title: Self-stigma in people with mental illness.
abstract: Persons with mental illnesses such as schizophrenia may internalize mental illness stigma and experience diminished self-esteem and self-efficacy. In this article, we describe a model of self-stigma and examine a hierarchy of mediational processes within the model. Seventy-one individuals with serious mental illness were recruited from a community support program at an outpatient psychiatry department of a community hospital. All participants completed the Self-Stigma of Mental Illness Scale along with measures of group identification (GI), perceived legitimacy (PL), self-esteem, and self-efficacy. Models examining the steps involved in self-stigma process were tested. Specifically, after conducting preliminary bivariate analyses, we examine stereotype agreement as a mediator of GI and PL on stigma self-concurrence (SSC); SSC as a mediator of GI and PL on self-efficacy; and SSC as a mediator of GI and PL on self-esteem. Findings provide partial support for the proposed mediational processes and point to GI, PL, and stereotype agreement as areas to be considered for intervention.
authors.affiliation: Jane Addams College of Social Work, University of Illinois at Chicago, IL 60607, USA. acwatson@uic.edu
authors.forename: Amy C
authors.initials: AC
authors.lastname: Watson
authors.forename: Patrick
authors.initials: P
authors.lastname: Corrigan
authors.forename: Jonathon E
authors.initials: JE
authors.lastname: Larson
authors.forename: Molly
authors.initials: M
authors.lastname: Sells
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D012649:Self Concept; D013240:Stereotyping; D011795:Surveys and Questionnaires