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Peer-reviewedCC BY-NC-NDPsikiyatride Güncel Yaklaşımlar

Internalized Stigma and Its Associations with General and Family Functioning in Patients with Bipolar Disorder

  • Mehmet Avan1
  • Oğuzhan Uğur2
  • Ceyda Acılıoğlu3
  • Neşe Burcu Bal
  • Esra Kabadayı Sahin4
  • Ali Çayköylü4
4 affiliations
  1. 1Kızılcahamam Devlet Hastanesi
  2. 2Sivas State Hospital
  3. 3Department of Psychiatry, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey
  4. 4ANKARA YILDIRIM BEYAZIT UNIVERSITY
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Abstract

Objective: This study explored associations between internalized stigma, overall functioning, and family dynamics in individuals with bipolar disorder during remission. Methods: Eighty-four adults with bipolar I disorder followed at a specialized clinic were included. Internalized stigma, general functioning, and family functioning were measured with the Internalized Stigma of Mental Illness Scale, the Functioning Assessment Short Test, and the Family Assessment Device. Results: Most demographic and clinical characteristics, including age, gender, illness duration, and number of episodes, were not significantly associated with internalized stigma. Internalized Stigma of Mental Illness Scale scores differed according to employment status and alcohol use. Poorer family functioning correlated with greater internalized stigma (r = 0.314, p = 0.005). In the exploratory regression model, poorer family functioning was significantly associated with higher internalized stigma (B = 9.779, 95% CI: 3.07–16.48). Conclusion: Family functioning may be an important psychosocial correlate of internalized stigma in individuals with bipolar disorder in remission. Incorporating family-based assessments and interventions into treatment may help reduce self-stigma and support long-term recovery.

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Cite

BibTeXRIS
BibTeX
@article{avan2026internalized,
  title = {{Internalized Stigma and Its Associations with General and Family Functioning in Patients with Bipolar Disorder}},
  author = {Mehmet Avan and Oğuzhan Uğur and Ceyda Acılıoğlu and Neşe Burcu Bal and Esra Kabadayı Sahin and Ali Çayköylü},
  journal = {Psikiyatride Güncel Yaklaşımlar},
  year = {2026},
  month = oct,
  doi = {10.18863/pgy.1887740},
  url = {https://doi.org/10.18863/pgy.1887740},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Internalized Stigma and Its Associations with General and Family Functioning in Patients with Bipolar Disorder
AU  - Mehmet Avan
AU  - Oğuzhan Uğur
AU  - Ceyda Acılıoğlu
AU  - Neşe Burcu Bal
AU  - Esra Kabadayı Sahin
AU  - Ali Çayköylü
PY  - 2026
DA  - 2026/10/25
JO  - Psikiyatride Güncel Yaklaşımlar
DO  - 10.18863/pgy.1887740
UR  - https://doi.org/10.18863/pgy.1887740
AB  - Objective: This study explored associations between internalized stigma, overall functioning, and family dynamics in individuals with bipolar disorder during remission. Methods: Eighty-four adults with bipolar I disorder followed at a specialized clinic were included. Internalized stigma, general functioning, and family functioning were measured with the Internalized Stigma of Mental Illness Scale, the Functioning Assessment Short Test, and the Family Assessment Device. Results: Most demographic and clinical characteristics, including age, gender, illness duration, and number of episodes, were not significantly associated with internalized stigma. Internalized Stigma of Mental Illness Scale scores differed according to employment status and alcohol use. Poorer family functioning correlated with greater internalized stigma (r = 0.314, p = 0.005). In the exploratory regression model, poorer family functioning was significantly associated with higher internalized stigma (B = 9.779, 95% CI: 3.07–16.48). Conclusion: Family functioning may be an important psychosocial correlate of internalized stigma in individuals with bipolar disorder in remission. Incorporating family-based assessments and interventions into treatment may help reduce self-stigma and support long-term recovery.
SN  - 1309-0674
SN  - 1309-0658
ER  -