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    The relationship between internalized stigma and coping strategies in bipolar disorder
    (Klinik Psikiyatri Dergisi, 2023) Ilter, Zeynep Caliskan; Cetin, Sidika Baziki; Ozkorumak, Evrim; Tiryaki, Ahmet; Ak, Ismail
    Objective: The aim of this study was to evaluate the rela-tionship between internalized stigma and coping atti-tudes in patients in remission of bipolar disorder.Method: The study included 77 patients in remission who were diagnosed with bipolar affective disorder according to DSM-IV by applying the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Euthymia was established using the Young Mania Rating Scale and the Hamilton Depression Rating Scale. All patients were evaluated with a Sociodemographic Data Form, the Internalized Stigma in Mental Illness Scale (ISMI) and the Coping Attitudes Rating Scale (COPE).Results: The per-ceived discrimination subscale scores of patients living in towns/villages were found to be significantly higher than those living in urban areas (p=0.038). A positive correla-tion was found between the total number of episodes (10.0 +/- 10.8), the number of depressive episodes (3.7 +/- 4.8) and the history of depression with psychotic features and internalized stigma. Patients showing active coping, planning, use of useful social support, positive reinterpretation and development of coping styles were found to have lower internalized stigma scores and high-er stigma resistance; moreover, patients using behav-iorally disengaged coping styles had higher internalized stigma scores and lower stigma resistance. Discussion: According to the results of our study, active coping, planning, use of useful social support, positive reinterpretation and support of developmental coping attitudes, which are among the functional coping atti-tudes, and attempts to reduce the behavioral disregard of maladaptive coping attitudes can be targeted to reduce internalized stigma.