The association between personal stigma and adherence to treatment in patients diagnosed with bipolar mood disorder, attention deficit/ hyperactivity disorder and schizophrenia

Asociación entre el estigma personal y la adherencia al tratamiento en pacientes diagnosticados de trastorno bipolar, trastorno por déficit de atención /hiperactividad y esquizofrenia

Authors

  • Lucas H. Viscardi Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, the Rio Grande do Sul, Brazil. Medicine Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Rio Grande do Sul, Brazil. University of Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil https://orcid.org/0000-0002-3574-2747
  • Victoria Rosa Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, the Rio Grande do Sul, Brazil. Medicine Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Rio Grande do Sul, Brazil
  • Felipe Vilanova Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, the Rio Grande do Sul, Brazil. Medicine Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Rio Grande do Sul, Brazil
  • Eugenio H. Grevet Department of Psychiatry and Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil. ADHD and Developmental Psychiatry Programs, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
  • Claiton H. Dotto-Bau Department of Psychiatry and Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil. ADHD and Developmental Psychiatry Programs, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Department of Genetics and Graduate Program in Genetics and Molecular Biology, Instituto de Biociências, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
  • M. Inés Rodrígues-Lobato
  • Ives Cavalcante-Passos Centro de Pesquisa Experimental (CPE) and Centro de Pesquisa Clínica (CPC), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
  • Angelo B. Costa Psychology Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, the Rio Grande do Sul, Brazil. Medicine Graduate Program, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Rio Grande do Sul, Brazil https://orcid.org/0000-0002-0742-8152

DOI:

https://doi.org/10.5944/rppc.37815

Keywords:

Personal stigma, internalized stigma, psychiatric disorders, adherence to treatment, schizophrenia, bipolar disorder, AHDH

Abstract

Research has highlighted that some types of mental disorders are associated with widespread discrimination and stigma, phenomena that negatively affect adherence. The aim of the present study was to examine the association between stigma and adherence to pharmacological treatment in patients diagnosed with bipolar mood disorder (BD), attention deficit hyperactivity disorder (ADHD) and schizophrenia (SZ). A total of 112 patients (age range: 20-68 years, Median age = 42.08; SD age = 12.02) from Brazil (38.4% ADHD, 34.8% SZ, and 26.8% TB) participated in the study. Treatment adherence was measured using the Medication Adherence Questionnaire, personal stigma by means of the Internalized Stigma of Mental Illness, Stigma Scale, and Perceived Devaluation and Discrimination Scale, and self-esteem with Rosenberg’s Self-Esteem Scale. Results showed an association between personal stigma and treatment adherence for all three types of disorder. The lower the personal stigma, the higher the adherence to treatment. The study highlights the role of stigma and self-esteem in relation to treatment adherence, with possible implications for future psychotherapy for these disorders.

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Published

2024-03-26

How to Cite

Viscardi, L. H., Rosa, V., Vilanova, F., Grevet, E. H., Dotto-Bau, C. H., Rodrígues-Lobato, M. I., Cavalcante-Passos, I., & Costa, A. B. (2024). The association between personal stigma and adherence to treatment in patients diagnosed with bipolar mood disorder, attention deficit/ hyperactivity disorder and schizophrenia: Asociación entre el estigma personal y la adherencia al tratamiento en pacientes diagnosticados de trastorno bipolar, trastorno por déficit de atención /hiperactividad y esquizofrenia. Journal of Psychopathology and Clinical Psychology   , 29(1), 71–81. https://doi.org/10.5944/rppc.37815

Issue

Vol. 29 No. 1 (2024)

Section

Original research articles