THE ROLE OF STIGMA COPING AND SOCIAL SUPPORT IN MEDIATING THE EFFECT OF SOCIETAL STIGMA ON INTERNALIZED STIGMA, MENTAL HEALTH RECOVERY, AND QUALITY OF LIFE AMONG PEOPLE WITH SERIOUS MENTAL ILLNESS
THE ROLE OF STIGMA COPING AND SOCIAL SUPPORT IN MEDIATING THE EFFECT OF SOCIETAL STIGMA ON INTERNALIZED STIGMA, MENTAL HEALTH RECOVERY, AND QUALITY OF LIFE AMONG PEOPLE WITH SERIOUS MENTAL ILLNESS
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DOI：
10.1002/jcop.21558
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发表时间：
2013-07-01
影响因子：
2.3
通讯作者：
Liao, Hsin-Ya
中科院分区：
文献类型：
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作者：
Chronister, Julie;Chou, Chih-Chin;Liao, Hsin-Ya
本研究探讨了污名应对和社会支持在严重精神疾病患者社会污名、内化污名、心理健康康复和生活质量之间的中介作用。参与者是101名生活在纽约市和波士顿的SMI成年人。我们使用了11项措施来评估研究变量。资料以描述性统计、相关分析及结构方程模式进行分析。结果表明，保密和退缩应对和情感和有形的支持中介社会耻辱的内化耻辱和恢复的影响。鼓励和教育他人应对经常被使用，并与恢复呈正相关。样本报告的社会支持水平低，社会支持与较高的社会和内化的耻辱和较低的恢复水平和生活质量有关。社会支持和应对措施应纳入治疗，以减少污名化的负面影响。
This study investigated the mediating properties of stigma coping and social support on the relationship between societal stigma, internalized stigma, mental health recovery, and quality of life among people with serious mental illness (SMI). Participants were 101 adults with SMI living in New York City and Boston. We used 11 measures to assess the study variables. Descriptive statistics, correlational analyses, and structural equation modeling were used to analyze the data. Results showed that secrecy and withdrawal coping and emotional and tangible support mediate the effect of societal stigma on internalized stigma and recovery. Challenging and educating others coping were frequently used and positively linked to recovery. The sample reported low levels of social support and social support was linked to higher levels of societal and internalized stigma and lower levels of recovery and quality of life. Social support and coping should be incorporated into treatment to reduce the negative effects of stigma.