Effect of self-stigma on personal recovery: sex differences in people with psychotic spectrum disorders.
Por:
Leon-Morales D, Navarro JB, Lamarca M, González-Higueras F, Torres P, Jordi Cid Colom, Frigola-Capell E, Birulés-Muntané I, Ochoa S, Vidal C, Garrido G, Crosas JM, Aznar A, Palma-Sevillano C, Sastre-Buades A, Sevilla-Llewellyn-Jones J, Vallina-Fernández O, Gutiérrez E, Calvo A and Barajas A
Publicada:
3 oct 2025
Ahead of Print:
3 oct 2025
Resumen:
INTRODUCTION: Recently, there has been growing evidence on self-stigma and personal recovery in people with psychotic spectrum disorders. However, despite the influence of sex on mental health and the social component of self-stigma and recovery, the evidence regarding self-stigma, personal recovery, and sex is limited and inconsistent. This research aims to study the role of sex in the effect that self-stigma has on the personal recovery of people with psychotic spectrum disorders. METHODS: A sample of 118 patients with a psychosis diagnose participated in the study (55.9% men). They were recruited from 9 clinical centers in Spain. Data were collected through the Internalized Stigma of Mental Illness and the Recovery Assessment Scale. RESULTS: The effect of self-stigma on personal recovery differed according to the sex of the person. Specifically, in women, personal recovery decreased as self-stigma and alienation increased. Also, a higher self-stigma was associated with a lower personal confidence, hope and symptom control. In contrast, in men, a higher alienation was associated with higher personal confidence, hope and success orientation. These results were adjusted for educational level, comorbidity, number of psychotic episodes, and the time between symptom onset and treatment initiation. DISCUSSION: These findings highlight the urgent need to explore further the role of sex on recovery and to have a sex-sensitive approach in policies and interventions in this population. This would benefit their recovery and, in consequence, their quality of life. Future studies should expand the sample and explore other factors that could be influencing the process of recovery and self-stigma.
Filiaciones:
Leon-Morales D:
Department of Clinical and Health Psychology, Faculty of Psychology, Autonomous University of Barcelona, Barcelona, Spain
Navarro JB:
Department of Psychobiology and Methodology of Health Sciences, Autonomous University of Barcelona, Barcelona, Spain
:
Department of Clinical and Health Psychology, Faculty of Psychology, Autonomous University of Barcelona, Barcelona, Spain
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Grup MERITT, Fundació Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
Consorcio de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
González-Higueras F:
Comunidad Terapéutica Jaén, Hospital Universitario de Jaén, Jaén, Spain
Torres P:
Comunidad Terapéutica Jaén, Hospital Universitario de Jaén, Jaén, Spain
Jordi Cid Colom:
Mental Health and Addictions Network, Institut Assistència Sanitària, Salt, Spain
Mental Health and Addictions, Institut d'Investigació Biomèdica de Girona (IDIBGI-CERCA), Parc Hospitalari Martí I Julià, Edifici M2, Salt, Spain
Frigola-Capell E:
Mental Health and Addictions Network, Institut Assistència Sanitària, Salt, Spain
Mental Health and Addictions, Institut d'Investigació Biomèdica de Girona (IDIBGI-CERCA), Parc Hospitalari Martí I Julià, Edifici M2, Salt, Spain
Birulés-Muntané I:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Grup MERITT, Fundació Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
Consorcio de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain
Ochoa S:
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Grup MERITT, Fundació Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
Consorcio de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
Vidal C:
Fundació els Tres Turons, Barcelona, Spain
Garrido G:
Department of Mental Health, Consorci Sanitari de Terrassa, Barcelona, Spain
Crosas JM:
Department of Mental Health, Hospital Universitari Parc Taulí, Institut D'Investigació I Innovació Parc Taulí I3PT, Universitat Autònoma, Sabadell, Spain
Aznar A:
Associacio Centre D'Higiene Mental Les Corts, Barcelona, Spain
Palma-Sevillano C:
Grup COMSAL, FPCEE-Blanquerna, Universitat Ramon Llull, Barcelona, Spain
Hospital de Mataró (Consorci Sanitari del Maresme), Mataró, Barcelona, Spain
Sastre-Buades A:
Department of Psychiatry, Son Llàtzer University Hospital, Palma, Spain
Sevilla-Llewellyn-Jones J:
Instituto de Psiquiatría y Salud Mental, Instituto de Investigación (IdISSC), Hospital Clínico San Carlos, Madrid, Spain
Vallina-Fernández O:
Sierrallana Hospital, Cantabria Health Service, Cantabria, Spain
Gutiérrez E:
Department of Applied Mathematics for Information and Communication Technologies, Higher Technical School of Computer Systems Engineering, Polytechnic University of Madrid (NEBULA Research Group), Madrid, Spain
MIT linQ-Massachusetts Institute of Technology, Cambridge, MA, United States
Calvo A:
Personality, Assessment and Clinical Psychology Department, School of Psychology. Universidad Complutense de Madrid, Madrid, Spain
Barajas A:
Department of Clinical and Health Psychology, Faculty of Psychology, Autonomous University of Barcelona, Barcelona, Spain
Serra Húnter Programme, Generalitat de Catalunya, Barcelona, Spain
Open Access
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