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

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  • 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
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    References listed on IDEAS

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    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.
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    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.

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