IDEAS home Printed from https://ideas.repec.org/a/taf/rpsyxx/v9y2017i3p235-244.html
   My bibliography  Save this article

How stigma gets under the skin: the role of stigma, self-stigma and self-esteem in subjective recovery from psychosis

Author

Listed:
  • Victoria Vass
  • Katarzyna Sitko
  • Sophie West
  • Richard P. Bentall

Abstract

This study examined the impact of stigma on subjective recovery from psychosis, and whether self-esteem and internalised stigma (self-directed negative attitudes and thoughts regarding one’s mental health issues) mediates the observed associations between stigmatising experiences and outcome. Fifty-nine services-users with schizophrenia or bipolar affective disorder diagnoses completed symptom (Positive and Negative Syndrome Scale) and subjective recovery (Process of Recovery Questionnaire) measures, as well as stigma measures (the King Stigma Scale, Internalised Stigma of Mental Illness Scale), and the Self-Esteem Rating Scale. Diagnosis was a persistently significant factor in all analyses, suggesting a negative effect of the term “schizophrenia” on subjective recovery. In a multiple serial mediation analysis, experiences of stigma predicated subjective recovery and this effect was mediated through internalised stigma, which consequently impaired self-esteem. Internalised stigma is an important psychological mechanism in recovery. Interventions aimed at improving self-esteem and recovery feelings for psychosis-spectrum service-users may benefit from taking the role of internalised stigma into account.

Suggested Citation

  • Victoria Vass & Katarzyna Sitko & Sophie West & Richard P. Bentall, 2017. "How stigma gets under the skin: the role of stigma, self-stigma and self-esteem in subjective recovery from psychosis," Psychosis, Taylor & Francis Journals, vol. 9(3), pages 235-244, July.
    • Handle: RePEc:taf:rpsyxx:v:9:y:2017:i:3:p:235-244
    DOI: 10.1080/17522439.2017.1300184
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1080/17522439.2017.1300184
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/17522439.2017.1300184?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. Eilish Burke & Lisa Wood & Elisabeth Zabel & Alexandra Clark & Anthony P. Morrison, 2016. "Experiences of stigma in psychosis: A qualitative analysis of service users’ perspectives," Psychosis, Taylor & Francis Journals, vol. 8(2), pages 130-142, April.
    2. Schulze, Beate & Angermeyer, Matthias C., 2003. "Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals," Social Science & Medicine, Elsevier, vol. 56(2), pages 299-312, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Xi Chen & Jingjing Su & Daniel Thomas Bressington & Yan Li & Sau Fong Leung, 2022. "Perspectives of Nursing Students towards Schizophrenia Stigma: A Qualitative Study Protocol," IJERPH, MDPI, vol. 19(15), pages 1-12, August.

    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. Erdinç Kalayci & İmran Uzunaslan & Şerif Uzunaslan, 2023. "Caregiver burden experiences of caregivers of patients with schizophrenia: A qualitative inquiry," International Journal of Social Psychiatry, , vol. 69(3), pages 543-550, May.
    2. 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.
    3. Lotte Groth Jensen & Stina Lou & Jørgen Aagaard & Ulla Væggemose, 2017. "Community families: A qualitative study of families who volunteer to support persons with severe mental illness," International Journal of Social Psychiatry, , vol. 63(1), pages 33-39, February.
    4. Carlos Arturo Cassiani-Miranda & Adalberto Campo-Arias & Andrés Felipe Tirado-Otálvaro & Luz Adriana Botero-Tobón & Luz Dary Upegui-Arango & María Soledad Rodríguez-Verdugo & María Elena Botero-, 2021. "Stigmatisation associated with COVID-19 in the general Colombian population," International Journal of Social Psychiatry, , vol. 67(6), pages 728-736, September.
    5. Noor Ahmed Giasuddin & Itzhak Levav & Gilad Gal, 2015. "Mental health stigma and attitudes to psychiatry among Bangladeshi medical students," International Journal of Social Psychiatry, , vol. 61(2), pages 137-147, March.
    6. Sabrina Gabrielle Anjara & Chiara Bonetto & Poushali Ganguli & Diana Setiyawati & Yodi Mahendradhata & Bambang Hastha Yoga & Laksono Trisnantoro & Carol Brayne & Tine Van Bortel, 2019. "Can General Practitioners manage mental disorders in primary care? A partially randomised, pragmatic, cluster trial," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-26, November.
    7. Jing Ye & Timothy F Chen & Diane Paul & Rebecca McCahon & Sumitra Shankar & Alan Rosen & Claire L O’Reilly, 2016. "Stigma and discrimination experienced by people living with severe and persistent mental illness in assertive community treatment settings," International Journal of Social Psychiatry, , vol. 62(6), pages 532-541, September.
    8. Lewis, Sophie & Thomas, Samantha L. & Blood, R. Warwick & Castle, David J. & Hyde, Jim & Komesaroff, Paul A., 2011. "How do obese individuals perceive and respond to the different types of obesity stigma that they encounter in their daily lives? A qualitative study," Social Science & Medicine, Elsevier, vol. 73(9), pages 1349-1356.
    9. Steven Marwaha & Sonia Johnson, 2005. "Views and Experiences of Employment among People with Psychosis: A Qualitative Descriptive Study," International Journal of Social Psychiatry, , vol. 51(4), pages 302-316, December.
    10. Heather Stuart, 2005. "Fighting Stigma and Discrimination Is Fighting for Mental Health," Canadian Public Policy, University of Toronto Press, vol. 31(s1), pages 21-28, August.
    11. Melissa Pyle & Anthony P Morrison, 2014. "“It’s just a very taboo and secretive kind of thing”: making sense of living with stigma and discrimination from accounts of people with psychosis," Psychosis, Taylor & Francis Journals, vol. 6(3), pages 195-205, July.
    12. Bonnington, Oliver & Rose, Diana, 2014. "Exploring stigmatisation among people diagnosed with either bipolar disorder or borderline personality disorder: A critical realist analysis," Social Science & Medicine, Elsevier, vol. 123(C), pages 7-17.
    13. Kouame Kouakou Felicien & Digbeu Alain Fabrice & Samouth Aka Fabrice, 2020. "Social representations of Covid-19 and stigmatization of healthcare personnel and people attained by abidjanese populations, Cote d'Ivoire," Technium Social Sciences Journal, Technium Science, vol. 9(1), pages 352-363, July.
    14. Michael B. Blank & Michael Hennessy, 2012. "A Reasoned Action Approach to HIV Prevention for Persons with Serious Mental Illness," The ANNALS of the American Academy of Political and Social Science, , vol. 640(1), pages 173-188, March.
    15. Lee, Sing & Chiu, Marcus Y.L. & Tsang, Adley & Chui, Helena & Kleinman, Arthur, 2006. "Stigmatizing experience and structural discrimination associated with the treatment of schizophrenia in Hong Kong," Social Science & Medicine, Elsevier, vol. 62(7), pages 1685-1696, April.
    16. Vanessa Pinfold & Peter Byrne & Hilary Toulmin, 2005. "Challenging Stigma and Discrimination in Communities: A Focus Group Study Identifying UK Mental Health Service Users’ Main Campaign Priorities," International Journal of Social Psychiatry, , vol. 51(2), pages 128-138, June.
    17. Jacobs, Susan & Quinn, Joseph, 2022. "Cultural reproduction of mental illness stigma and stereotypes," Social Science & Medicine, Elsevier, vol. 292(C).
    18. Robillard, Chantal, 2010. "The gendered experience of stigmatization in severe and persistent mental illness in Lima, Peru," Social Science & Medicine, Elsevier, vol. 71(12), pages 2178-2186, December.
    19. Lorenza Magliano & Andrea Fiorillo & Heidegret Del Vecchio & Claudio Malangone & Corrado De Rosa & Carla Bachelet & Giampiero Cesari & Rosa D'Ambrogio & Francesca Fulgosi Cigala & Franco Veltro & Paol, 2009. "Development and Validation of a Self-Reported Questionnaire On Users’ Opinions About Schizophrenia: a Participatory Research," International Journal of Social Psychiatry, , vol. 55(5), pages 425-441, September.
    20. Tritter, Jonathan Quetzal & McCallum, Alison, 2006. "The snakes and ladders of user involvement: Moving beyond Arnstein," Health Policy, Elsevier, vol. 76(2), pages 156-168, April.

    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:taf:rpsyxx:v:9:y:2017:i:3:p:235-244. 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: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/RPSY20 .

    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.