A Model of Internalized Stigma and Its Effects on People With Mental Illness

Drapalski, Amy L.; Lucksted, Alicia; Perrin, Paul B.; Aakre, Jennifer M.; Brown, Clayton H.; DeForge, Bruce R.; Boyd, Jennifer E.

doi:10.1176/appi.ps.001322012

Cited by 236 publications

(191 citation statements)

References 32 publications

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“…This heightened attention is, in part, due to the important associations between stigma and the severity of mental illness symptoms (Andrade et al 2014;Brown 2017;Drapalski et al 2013), disclosure of conditions to friends, family, and healthcare professionals (Dew et al 2007;Donnelly 2017;Prior et al 2003), self-esteem (Corrigan 2004;Corrigan and Watson 2002;Corrigan, Watson, and Barr 2006), and treatment-seeking behavior (Clement et al 2015;Tsang, Fung, and Chung 2010;Vogel, Wade, and Haake 2006). While population estimates suggest that many individuals with symptoms of mental illness do not receive treatment or are undertreated Wang et al 2005Wang et al , 2007, scholars, healthcare providers, and other stakeholders hope that stigma reduction efforts will increase treatment-seeking behavior (Clair, Daniel, and Lamont 2016;Hatzenbuehler, Phelan, and Link 2013;Hunter et al 2017;Pilgrim and Rogers 2005).…”

Section: Introductionmentioning

confidence: 99%

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Gaddis

Ramirez

Hernandez

2018

Social Science & Medicine

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Scholars suggest that public mental health stigma operates at a meso-level and is associated with severity of symptoms, disclosure, self-esteem, and treatment-seeking behavior. However, the operationalization of public stigma nearly always comes from an individual-level generalization of what others believe. Using data from over 60,000 students on 75 U.S. college and university campuses between 2009-2015, we contextualize public stigma by creating a school-level measure of students' individual-level endorsed mental health treatment stigma. We present multilevel logistic regression models for 21 different dependent variables. We find that even after controlling for individual-level stigma scores, school-level stigma is negatively associated with self-reports of suicidal ideation and self-injury, although not associated with screens for depression or anxiety. Moreover, school-level stigma is negatively associated with medication use, counseling and therapy visits, and to a lesser degree, informal support. We suggest that future research should continue to examine the contextual environment of public stigma, while policymakers may be able to implement changes to significantly reduce stigma at this level.

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Section: Introductionmentioning

confidence: 99%

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Gaddis

Ramirez

Hernandez

2018

Social Science & Medicine

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“…Consider whether he/she wants to change the situation with looking at the created diagram 4. If he/she wants to change the situation, create another association diagram which represents ideal human relationships in the right side indicated by 2 Here, users follow the following basic rules:…”

Section: Self Psychological Therapy Toolmentioning

confidence: 99%

“…Volunteers who want to change the situation make another association diagram which represents an ideal relationships in the area indicated by 2 . Volunteers who do not want to change the current relationships do not have to conduct this step.…”

Section: Q5mentioning

confidence: 99%

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A Self Psychological Therapy Tool Based on Psychodrama Methodology

Suto

Maeda

2018

SICE Journal of Control, Measurement, and System Integration

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: In the last decade, diversification of communication systems is increasing with the information technology development, and our human relationships are getting more and more complex. Sometimes, we need helps to overcome a difficult situation that we must face in such complicated relationships. Psychodrama is one of the effective counseling methods which are used for finding hints to solve human relationship problems. Despite many advantages of psychodrama have been reported, some weak points also have been pointed out. The first one is that, before conducting a psychodrama event, the participants have to adjust their schedules. The second one is that, some participants may hesitate to talk their problems of human relationships in a public space. These factors make it difficult to conduct psychodrama events easily and comfortably. In this paper, a self psychological therapy tool is proposed as an approach for the problems. The proposed tool aims to provide similar effects with creating social network diagram, which is a basic technique of psychodrama. Experiments have been conducted in order to evaluate the proposed tool. The results show that the proposed tool can provide some hints for the users who had troubles in current human relationships and want to change the situations.

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“…Furthermore, mortality is significantly higher among people with mental disorders than among a comparable population, with a 10-year median of potential life lost [4,5]. In addition, mental diseases commonly provoke self-stigma and/or societal stigma, both of which in turn negatively affect patients' disclosure of psychiatric disorders [6,7]. Social regard for mental disorders appears to be a key relevant factor for the adequate consideration of these diseases, for the understanding and support of psychiatric patients and for funding in medical investment and research [8].…”

Section: Introductionmentioning

confidence: 99%

Increasing Interest of Mass Communication Media and the General Public in the Distribution of Tweets About Mental Disorders: Observational Study (Preprint)

Alvarez-Mon¹,

Barco²,

Lahera³

et al. 2017

Preprint

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Background: The contents of classical communication media and new Internet social media reflect the interests of society. Barriers and a lack of attention for mental diseases have been previously observed. Objective: To measure the relevance given by the main American social communication media (ASCM) to psychiatric information and the interest generated in their Twitter followers. Methods: We investigated the tweets generated about mental health conditions and disease by 15 main United States of America (USA) general communication media from January 2007 to December 2016. Our study strategy focused on identifying several psychiatric terms of main interest. The number of retweets generated by the selected tweets was also investigated. For a control, we used tweets generated about the main causes of death in the USA, the main chronic neurological degenerative diseases and infection by the human immunodeficiency virus (HIV). Results: In total, 13,119 tweets sent by the ASCM about mental health disorders show a heterogeneous distribution with preferential accumulation in a reduced number of conditions. Suicide and gender dysphoria accumulated half of the number of sent tweets. Variability in the number of tweets related to each control disease was also found (5,998). The number of tweets sent regarding each different psychiatric or organic disease analyzed was significantly correlated with the number of retweets generated by followers (1,030,974 and 424,813 responses to metal health disorders and organic diseases, respectively). However, the probability of a tweet being retweeted was statistically different between the conditions and diseases analyzed. Furthermore, the retweeted/tweet ratio was significantly higher in psychiatric diseases than in the control organic diseases (OR=1.11 [1.07-1.14], p<0.001). Conclusions: According to the use of Twitter, the ASCM and the general public demonstrate a preferential interest for psychiatric diseases. The heterogeneous weight given by the ASCM to the different mental health disorders and conditions is reflected in the response of Twitter followers.

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A Model of Internalized Stigma and Its Effects on People With Mental Illness

Cited by 236 publications

References 32 publications

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

A Self Psychological Therapy Tool Based on Psychodrama Methodology

Increasing Interest of Mass Communication Media and the General Public in the Distribution of Tweets About Mental Disorders: Observational Study (Preprint)

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