Change in internalized stigma and social functioning among persons diagnosed with severe mental illness

Yanos, Philip T.; West, Michael O.; Gonzales, Lauren; Smith, Stephen M.; Roe, David; Lysaker, Paul H.

doi:10.1016/j.psychres.2012.06.017

Cited by 49 publications

(32 citation statements)

References 12 publications

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“…; Yanos et al . ). Mothers were excluded if they were considered unfit for participation due to a fragile psychological state, inability to provide consent, or were exhibiting active mental health disturbances, as determined by the health providers in the community service.…”

Section: Methodsmentioning

confidence: 97%

Experiences of self‐stigmatization and parenting in Chinese mothers with severe mental illness

Chan

Bressington

2018

Int J Mental Health Nurs

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Mental health stigma has serious ramifications on people with a severe mental illness (SMI). Stigma damages self‐esteem, recovery outcomes, family relationships, socialization abilities, access to housing, and career prospects. The cultural tendencies of Chinese people have been shown to be associated with particularly high levels of stigmatization. These cultural tenets can result in high levels of self‐stigma due to experiencing shame and a perceived need to keep mental illness a secret. Although there is a lack of existing evidence, it is possible that such experiences present unique challenges to Chinese mothers diagnosed with SMI when they parent their children. Therefore, this qualitative study explored the experiences of parenting and self‐stigmatization of Chinese mothers with SMI. Individual semi‐structured interviews were conducted with 15 mothers who were direct carers of their children aged under 18 and who were receiving community‐based care in Hong Kong. Manual inductive thematic analysis was used to analyse the interview data. Three main themes related to self‐stigmatization emerged from the interviews: (i) distancing and being distanced; (ii) doubting myself; and (iii) struggling for control. The experiences of self‐stigmatization appeared to damage these mothers’ self‐efficacy, which may negatively affect their parenting self‐esteem, tendency to seek professional help, and ability to manage their own mental health. Strategies to improve self‐efficacy, including psychoeducation, and additional childcare support/resources are required for mothers with SMI so they can better manage and balance the demands of motherhood and their mental healthcare needs.

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Section: Methodsmentioning

confidence: 97%

Experiences of self‐stigmatization and parenting in Chinese mothers with severe mental illness

Chan

Bressington

2018

Int J Mental Health Nurs

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“…The latter is considered to require positive and stable emotions and the avoidance of chaos and anxiety [3]. In relation to mental health, ontological security is threatened by the breakdown of, and difficulties in, maintaining relationships with friends and family [4], challenges in maintaining routine and daily living activities [5], and feelings of being judged and stigmatised [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

Ontological security and connectivity provided by pets: a study in the self-management of the everyday lives of people diagnosed with a long-term mental health condition

et al. 2016

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BackgroundDespite evidence that connecting people to relevant wellbeing-related resources brings therapeutic benefit, there is limited understanding, in the context of mental health recovery, of the potential value and contribution of pet ownership to personal support networks for self-management. This study aimed to explore the role of pets in the support and management activities in the personal networks of people with long-term mental health problems.MethodsSemi-structured interviews centred on ‘ego’ network mapping were conducted in two locations (in the North West and in the South of England) with 54 participants with a diagnosis of a long-term mental health problem. Interviews explored the day-to-day experience of living with a mental illness, informed by the notion of illness work undertaken by social network members within personal networks. Narratives were elicited that explored the relationship, value, utility and meaning of pets in the context of the provision of social support and management provided by other network members. Interviews were recorded, then transcribed verbatim before being analysed using a framework analysis.ResultsThe majority of pets were placed in the central, most valued circle of support within the network diagrams. Pets were implicated in relational work through the provision of secure and intimate relationships not available elsewhere. Pets constituted a valuable source of illness work in managing feelings through distraction from symptoms and upsetting experiences, and provided a form of encouragement for activity. Pets were of enhanced salience where relationships with other network members were limited or difficult. Despite these benefits, pets were unanimously neither considered nor incorporated into individual mental health care plans.ConclusionsDrawing on a conceptual framework built on Corbin and Strauss’s notion of illness ‘work’ and notions of a personal workforce of support undertaken within whole networks of individuals, this study contributes to our understanding of the role of pets in the daily management of long-term mental health problems. Pets should be considered a main rather than a marginal source of support in the management of long-term mental health problems, and this has implications for the planning and delivery of mental health services.

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“…Muñoz et al (2011) [15] found that psychosocial outcomes, especially those related to personal autonomy, were associated with social stigma in a group of people with mental illness. In the same line, Yanos et al (2012) [16] found that changes towards more self-stigma are related to worsened performance in social functioning. Specifically in people with schizophrenia, Hill and Startup (2013) [17] found that those with greater internalized stigma presented more negative symptoms and lower quality of life.…”

Section: Relation Between Self-stigma and Social Functioningmentioning

confidence: 89%

“…It is expected that higher levels of self-stigma could produce lower levels of social functioning, as Yanos et al (2012) describe this relation over time. These results are in the same line as other studies performed in people with schizophrenia [17,18,40] and with other mental disorders [12,15].…”

Section: Ssqmentioning

confidence: 99%

Development and validation of the Self-Stigma Questionnaire (SSQ) for people with schizophrenia and its relation to social functioning

Ochoa

Martínez-Zambrano

Garcia-Franco

et al. 2015

Comprehensive Psychiatry

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Change in internalized stigma and social functioning among persons diagnosed with severe mental illness

Cited by 49 publications

References 12 publications

Experiences of self‐stigmatization and parenting in Chinese mothers with severe mental illness

Experiences of self‐stigmatization and parenting in Chinese mothers with severe mental illness

Ontological security and connectivity provided by pets: a study in the self-management of the everyday lives of people diagnosed with a long-term mental health condition

Development and validation of the Self-Stigma Questionnaire (SSQ) for people with schizophrenia and its relation to social functioning

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