Evidence map›Paper›PMID 41323627›Full record

ArticleFrontiers in public health2025

The impact of self-stigmatization on the mental health of female sex workers (FSWs).

Gizem Kaya, Olivia Kalinowski, Franziska Kroehn-Liedtke, Anastasiia Lotysh, Hristiana Mihaylova, Lena Zerbe, Wulf Rössler, Meryam Schouler-Ocak

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Gizem KayaDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Olivia KalinowskiDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Franziska Kroehn-LiedtkeDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Anastasiia LotyshDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Hristiana MihaylovaDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Lena ZerbeDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Wulf RösslerDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Meryam Schouler-OcakDepartment of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Sex workers are exposed to high levels of mental health risk. Yet, the psychological effects of self-stigmatization in legalized sex work contexts remain underexplored. This study examines how different dimensions of self-stigma influence mental health outcomes among female sex workers (FSWs) in Germany, where sex work is legalized and regulated. Methods: A cross-sectional study was conducted with 397 FSWs recruited across diverse work settings in Germany between August 2022 and October 2024. Mental health conditions were assessed using the Mini-DIPS Open Access structured interview. Self-stigmatization was measured via the Paradox of Self-Stigmatization Scale (PaSS-24), which captures three dimensions: Results: A high prevalence of mental health disorders was observed among participants, reflecting the categories assessed in this study (affective, anxiety, trauma-related, and substance use disorders). Emotional and behavioral dimensions of self-stigmatization, particularly concealment and emotional reactivity, showed associations with certain psychiatric outcomes. In contrast, cognitive endorsement of stereotypes showed no consistent links to mental health status in this sample. Discussion: Findings support the "Paradox of Self-Stigma" model: FSWs cognitively reject negative stereotypes yet exhibit strong emotional and behavioral responses that heighten psychological distress.

Indexed as

Mental DisordersMental HealthSex WorkersSocial StigmaStereotypingAdultCross-Sectional StudiesFemaleGermanyHumansMiddle AgedYoung Adultaffective disordersfemale sex workersmental healthself-stigmatizationstigma mechanismstrauma-related disorders

Identifiers

PMID41323627
PMCPMC12657165

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.