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What helps or undermines adolescents’ anticipated capacity to cope with mental illness stigma following psychiatric hospitalization

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  • Tally Moses

Abstract

Background: Better understanding of the individual and environmental factors that promote adolescents’ use of more or less adaptive coping strategies with mental illness stigma would inform interventions designed to bolster youth resilience. Aims: This cross-sectional study draws on data from research on adolescents’ well-being after discharge from a first psychiatric hospitalization to explore the relationships between anticipated coping in reaction to a hypothetical social stigma scenario, and various factors conceptualized as ‘coping resource’ and ‘coping vulnerability’ factors. Focusing on coping strategies also identified in the companion article, we hypothesize that primary and secondary control engagement coping would relate to more coping resource and less coping vulnerability factors, and the opposite would be true for disengagement, aggression/confrontation and efforts to disconfirm stereotypes. Methods: Data were elicited from interviews with 102 adolescents within 7 days of discharge. Hypothesized coping resource factors included social resources, optimistic illness perceptions, better hospital experiences and higher self-esteem. Vulnerability factors included more previous stigma experiences, desire for concealment of treatment, more contingent self-worth, higher symptom levels and higher anticipated stress. Multivariate ordinary least squares (OLS) regression was used to analyze associations between coping strategy endorsement and correlates. Results: Although some coping correlates ‘behaved’ contrary to expectations, for the most part, our hypotheses were confirmed. As expected, youth anticipating reacting to the stigmatizing situation with greater disengagement, aggression/confrontation or efforts to disconfirm stenotypes rated significantly lower on ‘coping resources’ such as self-esteem and higher on vulnerability factors such as symptom severity. The opposite was true for youth who anticipated exercising more primary and secondary control engagement coping. Conclusions: This study begins to identify factors that promote more and less adaptive coping strategies among youth at high risk for social stigma. Some factors that can be modified in the shorter term point to useful directions for clinical interventions.

Suggested Citation

  • Tally Moses, 2015. "What helps or undermines adolescents’ anticipated capacity to cope with mental illness stigma following psychiatric hospitalization," International Journal of Social Psychiatry, , vol. 61(3), pages 215-224, May.
    • Handle: RePEc:sae:socpsy:v:61:y:2015:i:3:p:215-224
    DOI: 10.1177/0020764014540147
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    References listed on IDEAS

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    1. Tally Moses, 2015. "Coping strategies and self-stigma among adolescents discharged from psychiatric hospitalization: A 6-month follow-up study," International Journal of Social Psychiatry, , vol. 61(2), pages 188-197, March.
    2. Moses, Tally, 2010. "Being treated differently: Stigma experiences with family, peers, and school staff among adolescents with mental health disorders," Social Science & Medicine, Elsevier, vol. 70(7), pages 985-993, April.
    3. Karen Marriage & Robert Cummins, 2004. "Subjective Quality of Life and Self-Esteem in Children: The Role of Primary and Secondary Control in Coping with Everyday Stress," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 66(1), pages 107-122, April.
    4. Mieke Verhaeghe & Piet Bracke & Kevin Bruynooghe, 2008. "Stigmatization and Self-Esteem of Persons in Recovery From Mental Illness: the Role of Peer Support," International Journal of Social Psychiatry, , vol. 54(3), pages 206-218, May.
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