IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0224418.html
   My bibliography  Save this article

Applying Corrigan’s progressive model of self-stigma to people with depression

Author

Listed:
  • Nele Cornelia Göpfert
  • Steffen Conrad von Heydendorff
  • Harald Dreßing
  • Josef Bailer

Abstract

Background: The progressive model of self-stigma describes four stages of internalizing stereotypes of mental illness: stereotype awareness, personal agreement, self-concurrence, and harm to self (i.e., self-esteem). Successive stages are postulated to be the most highly related. Endorsement is presumed to decrease by stage. The model has been supported in most but not all elements in various studies. The procedural character has not yet been investigated in one integrative model. The aim of this study was to test the progressive model of self-stigma in three respects: I) successive stages have the strongest associations, II) endorsements decrease with each stage, and III) the procedural character can be represented by one serial mediation model. Methods: A cross-sectional computer-based survey was conducted in two samples of patients with depression; one online sample (NA = 550; only self-report) and one clinical face-to-face sample (NB = 180; screening by treatment staff). The inclusion criteria were, age of 18–70 years, sufficient cognitive abilities and German language skills. IBM SPSS statistics 24 was used for Cronbach’s alphas, descriptive statistics, Spearman correlations, and Mann-Whitney-U tests. The PROCESS procedure for SPSS Version 3.00 was used for mediation analyses. Results: The results support the progressive model of self-stigma in people with depression in most respects: Endorsements for stereotype awareness were higher than for personal agreement and self-concurrence, and no relevant difference was found between personal agreement and self-concurrence. Successive stages had the strongest associations, with the exception of the association between stereotype awareness and self-esteem, which was higher than the association between stereotype awareness and personal agreement and self-concurrence. The association between stereotype awareness and self-esteem was mediated via personal agreement and self-concurrence. Conclusion: The progressive model of self-stigma offers a theoretical foundation for the process research of self-stigma. Longitudinal research may investigate predictive effects and whether different stages of self-stigma require specific consideration in their prediction, consequences, and potential interventions.

Suggested Citation

  • Nele Cornelia Göpfert & Steffen Conrad von Heydendorff & Harald Dreßing & Josef Bailer, 2019. "Applying Corrigan’s progressive model of self-stigma to people with depression," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-14, October.
    • Handle: RePEc:plo:pone00:0224418
    DOI: 10.1371/journal.pone.0224418
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0224418
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0224418&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0224418?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
    ---><---

    References listed on IDEAS

    as
    1. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    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. Anita Fafa Dartey & Gladys Dzansi & Felix Kwasi Nyande & Wisdom Kwasi Mensah Avor & Portia Pomaa & Nathaniel Glover-Meni & John Kwasi Akortiakumah, 2024. "Perception of Dieners Regarding Social Acceptance and the Right to Work: A Qualitative Study," SAGE Open, , vol. 14(1), pages 21582440241, January.
    2. Lars Hansson & Henrika Jormfeldt & Petra Svedberg & Bengt Svensson, 2013. "Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness?," International Journal of Social Psychiatry, , vol. 59(1), pages 48-54, February.
    3. Kvaale, Erlend P. & Gottdiener, William H. & Haslam, Nick, 2013. "Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople," Social Science & Medicine, Elsevier, vol. 96(C), pages 95-103.
    4. Sharma, Anupam Joya & Subramanyam, Malavika Ambale, 2020. "Psychological responses to reservation-based discrimination: A qualitative study of socially marginalized youth at a premier Indian university," International Journal of Educational Development, Elsevier, vol. 79(C).
    5. Adalberto Campo-Arias & Guillermo A Ceballos-Ospino & Edwin Herazo, 2020. "Barriers to access to mental health services among Colombia outpatients," International Journal of Social Psychiatry, , vol. 66(6), pages 600-606, September.
    6. Vyncke, Bart & Van Gorp, Baldwin, 2020. "Using counterframing strategies to enhance anti-stigma campaigns related to mental illness," Social Science & Medicine, Elsevier, vol. 258(C).
    7. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).
    8. Hunter, Bronwyn A. & Mohatt, Nathaniel Vincent & Prince, Dana M. & Thompson, Azure B. & Matlin, Samantha L. & Tebes, Jacob Kraemer, 2017. "Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms," Social Science & Medicine, Elsevier, vol. 181(C), pages 177-183.
    9. Lindsey Lacey & Nirajana Mishra & Priya Mukherjee & Nikhilesh Prakash & Nishith Prakash & Diane Quinn & Shwetlena Sabarwal & Deepak Saraswat, 2024. "Can Destigmatizing Mental Health Increase Willingness to Seek Help? Experimental Evidence from Nepal," CESifo Working Paper Series 11241, CESifo.
    10. Anselm B M Fuermaier & Lara Tucha & Janneke Koerts & Anna K Mueller & Klaus W Lange & Oliver Tucha, 2012. "Measurement of Stigmatization towards Adults with Attention Deficit Hyperactivity Disorder," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-11, December.
    11. Mao-Sheng Ran & Tian-Ming Zhang & Irene Yin-Ling Wong & Xin Yang & Chang-Cheng Liu & Bo Liu & Wei Luo & Wei-Hong Kuang & Graham Thornicroft & Cecilia Lai-Wan Chan, 2018. "Internalized stigma in people with severe mental illness in rural China," International Journal of Social Psychiatry, , vol. 64(1), pages 9-16, February.
    12. Chen, Haide & Fang, Xiaoyi & Liu, Chaoying & Hu, Wei & Lan, Jing & Deng, Linyuan, 2014. "Associations among the number of mental health problems, stigma, and seeking help from psychological services: A path analysis model among Chinese adolescents," Children and Youth Services Review, Elsevier, vol. 44(C), pages 356-362.
    13. Piotr Świtaj & Paweł Grygiel & Marta Anczewska & Jacek Wciórka, 2014. "Loneliness mediates the relationship between internalised stigma and depression among patients with psychotic disorders," International Journal of Social Psychiatry, , vol. 60(8), pages 733-740, December.
    14. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    15. Álvaro Moraleda & Diego Galán-Casado & Adolfo J. Cangas, 2019. "Reducing Self-Stigma in People with Severe Mental Illness Participating in a Regular Football League: An Exploratory Study," IJERPH, MDPI, vol. 16(19), pages 1-8, September.
    16. Tomar, Nikhil & Thornicroft, Graham, 2020. "Principle of gradient rationality: Revisiting stigma and conceptualizing its guiding mechanism," Social Science & Medicine, Elsevier, vol. 245(C).
    17. Carol Blixen & Adam T Perzynski & Ashley Bukach & Molly Howland & Martha Sajatovic, 2016. "Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study," International Journal of Social Psychiatry, , vol. 62(7), pages 635-644, November.
    18. Trani, Jean-Francois & Ballard, Ellis & Peña, Juan B., 2016. "Stigma of persons with disabilities in Afghanistan: Examining the pathways from stereotyping to mental distress," Social Science & Medicine, Elsevier, vol. 153(C), pages 258-265.
    19. Ruvanee P Vilhauer, 2015. "Depictions of auditory verbal hallucinations in news media," International Journal of Social Psychiatry, , vol. 61(1), pages 58-63, February.
    20. Lacey, Lindsey & Mishra, Nirajana & Mukherjee, Priya & Prakash, Nikhilesh & Prakash, Nishith & Quinn, Diane & Sabarwal, Shwetlena & Saraswat, Deepak, 2024. "Can Destigmatizing Mental Health Increase Willingness to Seek Help? Experimental Evidence from Nepal," IZA Discussion Papers 17166, Institute of Labor Economics (IZA).

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0224418. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.