IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v349y2024ics0277953624003137.html
   My bibliography  Save this article

The link between anticipated and internalized stigma and depression: A systematic review

Author

Listed:
  • O'Donnell, Aisling T.
  • Foran, Aoife-Marie

Abstract

Stigmatized groups may experience psychological distress. Yet, some studies show no significant relation between stigma and mental health outcomes. This systematic review investigates the link between anticipated and internalized stigma, and one mental health outcome, depression. We aimed to (1) determine whether anticipated and internalized stigma predict levels of depression, and (2) review the quality of evidence for this link. We searched PsycInfo, PubMed and EMBASE databases. Eighty-three studies (N = 34,705) met our inclusion criteria, across five stigma categories: Sexual and gender minorities; HIV/AIDS; Illness or disability-related (non-HIV); Weight, and Other. We reviewed evidence within each category and study design and developed a narrative synthesis. Sixty studies (72.3%) supported the proposed link, which varied across categories from 53.6% to 100%. Using the NIH quality assessment tool, most studies were of fair quality. Most cross-sectional studies (76.7%) straightforwardly supported the positive relation between internalized and/or anticipated stigma and depression, while only 40% of longitudinal studies did. Implications for the study of stigma and mental health outcomes are discussed.

Suggested Citation

  • O'Donnell, Aisling T. & Foran, Aoife-Marie, 2024. "The link between anticipated and internalized stigma and depression: A systematic review," Social Science & Medicine, Elsevier, vol. 349(C).
    • Handle: RePEc:eee:socmed:v:349:y:2024:i:c:s0277953624003137
    DOI: 10.1016/j.socscimed.2024.116869
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624003137
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2024.116869?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jiannan Li & Wenqi Liang & Bocong Yuan & Guojun Zeng, 2020. "Internalized Stigmatization, Social Support, and Individual Mental Health Problems in the Public Health Crisis," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
    2. Hao Li & Ling Zheng & Hong Le & Lijun Zhuo & Qian Wu & Guoqing Ma & Hongbing Tao, 2020. "The Mediating Role of Internalized Stigma and Shame on the Relationship between COVID-19 Related Discrimination and Mental Health Outcomes among Back-to-School Students in Wuhan," IJERPH, MDPI, vol. 17(24), pages 1-14, December.
    3. Mei-Feng Huang & Yu-Ping Chang & Wei-Hsin Lu & Cheng-Fang Yen, 2022. "Problematic Smartphone Use and Its Associations with Sexual Minority Stressors, Gender Nonconformity, and Mental Health Problems among Young Adult Lesbian, Gay, and Bisexual Individuals in Taiwan," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    4. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    5. Melissa A. Stockton & Brian W. Pence & David Mbote & Emmanuel A. Oga & John Kraemer & Joshua Kimani & Stella Njuguna & Joanna Maselko & Laura Nyblade, 2020. "Associations among experienced and internalized stigma, social support, and depression among male and female sex workers in Kenya," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 791-799, July.
    6. Dallas Swendeman & Anne E Fehrenbacher & Soma Roy & Rishi Das & Protim Ray & Stephanie Sumstine & Toorjo Ghose & Smarajit Jana, 2018. "Gender disparities in depression severity and coping among people living with HIV/AIDS in Kolkata, India," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-20, November.
    7. Mak, Winnie W.S. & Poon, Cecilia Y.M. & Pun, Loraine Y.K. & Cheung, Shu Fai, 2007. "Meta-analysis of stigma and mental health," Social Science & Medicine, Elsevier, vol. 65(2), pages 245-261, July.
    8. Hatzenbuehler, M.L. & Phelan, J.C. & Link, B.G., 2013. "Stigma as a fundamental cause of population health inequalities," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 813-821.
    9. Cristiano Scandurra & Vincenzo Bochicchio & Anna Lisa Amodeo & Concetta Esposito & Paolo Valerio & Nelson Mauro Maldonato & Dario Bacchini & Roberto Vitelli, 2018. "Internalized Transphobia, Resilience, and Mental Health: Applying the Psychological Mediation Framework to Italian Transgender Individuals," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
    10. Huang-Chi Lin & Chih-Cheng Chang & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Associations among Perceived Sexual Stigma from Family and Peers, Internalized Homonegativity, Loneliness, Depression, and Anxiety among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 19(10), pages 1-13, May.
    11. Matthew J Page & Joanne E McKenzie & Patrick M Bossuyt & Isabelle Boutron & Tammy C Hoffmann & Cynthia D Mulrow & Larissa Shamseer & Jennifer M Tetzlaff & Elie A Akl & Sue E Brennan & Roger Chou & Jul, 2021. "The PRISMA 2020 statement: An updated guideline for reporting systematic reviews," PLOS Medicine, Public Library of Science, vol. 18(3), pages 1-15, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hoke, Morgan K. & Boen, Courtney E., 2021. "The health impacts of eviction: Evidence from the national longitudinal study of adolescent to adult health," Social Science & Medicine, Elsevier, vol. 273(C).
    2. Cadden, Margaret H. & Arnett, Peter A. & Tyry, Tuula M. & Cook, Jonathan E., 2018. "Judgment hurts: The psychological consequences of experiencing stigma in multiple sclerosis," Social Science & Medicine, Elsevier, vol. 208(C), pages 158-164.
    3. Miller, Carol T. & Solomon, Sondra E. & Varni, Susan E. & Hodge, James J. & Knapp, F. Andrew & Bunn, Janice Y., 2016. "A transactional approach to relationships over time between perceived HIV stigma and the psychological and physical well-being of people with HIV," Social Science & Medicine, Elsevier, vol. 162(C), pages 97-105.
    4. Chung-Ying Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2023. "Assessing Enacted Sexual Stigma toward Gay and Bisexual Men in the Military: The Enacted Sexual Stigma Experiences Scale in Military Service," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    5. Ka-Fai Chung & Samson Tse & Chit-Tat Lee & Michael Ming-Cheuk Wong & Wing-Man Chan, 2019. "Experience of stigma among mental health service users in Hong Kong: Are there changes between 2001 and 2017?," International Journal of Social Psychiatry, , vol. 65(1), pages 64-72, February.
    6. Gavan, Luana & Hartog, Kim & Koppenol-Gonzalez, Gabriela V. & Gronholm, Petra C. & Feddes, Allard R. & Kohrt, Brandon A. & Jordans, Mark J.D. & Peters, Ruth M.H., 2022. "Assessing stigma in low- and middle-income countries: A systematic review of scales used with children and adolescents," Social Science & Medicine, Elsevier, vol. 307(C).
    7. Carmen H Logie & Jesse I R Jenkinson & Valerie Earnshaw & Wangari Tharao & Mona R Loutfy, 2016. "A Structural Equation Model of HIV-Related Stigma, Racial Discrimination, Housing Insecurity and Wellbeing among African and Caribbean Black Women Living with HIV in Ontario, Canada," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-20, September.
    8. Robert J. Cramer & Jennifer Langhinrichsen-Rohling & Andrea R. Kaniuka & Corrine N. Wilsey & Annelise Mennicke & Susan Wright & Erika Montanaro & Jessamyn Bowling & Kristin E. Heron, 2020. "Preferences in Information Processing, Marginalized Identity, and Non-Monogamy: Understanding Factors in Suicide-Related Behavior among Members of the Alternative Sexuality Community," IJERPH, MDPI, vol. 17(9), pages 1-17, May.
    9. Liu Lu & Wei Wei, 2023. "Influence of Public Sports Services on Residents’ Mental Health at Communities Level: New Insights from China," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    10. Rizkiana Sidqiyatul Hamdani & Sudharto Prawata Hadi & Iwan Rudiarto, 2021. "Progress or Regress? A Systematic Review on Two Decades of Monitoring and Addressing Land Subsidence Hazards in Semarang City," Sustainability, MDPI, vol. 13(24), pages 1-26, December.
    11. Boglárka Anna Éliás & Attila Jámbor, 2021. "Food Security and COVID-19: A Systematic Review of the First-Year Experience," Sustainability, MDPI, vol. 13(9), pages 1-18, May.
    12. Omoyele, Olalekan & Hoffmann, Maximilian & Koivisto, Matti & Larrañeta, Miguel & Weinand, Jann Michael & Linßen, Jochen & Stolten, Detlef, 2024. "Increasing the resolution of solar and wind time series for energy system modeling: A review," Renewable and Sustainable Energy Reviews, Elsevier, vol. 189(PB).
    13. Cala, Anggie & Maturana-Córdoba, Aymer & Soto-Verjel, Joseph, 2023. "Exploring the pretreatments' influence on pressure reverse osmosis: PRISMA review," Renewable and Sustainable Energy Reviews, Elsevier, vol. 188(C).
    14. Ming Shan & Yu-Shan Li & Bon-Gang Hwang & Jia-En Chua, 2021. "Productivity Metrics and Its Implementations in Construction Projects: A Case Study of Singapore," Sustainability, MDPI, vol. 13(21), pages 1-19, November.
    15. Susca, T. & Zanghirella, F. & Colasuonno, L. & Del Fatto, V., 2022. "Effect of green wall installation on urban heat island and building energy use: A climate-informed systematic literature review," Renewable and Sustainable Energy Reviews, Elsevier, vol. 159(C).
    16. Alexander P. L. Martindale & Carrie D. Llewellyn & Richard O. Visser & Benjamin Ng & Victoria Ngai & Aditya U. Kale & Lavinia Ferrante Ruffano & Robert M. Golub & Gary S. Collins & David Moher & Melis, 2024. "Concordance of randomised controlled trials for artificial intelligence interventions with the CONSORT-AI reporting guidelines," Nature Communications, Nature, vol. 15(1), pages 1-11, December.
    17. Mayank Aggarwal & Anindya S. Chakrabarti & Chirantan Chatterjee, 2023. "Movies, stigma and choice: Evidence from the pharmaceutical industry," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1019-1039, May.
    18. Gizéh Rangel-de Lázaro & Josep M. Duart, 2023. "You Can Handle, You Can Teach It: Systematic Review on the Use of Extended Reality and Artificial Intelligence Technologies for Online Higher Education," Sustainability, MDPI, vol. 15(4), pages 1-23, February.
    19. Karen M. Davison & Vidhi Thakkar & Shen (Lamson) Lin & Lorna Stabler & Maura MacPhee & Simon Carroll & Benjamin Collins & Zachary Rezler & Jake Colautti & Chaoqun (Cherry) Xu & Esme Fuller-Thomson & B, 2021. "Interventions to Support Mental Health among Those with Health Conditions That Present Risk for Severe Infection from Coronavirus Disease 2019 (COVID-19): A Scoping Review of English and Chinese-Langu," IJERPH, MDPI, vol. 18(14), pages 1-22, July.
    20. Kim, Hyunil & Kim, Yun Young & Song, Eun-Jee & Windsor, Liliane, 2024. "Policies to reduce child poverty and child maltreatment: A scoping review and preliminary estimates of indirect effects," Children and Youth Services Review, Elsevier, vol. 156(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:349:y:2024:i:c:s0277953624003137. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.