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

Imagem de Miniatura
Arquivos
art_SCHIBALSKI_Stigmarelated_stress_shame_and_avoidant_coping_reactions_among_2017.PDF (347.46 KB)
Citações na Scopus
34
Tipo de produção
article
Data de publicação
2017
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO-ELSEVIER INC
Autores
SCHIBALSKI, J. V.
MUELLER, M.
AJDACIC-GROSS, V.
VETTER, S.
RODGERS, S.
OEXLE, N.
CORRIGAN, P. W.
ROESSLER, W.
RUESCH, N.
Citação
COMPREHENSIVE PSYCHIATRY, v.74, p.224-230, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: 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.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/20371
Referências
  1. Ajdacic-Gross V, 2014, INT J METH PSYCH RES, V23, P451, DOI 10.1002/mpr.1441
  2. Clement S, 2015, PSYCHOL MED, V45, P11, DOI 10.1017/S0033291714000129
  3. Connor KM, 2003, DEPRESS ANXIETY, V18, P76, DOI 10.1002/da.10113
  4. Correll J, 2005, PERS SOC PSYCHOL REV, V9, P341, DOI 10.1207/s15327957pspr0904_4
  5. Corrigan PW, 2015, PSYCHIAT RES, V229, P148, DOI 10.1016/j.psychres.2015.07.053
  6. Corrigan PW, 2013, COMMUNITY MENT HLT J, V49, P1, DOI 10.1007/s10597-011-9445-2
  7. Corrigan PW, 2011, PSYCHIAT RES, V189, P339, DOI 10.1016/j.psychres.2011.05.024
  8. Corrigan PW, 2002, CLIN PSYCHOL-SCI PR, V9, P35, DOI 10.1093/clipsy/9.1.35
  9. Cruwys T, 2014, J AFFECT DISORDERS, V159, P139, DOI 10.1016/j.jad.2014.02.019
  10. Denenny D, 2015, PSYCHIATR REHABIL J, V38, P164, DOI 10.1037/prj0000124
  11. Gilbert P, 2000, CLIN PSYCHOL PSYCHOT, V7, P174, DOI 10.1002/1099-0879(200007)7:3<174::AID-CPP236>3.0.CO;2-U
  12. Gilbert P., 1998, SHAME INTERPERSONAL, P3
  13. Haller H, 2014, BMC PSYCHIATRY, V14, DOI 10.1186/1471-244X-14-128
  14. Hardt J, 2004, PSYCHOTHER PSYCH MED, V54, P214, DOI 10.1055/s-2003-814786
  15. Hu LT, 1999, STRUCT EQU MODELING, V6, P1, DOI 10.1080/10705519909540118
  16. Jetten J, 2001, PERS SOC PSYCHOL B, V27, P1204, DOI 10.1177/0146167201279012
  17. Jost J. T., 2001, PSYCHOL LEGITIMACY E
  18. Kaymaz N, 2012, PSYCHOL MED, V42, P2239, DOI 10.1017/S0033291711002911
  19. Lang FR, 2011, BEHAV RES METHODS, V43, P548, DOI 10.3758/s13428-011-0066-z
  20. Lasalvia A, 2013, LANCET, V381, P55, DOI 10.1016/S0140-6736(12)61379-8
  21. Lazarus R. S., 1984, STRESS APPRAISAL COP
  22. Link BG, 2001, ANNU REV SOCIOL, V27, P363, DOI 10.1146/annurev.soc.27.1.363
  23. LINK BG, 1987, AM SOCIOL REV, V52, P96, DOI 10.2307/2095395
  24. LINK BG, 1991, J HEALTH SOC BEHAV, V32, P302, DOI 10.2307/2136810
  25. Link B. G., 2002, PSYCHIATR REHABIL J, V6, P201, DOI 10.1080/10973430208408433
  26. MacKinnon DP, 2004, MULTIVAR BEHAV RES, V39, P99, DOI 10.1207/s15327906mbr3901_4
  27. Major B, 2005, ANNU REV PSYCHOL, V56, P393, DOI 10.1146/annurev.psych.56.091103.070137
  28. Muthen L, 2012, MPLUS USERS GUIDE
  29. Oexle N, 2017, EPIDEMIOL PSYCHIAT S
  30. Papish A, 2013, BMC MED EDUC, V13, DOI 10.1186/1472-6920-13-141
  31. Rodriguez MR, 2012, BMC PSYCHIATRY, V12, DOI 10.1186/1471-244X-12-181
  32. Roe D, 2014, J CLIN PSYCHOL, V70, P303, DOI 10.1002/jclp.22050
  33. Rusch N, 2014, EPIDEMIOL PSYCH SCI, V23, P177, DOI 10.1017/S204579601300036X
  34. Rusch N, 2009, ACTA PSYCHIAT SCAND, V120, P320, DOI 10.1111/j.1600-0447.2009.01403.x
  35. Rusch N, 2006, J NERV MENT DIS, V194, P766, DOI 10.1097/01.nmd.0000239898.48701.dc
  36. Rusch N, 2015, SCHIZOPHR RES, V166, P43, DOI 10.1016/j.schres.2015.05.027
  37. Rusch N, 2014, BRIT J PSYCHIAT, V204, P391, DOI 10.1192/bjp.bp.113.135772
  38. Rusch N, 2014, PSYCHIAT SERV, V65, P483, DOI 10.1176/appi.ps.201300169
  39. Rusch N, 2014, EUR ARCH PSY CLIN N, V264, P35, DOI 10.1007/s00406-013-0412-5
  40. Rusch N, 2010, J BEHAV THER EXP PSY, V41, P60, DOI 10.1016/j.jbtep.2009.10.002
  41. Rusch N, 2009, SCHIZOPHR RES, V110, P65, DOI 10.1016/j.schres.2009.01.005
  42. Rusch N, 2006, PSYCHIAT SERV, V57, P399, DOI 10.1176/appi.ps.57.3.399
  43. Schmader T, 2001, J PERS SOC PSYCHOL, V80, P782, DOI 10.1037//0022-3514.80.5.782
  44. Schomerus G, 2016, EUR PSYCHIAT, V32, P21, DOI 10.1016/j.eurpsy.2015.11.006
  45. Schomerus G, 2012, ACTA PSYCHIAT SCAND, V125, P440, DOI 10.1111/j.1600-0447.2012.01826.x
  46. Thornicroft G, 2016, LANCET, V387, P1123, DOI 10.1016/S0140-6736(15)00298-6
  47. Watson AC, 2007, SCHIZOPHRENIA BULL, V33, P1312, DOI 10.1093/schbul/sbl076
  48. Xu ZY, 2016, PSYCHIAT RES, V243, P219, DOI 10.1016/j.psychres.2016.06.041
  49. Xu Z, 2016, SCHIZOPHR RES, V172, P184, DOI 10.1016/j.schres.2016.01.048
  50. Xu ZY, 2016, EUR ARCH PSY CLIN N, V266, P79, DOI 10.1007/s00406-015-0576-2
  51. Yang LH, 2015, SCHIZOPHR RES, V168, P9, DOI 10.1016/j.schres.2015.08.004
  52. Yanos PT, 2008, PSYCHIAT SERV, V59, P1437, DOI 10.1176/appi.ps.59.12.1437

Coleções
Artigos e Materiais de Revistas Científicas - LIM/27