title: Work-related discrimination and change in self-stigma among people with mental illness during supported employment.
abstract: OBJECTIVE
  The relationship of work-related discrimination to the change in self-stigma and stigma stress was assessed among supported employment participants in Switzerland.
  
  
  METHODS
  Self-stigma and the cognitive appraisal of mental illness stigma as a stressor were measured at baseline among supported employment participants (N=116). These variables and work-related discrimination in the past year were assessed one year later (N=96).
  
  
  RESULTS
  Compared with participants who did not find employment (N=30), those who worked without experiencing discrimination (N=25) had lower levels of self-stigma and stigma stress at one year. Among those who worked and reported work-related discrimination (N=38), these measures did not decrease significantly.
  
  
  CONCLUSIONS
  Experiencing discrimination at work may determine whether employment has positive effects in terms of self-stigma and stigma stress among individuals with mental illness. Interventions to reduce discrimination in work settings and to improve coping resources of these individuals could augment the positive effects of supported employment.
authors.affiliation: Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: nicolas.ruesch@uni-ulm.de ). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Rüsch
authors.forename: Carlos
authors.initials: C
authors.lastname: Nordt
authors.forename: Wolfram
authors.initials: W
authors.lastname: Kawohl
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Brantschen
authors.forename: Bettina
authors.initials: B
authors.lastname: Bärtsch
authors.forename: Mario
authors.initials: M
authors.lastname: Müller
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Corrigan
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
mesh_terms: D000328:Adult; D016832:Employment, Supported / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012649:Self Concept; D012917:Social Adjustment; D063508:Social Discrimination / Q000517:prevention & control / Q000523:psychology; D057545:Social Stigma; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control; D013557:Switzerland