People with serious mental illness (SMI) face self-stigma effects that often undermine their functionality. Functionality herein refers to a... Show morePeople with serious mental illness (SMI) face self-stigma effects that often undermine their functionality. Functionality herein refers to a person's execution of tasks (i.e., activities) and engagement in life situations (i.e., participation). This study used a path model to examine three mediating factors between self-stigma and functionality: The "why-try" effect, coping resources, and personal recovery. Specifically, the “why-try” effect was viewed as an extension of self-stigma harm that occurred when people suffered from a loss of self-esteem and self-efficacy. Coping resources were conceptualized as individuals’ strengths and the support they had to overcome negative stigma outcomes, particularly stigma stress. Endorsement of personal recovery, namely pursuing self-defined life goals despite illness—had a buffering effect reducing self-stigma. These three mediators were examined simultaneously using an archival dataset. Due to poor internal consistency, coping resources were eventually removed from the model; the subsequent, revised model achieved a good model fit. Results showed that people with SMI experiencing self-stigma were found to have an enhanced "why-try" effect as well as reduced personal recovery, leading to a decline in functionality. Implications of the results and future research directions are discussed. Show less
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