Mental illness stigma and disclosure in college students

Corrigan, Patrick W.; Kosyluk, Kristin; Markowitz, Fred E.; Brown, R. K.; Conlon, Bridget; Rees, Jo; Rosenberg, Jessica; Ellefson, Sarah; Al‐Khouja, Maya

doi:10.3109/09638237.2015.1101056

Cited by 61 publications

(42 citation statements)

References 16 publications

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“…This is a noteworthy finding as studies have often sought to determine whether the provision of information relating to psychological diagnoses and their treatments, psycho‐education, is effective in alleviating stigma and promoting help‐seeking, often with inconclusive results. At present, we know that mere education, the provision of information to dispute the stereotypes of mental illness, is insufficient to diminish stigma . Many suggest that it is not solely the education provided about mental illness during psychology study that is most beneficial in this regard, but in addition, the fact that training often provides direct contact with individuals struggling mental health difficulties as well as the entrainment of humanistic orientation .…”

Section: Discussionmentioning

confidence: 99%

“…If, following awareness of public stigma, the individual also espouses agreement with the negative stigmatized stereotype and believes that the stereotype applies to him or herself, harm to the self, a reduction in self‐esteem, and efficacy may ensue, which in turn undermines efforts at independence and goal‐directed activity . There is empirical evidence to support the progressive development of self‐stigma . This lends credence to the validity of testing self‐stigma as a potential mediator between public stigma and help‐seeking.…”

Section: Introductionmentioning

confidence: 90%

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Public stigma and attitudes toward psychological help-seeking in the United Arab Emirates: The mediational role of self-stigma

Vally

Cody

Albloshi

et al. 2018

Perspect Psychiatr Care

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

Public stigma and attitudes toward psychological help-seeking in the United Arab Emirates: The mediational role of self-stigma

Vally

Cody

Albloshi

et al. 2018

Perspect Psychiatr Care

View full text Add to dashboard Cite

show abstract

“…However, previous operationalizations of public stigma ask individual respondents to report on perceived stigma from a generic "most people" originally used in Bruce Link's (1987;Link, Mirotznik, and Cullen 1991) Devaluation-Discrimination scale, with few exceptions (Moses 2010; also see Eisenberg et al 2009 for discussion of this issue). These inconsistencies regarding the level of analysis at which public stigma truly takes place perhaps explain the mixed findings on whether public stigma has a positive, negative, or no association with severity of symptoms, disclosure, self-esteem, and treatment (Corrigan et al 2016;Eisenberg et al 2009;Gollust 2008, 2009;Hunter et al 2017;Sirey et al 2001). …”

Section: Introductionmentioning

confidence: 99%

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Gaddis

Ramirez

Hernandez

2018

Social Science & Medicine

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Scholars suggest that public mental health stigma operates at a meso-level and is associated with severity of symptoms, disclosure, self-esteem, and treatment-seeking behavior. However, the operationalization of public stigma nearly always comes from an individual-level generalization of what others believe. Using data from over 60,000 students on 75 U.S. college and university campuses between 2009-2015, we contextualize public stigma by creating a school-level measure of students' individual-level endorsed mental health treatment stigma. We present multilevel logistic regression models for 21 different dependent variables. We find that even after controlling for individual-level stigma scores, school-level stigma is negatively associated with self-reports of suicidal ideation and self-injury, although not associated with screens for depression or anxiety. Moreover, school-level stigma is negatively associated with medication use, counseling and therapy visits, and to a lesser degree, informal support. We suggest that future research should continue to examine the contextual environment of public stigma, while policymakers may be able to implement changes to significantly reduce stigma at this level.

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“…Employees may also receive emotional support from colleagues; a common reason for disclosing (Brohan et al, 2012). It has been shown that a large number of different social, psychosocial and demographic factors affect the decision to disclose (Corrigan et al, 2015b). The GMC (General Medical Council) states that disclosure to managers and occupational health is mandatory if there is a risk that a health professional's illness could pose a risk to patients (General Medical Council, 2013).…”

Section: Introductionmentioning

confidence: 99%

Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: a qualitative study

Waugh

Lethem

Sherring

et al. 2017

Journal of Mental Health

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Background: The literature suggests that many health professionals hold stigmatising attitudes towards those with mental illness and that this impacts on patient care. Little attention has been given to how these attitudes affect colleagues with a mental illness. Current research demonstrates that stigma and discrimination are common in the UK workplace and impact on one's decision to disclose mental illness. Aims: This study aims to explore health professionals' experiences of and attitudes towards mental illness and disclosure in the workplace. Methods: This qualitative study involved semi-structured interviews with 24 health professionals employed by an NHS (National Health Service) trust. 13 of these worked in mental health, and 11 in other health fields. Interviews were transcribed and thematic analysis was used to identify themes. Results: Five key themes were identified from the data: personal experiences and their effect in changing attitudes; perceived stigmatising views of mental illness in other staff members; hypothetical disclosure: factors affecting one's decision; attitudes towards disclosure; support in the workplace after disclosure; and, applying only to those working outside of the mental health field, mental illness is not talked about. The results indicated that participants had a great deal of experience with colleagues with a mental illness and that support in the workplace for such illnesses is variable. Attitudes of participating health professionals towards colleagues with a mental illness appeared to be positive, however, they did report that other colleagues held negative attitudes. Deciding to disclose a mental illness was a carefully thought out decision with a number of advantages and disadvantages noted. In particular, it was found that health professionals' fear stigma and discrimination from colleagues and that this would dissuade participants from disclosing a mental illness. Conclusion: In many respects, this research supports the findings in other workplaces. Such findings need to be investigated further to identify the degree to which these experiences and attitudes can be applied to other health professionals in other healthcare settings to determine what intervention is necessary. Importantly, this study has also indicated that the level of support available to NHS health professionals with a mental illness is variable, suggesting the need to identify and replicate positive practice.

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Mental illness stigma and disclosure in college students

Abstract: These findings suggest that some college students may find programs aiding in disclosure useful in assisting them to achieve their desire to be "out" with their mental illness.

Cited by 61 publications

References 16 publications

Public stigma and attitudes toward psychological help-seeking in the United Arab Emirates: The mediational role of self-stigma

Public stigma and attitudes toward psychological help-seeking in the United Arab Emirates: The mediational role of self-stigma

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: a qualitative study

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