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How Does Self-Stigma Influence Functionality in People with Serious Mental Illness? A Multiple Mediation Model of "Why-Try" Effect, Coping Resources, and Personal Recovery
Title
How Does Self-Stigma Influence Functionality in People with Serious Mental Illness? A Multiple Mediation Model of "Why-Try" Effect, Coping Resources, and Personal Recovery
Creator
Qin, Sang
Date
2022
Description
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.
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Promoting Healthy Lifestyle Behaviors for African Americans with Serious Mental Illness and Weight Concerns
Title
Promoting Healthy Lifestyle Behaviors for African Americans with Serious Mental Illness and Weight Concerns
Creator
Nieweglowski, Katherine
Date
2022
Description
People with serious mental illness face greater rates of chronic illness and obesity compared to those without mental illness. These rates are...
Show morePeople with serious mental illness face greater rates of chronic illness and obesity compared to those without mental illness. These rates are disproportionately higher for those who are part of racially minoritized groups. For example, African Americans are more likely to be obese compared to their white counterparts. This study sought to test a diet and exercise program—developed through community-based participatory research—called “Behaviors for Healthy Lifestyles” (BHL) for African Americans with serious mental illness and weight concerns. The impact of this program, also combined with peer health navigation (PHN), was tested on various physical and mental health outcomes. Participants were randomly assigned to either integrated-care treatment as usual (IC-TAU), BHL, or BHL+PHN. Data was collected at baseline, 4-month, 8-month, and 12-month follow up for outcomes measuring general health, bodily pain, physical functioning, emotional well-being, depression, recovery, quality of life, weight efficacy, and emotional eating. Monthly data collection was also conducted on frequency of healthy lifestyle behaviors related to diet and physical activity. Findings from group by trial analyses of variance on these outcomes did not show any significant impact. Implications for testing diet and exercise interventions combined with PHN for this population are discussed along with future research considerations related to increasing attendance and participation for greater health improvements.
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