Effects of Rehabilitation Models on Self-Stigma among Persons with Mental Illness (original) (raw)
Related papers
Comparing Self-stigma Between People With Different Mental Disorders in Taiwan
Journal of Nervous & Mental Disease, 2016
Internalized stigma (or self-stigma), one of the most painful effects of stigma, causes people with mental health problems profound negative consequences, for example, psychological adversity, demoralization, and feelings of hopelessness. However, knowledge about self-stigma in people with different mental disorders is insufficient. We hypothesized that people with different psychiatric diagnoses have different levels of self-stigma. Through convenience sampling, we used the Internalized Stigma of Mental Illness Scale to compare people diagnosed with schizophrenia (n = 161), depressive disorder (n = 98), bipolar disorder (n = 43), and anxiety disorder (n = 45) in southern Taiwan. We found that people with schizophrenia (mean, 2.09-2.30) and those with bipolar disorder (mean, 2.16-2.38) had significantly higher levels of self-stigma, except for the Stigma Resistance, than did those with anxiety disorder (mean, 1.74-1.87). Our results suggest that clinicians should use different interventions to reduce self-stigma for populations with different psychiatric diagnoses.
Assessment, 2016
Self-stigma instruments investigate how people with mental illness internalize public stigma. However, information is limited for the psychometric properties of their scores, especially cross-validating scores from different instruments. Thus, we used confirmatory factor analyses (CFAs) and item-response theory (IRT) models to examine the Internalized Stigma Mental Illness (ISMI) scale and the Self-Stigma Scale-Short (SSS-S). Participants with mental illness (n = 347) completed both instruments. The CFAs that simultaneously accounted for both the instrument (ISMI and SSS-S) and the trait (Affect, Cognitive, and Behavior concepts) effects outperformed those that accounted only for the instrument effect or only the trait effect. All item scores fit the IRT model and were fit with ordered, progressing hierarchies in their step difficulties. We conclude that both instruments are feasible for measuring the self-stigma and that future research can combine the items of both.
Internalized stigmatization and subjective recovery in individuals with chronic mental illness
International Journal of Social Psychiatry, 2020
Background: Individuals with mental illness, as they are stigmatized by society, are also stigmatized themselves, and this process is internalized. This may adversely affect the recovery process. Aims: This study was conducted to investigate the relationship between internalized stigmatization and subjective recovery in patients with schizophrenic. Method: This research was performed for patients with schizophrenia at rehabilitation centers registered with the community mental health center. The survey was performed out with 94 patients in the recovery phase who met the inclusion criteria and who going to the center. Sociodemographic information form, internalized stigmatization scale and subjective recovery assessment scale were used in the collection of data. Results: In the study it was found that there is a relationship between internalized stigmatization and subjective recovery. Increased levels of internalized stigma patient outcome would decrease the level of recovery. Conclu...
Self-Stigma Reduction Group for People With Depression: A Randomized Controlled Trial
Research on Social Work Practice, 2020
Purpose: This study aimed to evaluate the effectiveness of cognitive behavior therapy (CBT) on reducing self-stigma in Chinese people with depression. Methods: By adopting a randomized controlled trial design, 62 participants with clinical depression were randomly assigned to a 10-session CBT or treatment as usual. Standardized assessment tools were used to assess the self-stigma and depressive symptoms in the pre- and posttreatment periods by a research assistant who was blind to the group assignment of the participants. Results: The results of the 2 × 2 repeated measures of covariance (analysis of covariance) demonstrated that after completing the therapy, the treatment group had significantly lower self-stigma scores than the control group. Additionally, the reduction in self-stigmatizing beliefs predicted a reduction in depressive symptoms in participants. Conclusion: This study demonstrates the efficacy and effectiveness of a CBT group intervention in reducing self-stigma for p...
2018
Introduction: Stigma is the negative stereotyping and bias a person with mental illness is subjected to. Internalized stigma is a part of personal stigma and occurs by internalizing the public stigma. There are a number of reported consequences of internalized stigma that play a role in recovery and rehabilitation. The commonly reported consequences are the loss of self-esteem and self-efficacy, disempowerment, demoralization, loss of income and non-adherence to medication Aims and Objectives:To study and compare the internalized stigma among patients with schizophrenia, bipolar and anxiety disorders in remission. To understand the clinical and sociodemographic correlates of the same. Materials and Methods:A total of 120 outpatients fulfilling criteria for the study were taken. Semi -structured proforma for sociodemographic and clinical variables and the internalized stigma of mental illness (ISMI) scale for internalized stigma were used. Results:60% showed stigma. 23% showed modera...
Self-Stigma in People With Mental Illness
Schizophrenia Bulletin, 2006
Persons with mental illnesses such as schizophrenia may internalize mental illness stigma and experience diminished self-esteem and self-efficacy. In this article, we describe a model of self-stigma and examine a hierarchy of mediational processes within the model. Seventy-one individuals with serious mental illness were recruited from a community support program at an outpatient psychiatry department of a community hospital. All participants completed the Self-Stigma of Mental Illness Scale along with measures of group identification (GI), perceived legitimacy (PL), self-esteem, and self-efficacy. Models examining the steps involved in self-stigma process were tested. Specifically, after conducting preliminary bivariate analyses, we examine stereotype agreement as a mediator of GI and PL on stigma self-concurrence (SSC); SSC as a mediator of GI and PL on self-efficacy; and SSC as a mediator of GI and PL on self-esteem. Findings provide partial support for the proposed mediational processes and point to GI, PL, and stereotype agreement as areas to be considered for intervention.
2021
The aim of this study was to explore the role of stigma in different diagnoses of mental illness. A cross-sectional study (N = 255) was developed in two groups: users of a rehabilitation network for people with severe mental illness (Group-I) and people with common diagnoses in an ambulatory psychiatric service (Group-II). Internalized stigma, social stigma, self-esteem, and sociodemographic variables were measured. Mean comparisons, ANOVAs, and independent linear regression models were carried out. Similar overall scores were obtained for the internalized stigma, but Group-I reported more discrimination and resistance to stigma and also had less social stigma. The regression model for Group-I revealed social stigma and self-esteem as predictors, while in Group-II only self-esteem was significant. The study reveals differences in internalized stigma according to the care resource and diagnoses, suggesting different intervention lines and underlining the importance of further researc...
Measuring Self-Stigma of Mental Illness in China and Its Implications for Recovery
International Journal of Social Psychiatry, 2007
This study translated and validated the Chinese Version of the Self-stigma of Mental Illness Scale (CSSMIS), which may be used to measure self-stigma of mental health consumers in China. We also examined its correlation with self-esteem, self-efficacy and psychosocial treatment compliance. A cross-sectional observational study was implemented. Some 51 males and 57 females who suffered from severe mental illness were recruited from psychiatric settings in Hong Kong. They were required to complete the Chinese Version of the Self-stigma of Mental Illness Scale, the Rosenberg Self-esteem Scale and the Self-efficacy Scale. Their level of compliance during psychosocial treatment and their demographic information were recorded by their case managers. Exploratory factor analysis revealed two homologous factors for the four subscales of the CSSMIS. Factor 1 was related to the negative beliefs and consequences of having mental disorders, whereas Factor 2 was related to positive beliefs. The p...
International Journal of Clinical Trials, 2023
People with mental disorders (MDs) often face stigma in multiple spaces of their lives. 1 Internalized stigma is a subjective and self-evaluative process generated because of the interrelation of socio-historical-cultural factors. People with MDs accept as valid for themselves and internalize the negative stereotypes and prejudices that predominate in society; that is, they self-stigmatize, which generates adverse emotional and behavioral reactions and transformations in their identity. 2,3 Internalized stigma is relevant due to its multiple negative repercussions for stigmatized people, which has been corroborated in Chile. 4-6 Due to its consequences, a variety of interventions have been developed-mainly through randomized clinical trials (RCTs)-aimed at its reduction in people diagnosed with a severe mental disorder (SMD). 7-9