Document Detail

A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal.
MedLine Citation:
PMID:  19269140     Owner:  NLM     Status:  MEDLINE    
Stigma can be a major stressor for individuals with schizophrenia and other mental illnesses. It is unclear, however, why some stigmatized individuals appraise stigma as more stressful, while others feel they can cope with the potential harm posed by public prejudice. We tested the hypothesis that the level of perceived public stigma and personal factors such as rejection sensitivity, perceived legitimacy of discrimination and ingroup perceptions (group value; group identification; entitativity, or the perception of the ingroup of people with mental illness as a coherent unit) predict the cognitive appraisal of stigma as a stressor. Stigma stress appraisal refers to perceived stigma-related harm exceeding perceived coping resources. Stress appraisal, stress predictors and social cue recognition were assessed in 85 people with schizophrenia, schizoaffective or affective disorders. Stress appraisal did not differ between diagnostic subgroups, but was positively correlated with rejection sensitivity. Higher levels of perceived societal stigma and holding the group of people with mental illness in low regard (low group value) independently predicted high stigma stress appraisal. These predictors remained significant after controlling for social cognitive deficits, depressive symptoms and diagnosis. Our findings support the model that public and personal factors predict stigma stress appraisal among people with mental illness, independent of diagnosis and clinical symptoms. Interventions that aim to reduce the impact of stigma on people with mental illness could focus on variables such as rejection sensitivity, a personal vulnerability factor, low group value and the cognitive appraisal of stigma as a stressor.
Nicolas Rüsch; Patrick W Corrigan; Abigail Wassel; Patrick Michaels; Manfred Olschewski; Sandra Wilkniss; Karen Batia
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-03-06
Journal Detail:
Title:  Schizophrenia research     Volume:  110     ISSN:  0920-9964     ISO Abbreviation:  Schizophr. Res.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-24     Completed Date:  2009-07-07     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  8804207     Medline TA:  Schizophr Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  59-64     Citation Subset:  IM    
Joint Research Programs in Psychiatric Rehabilitation, Illinois Institute of Technology, 3424 S State Street, Chicago, IL 60616, USA.
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MeSH Terms
Attitude to Health
Mental Disorders / psychology*
Middle Aged
Mood Disorders / psychology
Personal Construct Theory*
Predictive Value of Tests
Psychiatric Status Rating Scales
Self Concept*
Social Adjustment
Stress, Psychological / psychology*
Grant Support
AA014842-01/AA/NIAAA NIH HHS; R01 AA014842-07/AA/NIAAA NIH HHS

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