Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use
Authors:
- Nicolas RüschNRNicolas Rüsch
- Patrick W. CorriganPCPatrick W. Corrigan
- Abigail WasselAWAbigail Wassel
- Patrick MichaelsPMPatrick Michaels
- Jonathon E. LarsonJLJonathon E. Larson
- Manfred OlschewskiMOManfred Olschewski
- Sandra WilknissSWSandra Wilkniss
- Karen BatiaKBKaren Batia
- 1 December 2009
- journal article
- research article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 195 (6) , 551-552
Abstract
Summary: Stigma may interfere with mental health service use. We measured self-stigma and stigma-related cognitions (group identification and perceived legitimacy of discrimination) at baseline in 85 people with schizophrenia, schizoaffective or affective disorders. After 6 months, 75 (88%) had reported use of mental health services. Controlling for baseline psychopathology, perceived stigma and diagnosis, low perceived legitimacy of discrimination predicted use of counselling/psychotherapy. Strong group identification was associated with participation in mutual-help groups. More self-stigma predicted psychiatric hospitalisation. Cognitive indicators of stigma resilience may predict out-patient service use, whereas self-stigma may increase the risk of psychiatric hospitalisation.Keywords
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