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Table 1 Internalized stigma of mental illness: number of participants agreed and number of text fragments matched

From: “My bitterness is deeper than the ocean”: understanding internalized stigma from the perspectives of persons with schizophrenia and their family caregivers

Statement/item

# agreed

# of text fragments

Alienation

 1. Because of mental illness, I became the burden of my family

6

4

 2. Having a mental illness has spoiled my life

6

3

 3. I feel inferior to others who don’t have a mental illness

4

6

 4. People without mental illness could not possibly understand me

4

0

 5. I am disappointed in myself for having a mental illness

3

2

 6. I feel out of place in the world because I have a mental illness

2

1

 7. I hate myself because I have mental illness

2

0

Perceived discrimination

 1. People discriminate against me because I have a mental illness

4

18

 2. Others think that I can’t achieve much in life because I have a mental illness

4

2

 3. Nobody would be interested in getting close to me because I have a mental illness

3

5

 4. People ignore me or take me less seriously just because I have a mental illness

2

5

Social withdrawal

 1. I don’t talk about myself much because I don’t want to burden others with my mental illness

5

1

 2. I don’t socialize as much as I used to because my mental illness might make me look or behave “weird”

4

8

 3. Negative stereotypes about mental illness keep me isolated from the “normal” world

4

0

 4. I’m afraid to talk about mental illness and related topics

3

0

 5. I stay away from social situations in order to protect my family or friends from embarrassment

3

0

 6. Because of mental illness, I often want to avoid familiar people and environment

2

8

 7. I avoid getting close to people who don’t have a mental illness to avoid rejection

2

0

 8. Being around people who don’t have a mental illness makes me feel out of place or inadequate

1

4

Stereotype endorsement

 1. Because I have a mental illness, I need others to make most decisions for me

5

1

 2. I can’t contribute anything to society because I have a mental illness

4

0

 3. People with mental illness cannot live a good, rewarding life

3

0