nach oben

International Journal of Mental Health and Addiction

Erschienen in:

17.05.2022 | Original Article

Systematic Review of Explanatory Models of Internalized Stigma in People Diagnosed with a Mental Disorder

verfasst von: Dany Fernández, Pamela Grandón, Yaranay López-Angulo, Alexis Vladimir Vielma-Aguilera, Wenceslao Peñate

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Abstract

The objective of this study was to characterize the different explanatory models of internalized stigma in people with mental disorders. A systematic search and review of the literature were conducted, and 13 articles were selected. Five explanatory models of internalized stigma were identified: the socio-cognitive model; the model of personal discrimination, internalized stigma, and intention to participate in collective actions; the internalized stigma model; the socio-cognitive-behavioral model; and the causality model of self-stigma-related factors in people with anxiety disorders. The models were found to include psychosocial, self-concept, and mental health variables. Notably, while the socio-cognitive model was the most tested, only some of the associated studies were fully validated. The model of personal discrimination, internalized stigma, and intention to participate in collective actions was fully validated; the rest were partially validated. Thus, it was concluded that models of internalized stigma explain this phenomenon from psychosocial variables such as acceptance and application of stereotypes. Cognitive-behavioral strategies, peer support, disclosure, and psychoeducational strategies are the most relevant for reducing internalized stigma.

Abo-Rass, F., Werner, P., & Shinan-Altman, S. (2021). Self-stigma formation process among younger and older Israeli Arabs diagnosed with depression. Aging & Mental Health, 25(6), 1071–1076. https://doi.org/10.1080/13607863.2020.1758901CrossRef

Al-Khouja, M. A., & Corrigan, P. W. (2017). Self-stigma, identity, and co-occurring disorders. Israel Journal of Psychiatry and Related Sciences, 54(1), 56–61.PubMed

Alonso, M., Guillén, A. I., & Muñoz, M. (2019). Interventions to reduce internalized stigma in individuals with mental illness: A systematic review. The Spanish Journal of Psychology, 22(27), 1–14. https://doi.org/10.1017/sjp.2019.9CrossRef

Arnaiz, A., & Uriarte, J. J. (2006). Estigma y enfermedad mental. Norte de Salud Mental, 6(26), 49–59.

Ato, M., López, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038–1059. https://doi.org/10.6018/analesps.29.3.178511CrossRef

Badallo, A., Ballesteros, F., Bertina, A., Cerezo, Y., Magro, M. B., & Polvorinos, S. (2018). La dinámica estigmatizante: Generación y mantenimiento del estigma y el autoestigma asociado al trastorno mental en la vida cotidiana. Clínica Contemporánea, 9(1), 1–15. https://doi.org/10.5093/cc2018a3CrossRef

Bartholomew, L. K., & Mullen, P. D. (2011). Five roles for using theory and evidence in the design and testing of behavior change interventions. Journal of Public Health Dentistry, 71(s1), S20–S33. https://doi.org/10.1111/j.1752-7325.2011.00223.xCrossRefPubMed

Ben-Zeev, D., Young, M. A., & Corrigan, P. W. (2010). DSM-V and the stigma of mental illness. Journal of Mental Health, 19(4), 318–327. https://doi.org/10.3109/09638237.2010.492484CrossRefPubMed

Bos, A. E. R., Pryor, J. B., Reeder, G. D., & Stutterheim, S. E. (2013). Stigma: Advances in theory and research. Basic and Applied Social Psychology, 35(1), 1–9. https://doi.org/10.1080/01973533.2012.746147CrossRef

Büchter, R. B., & Messer, M. (2017). Interventions for reducing self-stigma in people with mental illnesses: A systematic review of randomized controlled trials. GMS German Medical Science, 15, 1–12. Scopus. https://doi.org/10.3205/000248CrossRef

Caqueo-Urízar, A., Urzúa, A., Habib, J., Loundou, A., Boucekine, M., Boyer, L., & Fond, G. (2019). Relationships between social stigma, stigma experience and self-stigma and impaired quality of life in schizophrenia across three Latin-American countries. European Archives of Psychiatry and Clinical Neuroscience. https://doi.org/10.1007/s00406-019-01035-8

Carrara, B. S., & Ventura, C. A. A. (2018). Self-stigma, mentally ill persons and health services: An integrative review of literature. Archives of Psychiatric Nursing, 32(2), 317–324. https://doi.org/10.1016/j.apnu.2017.11.001CrossRefPubMed

Carrara, B. S., Ventura, C. A. A., Bobbili, S. J., Jacobina, O. M. P., Khenti, A., & Mendes, I. A. C. (2019). Stigma in health professionals towards people with mental illness: An integrative review. Archives of Psychiatric Nursing, 33(4), 311–318. https://doi.org/10.1016/j.apnu.2019.01.006CrossRefPubMed

Catalano, L. T., Brown, C. H., Lucksted, A., Hack, S. M., & Drapalski, A. L. (2021). Support for the social-cognitive model of internalized stigma in serious mental illness. Journal of Psychiatric Research, 137, 41–47. https://doi.org/10.1016/j.jpsychires.2021.02.014CrossRefPubMedPubMedCentral

Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., & Busch, J. T. A. (2014). Intervening within and across levels: A multilevel approach to stigma and public health. Social Science & Medicine, 103, 101–109. https://doi.org/10.1016/j.socscimed.2013.09.023CrossRef

Corrigan, P. W. (2016). Lessons learned from unintended consequences about erasing the stigma of mental illness. World Psychiatry, 15(1), 67–73. Scopus. https://doi.org/10.1002/wps.20295CrossRefPubMedPubMedCentral

Corrigan, P. W. (2018). What is the stigma of mental illness? In P. W. Corrigan (Ed.), The stigma effect: Unintended consequences of mental health campaigns (pp. 41–85). Columbia University Press.

Corrigan, P. W., & Kleinlein, P. (2005). The impact of mental illness stigma. En P. W. Corrigan (Ed.), On the Stigma of Mental Illness: Practical Strategies for Research and Social Change (pp. 11-44). American Psychological Association. https://psycnet.apa.org/fulltext/2004-20896-001.pdf

Corrigan, P. W., & Kosyluk, K. A. (2014). Mental illness stigma: Types, constructs, and vehicles for change. In P. W. Corrigan (Ed.), The Stigma of Disease and Disability: Understanding Causes and Overcoming Injustices (pp. 35–56). American Psychological Association https://psycnet.apa.org/fulltext/2013-25091-003.pdfCrossRef

Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-eficacy. Journal of Social & Clinical Psychology, 25(9), 875–884.CrossRef

Corrigan, P. W., Rafacz, J., & Rüsch, N. (2011). Examining a progressive model of self-stigma and its impact on people with serious mental illness. Psychiatry Research, 189(3), 339–343. https://doi.org/10.1016/j.psychres.2011.05.024CrossRefPubMedPubMedCentral

Corrigan, P. W., Bink, A. B., Schmidt, A., Jones, N., & Rüsch, N. (2016). What is the impact of self-stigma? Loss of self-respect and the “why try” effect. Journal of Mental Health, 25(1), 10–15. https://doi.org/10.3109/09638237.2015.1021902CrossRefPubMed

Corrigan, P. W., Nieweglowski, K., & Sayer, J. (2019). Self-stigma and the mediating impact of the “why try” effect on depression. Journal of Community Psychology, 1-8. https://doi.org/10.1002/jcop.22144

Del Rosal, E., González-Sanguino, C., Bestea, S., Boyd, J., & Muñoz, M. (2020). Correlates and consequences of internalized stigma assessed through the internalized stigma of mental illness scale for people living with mental illness: A scoping review and meta-analysis from 2010. Stigma and Health, 1-11. https://doi.org/10.1037/sah0000267

Drapalski, A. L., Lucksted, A., Perrin, P. B., Aakre, J. M., Brown, C. H., DeForge, B. R., & Boyd, J. E. (2013). A Model of internalized stigma and its effects on people with mental illness. Psychiatric Services, 64(3), 264–269. https://doi.org/10.1176/appi.ps.001322012CrossRefPubMed

Field, A. (2018). Discovering statistics using IBM SPSS Statistics. SAGE Publications, Inc.

Fleury, J., & Sidani, S. (2012). Using theory to guide intervention research. In B. M. Melnyk & D. Morrison-Beedy (Eds.), Intervention research: Designing, conducting, analyzing, and funding (pp. 11-36). Springer Publishing Company https://connect.springerpub.com/content/book/978-0-8261-5571-9/part/part02/chapter/ch04

Gerlinger, G., Hauser, M., De Hert, M., Lacluyse, K., Wampers, M., & Correll, C. U. (2013). Personal stigma in schizophrenia spectrum disorders: A systematic review of prevalence rates, correlates, impact and interventions. World Psychiatry, 12(2), 155–164. https://doi.org/10.1002/wps.20040CrossRefPubMedPubMedCentral

Göpfert, N. C., von Heydendorff, S. C., Dreßing, H., & Bailer, J. (2019). Applying Corrigan’s progressive model of selfstigma to people with depression. PLoS One, 14(10), e0224418. https://doi.org/10.1371/journal.pone.0224418CrossRefPubMedPubMedCentral

Larson, J. E., & Corrigan, P. W. (2010). Psychotherapy for self-stigma among rural clients. Journal of Clinical Psychology, 66(5), 524–536. https://doi.org/10.1002/jclp.20679CrossRefPubMed

Livingston, J. D. (2012). Self-stigma and quality of life among people with mental illness who receive compulsory community treatment services. Journal of Community Psychology, 40(6), 699–714. Scopus. https://doi.org/10.1002/jcop.21476CrossRef

Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150–2161. https://doi.org/10.1016/j.socscimed.2010.09.030CrossRef

Markowitz, F. E. (2014). Labeling Theory and Mental Illness. En D. P. Farrington & J. Murray (Eds.), Labeling theory: Empirical tests (1.^a ed., pp. 45-62). Routledge. https://doi.org/10.4324/9780203787656

Mascayano, F., Toso-Salman, J., Ho, Y. C. S., Dev, S., Tapia, T., Thornicroft, G., Cabassa, L. J., Khenti, A., Sapag, J. C., Bobbili, S. J., Alvarado, R., Yang, L. H., & Susser, E. (2020). Including culture in programs to reduce stigma toward people with mental disorders in low- and middle-income countries. Transcultural Psychiatry, 57(1), 140–160. https://doi.org/10.1177/1363461519890964CrossRefPubMed

McGregor, S. L. T. (2018). Understanding and evaluating research: A critical guide. SAGE Publications, Inc.

Michaels, P. J., López, M., Rüsch, N., & Corrigan, P. W. (2012). Constructs and concepts comprising the stigma of mental illness. Psychology, Society, & Education, 4(2), 183–194 fap.CrossRef

Mittal, D., Sullivan, G., Chekuri, L., Allee, E., & Corrigan, P. W. (2012). Empirical studies of self-stigma reduction strategies: A critical review of the literature. Psychiatric Services, 63(10), 974–981. https://doi.org/10.1176/appi.ps.201100459CrossRefPubMed

Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., & PRISMA-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1), 1–9. https://doi.org/10.1186/2046-4053-4-1CrossRefPubMedPubMedCentral

Muñoz, M., Sanz, M., Pérez-Santos, E., & Quiroga, M. d. l. A. (2011). Proposal of a socio–cognitive–behavioral structural equation model of internalized stigma in people with severe and persistent mental illness. Psychiatry Research, 186(2), 402–408. https://doi.org/10.1016/j.psychres.2010.06.019CrossRefPubMed

Ociskova, M., Prasko, J., Kamaradova, D., Grambal, A., & Sigmundova, Z. (2015). Individual correlates of self-stigma in patients with anxiety disorders with and without comorbidities. Neuropsychiatric Disease and Treatment, 11, 1767–1779. https://doi.org/10.2147/NDT.S87737CrossRefPubMedPubMedCentral

Park, K., MinHwa, L., & Seo, M. (2019). The impact of self-stigma on self-esteem among persons with different mental disorders. International Journal of Social Psychiatry, 1-8. https://doi.org/10.1177/0020764019867352

Pérez-Garín, D., Molero, F., & Bos, A. E. R. (2016). The effect of personal and group discrimination on the subjective well-being of people with mental illness: The role of internalized stigma and collective action intention. Psychology, Health & Medicine, 1-9. https://doi.org/10.1080/13548506.2016.1164322

Prestwich, A., Webb, T. L., & Conner, M. (2015). Using theory to develop and test interventions to promote changes in health behaviour: Evidence, issues, and recommendations. Current Opinion in Psychology, 5, 1–5. https://doi.org/10.1016/j.copsyc.2015.02.011CrossRef

Pryor, J. B., & Reeder, G. D. (2011). HIV-related stigma. In J. C. Hall, B. J. Hall, & C. J. Cockerell (Eds.), HIV/AIDS in the Post-HAART Era. Manifestations, Treatment, and Epidemiology (pp. 790–806). People's Medical Publishing House-USA.

Tsang, H. W. H., Ching, S. C., Tang, K. H., Lam, H. T., Law, P. Y. Y., & Wan, C. N. (2016). Therapeutic intervention for internalized stigma of severe mental illness: A systematic review and meta-analysis. Schizophrenia Research, 173(1-2), 45–53. https://doi.org/10.1016/j.schres.2016.02.013CrossRefPubMed

Vaccari, P., Ramírez-Vielma, R., Saldivia, S., Cova, F., Vielma-Aguilera, A., Victoriano, V., Ulloa-Vidal, N., & Grandón, P. (2020). Stigma towards people with a diagnosis of severe mental disorder in primary healthcare centers: Perspectives of service users and health teams in Chile. International Journal of Mental Health Systems, 14(1), 6. https://doi.org/10.1186/s13033-020-0340-5CrossRefPubMedPubMedCentral

Vicente, B., Saldivia, S., & Pihán, R. (2016). Prevalencias y brechas hoy: Salud mental mañana. Acta Bioethica, 22(1), 51–61. https://doi.org/10.4067/S1726-569X2016000100006CrossRef

Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325–337. https://doi.org/10.1037/0022-0167.53.3.325CrossRef

Watson, A. C., Corrigan, P. W., Larson, J. E., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin, 33(6), 1312–1318. https://doi.org/10.1093/schbul/sbl076CrossRefPubMedPubMedCentral

Wood, L. J., Byrne, R., Varese, F., & Morrison, A. P. (2016). Psychosocial interventions for internalised stigma in people with a schizophrenia-spectrum diagnosis: A systematic narrative synthesis and meta-analysis. Schizophrenia Research, 176(2-3), 291–303. https://doi.org/10.1016/j.schres.2016.05.001CrossRefPubMed

Wood, L. J., Byrne, R., & Morrison, A. P. (2017). An integrative cognitive model of internalized stigma in psychosis. Behavioural and Cognitive Psychotherapy, 45(6), 545–560. https://doi.org/10.1017/S1352465817000224CrossRefPubMed

Yanos, P. T., Roe, D., Markus, K., & Lysaker, P. H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatric Services, 59(12), 1437–1442. https://doi.org/10.1176/appi.ps.59.12.1437CrossRefPubMed

Yanos, P. T., Roe, D., & Lysaker, P. H. (2010). The impact of illness identity on recovery from severe mental illness. American Journal of Psychiatric Rehabilitation, 13(2), 73–93. https://doi.org/10.1080/15487761003756860CrossRefPubMedPubMedCentral

Yanos, P. T., Roe, D., & Lysaker, P. H. (2011). Narrative enhancement and cognitive therapy: A new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy, 61(4), 577–595. https://doi.org/10.1521/ijgp.2011.61.4.576CrossRefPubMed

Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal, 38(2), 171–178. https://doi.org/10.1037/prj0000100CrossRefPubMed

Titel: Systematic Review of Explanatory Models of Internalized Stigma in People Diagnosed with a Mental Disorder
verfasst von: Dany Fernández
Pamela Grandón
Yaranay López-Angulo
Alexis Vladimir Vielma-Aguilera
Wenceslao Peñate
Publikationsdatum: 17.05.2022
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 6/2022
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-022-00836-8

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2022

Blended-eLearning Impact on Health Worker Stigma Toward Alcohol, Tobacco, and Other Psychoactive Substance Users

The Relationship Between Sexual and Gender Stigma and Difficulty Accessing Primary and Mental Healthcare Services Among LGBTQI + Populations in Thailand: Findings from a National Survey

Adolescents’ Continuum and Categorical Beliefs, Help-seeking Intentions, and Stigma Towards People Experiencing Depression or Schizophrenia

Combination of a Serious Game Application and Direct Contact with Mental Health Patients

Barriers to Obstetric Prenatal Care Among Pregnant Women at Risk for Dual Pathology

Does Online Newsmedia Portrayal of Substance Use and Persons with Substance Misuse Endorse Stigma? A Qualitative Study from India