Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms
Bibliographic Data
| ID | 5124579 |
|---|---|
| Authors | B A Hunter (0000-0002-4910-069X, University of Maryland, Baltimore County), Nathaniel Vincent Mohatt (0000-0002-1335-716X, University of Colorado Anschutz Medical Campus), Dorothy M Prince (0000-0003-2807-6050, Case Western Reserve University), Dana M Prince, Anna Boynton Thompson (0009-0005-2639-679X, National Center on Addiction and Substance Abuse at Columbia University), Azure B Thompson, Samantha L Matlin, Jacob Kraemer Tebes (0000-0003-0118-289X, Yale University, corresponding author) |
| Year | 2017 |
| Volume | 181 |
| Pages | 177-183 |
| Publication date | 2017-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2017.03.049 |
| PMID | 28407602 |
| OpenAlex | W2602093649 |
| Language | EN |
| Citations received | 9 |
| References cited | 35 |
The stigma associated with mental illness or addiction is significantly and positively related to psychiatric symptoms. According to Modified Labeling Theory, several processes should mediate this relationship, including rejection experiences, stigma management (secrecy coping), and social support. In the first comprehensive test of this theory, we examined a serial mediation model on three waves of data from 138 adults receiving outpatient behavioral health treatment. Participants were recruited from outpatient behavioral health clinics in a large northeastern city in the United States and completed interviews that assessed stigma, rejection experiences, stigma management, social support, and psychiatric symptoms. There was a direct effect between stigma and psychiatric symptoms and an indirect effect in which perceived rejection, secrecy coping and social support sequentially and longitudinally intervened in the stigma and psychiatric symptom relationship. Higher perceptions of stigma predicted more rejection experiences, which marginally increased secrecy coping and decreased social support. In turn, decreased social support increased psychiatric symptoms. We provide support for Modified Labeling Theory and the clinical utility of specific mediators in the relationship between stigma and psychiatric symptoms among adults in behavioral health treatment living in urban settings
Coping (psychology · Mental health · Outpatient clinic · Psychiatry · Psychotherapist · Social rejection · Social relation · Social stigma · Social support · Stigma (botany · Clinical Psychology · COVID-19 and Mental Health · Employment and Welfare Studies · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology
Racial and Ethnic Differences in the Associations Between Covid-19 Stigma and Mental Health in a Population-Based Study of Adults with Sars-CoV-2 Infection
Healthcare-related stigma among men who have sex with men and transgender women in sub-Saharan Africa participating in HIV Prevention Trials Network (HPTN) 075 study
Variations in endorsed and perceived mental health treatment stigma across U.S. higher education institutions
Lovesick”
Challenging the Public Stigma of Alcohol Use Disorder in the UK Using Video ‘Education’ and ‘Contact’ Interventions
The Impact of Criminal Record Stigma on Quality of Life
When secrets come to mind
Community Participation Among Individuals with Severe Mental Disorders During Covid-19 Pandemic
Contextualizing public stigma
Epidemiology of women and depression
An investigation of stigma in individuals receiving treatment for substance abuse
Stigma, Discrimination, Treatment Effectiveness, and Policy
Stigma as a Barrier to Recovery
The Epidemiologic Evidence for a Relationship Between Social Support and Health
The Public Stigma of Mental Illness and Drug Addiction
The Self–Stigma of Mental Illness
Internalized stigma of mental illness
Measuring the Functional Components of Social Support
Coping with racism
Stigma
Correlates and consequences of internalized stigma for people living with mental illness
Stigma Sentiments and Self-Meanings
The Role of Stigma Coping and Social Support in Mediating the Effect of Societal Stigma on Internalized Stigma, Mental Health Recovery, and Quality of Life Among People With Serious Mental Illness
Stigma as a Fundamental Cause of Population Health Inequalities
Discrimination, Symptoms of Depression, and Self-Rated Health Among African American Women in Detroit
African Americans respond to stigmatization
Social Factors in Psychopathology
A Modified Labeling Theory Approach to Mental Disorders
From social integration to health
The role of social support in protecting mental health when employed and unemployed
Stress, social support, and the buffering hypothesis
On Stigma and Its Consequences
The Effectiveness of Stigma Coping Orientations
Conceptualizing Stigma
| Unique citing works | 9 |
|---|---|
| Citations per year | 1,13 |
| Citation span | 2018 - 2024 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |