Stigma Resistance and Well-Being in the Context of the Mental Illness Identity

Marcussen, Kristen; Gallagher, Mary; Ritter, Christian

doi:10.1177/0022146520976624

Cited by 25 publications

(18 citation statements)

References 61 publications

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“…(I advocate for better treatment for people with mental illness), which conceptually fits at the public level. Previous studies have suggested that stigma resistance plays a central role in the recovery from mental illness (Lau et al, 2017) and well-being (Marcussen et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…However, this factor included item 20 (I advocate for better treatment for people with mental illness), which conceptually fits at the public level. Previous studies have suggested that stigma resistance plays a central role in the recovery from mental illness (Lau et al, 2017) and well‐being (Marcussen et al, 2021). Likewise, stigma was easier to resist when patients were in convalescence (O'Connor et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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The Stigma Resistance Scale for people with mental illness: Transcultural adaption and validation of the Chinese version

Shi

2022

Research in Nursing & Health

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The understanding of stigma resistance and its prevalence is limited due to the limitation of existing measures. This study aims to modify the Stigma Resistance Scale (SRS) and assess the psychometric properties of Chinese patients with mental illness. Seven experts were invited to assess the content validity of the Chinese version of the SRS (C-SRS), which has been translated and adapted into Chinese. Convenience samples were included from two psychiatric hospitals and three community healthcare centers in Beijing, China. A total of 484 patients completed the survey from November 2020 to July 2021. Samples were randomized into two parts exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA (n = 242) yielded three factors with Cronbach's α of 0.932 for the total scale, and 0.835, 0.877, and 0.858 for the subscales. CFA (n = 242) revealed good model fit (χ 2 /df = 2.190, RMSEA = 0.070). The domain-total correlation scores were 0.834-0.939. The correlation coefficient of test-retest ranged from 0.726 to 0.887. The correlation coefficient between the C-SRS and Stigma Resistance subscale of the Internalized Stigma of Mental Illness scale was 0.399. This study found that the C-SRS has evidence of excellent reliability and validity for assessing stigma resistance. It could be used in Chinese people with mental illness to identify and address stigma resistance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Stigma Resistance Scale for people with mental illness: Transcultural adaption and validation of the Chinese version

Shi

2022

Research in Nursing & Health

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“…Participants from the first qualitative phase will not be included in the Fernández D et al Int J Clin Trials. 2023 Feb;10(1): [45][46][47][48][49][50][51][52][53][54][55] quantitative phase. The second qualitative phase will use the same sample as the quantitative phase.…”

Section: Samplementioning

confidence: 99%

A multicomponent intervention to reduce internalized stigma in persons with a diagnosis of severe mental disorder: protocol of a pilot randomized mixed trial

2023

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Background: People with mental disorders face stigma as a social obstacle in multiple areas of their lives. Therefore, stigma toward this population is a priority for global public health due to its numerous consequences for those affected. One of its manifestations is internalized stigma, which also has severe implications for people with mental disorders. This study presents the protocol of a multicomponent intervention aimed at reducing internalized stigma in people with severe mental disorders. Methods: The intervention is based on a mixed-method experimental design. The main design is an external randomized pilot trial with two arms, parallel, double-blind, equally randomized, and single-center. Qualitative data before and after the completion of the intervention are included as a secondary component of the main design. The study will be carried out in health service of the secondary level of care in Gran Concepción, Biobío Region, Chile. Twelve people will participate in the qualitative pre-intervention stage and 34 in the intervention stage, 17 in the experimental group, and 17 in the control group. The experimental group will receive the intervention plus the usual treatment, and the control group will only receive the usual treatment. The intervention is carried out in 10 sessions lasting 90 minutes each and is administered by a health service professional. Conclusions: The study will provide evidence on the acceptability and feasibility of the intervention in the Chilean context, advancing knowledge and understanding in the field. Trial Registration: The study has been registered with trial registration no. ACTRN12622000919718.

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“…People who use deflection strategies can see how a label could apply to them but tend to view stereotypes as inapplicable to them (Thoits, 2011). Marcussen et al (2021) found that deflection strategies such as distancing oneself from negative stereotypes were associated with higher self-esteem and fewer symptoms of depression. Individuals who use challenging strategies take resistance a step further by saying that stereotypes are not only inapplicable, but they are inapplicable because they are wrong, not only in regard to themselves but about others with mental illness (Thoits, 2011).…”

Section: Theory and Literature Reviewmentioning

confidence: 99%

Resisting stigma and evaluating realism in a direct-to-consumer advertisement for psychiatric drugs

Walker

2021

IJPHM

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Purpose This study aims to examine how experience with mental illness influences perceptions of stigma and realism in a specific direct-to-consumer advertisement (DTCA) for bipolar depression. Design/methodology/approach An online survey had participants watch a 90 s advertisement for a prescription bipolar depression drug and then answer 24 questions about stigma, mental illness experience and the realism of the portrayals in the advertisement. Findings Findings show that people who identify as having experience with mental illness tend to see the ad as more stigmatizing and less realistic. Additionally, people who expressed more stigmatizing beliefs also tended to see more stigma present in the ad. Finally, the study reconfirms conclusions of previous research that people who have experience with mental health conditions possess fewer stigmatizing beliefs overall regarding mental illness. Research limitations/implications The sample population, while diverse in age and somewhat diverse in location, were highly educated, suggesting that they were not representative of the general population. Future studies may want to use more representative samples. A more nuanced approach to understanding experience is needed. While the sample in this study was purposively derived from communities with a higher rate of mental illness, a comprehensive experience scale to measure degrees of experience with mental illness would enhance understanding of this construct. Researchers may also want to look more deeply into the emotional responses of consumers who view these ads. To develop a greater understanding of the trajectory of DTCA, studies of online advertising for psychiatric drugs are needed. Practical implications The results of the study suggest that respondents with experience with mental illness may find ads that sell psychiatric medications unrealistic. This study presents the topic of realism in DTCA as an important construct for determining how consumers may perceive portrayals of disorders. Social implications The fact that people who have experience with mental illness found the Latuda ad to be generally unrealistic suggests that DTCA may be failing to represent mental illness in a way that demonstrates care for patients. Additionally, this research confirms that people who have had exposure to and experience with mental illness tend to hold less stigmatizing beliefs, (Link and Cullen, 1986; Corrigan et al., 2001; Angermeyer et al., 2004) a finding which supports the continuing project of increasing mental health literacy and awareness in the general population. Originality/value This study investigates the reactions of people who identify as having some experience with mental illness to see if they accept the portrayals of mental illness in DTCA or resist them by challenging their realism or identifying stigmatizing elements.

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Stigma Resistance and Well-Being in the Context of the Mental Illness Identity

Cited by 25 publications

References 61 publications

The Stigma Resistance Scale for people with mental illness: Transcultural adaption and validation of the Chinese version

The Stigma Resistance Scale for people with mental illness: Transcultural adaption and validation of the Chinese version

A multicomponent intervention to reduce internalized stigma in persons with a diagnosis of severe mental disorder: protocol of a pilot randomized mixed trial

Resisting stigma and evaluating realism in a direct-to-consumer advertisement for psychiatric drugs

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