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The internalized stigma experienced by members of a mental health advocacy group in South Africa

Bibliographic Data

ID19274241
AuthorsKatherine Sorsdahl (0000-0002-5517-1697, University of Cape Town), Katherine R Sorsdahl (University of Cape Town), Ritsuko Kakuma (0000-0002-0196-2100, Centre for Addiction and Mental Health, University of Toronto, Canada), Zane Wilson (South African Depression & Anxiety Group (SADAG), South Africa), Dan J Stein (0000-0001-7218-7810, University of Cape Town)
Year2012
Volume58
Issue1
Pages55-61
Publication date2012-01-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0020764010387058
PMID21098622
OpenAlexW2068015102
LanguageEN
Citations received9
References cited24

Background: Although there is a growing literature on internalized stigma from the developed world, very little research has been conducted in developing countries such as South Africa. Therefore, the purpose of this study was to describe the internalized stigma experienced by members of a mental health advocacy group in South Africa and relationships between self-stigma and other constructs, namely, empowerment, perceived devaluation and discrimination. Methods: Self-administered questionnaires measuring respondents reported levels of internalized stigma, empowerment and perceived devaluation and discrimination were distributed to all the members of the South African Depression & Anxiety Group (SADAG) by post and via email. Of the 850 members invited to participate, 142 members of SADAG completed the questionnaire. Pearson correlations were computed and multiple regression analyses were carried out to analyse the data. Results: The highest reports of stigma were for stigma resistance (mean = 2.9), alienation (mean = 2.47) and perceived discrimination (mean = 2.24). Low levels of stereotype endorsement (mean = 1.77) and social withdrawal (mean = 1.22) were reported. Although respondents often felt that the public held negative attitudes towards individuals suffering with a mental illness (perceived devaluation and discrimination scale (PDD), mean = 2.95), a majority of respondents reported high levels of empowerment (mean = 3.0) and self-efficacy (mean = 2.47). After controlling for socio-demographic factors, higher scores on the PDD were associated with social withdrawal and having experienced discrimination. Conclusion: Internalization of stigma, disempowerment and loss of self-esteem are not inevitable consequences for all individuals with a mental illness. Nevertheless, perceived stigma is significantly associated with social withdrawal and experienced discrimination

Alienation · Anxiety · Devaluation · Empowerment · Mental health · Mental illness · Psychiatry · Social alienation · Social stigma · Stigma (botany) · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Family Caregiving in Mental Illness · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology

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Citations per year0.75
Citation span2014 - 2026 (13)
Highly citedNo

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