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THE PATH TO DEPRESSION: THE RELATIONSHIP BETWEEN DURATION OF ILLNESS, SELF-STIGMA HARM, AND COGNITIVE INSIGHT IN A MIXED SAMPLE OF PEOPLE WITH SERIOUS MENTAL ILLNESS
Title
THE PATH TO DEPRESSION: THE RELATIONSHIP BETWEEN DURATION OF ILLNESS, SELF-STIGMA HARM, AND COGNITIVE INSIGHT IN A MIXED SAMPLE OF PEOPLE WITH SERIOUS MENTAL ILLNESS
Creator
Bink, Andrea B.
Date
2017, 2017-05
Description
Two models are proposed to explain the development and maintenance of comorbid depressive symptoms for people with serious mental illness....
Show moreTwo models are proposed to explain the development and maintenance of comorbid depressive symptoms for people with serious mental illness. Model 1 suggests duration of illness and cognitive insight will have an independent and direct effect on self-stigma harm and self-stigma harm will have a direct effect on depressive symptoms. In Model 2, duration of illness and self-stigma harm are proposed as the indicator variables with cognitive insight as the mediator directly and independently predicting depressive symptoms. Data from the current study were drawn from a larger longitudinal investigation examining predictors and correlates of mental health treatment decisions, including medication options. Potential participants were recruited from two community health centers and were screened for inclusion. Baseline and one-month data gathered during in-person interviews for 98 participants were included in the current analysis. Results of structural equation modeling found no support for either model. Thus, no clear conclusions can be made from these results. This study was limited mainly by a small sample size. However, other factors such as directionality or exclusion of certain variables might have also limited the results. Suggestions for future research are discussed.
M.S. in Pyschology, May 2017
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Stigma, depression, and help-seeking: Experiences of parents/caregivers of children with mental health challenges
Title
Stigma, depression, and help-seeking: Experiences of parents/caregivers of children with mental health challenges
Creator
Serchuk, Marisa D.
Date
2023
Description
The impacts of stigma on people with lived-experience are widely recognized, however, stigma has been noted to extend to family members. The...
Show moreThe impacts of stigma on people with lived-experience are widely recognized, however, stigma has been noted to extend to family members. The current investigation examines how specific types of stigma experienced by parents/caregivers (N=250) of children with mental health challenges are related to symptoms of depression and attitudes towards help-seeking. Results found that higher levels of public stigma, self-stigma, and vicarious stigma were associated with higher levels of depression and were differentially associated with attitudes towards help-seeking. Findings from this investigation add to the small body of literature examining stigma experienced by parents/caregivers of children with mental health challenges.
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Self-Stigma, Disclosure, and Care-Seeking in People with Self-Reported Mental Illness
Title
Self-Stigma, Disclosure, and Care-Seeking in People with Self-Reported Mental Illness
Creator
Shah, Binoy Biren
Date
2023
Description
Objective: The longstanding mental illness treatment gap has only been exacerbated by the COVID-19 pandemic. One reason for this is the self...
Show moreObjective: The longstanding mental illness treatment gap has only been exacerbated by the COVID-19 pandemic. One reason for this is the self-stigma of mental illness, which has been shown to decrease care-seeking. This study aims to better understand the relationships between self-stigma and care-seeking by identifying novel mediators of this relationship. Method: A sample of 125 individuals with mental health difficulties, obtained from MTurk, completed measures of self-stigma, disclosure, care-seeking. Self-stigma was conceptualized as a distal antecedent to disclosure, and novel proximal antecedents of disclosure (i.e., approach goals, avoidance goals, and the “Why Try?” effect) were unpacked. Hypotheses were tested in steps via path analysis. Results: We found partial evidence to support our model of self-stigma. Disclosure did not mediate the relationship between self-stigma and care-seeking. Findings regarding proximal antecedents of disclosure were mixed. Conclusion: Results should be interpreted with caution due to data quality concerns. Additional research is needed to better understand how self-stigma impacts disclosure. This line of inquiry has noteworthy implications for research, policy, and clinical practice.
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