Stereotype Endorsement Research Articles

The Daydream Spectrum: The Role of Emotional Dysregulation, Internalized Stigma and Self-Esteem in Maladaptive Daydreaming Among Adults With ADHD, ASD, and Double Diagnosis.

Maladaptive daydreaming (MD) is characterized by vivid, excessive fantasy activity that becomes prioritized over other activities and may result in avoidant coping strategies. Little is known about the relationship between MD and internalized stigma in the neurodivergent sample. The current study aimed to examine emotional dysregulation, escapism and self-perception (self-esteem and internalized stigma) as potential determinants of MD in three groups: adults on the autism spectrum, with ADHD, and both diagnoses ("AuDHD"), including their neurodivergent symptoms (autistic traits, empathizing, ADHD symptoms). A sample of 293 persons (139 with ADHD, 74 on the autism spectrum, and 80 with both diagnoses) completed self-report scales concerning ADHD symptoms, autism spectrum symptoms, empathizing, self-esteem, daydreaming as escapism, emotional dysregulation, maladaptive daydreaming, and internalized stigma. A correlation analysis was implemented. Additionally, a group comparison and quantile regression for the 25th, 50th, and 75th percentile of maladaptive daydreaming in the three groups were executed. The results showed that internalized stigma, emotional dysregulation, escapism, and self-esteem have significant associations with MD in the neurodiverse sample. The ADHD group achieved the lowest scores in emotional dysregulation, discrimination experience, and social withdrawal. The groups did not vary in MD rates, stereotype endorsement, stigma resistance, nonacceptance of emotional responses, and impulse control difficulties. The AuDHD group achieved higher results than the ASD group only in the ADHD symptoms. Quantile regression revealed differences in the predictors of maladaptive daydreaming in the three groups. ADHD symptoms and self-suppression escapism were significant predictors for the higher levels of MD in persons with singular autism or ADHD diagnosis. The results showed no differences in MD rates, although there were significant variations in predictive features among the three samples. The role of internalized stigma and self-esteem was highlighted in the results as significant associates of MD prevalence. These outcomes expand the current knowledge in the context of maladaptive daydreaming, internalized stigma, self-esteem and emotional dysregulation in a neurodiverse sample and allow for proposing clinical applications and further research directions.

The correlation between stigma and treatment adherence, quality of life in patients with rheumatoid arthritis: A mixed-methods study.

To investigate the current status of stigma in patients with rheumatoid arthritis (RA), and its correlation with treatment adherence and quality of life. The convenience sample of 266 patients diagnosed with RA was surveyed at the rheumatology and immunology outpatient department of a tertiary hospital in Jiangsu Province from May 2022 to September 2022. In addition to this, 20 RA patients were purposively sampled for semi-structured in-depth interviews, and the data were analysed using content analysis methods. The total stigma's score of the 266 participants was (47.8 ± 10.8), which indicates a moderate level of stigma. The mean scores for alienation, stereotype endorsement, perceived discrimination, and social withdrawal were (2.2 ± 0.7), (2.4 ± 0.7), (2.9 ± 0.6), and (2.2 ± 0.6) respectively. A comparison of the average family monthly income, family roles, duration, disease activity, duration of morning stiffness, visual analogue scale score, C-reactive protein, erythrocyte sedimentation rate, and total stigma score revealed significant differences (p < 0.05). The total treatment adherence score was negatively correlated with the total stigma's score and scores in each dimension (p < 0.05). Similarly, the total psychological health score and total physical health score were negatively correlated with the total stigma score and scores in each dimension (p < 0.05). The qualitative study identified six themes: self-denial, discrimination, lack of disease-related knowledge, high medical costs, increased life burden and resistance to stigma. Stigma affects RA patients' treatment adherence and quality of life negatively. Healthcare workers are advised to develop comprehensive intervention programs that address the current status of stigma, with the aim of controlling disease progression, reducing disability rates, and improving the quality of life for RA patients.

Impostor Phenomenon, Group Stereotype Endorsement, and Black College Women’s Mental Health

The present research expands on impostor phenomenon (IP) literature by highlighting the role of susceptibility to group stereotype endorsement and IP on the mental health experiences of Black college women attending predominantly White institutions (PWIs). Specifically, the following study seeks to determine if there is an indirect effect between susceptibility to group stereotype endorsement and depression and anxiety via IP for these students. A sample of 414 Black college women attending PWIs completed an online survey including a demographic questionnaire, the Clance Impostor Phenomenon Scale (Clance, 1985), a modified version of Shapiro’s Multi-Threat Framework Scale (Shapiro, 2011), and the Mental Health Inventory-18 (Veit &amp; Ware, 1983; Weinstein et al., 1989). The findings of the data analyses indicated that there is an indirect effect on susceptibility to group stereotype endorsement and depression and anxiety via IP. These findings highlight the need to examine contextual factors on IP and mental health outcomes for Black women students. The discussion section offers recommendations for preventing and responding to IP with this population.

Discounting Counter-Stereotypical Representations in Entertainment Based on Existing Beliefs

ABSTRACT Exposure to counter-stereotypical portrayals in entertainment media has been shown to impact attitudes toward marginalized groups in previous studies, which reveal generally positive but sometimes inconsistent effects. To better understand the role of individual differences in these outcomes, this study examines how perceptions of realism, character typicality, and persuasive intent are influenced by existing stereotypical beliefs. Individuals with high gender- and race-related stereotype endorsement about intelligence were found to perceive counter-stereotypical representations of brilliance as externally unrealistic, undermining the potential for portrayals to positively impact attitudes. This relation was mediated by perceptions of character atypicality. The role of persuasive intent in this process remains inconclusive. By elucidating these mechanisms, this research identifies factors that may impede the prosocial impact of media representations in improving attitudes toward stereotyped groups.

An Exploration of Sexual Consent Beliefs, Attitudes, and Behaviors among Middle School Students in Canada

An essential component of healthy sexual exploration is the understanding of sexual consent. Unfortunately, sexual consent is not consistently taught in sex education programs developed for adolescents. Furthermore, although early adolescence is a critical developmental period for the formation of sexual identity, norms, attitudes, and relationships, this population is underrepresented in the sexual consent literature. To fill this important gap, this study examined the sexual consent beliefs, attitudes, and behaviors of 254 middle school students from a large, urban city in the province of Ontario. Correlates and predictors of sexual consent endorsement were tested via bivariate and multiple regression analyses. Greater perceived negative sanctions of dating violence and higher endorsement of gender stereotypes emerged as variables significantly related to and predictive of sexual consent attitudes, perceived behavioral control, and affirmative consent norms. Gender was also a significant correlate, as girls were more likely than boys to endorse affirmative sexual consent beliefs, attitudes, and behaviors. The findings highlight important group differences and provide guidance for the design and implementation of sexual education and prevention programs.

The effect of the peer support intervention on internalized stigma among Thai patients with tuberculosis: A repeated measures design.

Internalized stigma among patients with tuberculosis (TB) significantly affects delayed diagnosis, increased disease transmission, and poor treatment outcomes. However, conclusive empirical evidence on psychosocial interventions to reduce internalized stigma among patients with TB in Thailand remains scarce. This study aimed to examine the impact of a peer support intervention on reducing internalized stigma among patients with TB in Thailand. A one-group within-subjects repeated-measure design was conducted in the Muang Maha Sarakham district, Thailand, from February 2023 to July 2023. The study included 26 participants who met specified criteria. Measurements were taken at baseline, three months, and six months following TB diagnosis and medication treatment. The peer support intervention comprised TB health education, psycho-educational sessions, self-management support, and home visits. The Internalized Stigma of Tuberculosis Scale Thai Version was used to measure internalized stigma. Statistical analyses included descriptive statistics and repeated measures ANOVA. Mean scores of total internalized stigma and its sub-dimensions (alienation, stereotype endorsement, discrimination experience, social withdrawal, and stigma resistance) differed significantly across the three-time points (p <0.001, p <0.001, p <0.001, p <0.001, p <0.001, p = 0.002, respectively). Furthermore, stigma resistance scores significantly increased from pre-intervention to three months (p = 0.005) and from pre-intervention to six months (p = 0.007). However, no significant increase was observed from three to six months (p = 0.079). The study underlines the positive impact of peer support intervention in reducing internalized stigma among patients with TB in Thailand over time. The findings suggest that interventions focusing on peer support can potentially address internalized stigma, highlighting the importance of integrating these strategies into healthcare practices to enhance patient care and improve TB management outcomes.

Sociocultural influences on body image concerns in men of color - a structural equation modeling study.

There is a noticeable underrepresentation of Black, Indigenous, and People of Color (BIPOC) men in the existing empirical literature examining the sociocultural influences on body image concerns. To fill the gap, this study aimed to gain a better understanding of how sociocultural factors correlated with body dissatisfaction among BIPOC men living within the U.S. Structural equation modeling was used to address this gap by examining how multiple sociocultural factors - interpersonal appearance pressure, media appearance pressure, ethnic-racial identity attitudes (including ethnic-racial salience, stereotype endorsement, and nationalistic assimilation) and ethnic self-hatred towards one's ethnic group - were linked to dissatisfaction with muscularity, body fat and height in a sample of 181 BIPOC men participants. The proposed cross-sectional path model achieved satisfactory model fit and explained 31.9% in muscularity dissatisfaction, 36.2% in body fat dissatisfaction, and 26.4% in height dissatisfaction. Among direct relationships, interpersonal appearance pressure emerged most prominently associated with height dissatisfaction, whereas media appearance pressure and ethnic self-hatred were more related to muscularity and body fat dissatisfaction. Regarding the mediation effects, media appearance pressure was found to partially mediate the relationship between interpersonal appearance pressure and body dissatisfaction, as well as the relationship between ethnic self-hatred and body dissatisfaction. Furthermore, ethnic self-hatred was found to be predicted by ethnic-racial identity attitudes. This research profoundly expands our understanding of the ethnic and racial complexities surrounding body dissatisfaction among BIPOC men and encourages health practitioners to acknowledge the unique sociocultural and systemic dynamics (ethnic-racial identities and associated stressors) when working with BIPOC men who present with body image concerns.

Stigmatizing intimate relationships in schizophrenia: a study comparing mental health professionals, health students and the general population

Background Discrimination in intimate relationships (IR) is frequently reported among persons with schizophrenia. Despite ongoing effort of international organizations to combat mental illness stigma, there remain a limited understanding of specific IR-related stereotypes. Aims The study aimed to i) identify the stereotypes related to IR of persons with schizophrenia held by Mental Health Professionals (MHP), health students and the general population, and ii) explore the effects of several factors associated with these stereotypes. Methods This study used a mixed-methods approach. A survey developed collaboratively with persons with lived experience of mental health conditions (PWLE) was disseminated among MHP, health students and the general population. Results The majority of the nine IR-related stereotypes previously identified by PWLE were endorsed by the participants (N = 532). PWLE were perceived as particularly incompetent in the domain of IR (e.g. to achieve couple project). Stereotypes endorsement varied among the groups. Continuum beliefs, perceived similarities and recovery beliefs were negatively associated with stereotype endorsement. Conclusions The general population, MHP and health students endorsed several stereotypes regarding IR of persons with schizophrenia. The results provide support for the role of theoretical beliefs in IR stigmatization, suggesting they may be relevant targets for evidence-based stigma reduction programs.

Longitudinal Patterns in Gender-Typed Career Interests and Career Stereotypes Among Boys and Girls in Middle Adolescence

The aim of this study was to examine changes in gender-typed career interests and career-related gender stereotypes, as well as the bidirectional relationship between these factors, among 524 (61% girls) middle adolescents, aged 14 to 17 ( M = 15.58, SD = 0.35), over three years. Data were collected through an online survey in schools, using the Personal Globe Inventory to assess gender-typed career interests and the Vocational Gender Stereotype Attitudes Scale to measure career-related gender stereotype endorsement. Results from Latent growth curve modelling (LGCM) indicated no significant mean changes in gender-typed career interests over time for both genders but did reveal significant differences in the developmental trajectories of gender-typed career interests among girls. Moreover, results revealed gender differences in baseline levels and developmental trajectories of gender stereotype endorsement, showing distinct temporal patterns for boys and girls. Results from multi-domain LGCM provided more evidence supporting the attitudinal pathway model, suggesting that career gender stereotypes influence career interests among girls over time, rather than the other way around. Our findings highlight the need for further exploration of the potential contributing factors that shape the interplay between career interests and gender stereotypes in boys and girls during middle adolescence.

Racial stereotype and Black adolescents' math achievement: Unpacking the socio-cognitive mechanisms

Racial stereotypes are salient to Black adolescents and to the academic domain of mathematics; however, few studies have examined the socio-cognitive mechanisms through which racial stereotypes impact math achievement. This 2-year longitudinal study (N = 790 Grade 6, 8, and 10 students during Year 1; 50.7% girls and 49.3% boys) investigated (a) the extent to which the endorsement of positively and negatively biased racial stereotypes predicted Black adolescents' math performance through their cognitive engagement and ability mindset and (b) whether gender and ethnic-racial identity moderated these links. Results suggested that endorsement of negatively biased stereotypes was associated with diminished cognitive engagement and lower math scores across 2 years (p < .05). Additionally, adolescents' ethnic-racial identity commitment moderated the negative links between stereotype endorsement and math cognitive engagement in Year 2 (p < .05). When considering the mediating role of math ability mindsets, the endorsement of both positively and negatively biased racial stereotypes operated on math performance via its links to stronger fixed ability mindset beliefs in both years (p < .05). Gender also moderated the effects of racial stereotype endorsement on math mindset beliefs in Year 1 (p < .01). This study's findings advance the field's understanding of the psychosocial mechanisms through which racial stereotypes operate, thus enabling educators to develop tailored practices that facilitate equitable access to math learning opportunities.

Similarity or stereotypes? An investigation of how exemplar gender guides children's math learning.

How does the representation of boy and girl exemplars in curricular materials affect students' learning? We tested two competing hypotheses about the impact of gender exemplar on learning: First, in line with Social Learning Theory, children might exhibit a same-gender bias such that they prefer to learn from exemplars that match their gender (H1). Second, consistent with research on children's stereotypes about gender and math (e.g., associating boys with math competence), children might prefer to learn from exemplars who match their stereotypes about who is good at math (H2). We tested these hypotheses with children in middle school (N=166), a time of development in which stereotypes are well-engrained, but before gender differences in math achievement appear. Children viewed two distinct math strategies, each presented by a boy or girl exemplar. We then examined which strategy children employed on a subsequent math test as well as their perceived similarity to the exemplars and their awareness or endorsement of gender-math stereotypes. Children did not preferentially learn from same-gender exemplars. However, children with stereotypes associating boys with math were more likely to learn the more difficult strategy when it was presented by a boy exemplar than children who did not associate boys with math. The results of this study provide valuable insight into how children's stereotypes impact their real-world learning. RESEARCH HIGHLIGHTS: How does the representation of boy and girl exemplars in children's curricular materials affect their learning? Past research demonstrates that children prefer to learn from same-gender exemplars, but also hold a stereotype that boys are better at math. In the current study, we test whether children preferentially adopt a math strategy presented by a boy or girl exemplar. Children who held the belief that boys are better at math were more likely to learn a difficult strategy from boy exemplars than children who did not endorse this stereotype.

Mathematics self-concept and response pattern in higher education examinations: differences between genders

The study examined how mathematics self-concept, mathematics anxiety and endorsement of mathematics gender stereotypes may impact female students’ response pattern in multiple-choice examinations in courses with mathematical content. Questionnaires measuring these three variables were completed by 435 undergraduates (327 enrolled in a non-mathematical course and 108 in a course with mathematical content). Achievement was measured via multiple-choice examinations, thus allowing us to analyse students’ response patterns (i.e. not only their mark but also the number of hits, errors and unanswered questions). In females, a poorer mathematics self-concept and higher levels of mathematics anxiety (compared with male classmates) did not impact negatively on their final mark in the course with mathematical content. However, the response pattern in this course differed according to gender and mathematics self-concept: a poorer mathematics self-concept was associated with a higher number of unanswered questions in women and a tendency toward a greater number of errors in men. This suggests that a poorer mathematics self-concept leads women to be more cautious during multiple-choice examinations so as to minimise mistakes, whereas in males it tends to be associated with a risk-taking response strategy. These results raise further concerns about the use of multiple-choice examinations, particularly for assessing mathematical knowledge in students with low mathematics self-concept.

The Relationship Between Internalized Stigma with Self-reported Cognitive Dysfunction and Insight in Schizophrenia.

This study aimed to evaluate the relationship between internalized stigma with self-reported cognitive dysfunction and insight in individuals with schizophrenia. There were 69 patients diagnosed with schizophrenia in the study. Severity of illness, insight, self-reported cognitive impairment, and internalized stigma were assessed using the Positive and Negative Syndrome Scale, the Schedule for the Assessment of Insight (SAI), the Schizophrenia Cognition Rating Scale (SCoRS), and the Internalized Stigma of Mental Illness (ISMI) scale. Schizophrenia Cognition Rating Scale-patient scores correlated positively and significantly with the ISMI subscales Alienation and Stereotype Endorsement. Schedule for the Assessment of Insight scores correlated positively and significantly with the ISMI subscales Alienation, Stereotype Endorsement, Discrimination Experience, and Social Withdrawal. There was no correlation between SCoRS-patient, SAI subscale, and total scores. In the regression analysis, SCoRS-patient score and SAI total scores explained 38.2% of the ISMI Alienation subscale, and 25.5% of the ISMI Stereotype Endorsement subscale. Significant associations were found between internalized stigma with self-reported cognitive impairment and insight. Clinicians should be aware of higher degrees of internalized stigma in persons with schizophrenia who experience subjective cognitive deficits and have higher levels of insight.

Good Intentions Aside: Stereotype Threat in the Face of Media Strategies to Counter Age Bias.

The current study shifts the focus of research on media's role in facilitating and inhibiting self-stereotyping among the members of stigmatized groups. More specifically, this study proposes and tests a conceptual model explaining (un)intentional effects of a real-world anti-ageism social media campaign among stereotyped targets: Older workers. Drawing on an experiment among older Dutch adults (N = 649), we test the effects of two message strategies for reducing prejudice: the media-literacy and the counter stereotypical information strategy. The results show that exposure to content warnings as well as strong counter-stereotypical message (i.e., consisting of positive exemplars and the negation of generic age stereotypes) is powerful in inhibiting implicit stereotype endorsement, ultimately boosting favourable employability perceptions of older workers. By integrating insights from the parasocial content hypothesis and stereotype threat indications, we provide a nuanced understanding of how anti-bias campaigns impact stigmatized targets, and isolate reasons for the varied effectiveness of such interventions.

A Comparative Study of Internalized Stigma in Patients with Schizophrenia and Bipolar Affective Disorder in Remission

Background: Internalized stigma experienced by individuals with schizophrenia and bipolar affective disorder dramatically affects their overall quality of life. While several studies have explored this topic, there remains a scarcity of research comparing internalized stigma across both these illnesses. We investigated and compared how internalized stigma is associated with different socio-demographic factors among individuals diagnosed with schizophrenia and bipolar affective disorder in remission. Aim: To carry out a comparative study of the internalized stigma experienced by patients with schizophrenia and bipolar affective disorder in remission. Materials and Methods: A total of 106 patients with schizophrenia and 53 with bipolar affective disorder (BPAD) in remission underwent assessment using the Internalized Stigma of Mental Illness Scale (ISMIS), Positive and Negative Syndrome Scale (PANSS), and Young Mania Rating Scale (YMRS). Results: The study revealed that internalized stigma was significantly more ( p value = .0001) in patients with schizophrenia (84.84 ± 6.02) compared to those with BPAD (78.55 ± 6.07). Further analysis of the ISMIS domains revealed significant correlations between internalized stigma and stereotype endorsement ( p value = .005), stigma resistance ( p value = .009), social withdrawal ( p value = .0001), and alienation ( p value = .0001). Conclusion: The study suggests that individuals with schizophrenia experience higher levels of internalized stigma in comparison to those with BPAD.

Stigma in first epizode patients with schizophrenia

IntroductionPatients with schizophrenia confront with stigmatization in their everyday life. Differences in their perception of stigmatization based on the number of hospitalizations and duration of treatment are unsufficiently researched.ObjectivesOur aim was to investigate whether patients with first-episode schizophrenia differ in their perception of stigmatization from schizophrenia patients with more than one hospitalization,MethodsA consecutive sample of 120 stable outpatients (70 males, 50 female) diagnosed with schizophrenia were included in the study. Diagnosis of schizophrenia was established with Neuropsychiatric Interview. First episode patients consisted 28.3% of the group.All patients were at least once hospitalized for mental illness. Patients were dichotomised based on the number of hospitalizations.The study was approved by Ethic committee of the institutions. Stigma was assessed with Internalized Stigma of Mental Illness (ISMI) scale.ISMI scale contains 29 Likert items rated on a 4-point scale ranging from “strongly disagree” to “strongly agree”. It contains five subscales: Alienation, Stereotype Endorsement, Discrimination Experience, Social Withdrawal and Stigma Resistance. The overall internal consistency for the global ISMI was 0,89; Alienation-0,76; Stereotype endorsement- 0,63; Discrimination- 0,72; Social withdrawal- 0,57.All analyses were performed using the SPSS 25.0. The differences between groups on continuous variables were evaluated using t-test with Bonferroni correction. For all analyses, the level of statistical significance was defined as an alpha less than 0.05ResultsThere were no differences in first-episode and more episode patietns in ISMI and its subscales. Number of hospitalizations was associated with Stereotype endorsement subscale (r=228;p=0,012) Age was correlated with stigma.ConclusionsAlthough stigma did not differ between first-episode patients and patients with two or more hospitalizations, stereotype endorsement was strongy associated with the number of hospitalizations leading to conclusion that stigma is associated with psychiatric treatment and our aim must be to destigmatize the treatment and avoid hospitalizations.Disclosure of InterestNone Declared

How the relationship between education and antisemitism varies between countries

We investigate the relationship between education and antisemitism using unique individual-level survey data on antisemitism from more than 100 countries. Our findings show that education is associated with greater favorability toward Jews, but the relationship between education and endorsement of antisemitic stereotypes and conspiracy theories varies between countries. In countries that actively supported recent statements condemning Holocaust denial and antisemitism at the United Nations—which we use as a proxy for country-level opposition to antisemitism in education and politics—greater education is associated with reduced endorsement of antisemitic stereotypes. By contrast, more educated people are more likely to endorse antisemitic stereotypes than less educated people in countries that declined to endorse those statements. These descriptive findings provide new evidence about the association between education and intolerance.

Internalized Stigma in Patients with Bipolar Disorder: A Cross-sectional Study on Its Associations with Sociodemographic, Marital and Clinical Characteristics

IntroductionBipolar disorder (BD) is a chronic and complex affective disorder among top diseases that cause disability worldwide. Internalized stigmatization is a process including the awareness of negative stereotypes adopted by the society, participation in and internalization of these judgements, associated with impaired social functionality. Studies examining internalized stigma and related factors in BD is limited.ObjectivesIn this study, it is aimed to investigate the associations between internalized stigmatization and clinical characteristics, as well as sociodemographic and marital features of patients with BD.MethodsThis observational and cross-sectional study was conducted at a specialized affective disorders clinic in a university hospital between November 2020 and March 2021. During routine follow-up, each consecutive patient with BD was invited and a total of 118 were included in the study. Information about sociodemographic, marital and clinical characteristics of patients was collected through a prepared data form and follow-up documents. Internalized Stigma of Mental Illness Scale (ISMIS) was administered to assess internalized stigma. Statistical analysis of data was conducted by SPSS version 25 and a statistical significance level of p&lt;0.05 was determined.ResultsMean ISMIS total score of the sample was 56.50 ±13.65. Multiple linear regression was used to test the predictors of higher ISMIS scores. Being currently unemployed (p=0.012, Β=0.208), shorter BD duration (p&lt;0.001, Β=0.302) and presence of inter-episode residual symptoms (p=0.004, Β=0.248) predicted higher ISMIS total. Younger age (p=0.002, Β=0.264), being female (p=0.007, Β=0.226) and absence of mania dominance (p=0.019, Β=0.190) predicted higher alienation scores. Presence of inter-episode residual symptoms predicted both stereotype endorsement (p&lt;0.001, Β=0.320) and perceived discrimination (p&lt;0.001, Β=0.358). Younger age (p=0.001, Β=0.281) and total number of depressive episodes (p=0.015, Β=0.212) also predicted perceived discrimination. Shorter BD duration and absence of seasonality predicted higher ISMIS social withdrawal, while history of hospitalization predicted higher ISMIS stigma resistance.ConclusionsOur study demonstrated similar mean ISMIS total scores to the findings previously reported in Türkiye, while roughly lower than results in the international literature. Considering that internalized stigmatization was increased in earlier stages of BD and in younger patients, as well as in patients with inter-episode residual symptoms, it might be important to implement psychosocial interventions for internalized stigmatization and appropriate psychoeducation programs in the earlier periods of BD. Therefore a multidimensional and holistic approach towards internalized stigmatization may positively contribute to the functionality of patients with BD.Disclosure of InterestNone Declared

The effect of GLP-1 receptor agonist use on negative evaluations of women with higher and lower body weight.

GLP-1 receptor agonists (GLP-1 RAs) have dramatically altered obesity treatment. Media reports suggest that GLP-1 RAs users often report feeling judged for taking a "shortcut" to lose weight, which may be related to negative stereotypes toward people with larger bodies. Media reports also describe negative attitudes about lean people who take GLP-1 RAs to enhance their appearance. The present research used a 2 × 2 experimental design to test the effects of GLP-1 RA use and body size on attitudes and egocentric impressions. A sample of 357 U.S. adults (Mage = 37.8, SD = 13) were randomly assigned to read about a woman, who either was lean or had obesity, and who lost 15% of her body weight either with diet/exercise or a GLP-1 RA. Participants answered questions measuring endorsement of negative weight-related stereotypes and egocentric attitudes toward the woman, as well as beliefs that she took a shortcut to lose weight and beliefs that biogenetic factors caused her baseline weight. Negative evaluations and egocentric impressions were stronger toward a woman who lost weight with a GLP-1 RA compared to diet/exercise. Losing weight with a GLP-1 RA led to stronger negative evaluations through higher weight loss shortcut beliefs irrespective of body size. Losing weight with a GLP-1 RA also led to higher egocentric impressions through higher shortcut beliefs, and this effect was stronger for a lean woman. Finally, losing weight with a GLP-1 RA led to more negative evaluations through stronger endorsement of biogenetic causal beliefs for a lean woman only. This timely study provides evidence that people with larger and smaller bodies alike are at-risk for being judged for using GLP-1 RAs due to beliefs that these medications are a shortcut. Findings also demonstrate novel reactions related to egotism when weight loss is achieved with pharmacological interventions. PRE-REGISTRATION AND DATA: osf.io/xme4w.

Self-stigma in a Tunisian population of stabilized outpatients with schizophrenia

IntroductionThe internalized stigma associated with mental illness is considered as an additional burden faced by people with mental disease. Among mental illnesses, schizophrenia is considered as the most stigmatizing.ObjectivesTo Assess the level of stigma in a sample of people with schizophreniaMethodsThis is a cross-sectional and descriptive study carried out on 72 stabilized patients followed at the post-cure psychiatry consultation ‘A’ at the CHU Hedi Chaker in Sfax diagnosed with schizophrenia according to the DSM 5 criteria. Socio-demographic and clinical data were collected using a pre-established sheetWe used The Internalized Stigma of Mental Illness (ISMI) scale to assess internalized stigmaResultsThe mean age of the patients in our study was 46.83 ± 11.6 years, with a sex ratio (M/F) of 2.They were single in 48.5%, unemployed in 69.4%. Their level of education did not exceed primary school in 44.4% and their socio-economic level was low in 63.9%. 2% of the patients had no somatic history and 36.1% had a history of attempted suicide.The median for the total ISMI score was 2.45, which corresponded to the absence of strong stigma. The median of the subscales was distributed as follows: 2 for the level of alienation, 2.28 for stereotype endorsement, 2.4 discrimination experience, 2.36 for social withdrawal and 2.60 for stigma resistance.In our study, 45.8% of patients reported experiencing high levels of self-stigma (total score&gt;2,5).ConclusionsOur study found levels of self-stigma in individuals with schizophrenia that align with previous research, suggesting that schizophrenia-related stigma is a global phenomenon unaffected by factors such as origin or ethnicity.Disclosure of InterestNone Declared