Internalized mental illness stigma and subjective well-being: The mediating role of psychological well-being

Pérez-Garín, Daniel; Molero, Fernando; Bos, Arjan E. R.

doi:10.1016/j.psychres.2015.06.029

Cited by 21 publications

(21 citation statements)

References 35 publications

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“…Elevated self-stigma was negatively associated with wellbeing and satisfaction with interpersonal relationships. This concurs with several studies, self-stigma being associated with decreased wellbeing and life satisfaction [72,73]. Self-stigma was consistently negatively associated with QoL in a large body of literature (27 studies [19]).…”

Section: European Psychiatrysupporting

confidence: 90%

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Dubreucq

Plasse²,

Gabayet³

et al. 2020

Eur. Psychiatr.

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Background. Self-stigma is a major issue in serious mental illness (SMI) and is negatively associated with patient outcomes. Most studies have been conducted in schizophrenia (SZ). Less is known about self-stigma in other SMI and autism spectrum disorder (ASD). The objectives of this study are: (i) to assess the frequency of self-stigma in a multicentric nonselected psychiatric rehabilitation SMI and ASD sample; and (ii) to investigate the correlates of elevated self-stigma in different SMI conditions and in ASD. Methods. A total of 738 SMI or ASD outpatients were recruited from the French National Centers of Reference for Psychiatric Rehabilitation cohort (REHABase). Evaluations included sociodemographic data, illness characteristics, and standardized scales for clinical severity, quality of life, satisfaction with life, wellbeing, personal recovery, a large cognitive battery, and daily functioning assessment. Results. 31.2% of the total sample had elevated self-stigma. The highest prevalence (43.8%) was found in borderline personality disorder and the lowest (22.2%) in ASD. In the multivariate analysis, elevated self-stigma was best predicted by early stages of personal recovery (moratorium, p = 0.001, OR = 4.0 [1.78–8.98]; awareness, p = 0.011, OR = 2.87 [1.28–6.44]), history of suicide attempt (p = 0.001, OR = 2.27 [1.37–3.76]), insight (p = 0.002, OR = 1.22 [1.08–1.38]), wellbeing (p = 0.037, OR = 0.77 [0.60–0.98]), and satisfaction with interpersonal relationships (p < 0.001, OR = 0.85 [0.78–0.93]). Conclusions. The present study has confirmed the importance of addressing self-stigma in SMI and ASD patients enrolled in psychiatric rehabilitation. The effectiveness of psychiatric rehabilitation on self-stigma and the potential mediating effects of changes in self-stigma on treatment outcomes should be further investigated.

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Section: European Psychiatrysupporting

confidence: 90%

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Dubreucq

Plasse²,

Gabayet³

et al. 2020

Eur. Psychiatr.

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“…Whatever the case, our overall pattern of results suggests that the experience of well‐being is associated with a reduced tendency to internalize the stigma associated with seeking help. Our findings are generally in keeping with the study cited above that established that well‐being was associated with less self‐stigma in adults with clinical disorders and related evidence showing that well‐being mediated the negative association between alienation as a form of self‐stigma and life satisfaction (Pérez‐Garín et al, ). However, to reiterate, the current study is unique in that it is focuses on adolescents and has a central emphasis on the experience of self‐stigma in response to seeking help.…”

Section: Discussionsupporting

confidence: 92%

“…Overall, there has been little research on self‐stigma and well‐being. However, Pérez‐Garín, Molero, and Bos () examined the Ryff domains of well‐being and internalized stigma among 213 adult outpatients from Spain; approximately two‐thirds of the sample had a diagnosis consisting of some form of schizophrenia or a delusional disorder. These researchers found uniquely that internalized self‐stigma was associated negatively with psychological well‐being and well‐being mediated the link between internalized stigma and outcomes such as life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Self‐stigma and domains of well‐being in high school youth: Associations with self‐efficacy, self‐esteem, and self‐criticism

Rose

Atkey

Flett

et al. 2019

Psychology in the Schools

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Self‐stigma is a phenomenon in which negative public stereotypes about mental illness are internalized and can undermine help‐seeking. Unfortunately, little is known about how self‐stigmatization relates to positive well‐being indicators among youth. A sample of 134 high school students completed established measures of self‐stigma, well‐being, self‐esteem, self‐efficacy, and self‐criticism. Analyses confirmed that self‐stigma was associated with overall well‐being and five well‐being subscales (autonomy, environmental mastery, personal growth, positive relations, and self‐acceptance); the strongest associations were with autonomy and positive relations with others. The majority of these associations still held when simultaneously controlling for self‐esteem, self‐efficacy, and self‐criticism. Taken together, findings point to the need for greater awareness of self‐stigma along with an explicit focus on the promotion of protective well‐being in prevention work and interventions designed to alleviate the tendency for young people to internalize stigma. Additionally, findings have theoretical implications for the “why try” model of self‐stigma.

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“…Livingston and Boyd (2010) found that the prevalence of public stigma then leads to reported feelings of being devalued and discredited members of society. Inadvertently, persons with MI report feelings of isolation and alienation as a result of self-stigma related to social avoidance (Ritsher & Phelan, 2004;Perez-Garin, Molero, & Bos, 2015). Larson and Corrigan (2008), Corrigan and Miller (2004), and Corrigan, Watson, and Miller (2006), found that shame, avoidance, guilt, and diminished social supports often accompany a family member's mental health diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the documented varying reactions that may occur within persons with MI, the most prevalent response to self-stigma leaves individuals feeling susceptible to feelings of being devalued and discredited members of society (Livingston & Boyd, 2010). In addition to diminished self-esteem and self-efficacy, feelings of isolation and alienation of individuals with MI are likely to occur as a result of self-stigma (Ritsher & Phelan, 2004;Perez-Garin, Molero, & Bos, 2015). Lower morale, lower satisfaction, and lower overall meaning and quality of life have additionally been noted to occur within individuals who experience self-stigma (Ritsher & Phelan, 2004;Switaj, 2014;Ehrlich-Ben et al, 2013;Rusch et al, 2010).…”

Section: Effects Of Self-stigma On the Individualmentioning

confidence: 99%

The Effects of Self-Stigma on Occupational Engagement for Adults With Mental Illness

LaVoi

Kostreba

Zimmerman³

2017

The American Journal of Occupational Therapy

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Purpose: The purpose of this study is to explore the impacts of self-stigma on everyday occupations of persons with serious and persistent mental illness. Greater understanding of the impacts of self-stigma is important to development of occupation-based interventions used by occupational therapists in mental health settings. Methodology: A qualitative phenomenological approach was utilized to interview six participants between the ages of 31-58 years old with severe and persistent mental illness. High level in vivo coding was used to interpret participant responses. Results: Four themes emerged from participant interviews: 1) negative impact on self, 2) coping with negative social encounters, 3) positive contributions to one's sense of self, and 4) acceptance of diagnosis and acknowledged need for medication. Self-stigma is experienced as changes in sense of self with the greatest impact shortly after the initial diagnosis of the mental illness; with time and external supports, the individual learns to accept and cope with the diagnosis, resulting in decreased self-stigma and increased occupational engagement. Conclusion: Based on the results of the study, OTs are encouraged to provide interventions early in the course of the illness to counteract the negative impacts of self-esteem and self-efficacy associated with self-stigma on occupational engagement. Research findings could be used to develop a screening tool to determine the presence of self-stigma of clients receiving mental health OT services and guide intervention planning. 1 CHAPTER 1 THE PROBLEM Rationale Currently 61.5 million Americans have a mental illness (MI), and approximately 13.6 million have a severe MI such as schizophrenia, bipolar, or depression. The prevalence of these diagnosis cost the American government $193.2 billion in healthcare costs (National Alliance Mental Illness [NAMI], 2013). Interestingly, mood disorders rank as the third most common cause of hospitalization for adults ages 18-44. According to World Health Organization [WHO] (2001), 450 million people have a mental health diagnosis; while two-thirds of those individuals do not seek health-care services. A common barrier by individuals with MI seeking health-care services is stigma. Stigma is depicted in three forms of societal influences: structural, public and self-stigma (Corrigan, Markowitz, & Watson, 2004). Structural stigma is described as the invisible forces within institutions and policies that limit equality of opportunities for individuals with MI (Corrigan et al., 2004). Public stigma refers to groups of persons possessing stereotypical and prejudiced beliefs towards individuals with a MI which commonly results in discriminatory action (Corrigan, Kerr, & Knudsen, 2005). Lastly, self-stigma is defined as the internalized stereotypical and prejudiced beliefs held by individuals that influence self-esteem and self-efficacy (Livingston & Boyd, 2010). Persons with MI experience diminished self-esteem and self-efficacy resulting in maladaptive coping mechanisms, altere...

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Internalized mental illness stigma and subjective well-being: The mediating role of psychological well-being

Cited by 21 publications

References 35 publications

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Self-stigma in serious mental illness and autism spectrum disorder: Results from the REHABase national psychiatric rehabilitation cohort

Self‐stigma and domains of well‐being in high school youth: Associations with self‐efficacy, self‐esteem, and self‐criticism

The Effects of Self-Stigma on Occupational Engagement for Adults With Mental Illness

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