How stigma impacts on people with psychosis: The mediating effect of self-esteem and hopelessness on subjective recovery and psychotic experiences

Vass, Victoria; Morrison, Anthony P.; Law, Heather; Dudley, James R.; Taylor, Pamela J.; Bennett, Kate; Bentall, Richard P.

doi:10.1016/j.psychres.2015.09.042

Cited by 70 publications

(55 citation statements)

References 59 publications

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“…Coupled to mental disability, physical health problems like weight gain, self‐care problems, not engaging in productive activities, and poor social interaction increases the stigma (Habtamu et al, ; Robson & Gray, ). Previous studies, which were not included in this review, reported that mentally ill patients experiencing stigma had poor levels of recovery (Guner, ; Law, Shryane, Bentall, & Morrison, ; Vass et al, ). In this review, stigma was also among the clearly mentioned hindering factors for subjective recovery (Lam et al, ; Windell & Norman, ).…”

Section: Discussionmentioning

confidence: 99%

“…In this review, stigma was also among the clearly mentioned hindering factors for subjective recovery (Lam et al, ; Windell & Norman, ). Studies, not included in this review, identified that stigma predicted both symptomatic recovery and subjective recovery (Chien et al, ; Habtamu et al, ; Vass et al, ). Several clear and convincing justifications have been given about how stigma hinders recovery, such as delay in treatment seeking (Chien & Leung, ; Fekadu & Thornicroft, ; Hopper et al, ), and denying the symptoms they have as fear of stigma (Smith et al, ).…”

Section: Discussionmentioning

confidence: 99%

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Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review

Temesgen

Chien

Bressington

2018

Early Intervention Psych

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Studies in subjective recovery from recent onset psychosis are limited to developed countries. Acquiring hope and self-confidence, overcoming symptoms and stigma through mobilizing all resources available were accentuated in conceptualizing subjective recovery and related factors. Recovery-oriented health care services should acknowledge individual differences and involve service users in their care decisions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review

Temesgen

Chien

Bressington

2018

Early Intervention Psych

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“…However, identifying with a negatively valued group may result in self-stigma, which is damaging to self-esteem and self-efficacy. Self-stigma is a problem faced by many patients suffering from severe mental illness (Corrigan, Watson, & Barr, 2006), and it has been shown to impede long-term recovery (Vass, Morrison, Law, Dudley, Taylor, Bennett, & Bentall, 2015).…”

Section: The Social Identity Approachmentioning

confidence: 99%

Social identity and psychosis: Explaining elevated rates of psychosis in migrant populations

McIntyre

Elahi

Bentall

2016

Social & Personality Psych

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A substantial body of literature suggests that migrants are at greater risk of developing psychotic symptoms, such as paranoia, compared to non-migrants. To date, researchers have been unable to identify the primary cause of this effect, finding scarce support for biological, diagnostic, and economic explanations. Social determinants have received little empirical attention in this domain, which we assert is a critical gap in the literature. Here, we propose that the social identity approach offers a framework to help explain the elevated rates of psychosis among migrants, and in turn inform policies and interventions to address this important mental health issue. We propose that cultural identities play a central role in mitigating the psychological precursors of psychosis and that disidentification and social disconnection subsequent to migration could initiate or exacerbate psychosis for multiple generations. We draw together research from social and clinical psychology to detail a social identity approach to psychosis in migrant populations, and make recommendations for future research.

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“…the internalisation of shame, blame, hopelessness, guilt, and fear of discrimination resulting from stigma (Corrigan and Watson, 2002b), has been of particular interest to researchers. One main hypothesis is that self-esteem mediates the relationship between experienced and perceived stigma and the personal impact of stigma Vass et al, 2015). Watson et al (2007) suggest that agreement with, and self-application of, the negative stereotypes decreases self-esteem and self-efficacy which leads to emotional distress.…”

Section: Introductionmentioning

confidence: 99%

The impact of stigma on emotional distress and recovery from psychosis: The mediatory role of internalised shame and self-esteem

Wood

Byrne

Burke

et al. 2017

Psychiatry Research

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Internalised shame and self-esteem have both been proposed to play an integral role in the relationship between stigma and its negative psychological sequelae in people who experience psychosis, but there has been little quantitative exploration to examine their roles further. The aim of this study was to examine the relationship of stigma (experienced and perceived) with emotional distress and recovery in psychosis, and to examine internalised shame and self-esteem as potential mediators. A total of 79 participants were included for the purposes of this study. Participants were administered a battery of assessment measures examining experienced and perceived stigma, internalised shame, self-esteem, depression, hopelessness, and personal recovery. Results illustrated that stigma (experienced and perceived) was significantly associated with internalised shame, low self-esteem, depression, hopelessness and poor personal recovery. Stigma (experienced and perceived) and its relationship with depression, hopelessness and personal recovery was mediated by both internalised shame and low self-esteem. In conclusion, stigma can have significant negative emotional consequences and impede recovery in people with psychosis. This may indicate that stigma needs to be addressed therapeutically for people with psychosis with a particular emphasis on addressing internalised shame and low self-esteem.

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How stigma impacts on people with psychosis: The mediating effect of self-esteem and hopelessness on subjective recovery and psychotic experiences

Cited by 70 publications

References 59 publications

Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review

Conceptualizations of subjective recovery from recent onset psychosis and its associated factors: A systematic review

Social identity and psychosis: Explaining elevated rates of psychosis in migrant populations

The impact of stigma on emotional distress and recovery from psychosis: The mediatory role of internalised shame and self-esteem

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