Perceived Stigma of Poverty and Depression: Examination of Interpersonal and Intrapersonal Mediators

Mickelson, Kristin D.; Williams, Stacey L.

doi:10.1521/jscp.2008.27.9.903

Cited by 89 publications

(85 citation statements)

References 45 publications

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“…In research outside of eating disorders, Rüsch et al (2005) found that public stigma and internalized stigma adversely affect self-esteem and self-efficacy. Previous studies have also shown that internalized stigma is associated with decreased self-esteem and self-efficacy in individuals with other mental illnesses (Corrigan et al, 2006;Depla et al, 2005;Lysaker et al, 2007a;Mickelson and Williams, 2008;Ritsher and Phelan, 2004;Werner et al, 2008;Wright et al, 2000). Although self-efficacy may theoretically have an effect on recovery attitudes, in our study this construct seems to have been captured in RSES.…”

Section: Discussionmentioning

confidence: 46%

The Effects of Stigma on Recovery Attitudes in People With Anorexia Nervosa in Intensive Treatment

Dimitropoulos

McCallum

Freeman

et al. 2016

Journal of Nervous &Amp; Mental Disease

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Self-stigma in individuals with anorexia nervosa (AN) may affect engagement in intensive treatment. The objective of this study was to test a Model of Self-Stigma to identify the influence of public stigma, internalized stigma, self-esteem, and self-efficacy on recovery attitudes in individuals in inpatient treatment for AN. Using a cross-sectional design, 36 female participants with AN completed questionnaires during the first week of intensive inpatient treatment. Better attitude towards recovery was positively correlated with higher self-esteem and self-efficacy and negatively correlated with greater internalized stigma and perceptions of others devaluing families of individuals with AN. Together, these factors accounted for 63% of the variance in recovery attitudes. Findings demonstrate the adverse effects perceived stigma towards families, self-stigma, and self-esteem have on recovery attitudes in individuals with AN. Clinical interventions are needed to challenge internalized stigma and bolster self-esteem to enhance individuals' recovery efforts.

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Section: Discussionmentioning

confidence: 46%

The Effects of Stigma on Recovery Attitudes in People With Anorexia Nervosa in Intensive Treatment

Dimitropoulos

McCallum

Freeman

et al. 2016

Journal of Nervous &Amp; Mental Disease

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“…Examining simultaneous parallel mediation effects is important since it may be the case that two variables are significant mediators in two separate mediation analyses, but when entered simultaneously, one (or both) may fail to be a significant unique mediator (above and beyond the other mediating path) due to overlap in the mediation effects 23–25 . Ajzen and Fishbein 26 provided support for their hypothesis that interpersonal and intrapersonal factors contribute independently to the prediction of behavior (also see 27 for a dual-pathway theory of interpersonal and intrapersonal mechanisms in the association between poverty stigma and depression). Using simultaneous entry, one can also compare the two specific indirect effects to see if the mediating effect of one is stronger than the other.…”

Section: Introductionmentioning

confidence: 93%

Brief Report: Interpersonal and Intrapersonal Factors as Parallel Independent Mediators in the Association Between Internalized HIV Stigma and ART Adherence

Seghatol-Eslami¹,

Dark

Raper

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction People living with HIV (PLWH) need to adhere to antiretroviral therapy (ART) to achieve optimal health. One reason for ART non-adherence is HIV-related stigma. Objectives We aimed to examine whether HIV treatment self-efficacy (an intrapersonal mechanism) mediates the stigma – adherence association. We also examined whether self-efficacy and the concern about being seen while taking HIV medication (an interpersonal mechanism) are parallel mediators independent of each other. Methods 180 PLWH self-reported internalized HIV stigma, ART adherence, HIV treatment self-efficacy, and concerns about being seen while taking HIV medication. We calculated bias-corrected 95% confidence intervals (CIs) for indirect effects using bootstrapping to conduct mediation analyses. Results Adherence self-efficacy mediated the relationship between internalized stigma and ART adherence. Additionally, self-efficacy and concern about being seen while taking HIV medication uniquely mediated and explained almost all of the stigma – adherence association in independent paths (parallel mediation). Conclusion These results can inform intervention strategies to promote ART adherence.

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“…racism) has shown that perceived stigmatisation can have serious physiological and psychological health consequences for the stigmatised individual [19–26]. Some studies found that perceived SEP-related stigmatisation is also associated with poor self-rated health, negative emotions and feelings of inferiority [16, 23]. The consequences of stigmatisation (e.g.…”

Section: Introductionmentioning

confidence: 99%

The silent burden of stigmatisation: a qualitative study among Dutch people with a low socioeconomic position

et al. 2018

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BackgroundIn-depth qualitative research into perceived socioeconomic position-related stigmatisation among people living at the lower end of our socioeconomic hierarchy is necessary for getting more insight in the possible downside of living in an increasingly meritocratic and individualistic society.MethodsSeventeen interviews were conducted among a group of Dutch people with a low socioeconomic position to examine their experiences with stigmatisation, how they coped with it and what they perceived as consequences.ResultsSocial reactions perceived by participants related to being inferior, being physically recognisable as a poor person, and being responsible for their own financial problems. Participants with less experience of living in poverty, a heterogeneous social network and greater sense of financial responsibility seemed to be more aware of stigmas than people with long-term experience of poverty, a homogeneous social network and less sense of financial responsibility. Perceived stigmatisation mainly had emotional consequences. To maintain a certain level of self-respect, participants tried to escape from reality, showed their strengths or confronted other people who expressed negative attitudes towards them.ConclusionDespite the good intentions of policies to enhance self-reliance, responsibility and active citizenship, these policies and related societal beliefs might affect people at the lower end of our socioeconomic hierarchies by making them feel inferior, ashamed and blamed, especially when they cannot meet societal expectations or when they feel treated disrespectfully, unjustly or unequally by social workers or volunteers of charity organisations.

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Perceived Stigma of Poverty and Depression: Examination of Interpersonal and Intrapersonal Mediators

Cited by 89 publications

References 45 publications

The Effects of Stigma on Recovery Attitudes in People With Anorexia Nervosa in Intensive Treatment

The Effects of Stigma on Recovery Attitudes in People With Anorexia Nervosa in Intensive Treatment

Brief Report: Interpersonal and Intrapersonal Factors as Parallel Independent Mediators in the Association Between Internalized HIV Stigma and ART Adherence

The silent burden of stigmatisation: a qualitative study among Dutch people with a low socioeconomic position

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