{
  "abstract": "Background: This study aimed to assess the level of internalized stigma in individuals with bipolar disorder (BD) during the euthymic phase and to examine its individual, familial, and clinical predictors.\n\nMethod: Ninety-seven euthymic participants with BD, diagnosed according to DSM-5 criteria, were administered the Internalized Stigma of Mental Illness Scale (ISMI), Resilience Scale for Adults (RSA), and Rosenberg Self-Esteem Scale (RSES).\n\nResults: High levels of internalized stigma (ISMI mean ≥ 2.5) were found in 13.4% of participants. Multiple linear regression analysis showed that higher resilience (β = –0.39, p <.001) and higher educational attainment (β = –0.18, p = .029) were associated with lower internalized stigma, whereas a family history of death by suicide was associated with higher stigma (β = 0.20, p = .019). A greater number of mood episodes showed a borderline association with higher stigma (β = 0.18, p = .050). The overall model explained 52% of the variance in stigma scores.\n\nLimitations: The cross-sectional design and relatively small sample size are the primary limitations.\n\nConclusions: Internalized stigma in BD was associated with a combination of individual, familial, and educational factors. The independent association of a family history of suicide underscores the importance of a systematic evaluation of such a family history in a clinical interview, suggesting that strengthening resilience and health literacy may represent vital targets for intervention.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Psychiatry, Kocaeli University Research and Application Hospital",
    "Department of Psychiatry, Kocaeli City Hospital",
    "Department of Psychiatry, Derince Training and Research Hospital",
    "Department of Psychiatry, Eyüpsultan State Hospital"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Fatma Seher Kocaayan"
    },
    {
      "affs": [
        1
      ],
      "name": "Ezgi Şişman"
    },
    {
      "affs": [
        2
      ],
      "name": "Havva Atasoy Kaplan"
    },
    {
      "affs": [
        0
      ],
      "name": "İlay Dalkıran"
    },
    {
      "affs": [
        3
      ],
      "name": "Hanife Yılmaz Abaylı"
    },
    {
      "affs": [
        0
      ],
      "name": "Aslıhan Polat"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4n9j8whwyzs6x.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1931254",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13729377/?tool=EBI",
  "id": "4n9j8whwyzs6x",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1931254/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2738|Bipolar Disorder and Treatment"
    ]
  ],
  "openalex": "W7223023069",
  "pdf_url": "https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1931254/pdf",
  "pmcid": "PMC13729377",
  "pmid": "42979056",
  "published": "2026-10-20",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/4n9j8whwyzs6x.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:18Z",
      "native_id": "10.3389/fpsyt.2026.1931254",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1931254/full"
    },
    {
      "first_seen": "2026-11-04T15:20:46Z",
      "native_id": "PMC:PMC13729377",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13729377"
    },
    {
      "first_seen": "2026-11-07T12:22:09Z",
      "native_id": "PMC13729377",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpsyt.2026.1931254"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Bipolar Disorder and Treatment",
      "subfield": "psychiatry"
    }
  ],
  "title": "Intergenerational burden: deconstructing the dual impact of familial suicide in a specialized bipolar clinic, from clinical risk to internalized stigma",
  "title_text": "Intergenerational burden: deconstructing the dual impact of familial suicide in a specialized bipolar clinic, from clinical risk to internalized stigma",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:09Z",
  "url": "https://research.draconitic.com/paper/4n9j8whwyzs6x",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}