Longitudinal impact of experienced discrimination on mental health among people with mental disorders

Chan, Kevin Ka Shing; Tsui, Jack Ka Chun

doi:10.1016/j.psychres.2023.115099

Cited by 11 publications

(7 citation statements)

References 50 publications

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“…Such negative impact of perceived stigma on service engagement is consistent with previous studies showing that discrimination experiences may delay help-seeking, reduce treatment adherence, and increase premature dropout from rehabilitation services among people with mental illness (Clement et al, 2015b; Sirey et al, 2001). The negative impact of perceived stigma on recovery is also in line with prior studies reporting that discrimination experiences may elevate psychological distress, impair work and social functioning, and lower subjective recovery among these people (Chan & Tsui, 2023; Drapalski et al, 2013; Mak et al, 2017; Staring et al, 2009).…”

Section: Discussionsupporting

confidence: 87%

“…Higher scores indicated higher levels of functional recovery. This measure had good validity and reliability in past studies (Chan & Tsui, 2023). Its Cronbach’s α was 0.91 in this study.…”

Section: Methodsmentioning

confidence: 74%

“…Specifically, to reduce self-stigma content, interventionists may apply cognitive restructuring techniques to help service users detect and challenge negative and biased beliefs about their illness identities and replace these maladaptive thoughts with more appropriate illness perceptions (Chan & Fung, 2019). Also, to alleviate self-stigma process, interventionists may facilitate service users to broaden their self-definitions beyond their stigmatized identities, which may help them think about their self-stigmatizing ideas less frequently (Chan & Tsui, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…Perceived stigma from service providers may affect multiple dimensions of self-stigma, including self-stigma content and process (Chan & Tsui, 2023). Self-stigma content refers to the degree to which people endorse their self-stigmatizing thoughts, whereas self-stigma process refers to the degree to which people think about their self-stigmatizing thoughts frequently and habitually (Chan et al, 2018; Chan & Lam, 2018; Chan & Mak, 2017).…”

Section: Objectives Of the Present Studymentioning

confidence: 99%

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Perceived stigma from mental health service providers and its adverse impact on service engagement and recovery among people with mental illness.

Chan¹,

Tsui²

2023

American Journal of Orthopsychiatry

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The present study investigated how perceived stigma from mental health service providers would influence the mental health recovery of people with mental illness. Specifically, this study examined whether perceived stigma from service providers would adversely affect the clinical, functional, and personal recovery of people with mental illness by exacerbating the content and process of self-stigma and service disengagement. A total of 353 people with mental illness completed questionnaires about perceived stigma from service providers, self-stigma content and process, service disengagement, and clinical, functional, and personal recovery. The associations among these variables were analyzed using structural equation modeling and bootstrap analyses. Structural equation modeling showed that perceived stigma from service providers was related to higher levels of self-stigma content and process, which were, in turn, related to greater levels of service disengagement and then lower levels of clinical, functional, and personal recovery. Bootstrap analyses further showed that perceived stigma from service providers had significant indirect effects on clinical, functional, and personal recovery through self-stigma content and process and service disengagement. Our findings show that perceived stigma from service providers may adversely affect mental health recovery through intensifying self-stigma and heightening service disengagement. These findings highlight the importance of mitigating the stigma-related experiences of people with mental illness in order to facilitate their mental health recovery.

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Section: Discussionsupporting

confidence: 87%

Section: Methodsmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Objectives Of the Present Studymentioning

confidence: 99%

See 2 more Smart Citations

Perceived stigma from mental health service providers and its adverse impact on service engagement and recovery among people with mental illness.

Chan¹,

Tsui²

2023

American Journal of Orthopsychiatry

Self Cite

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“…There is a trend among college students to avoid seeking psychological assistance, a phenomenon that might be influenced by cultural beliefs surrounding psychotherapy and psychological factors such as expectations ( 24 , 25 ). Students’ reluctance to seek mental health support can be linked to cultural norms that stigmatize discussions on mental health or therapy.…”

Section: Introductionmentioning

confidence: 99%

The challenges of mental health in Chilean university students

Beroíza-Valenzuela

2024

Front. Public Health

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Mental health is a crucial issue in Chile and worldwide, gaining even more relevance following social events in Chile in 2019, including the sociopolitical crisis and the COVID-19 pandemic. In Chile, over 20% of adolescents experience mental health problems such as anxiety, depression, and stress, with many going untreated due to limited access or the stigma associated with these issues. The COVID-19 pandemic has exacerbated this situation, with a 25% increase in the prevalence of anxiety and depression. The university population is particularly vulnerable to mental health challenges due to the unique pressures of the academic environment, including increased academic demands and the acquisition of university-related behaviors that can negatively impact physical and mental health, with notable gender differences. Effectively addressing these issues is essential for ensuring the emotional and psychological well-being of university students. Specific policies and programs are needed to address the mental health needs of university adolescents and ensure that they have access to mental health services required to navigate the challenges of daily life. A methodology reflective of the essayistic approach guides this exploration, which is characterized by critical reflection and structured argumentation.

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Experienced discrimination and internalized stigma among people infected with SARS‐CoV‐2 and surviving COVID‐19: Association with anxiety, depression, and insomnia symptoms

Lasalvia,

Bodini,

Pace

et al. 2024

Journal Community Psychology

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People surviving COVID‐19 may experience social stigma related to their condition even after clinical recovery. This study aimed to: (1) investigate COVID‐19‐related experienced discrimination and internalized stigma, and (2) explore their association with symptoms of anxiety, depression, and insomnia. We conducted an online survey of people who survived COVID‐19. Perception of stigma was assessed using the COVID‐19 Experienced Discrimination Scale and the COVID‐19 Internalized Stigma Scale. Depression, anxiety, and insomnia were assessed using, respectively, the Patient Health Questionnaire‐9, the General Anxiety Disorder Scale‐7, and the Insomnia Severity Index. Multivariable logistic regression analyses for each psychopathological domain were performed. A total of 579 participants participated in this study. Overall, 25% reported some degree of experienced discrimination, and 23% reported some degree of internalized stigma. Adjusted odds ratio showed that scoring higher on internalized stigma related significantly to higher symptoms of depression (2.14; 95% confidence interval [CI], 1.35–3.39), anxiety (2.30; 95% CI, 1.48–3.59), and insomnia (2.54; 95% CI, 1.64–3.95), whereas experienced discrimination was associated to anxiety (1.55; 95% CI, 1.06–2.28) and insomnia (1.82; 95% CI, 1.24–2.69). Experiences of social stigmatization are frequent among people surviving COVID‐19 and seem to be associated with levels of psychological disturbances. Further research is required to elucidate the direction of these relationships to implement effective treatment strategies.

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Longitudinal impact of experienced discrimination on mental health among people with mental disorders

Cited by 11 publications

References 50 publications

Perceived stigma from mental health service providers and its adverse impact on service engagement and recovery among people with mental illness.

Perceived stigma from mental health service providers and its adverse impact on service engagement and recovery among people with mental illness.

The challenges of mental health in Chilean university students

Experienced discrimination and internalized stigma among people infected with SARS‐CoV‐2 and surviving COVID‐19: Association with anxiety, depression, and insomnia symptoms

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