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Less is known about self-stigma in other SMI and autism spectrum disorder (ASD). The objectives of this study are: (i) to assess the frequency of self-stigma in a multicentric nonselected psychiatric rehabilitation SMI and ASD sample; and (ii) to investigate the correlates of elevated self-stigma in different SMI conditions and in ASD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933819000129_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods.<\/jats:title>\n\t    <jats:p>A total of 738 SMI or ASD outpatients were recruited from the French National Centers of Reference for Psychiatric Rehabilitation cohort (REHABase). Evaluations included sociodemographic data, illness characteristics, and standardized scales for clinical severity, quality of life, satisfaction with life, wellbeing, personal recovery, a large cognitive battery, and daily functioning assessment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933819000129_sec3\" sec-type=\"results\">\n\t    <jats:title>Results.<\/jats:title>\n\t    <jats:p>\n31.2% of the total sample had elevated self-stigma. The highest prevalence (43.8%) was found in borderline personality disorder and the lowest (22.2%) in ASD. In the multivariate analysis, elevated self-stigma was best predicted by early stages of personal recovery (moratorium, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.001, OR\u00a0=\u00a04.0 [1.78\u20138.98]; awareness, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.011, OR\u00a0=\u00a02.87 [1.28\u20136.44]), history of suicide attempt (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001, OR\u00a0=\u00a02.27 [1.37\u20133.76]), insight (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002, OR\u00a0=\u00a01.22 [1.08\u20131.38]), wellbeing (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.037, OR\u00a0=\u00a00.77 [0.60\u20130.98]), and satisfaction with interpersonal relationships (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001, OR\u00a0=\u00a00.85 [0.78\u20130.93]).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933819000129_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions.<\/jats:title>\n\t    <jats:p>The present study has confirmed the importance of addressing self-stigma in SMI and ASD patients enrolled in psychiatric rehabilitation. The effectiveness of psychiatric rehabilitation on self-stigma and the potential mediating effects of changes in self-stigma on treatment outcomes should be further investigated.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2019.12","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T08:27:44Z","timestamp":1581064064000},"source":"Crossref","is-referenced-by-count":39,"title":["Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort"],"prefix":"10.1192","volume":"63","author":[{"given":"J.","family":"Dubreucq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Plasse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Gabayet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Faraldo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Blanc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Chereau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Cervello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Couhet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Demily","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Guillard-Bouhet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Gouache","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Jaafari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Legrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Legros-Lafarge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Pommier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Quil\u00e8s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Straub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Verdoux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Vignaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Massoubre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"REHABAse Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Franck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"S0924933819000129_r72","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300169"},{"key":"S0924933819000129_r71","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20624"},{"key":"S0924933819000129_r70","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20167"},{"key":"S0924933819000129_r68","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000537"},{"key":"S0924933819000129_r67","doi-asserted-by":"publisher","DOI":"10.9758\/cpn.2015.13.3.296"},{"key":"S0924933819000129_r66","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.07.038"},{"key":"S0924933819000129_r65","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2010.08.010"},{"key":"S0924933819000129_r73","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.06.029"},{"key":"S0924933819000129_r64","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711002558"},{"key":"S0924933819000129_r63","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.09.004"},{"key":"S0924933819000129_r59","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.07.012"},{"key":"S0924933819000129_r57","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-019-01671-4"},{"key":"S0924933819000129_r55","doi-asserted-by":"publisher","DOI":"10.1080\/13546800600787854"},{"key":"S0924933819000129_r50","unstructured":"[50] Van der Linden M , Coyette F , Poitrenaud J , B\u00e9atrice D , Bernard D , Anne-Marie E , et al. (2004) L\u2019\u00e9preuve de rappel libre\/rappel indice \u00e0 16 items (RL\/RI-16). In: L\u2019\u00c9valuation Des Troubles de La M\u00e9moire: Pr\u00e9sentation de Quatre Tests de M\u00e9moire \u00c9pisodique Avec Leur \u00c9talonnage. pp 25\u201347."},{"key":"S0924933819000129_r48","volume-title":"WAIS IV Nouvelle version de l\u2019\u00e9chelle d\u2019intelligence de Weschler pour adultes. 4\u00e8me \u00e9dition","author":"Wechsler","year":"2011"},{"key":"S0924933819000129_r22","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S87737"},{"key":"S0924933819000129_r53","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/114.2.727"},{"key":"S0924933819000129_r11","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796013000322"},{"key":"S0924933819000129_r18","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.09.030"},{"key":"S0924933819000129_r61","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2013.08.013"},{"key":"S0924933819000129_r19","unstructured":"[19] Dubreucq J , Franck N . Internalized Stigma in Serious Mental Illness (SMI): a systematic review of prevalence, predictors and correlates. J. Affect. Disord [submitted]."},{"key":"S0924933819000129_r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.11.009"},{"key":"S0924933819000129_r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2009.01.015"},{"key":"S0924933819000129_r56","unstructured":"[56] R Core Team. 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Test des Commissions r\u00e9vis\u00e9. In: \u201cGREMOIRE2 tests et \u00e9chelles des maladies neurologiques avec symptomatologie cognitive,\u201d sous la direction de L Hugonot-Diener, C Thomas-Anth\u00e9rion & F Sellal, \u00e9ditions De Boeck-Solal, Louvain\u2013Paris, p. 70\u201374."},{"key":"S0924933819000129_r29","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000036"},{"key":"S0924933819000129_r8","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2009.tb00218.x"},{"key":"S0924933819000129_r20","doi-asserted-by":"crossref","first-page":"2439","DOI":"10.2147\/NDT.S114671","article-title":"Self-stigma in borderline personality disorder\u2014cross-sectional comparison with schizophrenia spectrum disorder, major depressive disorder and anxiety disorders","volume":"12","author":"Grambal","year":"2016","journal-title":"Neuropsychiatr Dis Treat"},{"key":"S0924933819000129_r3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.09.001"},{"key":"S0924933819000129_r33","volume-title":"Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings. 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