An examination of perceptions of individuals with an intellectual disability, with and without co-morbid schizophrenia: effects of labels on stigma

J Intellect Disabil Res. 2018 Jun;62(6):544-556. doi: 10.1111/jir.12494. Epub 2018 Apr 26.

Abstract

Background: Research demonstrates negative perceptions of individuals with intellectual disabilities (ID) and individuals with schizophrenia, but no study has examined ID with a co-morbid psychiatric disorder. The present study examined the social distance desired from and perceptions of dangerousness of ID, schizophrenia and co-morbid schizophrenia and ID and examined the impact of providing a label for the behaviours presented in a vignette.

Methods: A total of 160 participants, all university students, were randomly assigned to one of six vignettes detailing a person with schizophrenia, ID, or a person with both presenting problems. Half of the participants were randomly assigned to read vignettes that had a label provided for the behaviours of the target.

Results: Participants desired more social distance from the unlabelled than labelled targets. Presence of schizophrenia resulted in increased social distance, but co-morbid ID and schizophrenia elicited less desire for social distance than schizophrenia alone. Schizophrenia resulted in more perceived danger, but labelled co-morbid schizophrenia and ID resulted in little perceived danger.

Conclusions: Labels resulted in positive outcomes, particularly, when ID was co-morbid with schizophrenia. Schizophrenia stigma appears to be impacted by an ID label, indicating educating the public about the spectrum of co-morbidity may be useful.

Keywords: co-morbidity; intellectual disability; perceived dangerousness; schizophrenia; social distance.

MeSH terms

  • Adult
  • Comorbidity
  • Female
  • Humans
  • Intellectual Disability / epidemiology*
  • Intellectual Disability / psychology
  • Male
  • Midwestern United States
  • Psychological Distance*
  • Schizophrenia / epidemiology*
  • Schizophrenic Psychology
  • Social Desirability*
  • Social Stigma*
  • Students / psychology
  • Students / statistics & numerical data
  • Young Adult