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176 to 200 of 816In vivo social comparison to a thin-ideal peer promotes body dissatisfaction: a randomized experiment.
Objective: Although social comparison with media-portrayed thin-ideal images has been found to increase body dissatisfaction and negative affect, research has not yet tested whether social comparison with attractive peers in the real world produces similar effects.
Method: We randomly assigned 119 young women to interact either with a confederate who conformed to the thin ideal or one who conformed to the average body dimensions of women, within the context of an ostensive dating study.
Results: Exposure to the thin-ideal confederate resulted in an increase in body dissatisfaction but not negative affect or heart rate. Initial thin-ideal internalization, perceived sociocultural pressure, self-esteem, and observer-rated attractiveness did not moderate these effects.
Discussion: Results suggest that social comparative pressure to be thin fosters body dissatisfaction but may not promote neg…
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Puhl RM, King KM (2013)reviewMEDLINE-indexed journal, not yet read by usBest practice & research. Clinical endocrinology & metabolism219 citations Weight discrimination and bullying.
Despite significant attention to the medical impacts of obesity, often ignored are the negative outcomes that obese children and adults experience as a result of stigma, bias, and discrimination. Obese individuals are frequently stigmatized because of their weight in many domains of daily life. Research spanning several decades has documented consistent weight bias and stigmatization in employment, health care, schools, the media, and interpersonal relationships. For overweight and obese youth, weight stigmatization translates into pervasive victimization, teasing, and bullying. Multiple adverse outcomes are associated with exposure to weight stigmatization, including depression, anxiety, low self-esteem, body dissatisfaction, suicidal ideation, poor academic performance, lower physical activity, maladaptive eating behaviors, and avoidance of health care. This review summarizes the natur…
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The stigma of childhood mental disorders: a conceptual framework.
Objective: To describe the state of the literature on stigma associated with children's mental disorders and highlight gaps in empirical work.
Method: We reviewed child mental illness stigma articles in (English only) peer-reviewed journals available through Medline and PsychInfo. We augmented these with adult-oriented stigma articles that focus on theory and measurement. A total of 145 articles in PsychInfo and 77 articles in MEDLINE met search criteria. The review process involved identifying and appraising literature convergence on the definition of critical dimensions of stigma, antecedents, and outcomes reported in empirical studies.
Results: We found concurrence on three dimensions of stigma (negative stereotypes, devaluation, and discrimination), two contexts of stigma (self, general public), and two targets of stigma (self/individual, family). Theory and empirics on institutional…
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Anxiety psychopathology in African American adults: literature review and development of an empirically informed sociocultural model.
In this review, the extant literature concerning anxiety psychopathology in African American adults is summarized to develop a testable, explanatory framework with implications for future research. The model was designed to account for purported lower rates of anxiety disorders in African Americans compared to European Americans, along with other ethnoracial differences reported in the literature. Three specific beliefs or attitudes related to the sociocultural experience of African Americans are identified: awareness of racism, stigma of mental illness, and salience of physical illnesses. In our model, we propose that these psychological processes influence interpretations and behaviors relevant to the expression of nonpathological anxiety as well as features of diagnosable anxiety conditions. Moreover, differences in these processes may explain the differential assessed rates of anxiet…
matched on Prejudice (mesh), Stereotyping (mesh), stigma (text)
Mental disorders, health inequalities and ethics: A global perspective.
The global burden of neuropsychiatry diseases and related mental health conditions is enormous, underappreciated and under resourced, particularly in the developing nations. The absence of adequate and quality mental health infrastructure and workforce is increasingly recognized. The ethical implications of inequalities in mental health for people and nations are profound and must be addressed in efforts to fulfil key bioethics principles of medicine and public health: respect for individuals, justice, beneficence, and non-malfeasance. Stigma and discrimination against people living with mental disorders affects their education, employment, access to care and hampers their capacity to contribute to society. Mental health well-being is closely associated to several Millennium Development Goals and economic development sectors including education, labour force participation, and productivi…
matched on Prejudice (mesh), Stereotyping (mesh), stigma (text)
DSM-V and the stigma of mental illness.
Stigma associated with mental illness has been shown to have devastating effects on the lives of people with psychiatric disorders, their families, and those who care for them. In the current article, the relationship between diagnostic labels and stigma is examined in the context of the forthcoming DSM-V. Three types of negative outcomes are reviewed in detail - public stigma, self-stigma, and label avoidance. The article illustrates how a clinical diagnosis may exacerbate these forms of stigma through socio-cognitive processes of groupness, homogeneity, and stability. Initial draft revisions recently proposed by the DSM-V work groups are presented, and their possible future implications for stigma associated with mental illness are discussed.
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Corrigan PW, Wassel A (2008)reviewMEDLINE-indexed journal, not yet read by usJournal of psychosocial nursing and mental health services107 citations Understanding and influencing the stigma of mental illness.
Life goals and the opportunities that define them are impaired by the stigma of mental illness. Three kinds of stigma may act as barriers to personal aspirations: public stigma, self-stigma, and label avoidance. Challenging mental illness stigm is essential in helping individuals accomplish recovery-related goals. Public stigma may be changed through protest, education, and contact. Self-stigma can be addressed by fostering group identity, changing the perceived legitimacy of stigma through cognitive rehabilitation, and making strategic decisions about disclosing one's mental health history. Stigma change for label avoidance is not as well understood but may include the education and contact approaches used for public stigma. Evidence-based approaches to stigma change need to be substantiated by rigorous investigations.
matched on Prejudice (mesh), Stereotyping (mesh), stigma (text)
Stigma as related to mental disorders.
Individuals with mental illness receive harsh stigmatization, resulting in decreased life opportunities and a loss of independent functioning over and above the impairments related to mental disorders themselves. We begin our review with a multidisciplinary discussion of mechanisms underlying the strong propensity to devalue individuals displaying both deviant behavior and the label of mental illness. Featured is the high potential for internalization of negative perceptions on the part of those with mental disorders-i.e., self-stigmatization. We next focus on several issues of conceptual and practical relevance: (a) stigma against less severe forms of mental disorder; (b) the role of perceptions of dangerousness related to mental illness; (c) reconciliation of behavioral research with investigations of explicit and implicit attitudes; (d) evolutionary models and their testability; (e) a…
matched on Prejudice (mesh), Stereotyping (mesh), stigma (text)
Prejudice and schizophrenia: a review of the 'mental illness is an illness like any other' approach.
Objective: Many anti-stigma programmes use the 'mental illness is an illness like any other' approach. This review evaluates the effectiveness of this approach in relation to schizophrenia.
Method: The academic literature was searched, via PsycINFO and MEDLINE, to identify peer-reviewed studies addressing whether public espousal of a biogenetic paradigm has increased over time, and whether biogenetic causal beliefs and diagnostic labelling are associated with less negative attitudes.
Results: The public, internationally, continues to prefer psychosocial to biogenetic explanations and treatments for schizophrenia. Biogenetic causal theories and diagnostic labelling as 'illness', are both positively related to perceptions of dangerousness and unpredictability, and to fear and desire for social distance.
Conclusion: An evidence-based approach to reducing discrimination would seek a range of…
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Stuart H (2006)reviewMEDLINE-indexed journal, not yet read by usCurrent opinion in psychiatry129 citations Mental illness and employment discrimination.
Purpose of review: Work is a major determinant of mental health and a socially integrating force. To be excluded from the workforce creates material deprivation, erodes self-confidence, creates a sense of isolation and marginalization and is a key risk factor for mental disability. This review summarizes recent evidence pertaining to employment-related stigma and discrimination experienced by people with mental disabilities. A broad understanding of the stigmatization process is adopted, which includes cognitive, attitudinal, behavioural and structural disadvantages.
Recent findings: Stigma is both a proximate and a distal cause of employment inequity for people with a mental disability who experience direct discrimination because of prejudicial attitudes from employers and workmates and indirect discrimination owing to historical patterns of disadvantage, structural disincentives agains…
matched on Prejudice (mesh), Stereotyping (mesh), stigma (text)
Children's representations of school support for HIV-affected peers in rural Zimbabwe.
Background: HIV has left many African children caring for sick relatives, orphaned or themselves HIV-positive, often facing immense challenges in the absence of significant support from adults. With reductions in development funding, public sector budgetary constraints, and a growing emphasis on the importance of indigenous resources in the HIV response, international policy allocates schools a key role in 'substituting for families' (Ansell, 2008) in supporting child health and well-being. We explore children's own accounts of the challenges facing their HIV-affected peers and the role of schools in providing such support.
Methods: Contextualised within a multi-method study of school support for HIV-affected children in rural Zimbabwe, and regarding children's views as a key resource for child-relevant intervention and policy, 128 school children (10-14) wrote a story about an HIV-affec…
matched on Social Stigma (mesh), Prejudice (mesh), Stereotyping (mesh), stigma (text)
Stigma, disclosure, coping, and medication adherence among people living with HIV/AIDS in Northern Tanzania.
This study examines a proposed theoretical model examining the interrelationships between stigma, disclosure, coping, and medication adherence among 158 HIV-infected patients on antiretroviral therapy (ART) in northern Tanzania. Perceived and self-stigma, voluntary and involuntary disclosure, positive and negative coping, and demographics were assessed by trained interviewers, and self-reported adherence was collected during 5 months follow-up. Data were examined using correlation and regression analyses. The analyses showed that perceived stigma is primarily related to involuntary disclosure, whereas self-stigma is related to voluntary disclosure. Religious coping positively relates to acceptance, whereas perceived stigma explains higher levels of denial of HIV status. Lastly, adherence was negatively affected by alcohol use, self-stigma, and denial. We conclude that adherence is predom…
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Developing a scale to measure stigmatizing attitudes and beliefs about women who have abortions: results from Ghana and Zambia.
The objective of this research was to explore the context of abortion stigma in Ghana and Zambia through qualitative research, and develop a quantitative instrument to measure stigmatizing attitudes and beliefs about abortion. Ultimately, we aimed to develop a scale to measure abortion stigma at the individual and community level that can also be used in the evaluation of stigma reduction interventions. Focus group discussions were conducted in both countries to provide information around attitudes and beliefs about abortion. A 57-item instrument was created from these data, pre-tested, and then administered to 531 individuals (n = 250 in Ghana and n = 281 in Zambia). Exploratory factor analyses were conducted on 33 of the original 57 items to identify a statistically and conceptually relevant scale. Items with factor loadings > 0.39 were retained. All analyses were completed using Stata…
matched on Social Stigma (mesh), Social Discrimination (mesh), Stereotyping (mesh), stigma (text)
Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholders.
Background: Stigma and discrimination against people with mental illness remain barriers to help seeking and full recovery for people in need of mental health services. Yet there is scarce research investigating the experiences of psychiatric stigma on mental health service users in low- and middle-income countries (LMICs). The aim of this study was therefore to explore the experiences of psychiatric stigma by service users in order to inform interventions to reduce such stigma and discrimination in one LMIC, namely South Africa.
Methods: Participants comprised a total of 77 adults aged above 18 years, made up of service providers including professional nurses (10), lay counsellors (20), auxiliary social workers (2); and service users (45).
Results: Psychiatric stigma was found to be perpetuated by family members, friends, employers, community members and health care providers. Causes of…
matched on Social Stigma (mesh), Social Discrimination (mesh), Stereotyping (mesh), stigma (text)
Moradi B (2013)MEDLINE-indexed journal, not yet read by usNebraska Symposium on Motivation. Nebraska Symposium on Motivation20 citations Discrimination, objectification, and dehumanization: toward a pantheoretical framework.
In this chapter, I have called for greater attention to targets' experiences in theory and research on dehumanization. I have also argued that what we know from theory and research on targets' experiences of stigma and discrimination can inform how we pursue the understanding of targets' experiences of dehumanization. To this end, I have emphasized the utility of attention to the intersectionality of minority statuses in shaping discrimination experiences. I have also described theoretical frameworks grounded in different populations' experiences--including theories of discrimination as stressful life events or daily hassles, minority stress frameworks, and objectification theory--and offered examples of integrating these frameworks as a way to attend to intersectionality. As well, I have noted parallels between the areas of convergence across discrimination theories and emerging finding…
matched on Social Stigma (mesh), Prejudice (mesh), Stereotyping (mesh), stigma (text)
The "backbone" of stigma: identifying the global core of public prejudice associated with mental illness.
Objectives: We used the Stigma in Global Context-Mental Health Study to assess the core sentiments that represent consistent, salient public health intervention targets.
Methods: Data from 16 countries employed a nationally representative sampling strategy, international collaboration for instrument development, and case vignettes with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition depression and schizophrenia criteria. We measured knowledge and prejudice with existing questions and scales, and employed exploratory data analysis to examine the public response to 43 items.
Results: Across countries, levels of recognition, acceptance of neurobiological attributions, and treatment endorsement were high. However, a core of 5 prejudice items was consistently high, even in countries with low overall stigma levels. The levels were generally lower for depression than schiz…
matched on Social Stigma (mesh), Prejudice (mesh), Persons with Psychiatric Disorders (mesh), Public Opinion (mesh), stigma (text)
Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure.
Background: Although stigma in relation to mental health has been defined as including components of knowledge, attitudes and behaviour, no psychometrically tested instrument to assess behavioural discrimination at the population level has been developed. This paper presents details of the development and psychometric properties of the Reported and Intended Behaviour Scale (RIBS), an instrument based on the Star Social Distance Scale, to assess reported (past and current) and intended (future) behavioural discrimination among the general public against people with mental health problems.
Methods: Three studies were carried out to evaluate psychometric properties of the RIBS (Study 1, n = 92; Study 2, n = 37; Study 3, n = 403). Adults aged 25-45 in socio-economic groups: B, C1 and C2 (middle-income groups) took part in development and testing of the RIBS.
Results: Internal consistency and…
matched on Social Stigma (mesh), Prejudice (mesh), Stereotyping (mesh), stigma (text)
Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey.
Background: Many people with schizophrenia experience stigma caused by other people's knowledge, attitudes, and behaviour; this can lead to impoverishment, social marginalisation, and low quality of life. We aimed to describe the nature, direction, and severity of anticipated and experienced discrimination reported by people with schizophrenia.
Methods: We did a cross-sectional survey in 27 countries, in centres affiliated to the INDIGO Research Network, by use of face-to-face interviews with 732 participants with schizophrenia. Discrimination was measured with the newly validated discrimination and stigma scale (DISC), which produces three subscores: positive experienced discrimination; negative experienced discrimination; and anticipated discrimination.
Findings: Negative discrimination was experienced by 344 (47%) of 729 participants in making or keeping friends, by 315 (43%) of 728 f…
matched on Prejudice (mesh), stigma (text)
Trauma, mental health, distrust, and stigma among HIV-positive persons: implications for effective care.
Individuals living with HIV often have complicated histories, including negative experiences such as traumatic events, mental illness, and stigma. As the medical community in the United States adapts to managing HIV as a chronic disease, understanding factors such as these negative experiences that may be associated with poorer adherence to treatment regimens, greater HIV risk behavior, and lower patient quality of life becomes critical to HIV care and prevention. In less wealthy nations, these issues are also critical for addressing quality of life as well as medication adherence in the areas where antiretroviral therapies are being made available. This article presents a review of the literature regarding the following psychosocial factors as they relate to HIV/AIDS in the US and globally: traumatic events; mental illness, including depression, anxiety, and posttraumatic stress disorde…
matched on Prejudice (mesh), stigma (text)
How does being female assist help-seeking for mental health problems?
Objective: In Australia the prevalence of mental health problems does not vary by gender, but help-seeking and service utilization do. The aim of the present study was to examine a number of attitudinal factors that may influence help-seeking for mental health problems.
Method: A cross-sectional community survey was conducted with a sample of 579 rural residents (57.9% female), who completed self-report measures assessing stoicism, alexithymia, perceived and personal stigma and the various facets of the personality trait of openness to experience.
Results: Men scored higher on measures of stoicism and personal stigma associated with mental health problems than women, and compared to women had lower scores on the facets of openness to experience.
Conclusions: Higher rates of help-seeking for mental health problems by women may be due to lower levels of stoicism and personal stigma related…
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Stigmatization of anorexia nervosa.
Objective: The current study examined the perceptions about an individual with anorexia nervosa (AN) relative to perceptions about a healthy person and a person with another mental or nonmental illness.
Method: Ninety-one participants recruited from the community completed questionnaires targeting perceptions about 4 individuals: a healthy person, a person with asthma, a person with schizophrenia, and a person with AN.
Results: Evaluations of personal characteristics were most negative for persons with AN. Participants believed the person with AN was most to blame for his/her condition, was best able to pull him/herself together if he/she wanted to, and was most acting this way for attention and that biological factors were least relevant in developing the illness.
Conclusion: Negative perceptions of a person with AN fell into stigma categories of self-attribution and responsibility. The…
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Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review.
Background: Mental health literacy has received increasing attention as a useful strategy to promote early identification of mental disorders, reduce stigma and enhance help-seeking behaviors. However, despite the abundance of research on mental health literacy interventions, there is the absence of evaluations of current available mental health literacy measures and related psychometrics. We conducted a scoping review to bridge the gap.
Methods: We searched PubMed, PsycINFO, Embase, CINAHL, Cochrane Library, and ERIC for relevant studies. We only focused on quantitative studies and English publications, however, we didn't limit study participants, locations, or publication dates. We excluded non-English studies, and did not check the grey literature (non peer-reviewed publications or documents of any type) and therefore may have missed some eligible measures.
Results: We located 401 stu…
matched on Social Stigma (mesh), Persons with Psychiatric Disorders (mesh), stigma (text)
Reducing self-stigma by coming out proud.
Self-stigma has a pernicious effect on the lives of people with mental illness. Although a medical perspective might discourage patients from identifying with their illness, public disclosure may promote empowerment and reduce self-stigma. We reviewed the extensive research that supports this assertion and assessed a program that might diminish stigma's effect by helping some people to disclose to colleagues, neighbors, and others their experiences with mental illness, treatment, and recovery. The program encompasses weighing the costs and benefits of disclosure in deciding whether to come out, considering different strategies for coming out, and obtaining peer support through the disclosure process. This type of program may also pose challenges for public health research.
matched on Social Stigma (mesh), Persons with Psychiatric Disorders (mesh), stigma (text)
Adolescents' perceptions of family social status correlate with health and life chances: A twin difference longitudinal cohort study.
Children from lower-income households are at increased risk for poor health, educational failure, and behavioral problems. This social gradient is one of the most reproduced findings in health and social science. How people view their position in social hierarchies also signals poor health. However, when adolescents' views of their social position begin to independently relate to well-being is currently unknown. A cotwin design was leveraged to test whether adolescents with identical family backgrounds, but who viewed their family's social status as higher than their same-aged and sex sibling, experienced better well-being in early and late adolescence. Participants were members of the Environmental Risk Longitudinal Twin Study, a representative cohort of British twins (n = 2,232) followed across the first 2 decades of life. By late adolescence, perceptions of subjective family social st…
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Italian gay father families formed by surrogacy: Parenting, stigmatization, and children's psychological adjustment.
Forty Italian gay father families formed by surrogacy were compared with 40 Italian lesbian mother families formed by donor insemination, all with a child aged 3 to 9 years. Standardized interview, observational, and questionnaire measures of parenting quality, parent-child relationships, stigmatization, and children's adjustment were administered to parents, children, teachers, and a child psychiatrist. The only differences across family types indicated higher levels of stigmatization as reported by gay fathers. Externalizing and internalizing problems in both groups scored within the normal range. When family structure and processes were entered together as predictors of child adjustment, a hierarchical linear model analysis showed that factors associated with children's externalizing problems were the child's male gender, high stigmatization, and negative parenting; children's interna…
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