differentiated approaches in rehabilitation of HIV-positive mental patients should be used.

Keywords

stigma of mental illnessInternalized stigmaHIV infectionSchizophrenia spectrum disorders
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S506 - S507
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 (http://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), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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