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"An unspoken world of unspoken things": a study identifying and exploring core beliefs underlying self-stigma among people living with HIV and AIDS in Ireland.
France, Nadine Ferris; Mcdonald, Steve H; Conroy, Ronán; Byrne, Elaine; Mallouris, Chris; Hodgson, Ian; Larkan, Fiona N
<p>The original article is available at <a href="http://www.smw.ch/content/smw-2015-14113/">http://www.smw.ch/content/smw-2015-14113/</a></p> <p>PRINCIPLES: Human immunodeficiency virus (HIV) related self-stigma--negative self-judgements resulting in shame, worthlessness and self-blame - negatively influences access to care and treatment, and overall quality of life for people living with HIV (PLHIV). Despite evidence that high levels of self-stigma exist among PLHIV, and is experienced to a far greater extent than stigma received from the broader community, there is a paucity of research aimed at understanding causes and functions of self-stigma, and an absence of interventions to mitigate its harmful effects. Understanding the core beliefs underlying self-stigma is therefore essential.</p> <p>METHODS: This pilot study used a qualitative approach to analyse interviews and written statements to uncover core beliefs underlying self-stigma, the functions thereof, and strategies used to overcome it, among a heterogeneous group of PLHIV in Ireland.</p> <p>RESULTS: Core beliefs underlying HIV-related self-stigma were uncovered and grouped into four categories: disclosure; sexuality and sexual pleasure; self-perception; and body, illness and death. Reported functions of self-stigma included contributing to maintaining a "victim" status; providing protection against stigma received from others; and justifying non-disclosure of HIV status. To cope with self-stigma, participants highlighted: community involvement and professional development; personal development; and connection to others and sense of belonging. Findings were also used to create a conceptual framework.</p> <p>CONCLUSIONS: This study helps fill identified gaps in knowledge about self-stigma as experienced by PLHIV. By understanding the core beliefs driving self-stigma, it will be possible to create targeted interventions to challenge and overcome such beliefs, supporting PLHIV to achieve improved wellbeing and lead productive lives free of self-limitation and self-judgement.</p>
Keyword(s): HIV; stigma; self-stigma; core beliefs; PLHIV; inquiry-based stress reduction; cognitive behavioural therapy; IBSR; CBT; self-worth; Cognitive Behavioral Therapy; Medicine and Health Sciences; Other Mental and Social Health
Publication Date:
2015
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): France NF, Mcdonald SH, Conroy RR, Byrne E, Mallouris C, Hodgson I, Larkan FN. "An unspoken world of unspoken things": a study identifying and exploring core beliefs underlying self-stigma among people living with HIV and AIDS in Ireland. Swiss Medical Weekly. 2015;145:w14113. doi: 10.4414/smw.2015.14113.
Publisher(s): EMH Swiss Medical Publishers Ltd.
File Format(s): application/pdf
Related Link(s): http://epubs.rcsi.ie/ephmart/58
First Indexed: 2015-10-02 06:15:20 Last Updated: 2018-05-26 07:18:08