IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v60y2014i8p733-740.html
   My bibliography  Save this article

Loneliness mediates the relationship between internalised stigma and depression among patients with psychotic disorders

Author

Listed:
  • Piotr Åšwitaj
  • PaweÅ‚ Grygiel
  • Marta Anczewska
  • Jacek Wciórka

Abstract

Background: Stigmatisation is a source of chronic stress and a major barrier to recovery for people with mental illnesses. The internalisation of stigma can have a negative impact on an individual’s social relations and lead to feelings of loneliness and depression. Aim: This research is aimed at testing the hypothesis that the internalised stigma of mental illness contributes to the intensification of depressive symptoms indirectly, through its impact on feelings of loneliness. Methods: A total of 110 individuals with diagnoses of psychotic disorders ( International Classification of Diseases–10th Revision (ICD-10): F20–F29) were assessed with measures of internalised stigma, loneliness, depression, positive and negative symptoms and global functioning. The ordinary least squares regression was used for data analysis. Results: After adding loneliness to the regression model, the initially significant impact of internalised stigma on depressive symptoms disappeared. As expected, loneliness proved to be a full mediator in the relationship between stigma and depression. Conclusion: The study findings provide useful insights into the mechanisms of the harmful effects of stigma on people with mental illness. Internalised stigma and loneliness should be considered important targets for interventions aiming to promote recovery.

Suggested Citation

  • Piotr Åšwitaj & PaweÅ‚ Grygiel & Marta Anczewska & Jacek Wciórka, 2014. "Loneliness mediates the relationship between internalised stigma and depression among patients with psychotic disorders," International Journal of Social Psychiatry, , vol. 60(8), pages 733-740, December.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:8:p:733-740
    DOI: 10.1177/0020764013513442
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764013513442
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764013513442?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Md. Sazedur Rahman & Md. Ashfikur Rahman & Md. Saidur Rahman, 2019. "Prevalence and Determinants of Loneliness among Older Adults in Bangladesh," International Journal of Emerging Trends in Social Sciences, Scientific Publishing Institute, vol. 5(2), pages 57-64.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lars Hansson & Henrika Jormfeldt & Petra Svedberg & Bengt Svensson, 2013. "Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness?," International Journal of Social Psychiatry, , vol. 59(1), pages 48-54, February.
    2. Kvaale, Erlend P. & Gottdiener, William H. & Haslam, Nick, 2013. "Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople," Social Science & Medicine, Elsevier, vol. 96(C), pages 95-103.
    3. Sharma, Anupam Joya & Subramanyam, Malavika Ambale, 2020. "Psychological responses to reservation-based discrimination: A qualitative study of socially marginalized youth at a premier Indian university," International Journal of Educational Development, Elsevier, vol. 79(C).
    4. Adalberto Campo-Arias & Guillermo A Ceballos-Ospino & Edwin Herazo, 2020. "Barriers to access to mental health services among Colombia outpatients," International Journal of Social Psychiatry, , vol. 66(6), pages 600-606, September.
    5. Vyncke, Bart & Van Gorp, Baldwin, 2020. "Using counterframing strategies to enhance anti-stigma campaigns related to mental illness," Social Science & Medicine, Elsevier, vol. 258(C).
    6. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).
    7. Hunter, Bronwyn A. & Mohatt, Nathaniel Vincent & Prince, Dana M. & Thompson, Azure B. & Matlin, Samantha L. & Tebes, Jacob Kraemer, 2017. "Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms," Social Science & Medicine, Elsevier, vol. 181(C), pages 177-183.
    8. Anselm B M Fuermaier & Lara Tucha & Janneke Koerts & Anna K Mueller & Klaus W Lange & Oliver Tucha, 2012. "Measurement of Stigmatization towards Adults with Attention Deficit Hyperactivity Disorder," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-11, December.
    9. Mao-Sheng Ran & Tian-Ming Zhang & Irene Yin-Ling Wong & Xin Yang & Chang-Cheng Liu & Bo Liu & Wei Luo & Wei-Hong Kuang & Graham Thornicroft & Cecilia Lai-Wan Chan, 2018. "Internalized stigma in people with severe mental illness in rural China," International Journal of Social Psychiatry, , vol. 64(1), pages 9-16, February.
    10. Chen, Haide & Fang, Xiaoyi & Liu, Chaoying & Hu, Wei & Lan, Jing & Deng, Linyuan, 2014. "Associations among the number of mental health problems, stigma, and seeking help from psychological services: A path analysis model among Chinese adolescents," Children and Youth Services Review, Elsevier, vol. 44(C), pages 356-362.
    11. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    12. Álvaro Moraleda & Diego Galán-Casado & Adolfo J. Cangas, 2019. "Reducing Self-Stigma in People with Severe Mental Illness Participating in a Regular Football League: An Exploratory Study," IJERPH, MDPI, vol. 16(19), pages 1-8, September.
    13. Tomar, Nikhil & Thornicroft, Graham, 2020. "Principle of gradient rationality: Revisiting stigma and conceptualizing its guiding mechanism," Social Science & Medicine, Elsevier, vol. 245(C).
    14. Carol Blixen & Adam T Perzynski & Ashley Bukach & Molly Howland & Martha Sajatovic, 2016. "Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study," International Journal of Social Psychiatry, , vol. 62(7), pages 635-644, November.
    15. Trani, Jean-Francois & Ballard, Ellis & Peña, Juan B., 2016. "Stigma of persons with disabilities in Afghanistan: Examining the pathways from stereotyping to mental distress," Social Science & Medicine, Elsevier, vol. 153(C), pages 258-265.
    16. Ruvanee P Vilhauer, 2015. "Depictions of auditory verbal hallucinations in news media," International Journal of Social Psychiatry, , vol. 61(1), pages 58-63, February.
    17. Lucie Kalisova & Jiri Michalec & Demetra Hadjipapanicolaou & Jiri Raboch, 2018. "Factors influencing the level of self-stigmatisation in people with mental illness," International Journal of Social Psychiatry, , vol. 64(4), pages 374-380, June.
    18. Emeka Aniago & Uche-Chinemere Nwaozuzu & Christian Maduka, 2020. "Didactic Nuances in Emeka Nwabueze’s Presentation of Characters’ Social Worldviews on Concealment/Deception in Spokesman for the Oracle and Rainstorm in the Desert," Academic Journal of Interdisciplinary Studies, Richtmann Publishing Ltd, vol. 9, July.
    19. Matshabane, Olivia P. & Campbell, Megan M. & Faure, Marlyn C. & Appelbaum, Paul S. & Marshall, Patricia A. & Stein, Dan J. & de Vries, Jantina, 2021. "The role of causal knowledge in stigma considerations in African genomics research: Views of South African Xhosa people," Social Science & Medicine, Elsevier, vol. 277(C).
    20. Schrank, Beate & Bird, Victoria & Rudnick, Abraham & Slade, Mike, 2012. "Determinants, self-management strategies and interventions for hope in people with mental disorders: Systematic search and narrative review," Social Science & Medicine, Elsevier, vol. 74(4), pages 554-564.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:60:y:2014:i:8:p:733-740. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.