Self-Stigma and PTSD: Conceptualization and Implications for Research and Treatment

Psychiatr Serv. 2023 Oct 1;74(10):1081-1083. doi: 10.1176/appi.ps.20220397. Epub 2023 Mar 20.

Abstract

Preliminary empirical evidence suggests that self-stigma may be a significant problem for those with posttraumatic stress disorder (PTSD). Although research on self-stigma for persons with PTSD is limited, some PTSD symptoms, such as negative thoughts about oneself, feelings of shame, and avoidance-particularly of social interactions-may be conceptually related to self-stigma, potentially explaining the co-occurrence and relevance of self-stigma in PTSD. This Open Forum reviews how the social cognitive model may explain the co-occurrence of self-stigma and PTSD, considers how this model may inform treatment approaches for self-stigma in PTSD, and identifies next steps to empirically test the proposed theory.

Keywords: Cognitive processing theory (CPT); Mental illness; Posttraumatic stress disorder (PTSD); Prejudice; Self-stigma; Social cognitive model.

MeSH terms

  • Concept Formation
  • Humans
  • Shame
  • Social Stigma
  • Stress Disorders, Post-Traumatic* / diagnosis