Labeling Mental Illness: The Effects of Received Services and Perceived Stigma on Life Satisfaction

Rosenfield, Sarah

doi:10.2307/2657432

Cited by 434 publications

(326 citation statements)

References 32 publications

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“…As Link and colleagues (Link, 1987;Link, Cullen, Struening, & Shrout, 1989) have discussed in regard to mental illness stigma, people often learn negative stereotypes before they acquire a Previous research on anticipated stigma-often termed felt or perceived stigma-has consistently shown that the more people believe that others devalue their group, the worse their reported psychological well-being. This effect has been shown with several concealable stigmatized identities, including mental illness (e.g., Link, 1987;Link et al, 1989Rosenfield, 1997), epilepsy (Westbrook, Bauman, & Shinnar, 1992), and HIV status (Katz & Nevid, 2005). Notably, for mental illness, the effect of perceived stigma on psychological distress occurs over and above any positive effects of mental illness treatment and continues long after the initial labeling of a mental illness disorder (Link, Struening, Rahav, Phelan, & Nuttbrock, 1997;Markowitz, 1998).…”

Section: Direct Effects Of Stigma-related Factorsmentioning

confidence: 93%

Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.

2015

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The current research provides a framework for understanding how concealable stigmatized identities impact people's psychological well-being and health. The authors hypothesize that increased anticipated stigma, greater centrality of the stigmatized identity to the self, increased salience of the identity, and possession of a stigma that is more strongly culturally devalued all predict heightened psychological distress. In Study 1, the hypotheses were supported with a sample of 300 participants who possessed 13 different concealable stigmatized identities. Analyses comparing people with an associative stigma to those with a personal stigma showed that people with an associative stigma report less distress and that this difference is fully mediated by decreased anticipated stigma, centrality, and salience. Study 2 sought to replicate the findings of Study 1 with a sample of 235 participants possessing concealable stigmatized identities and to extend the model to predicting health outcomes. Structural equation modeling showed that anticipated stigma and cultural stigma were directly related to self-reported health outcomes. Discussion centers on understanding the implications of intraindividual processes (anticipated stigma, identity centrality, and identity salience) and an external process (cultural devaluation of stigmatized identities) for mental and physical health among people living with a concealable stigmatized identity. Keywords stigma; psychological distress; courtesy stigma; mental illness; identity Recent reviews in psychology and sociology and from the Department of Health and Human Services have concluded that stigma has large and varied effects on people's life outcomes (e.g., Major & O'Brien, 2005; U.S. Department of Health and Human Services [DHHS], 1999;Williams, Neighbors, & Jackson, 2003). The goal of the current research is to propose and test a novel model for understanding how stigma impacts psychological and health wellbeing among people who live with a concealable stigmatized identity. Concealable stigmatized identities are vastly understudied in comparison to visible stigmatized identities. Despite the acknowledgment that stigma can have a variety of negative effects, there is Correspondence concerning this article should be addressed to Diane M. Quinn, Department of Psychology, University of Connecticut, 406 Babbidge Road, U-1020, Storrs, CT 06269-1020. diane.quinn@uconn.edu. HHS Public AccessAuthor manuscript J Pers Soc Psychol. Author manuscript; available in PMC 2015 July 22. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript currently no conceptual framework to understand how possessing a concealable stigmatized identity impacts psychological and physical distress. We seek to fill that gap.Because stigma is socially constructed, we believe it is critical to examine both intraindividual and external stigma processes that can impact well-being. Whereas most psychological research has focused solely on the psychological processes internal to individuals that...

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Section: Direct Effects Of Stigma-related Factorsmentioning

confidence: 93%

Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.

2015

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“…In a sample of individuals with chronic mental health problems, for example, both perceived stigma and received services were related to quality of life, but in opposite directions. (1) One study of men with dual diagnoses (2) found no change in perceptions of stigma over a year as treatment was provided. Overall, however, little is know about how the provision of evidence based mental health treatment or exposure to quality improvement programs that promote the use of such treatments affects stigma concerns over time.…”

Section: Introductionmentioning

confidence: 99%

How Quality Improvement Interventions for Depression Affect Stigma Concerns Over Time: A Nine-Year Follow-Up Study

Klap¹,

Tang²,

Schell³

et al. 2009

Psychiatric Services

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Objective To examine the long-term impact of two quality improvement interventions for depression on stigma concerns in primary care compared to usual care. Method Data are from nine-year follow-up of participants in Partners in Care, a group level randomized trial comparing those enrolled in the interventions with enhanced resources for therapy (QI-therapy) or medication management (QI-meds) on stigma concerns about friends, health insurance companies, and employers learning about histories of depression or psychiatric care. Results Individuals in QI-therapy were significantly less likely to report concerns about friends learning about a history of depression than those in usual care and QI-meds, and those in QI-meds were significantly more likely to have concerns about getting insurance due to a history of psychiatric care than those in QI-meds and usual care. Conclusions Quality improvement programs for depression can raise or lower various stigma concerns, depending on program design and resources for specific treatments.

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“…Although several studies have shown that stigma has negative consequences for mental health service users (Markowitz, 1998;Rosenfield, 1997;Sirey et al, 2001;Verhaeghe et al, 2008;Wright, Gronfein, & Owens, 2000), few studies (e.g., Raingruber, 2002) address the precise mechanisms related with stigma that occur within mental health services. We therefore suggest that the lack of trust in mental health professionals deserves greater attention in future research.…”

Section: Discussionmentioning

confidence: 99%

Stigma and Trust Among Mental Health Service Users

Verhaeghe¹,

Bracke

2011

Archives of Psychiatric Nursing

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This paper investigates whether and how the stigma experiences of mental health service users relate to trust in the professionals caring for them, and how both stigma and trust relate to service user satisfaction. The study uses survey data gathered from mental health service users (N = 650 service users from 36 organizations) and applies multilevel regression analyses. The results show that service users with more stigma experiences report less trust and are, partially for that reason, less satisfied with the services. Furthermore, service users with more severe symptoms and those with a psychotic disorder seem the most vulnerable ones for the processes occurring.

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Labeling Mental Illness: The Effects of Received Services and Perceived Stigma on Life Satisfaction

Cited by 434 publications

References 32 publications

Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.

Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.

How Quality Improvement Interventions for Depression Affect Stigma Concerns Over Time: A Nine-Year Follow-Up Study

Stigma and Trust Among Mental Health Service Users

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