title: From discrimination to internalized mental illness stigma: The mediating roles of anticipated discrimination and anticipated stigma.
abstract: OBJECTIVE
  Internalizing mental illness stigma is related to poorer well-being, but less is known about the factors that predict levels of internalized stigma. This study explored how experiences of discrimination relate to greater anticipation of discrimination and devaluation in the future and how anticipation of stigma in turn predicts greater stigma internalization.
  
  
  METHODS
  Participants were 105 adults with mental illness who self-reported their experiences of discrimination based on their mental illness, their anticipation of discrimination and social devaluation from others in the future, and their level of internalized stigma. Participants were approached in several locations and completed surveys on laptop computers.
  
  
  RESULTS
  Correlational analyses indicated that more experiences of discrimination due to one's mental illness were related to increased anticipated discrimination in the future, increased anticipated social stigma from others, and greater internalized stigma. Multiple serial mediator analyses showed that the effect of experiences of discrimination on internalized stigma was fully mediated by increased anticipated discrimination and anticipated stigma.
  
  
  CONCLUSIONS
  Experiences of discrimination over one's lifetime may influence not only how much future discrimination people with mental illness are concerned with but also how much they internalize negative feelings about the self. Mental health professionals may need to address concerns with future discrimination and devaluation in order to decrease internalized stigma.
authors.affiliation: Department of Psychology.
authors.forename: Diane M
authors.initials: DM
authors.lastname: Quinn
authors.affiliation: Department of Psychology.
authors.forename: Michelle K
authors.initials: MK
authors.lastname: Williams
authors.affiliation: Department of Psychology.
authors.forename: Bradley M
authors.initials: BM
authors.lastname: Weisz
mesh_terms: D000328:Adult; D059031:Anticipation, Psychological; D001008:Anxiety Disorders / Q000523:psychology; D001714:Bipolar Disorder / Q000523:psychology; D003865:Major Depressive Disorder / Q000523:psychology; D004493:Education; D004651:Employment; D005260:Female; D006296:Health Services; D006801:Humans; D035846:Law Enforcement; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D009771:Obsessive-Compulsive Disorder / Q000523:psychology; D010554:Personality Disorders / Q000523:psychology; D011287:Prejudice / Q000523:psychology; D012044:Regression Analysis; D012559:Schizophrenia; D012565:Schizophrenic Psychology; D063508:Social Discrimination / Q000523:psychology*; D057545:Social Stigma; D040921:Stress Disorders, Traumatic / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
references.citation: J Pers Soc Psychol. 2009 Oct;97(4):634-51
references.pmid: 19785483
references.citation: Res Nurs Health. 2001 Dec;24(6):518-29
references.pmid: 11746080
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2010 May;45(5):561-8
references.pmid: 19649752
references.citation: Can J Psychiatry. 2012 Aug;57(8):464-9
references.pmid: 22854028
references.citation: Psychiatr Serv. 2013 Mar 1;64(3):264-9
references.pmid: 23573532
references.citation: J Health Soc Behav. 1997 Jun;38(2):177-90
references.pmid: 9212538
references.citation: Psychiatry Res. 2011 Sep 30;189(2):208-14
references.pmid: 21377738
references.citation: BMC Psychiatry. 2014;14:157
references.pmid: 24885144
references.citation: Schizophr Res. 2010 Sep;122(1-3):232-8
references.pmid: 20347271
references.citation: Lancet. 2009 Jan 31;373(9661):408-15
references.pmid: 19162314
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2011 Jul;46(7):643-50
references.pmid: 20495975
references.citation: Psychiatry Res. 2013 Dec 30;210(3):1136-46
references.pmid: 23998361
references.citation: Am Psychol. 1999 Sep;54(9):765-76
references.pmid: 10510666
references.citation: Int J Soc Psychiatry. 2004 Jun;50(2):153-62
references.pmid: 15293432
references.citation: J Couns Psychol. 2013 Oct;60(4):520-31
references.pmid: 23815629
references.citation: J Soc Psychol. 2012 Nov-Dec;152(6):746-57
references.pmid: 23057193
references.citation: Schizophr Res. 2009 May;110(1-3):59-64
references.pmid: 19269140
references.citation: Am Psychol. 2004 Oct;59(7):614-25
references.pmid: 15491256
references.citation: PLoS One. 2014;9(5):e96977
references.pmid: 24817189
references.citation: Am J Public Health. 2013 May;103(5):786-94
references.pmid: 23488486
references.citation: J Health Soc Behav. 1999 Sep;40(3):208-30
references.pmid: 10513145
references.citation: World Psychiatry. 2009 Jun;8(2):75-81
references.pmid: 19516923
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2012 Jun;47(6):849-55
references.pmid: 21603968
references.citation: Psychiatr Rehabil J. 2015 Jun;38(2):171-8
references.pmid: 25313530