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23.10.2023 | Original Article

Self-Stigma, Secrecy, and Disclosure Among Chinese with Serious Mental Illness

verfasst von: Sang Qin, Lindsay Sheehan, Eva Yau, Ying Chen, Yutian Wang, Hong Deng, Patrick Corrigan, CBPR Team

Erschienen in: International Journal of Mental Health and Addiction

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Abstract

The self-stigma of mental illness can undermine self-esteem leading to greater depression. This study examines the impact of varied models of self-stigma on Chinese with serious mental illness. First, we validate a progressive model of self-stigma. Then, we examine the mediating effects of self-esteem on stigma harm and depression. Finally, we examine mediating effects of disclosure and secrecy on stigma harm and depression. One hundred thirty-five Chinese with serious mental illness completed measures of the four progressive stages of self-stigma, self-esteem, depression, disclosure-self-efficacy, and secrecy-self-efficacy. Findings of structural equation modeling supported the progressive model of self-stigma. Self-esteem was found to positively mediate stigma harm on depression. While secrecy seemed to have no effect on the self-stigma and self-esteem path, disclosure was found to positively mediate stigma harm on self-esteem. These findings have implications for the development of programs meant to diminish self-stigma.
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Metadaten
Titel
Self-Stigma, Secrecy, and Disclosure Among Chinese with Serious Mental Illness
verfasst von
Sang Qin
Lindsay Sheehan
Eva Yau
Ying Chen
Yutian Wang
Hong Deng
Patrick Corrigan
CBPR Team
Publikationsdatum
23.10.2023
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-023-01176-x

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