Stigma-related stress, shame and avoidant coping reactions among members of the general population with elevated symptom levels

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSCHIBALSKI, J. V.
dc.contributor.authorMUELLER, M.
dc.contributor.authorAJDACIC-GROSS, V.
dc.contributor.authorVETTER, S.
dc.contributor.authorRODGERS, S.
dc.contributor.authorOEXLE, N.
dc.contributor.authorCORRIGAN, P. W.
dc.contributor.authorROESSLER, W.
dc.contributor.authorRUESCH, N.
dc.date.accessioned2017-06-09T15:44:59Z
dc.date.available2017-06-09T15:44:59Z
dc.date.issued2017
dc.description.abstractBackground: It is unclear whether mental illness stigma affects individuals with subthreshold syndromes outside clinical settings. We therefore investigated the role of different stigma variables, including stigma-related stress and shame reactions, for avoidant stigma coping among members of the general population with elevated symptom levels. Methods: Based on a representative population survey, general stress resilience, stigma variables, shame about having a mental illness as well as avoidant stigma coping (secrecy and social withdrawal) were assessed by self-report among 676 participants with elevated symptom levels. Stigma variables and resilience were examined as predictors of avoidant stigma coping in a path model. Results: Increased stigma stress was predicted by lower general stress resilience as well as by higher levels of perceived stigma, group identification and perceived legitimacy of discrimination. More shame was associated with higher perceived legitimacy. Lower resilience as well as more perceived stigma, group identification and perceived legitimacy predicted avoidant coping. Stigma stress partly mediated effects of resilience, perceived stigma and group identification on avoidant coping; shame partly mediated effects of perceived legitimacy on coping. Stigma stress and shame were also directly and positively related to avoidant stigma coping. Analyses were adjusted for symptoms, neuroticism and sociodemographic variables. Conclusions: Stigma may affect a larger proportion of the population than previously thought because stigma variables predicted secrecy and withdrawal among members of the general population with elevated, but overall mild symptom levels. Avoidant stigma coping likely has harmful effects, potentially exacerbating pre-existing psychological distress and undermining social networks. This highlights the need to reduce public stigma as well as to support individuals with subthreshold syndromes in their coping with stigma stress and shame reactions.
dc.description.indexMEDLINE
dc.description.sponsorshipZInEP
dc.description.sponsorshipSwiss National Science Foundation [3247B0 - 122071]
dc.identifier.citationCOMPREHENSIVE PSYCHIATRY, v.74, p.224-230, 2017
dc.identifier.doi10.1016/j.comppsych.2017.02.001
dc.identifier.eissn1532-8384
dc.identifier.issn0010-440X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/20371
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.relation.ispartofComprehensive Psychiatry
dc.rightsrestrictedAccess
dc.rights.holderCopyright W B SAUNDERS CO-ELSEVIER INC
dc.subject.othermental-illness
dc.subject.otherself-stigma
dc.subject.otherperceived legitimacy
dc.subject.otherhelp-seeking
dc.subject.othersuicidal ideation
dc.subject.otheryoung-people
dc.subject.otherpsychosis
dc.subject.otherrisk
dc.subject.otherdiscrimination
dc.subject.otherhealth
dc.subject.wosPsychiatry
dc.titleStigma-related stress, shame and avoidant coping reactions among members of the general population with elevated symptom levels
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countrySuíça
hcfmusp.affiliation.countryisode
hcfmusp.affiliation.countryisoch
hcfmusp.affiliation.countryisous
hcfmusp.author.externalSCHIBALSKI, J. V.:Univ Ulm, Dept Psychiat 2, Pk Str 11, D-89073 Ulm, Germany; BKH Gunzburg, Pk Str 11, D-89073 Gunzburg, Germany
hcfmusp.author.externalMUELLER, M.:Univ Zurich, Hosp Psychiat, Dept Psychiat Psychotherapy & Psychosomat, CH-8006 Zurich, Switzerland
hcfmusp.author.externalAJDACIC-GROSS, V.:Univ Zurich, Hosp Psychiat, Dept Psychiat Psychotherapy & Psychosomat, CH-8006 Zurich, Switzerland
hcfmusp.author.externalVETTER, S.:Univ Zurich, Hosp Psychiat, Dept Psychiat Psychotherapy & Psychosomat, CH-8006 Zurich, Switzerland
hcfmusp.author.externalRODGERS, S.:Univ Zurich, Hosp Psychiat, Dept Psychiat Psychotherapy & Psychosomat, CH-8006 Zurich, Switzerland
hcfmusp.author.externalOEXLE, N.:Univ Ulm, Dept Psychiat 2, Pk Str 11, D-89073 Ulm, Germany; BKH Gunzburg, Pk Str 11, D-89073 Gunzburg, Germany
hcfmusp.author.externalCORRIGAN, P. W.:IIT, Chicago, IL 60616 USA
hcfmusp.author.externalRUESCH, N.:Univ Ulm, Dept Psychiat 2, Pk Str 11, D-89073 Ulm, Germany; BKH Gunzburg, Pk Str 11, D-89073 Gunzburg, Germany
hcfmusp.citation.scopus34
hcfmusp.description.beginpage224
hcfmusp.description.endpage230
hcfmusp.description.volume74
hcfmusp.origemWOS
hcfmusp.origem.pubmed28236772
hcfmusp.origem.scopus2-s2.0-85013667526
hcfmusp.origem.wosWOS:000397697300029
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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