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The impact of self-stigma on self-esteem among persons with different mental disorders

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  • Keunwoo Park
  • Lee MinHwa
  • Mikyung Seo

Abstract

Background: This study assumes that just as public stigma differs depending on types of mental disorder, so too does self-stigma. Aims: This study aims to compare self-stigma among persons with schizophrenia, alcohol use disorder and gambling disorder, and thereby analyze the effects of self-stigma on their self-esteem. Methods: A total of 321 Korean adults involved in community mental services for schizophrenia ( N = 116), alcohol use disorder ( N = 102) and gambling disorder ( N = 103) were surveyed ( M age = 40.74, standard deviation ( SD ) = 10.10, 83.8% male, 16.2% female). Participants were questioned on self-stigma and self-esteem. One-way analysis of variance (ANOVA) was used to compare the self-stigma by mental disorder type. Furthermore, in order to analyze the effects of self-stigma on self-esteem with subjects’ age and educational background controlled, hierarchical regression analysis was used. Results: The self-stigma of gambling disorder group was highest not only in overall self-stigma but also some of its subscales – alienation, stereotype endorsement and stigma resistance – followed by alcohol use disorder group and schizophrenia group. In all three groups, self-stigma had a negative effect on self-esteem, while stigma resistance of subscales was the most important predictor. In addition to stigma resistance, alienation was a predictor in the schizophrenia group, alienation and social withdrawal in the alcohol use disorder group and social withdrawal was a significant predictor in the gambling disorder group. Therefore, the predictors of self-esteem differed depending on the type of mental disorder. Conclusion: Based on these results, we suggest cognitive-behavioral intervention to raise subject awareness of the unjust social stigma and boost self-advocacy to resist the stigma.

Suggested Citation

  • Keunwoo Park & Lee MinHwa & Mikyung Seo, 2019. "The impact of self-stigma on self-esteem among persons with different mental disorders," International Journal of Social Psychiatry, , vol. 65(7-8), pages 558-565, November.
    • Handle: RePEc:sae:socpsy:v:65:y:2019:i:7-8:p:558-565
    DOI: 10.1177/0020764019867352
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    References listed on IDEAS

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    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.
    2. Mieke Verhaeghe & Piet Bracke & Kevin Bruynooghe, 2008. "Stigmatization and Self-Esteem of Persons in Recovery From Mental Illness: the Role of Peer Support," International Journal of Social Psychiatry, , vol. 54(3), pages 206-218, May.
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    2. William McGovern & Michelle Addison & Ruth McGovern, 2024. "The Adoption of a “Diseased Identity” in Traditional 12-Step Groups: Exploring the Implications of These Processes for Individuals and Practitioners in Health and Social Care Services," IJERPH, MDPI, vol. 21(10), pages 1-16, September.
    3. Cian-Ruei Jian & Peng-Wei Wang & Huang-Chi Lin & Mei-Feng Huang & Yi-Chun Yeh & Tai-Ling Liu & Cheng-Sheng Chen & Ya-Ping Lin & Shu-Ying Lee & Ching-Hua Chen & Yun-Chi Wang & Yu-Ping Chang & Yi-Lung C, 2022. "Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
    4. Jawwad Muhammad Shujaat & Muhammad Akram Riaz & Muhammad Naveed Riaz & Masud Akhtar & Muhammad Iqbal Chaudhry, 2022. "Impact of Behavioral and Psychosocial Factors on Relapse among Persons with Substance Use Disorder," International Journal of Innovations in Science & Technology, 50sea, vol. 4(6), pages 50-56, September.
    5. Dany Fernández & Pamela Grandón & Yaranay López-Angulo & Alexis Vladimir-Vielma & Wenceslao Peñate & Gabriela Díaz-Pérez, 2023. "Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review," International Journal of Social Psychiatry, , vol. 69(8), pages 1869-1881, December.

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