The relationship between mental illness stigma and self-labeling.

IF 1.8 3区 医学 Q3 PSYCHIATRY
Annie B Fox, Valerie A Earnshaw
{"title":"The relationship between mental illness stigma and self-labeling.","authors":"Annie B Fox,&nbsp;Valerie A Earnshaw","doi":"10.1037/prj0000552","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>One way that stigma may interfere with treatment-seeking is its impact on whether an individual self-labels as someone with mental illness (MI). While identifying and labeling oneself as experiencing MI is an important early step in seeking treatment, self-labeling may also make individuals more susceptible to the negative effects of internalized, anticipated, and experienced stigma. In the present study, we examined the relationship between MI stigma and self-labeling. We hypothesized that endorsement of stereotypes, prejudice, and discrimination would be higher among those individuals who do not self-label and that those who did self-label would endorse higher levels of anticipated, internalized, and experienced stigma.</p><p><strong>Method: </strong>We conducted a survey of stigma and mental health via MTurk. The sample included 257 individuals who met criteria for a current probable diagnosis of depression, generalized anxiety, or posttraumatic stress disorder (PTSD). We compared those individuals who responded \"yes\" to ever experiencing MI (<i>n</i> = 202) to those who responded \"no\" (<i>n</i> = 52) on demographic variables, mental health symptoms and treatment history, and stigma.</p><p><strong>Results: </strong>Individuals who did not self-label as having MI were more likely to be younger, male, and single. They also endorsed higher levels of stereotypes, prejudice, discrimination, and experienced stigma. Self-labelers endorsed more internalized stigma than those who did not self-label.</p><p><strong>Conclusions and implications for practice: </strong>Findings suggest that associations between stigma and self-labeling are complex. Consistent with modified labeling theory, stigma may both act as a barrier to adopting a label of MI and increase vulnerability to stigma if the label is adopted. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":"46 2","pages":"127-136"},"PeriodicalIF":1.8000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric Rehabilitation Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/prj0000552","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 1

Abstract

Objective: One way that stigma may interfere with treatment-seeking is its impact on whether an individual self-labels as someone with mental illness (MI). While identifying and labeling oneself as experiencing MI is an important early step in seeking treatment, self-labeling may also make individuals more susceptible to the negative effects of internalized, anticipated, and experienced stigma. In the present study, we examined the relationship between MI stigma and self-labeling. We hypothesized that endorsement of stereotypes, prejudice, and discrimination would be higher among those individuals who do not self-label and that those who did self-label would endorse higher levels of anticipated, internalized, and experienced stigma.

Method: We conducted a survey of stigma and mental health via MTurk. The sample included 257 individuals who met criteria for a current probable diagnosis of depression, generalized anxiety, or posttraumatic stress disorder (PTSD). We compared those individuals who responded "yes" to ever experiencing MI (n = 202) to those who responded "no" (n = 52) on demographic variables, mental health symptoms and treatment history, and stigma.

Results: Individuals who did not self-label as having MI were more likely to be younger, male, and single. They also endorsed higher levels of stereotypes, prejudice, discrimination, and experienced stigma. Self-labelers endorsed more internalized stigma than those who did not self-label.

Conclusions and implications for practice: Findings suggest that associations between stigma and self-labeling are complex. Consistent with modified labeling theory, stigma may both act as a barrier to adopting a label of MI and increase vulnerability to stigma if the label is adopted. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

精神疾病耻感与自我标签的关系。
目的:耻辱感可能干扰寻求治疗的一种方式是它对个人是否自我标记为患有精神疾病(MI)的影响。在寻求治疗的早期阶段,识别和标记自己是否经历了MI是一个重要的步骤,但自我标记也可能使个体更容易受到内化、预期和经历的耻辱感的负面影响。在本研究中,我们研究了MI病耻感与自我标签之间的关系。我们假设,那些不给自己贴上标签的人对刻板印象、偏见和歧视的认可程度更高,而那些给自己贴上标签的人对预期的、内化的和经历过的耻辱的认可程度更高。方法:通过MTurk对患者的病耻感与心理健康状况进行调查。样本包括257名符合当前可能诊断为抑郁症、广泛性焦虑或创伤后应激障碍(PTSD)标准的个体。我们比较了那些回答“有”的人(n = 202)和回答“没有”的人(n = 52)的人口学变量、心理健康症状和治疗史以及耻辱感。结果:不认为自己患有心肌梗死的人更可能是年轻、男性和单身。他们也认同更高程度的刻板印象、偏见、歧视和耻辱。自我标签者比那些没有自我标签的人更认同内化的耻辱。结论和对实践的影响:研究结果表明,耻辱和自我标签之间的联系是复杂的。与修正标签理论一致,污名化既可能成为采用MI标签的障碍,也可能在采用该标签后增加对污名化的脆弱性。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信