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Internalized stigma and quality of life domains among people with mental illness: the mediating role of self-esteem
CIS IUL, ISCTE IUL, Lisbon, Portugal.
CIES IUL, ISCTE IUL, Lisbon, Portugal.
Mid Sweden University, Faculty of Human Sciences, Department of Psychology. CIS IUL, Lisbon, Portugal.ORCID iD: 0000-0002-5403-0091
2016 (English)In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 25, no 1, 55-61 p.Article in journal (Refereed) Published
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Abstract [en]

Background: People with mental illness who internalize stigma often experience reduced self-esteem and impaired quality of life (QOL).Aims: To propose a theoretical model in which self-esteem mediates the effects of internalized stigma on the multidimensional domains comprising QOL.Method: In 403 inpatients and outpatients (DSM-IV, American Psychiatric Association, 1994), from hospital-based and community mental health facilities, self-report measures of internalized stigma (ISMI), self-esteem (RSES) and QOL (WHOQOL-Bref) were administrated.Results: Structural equation modeling results supported the proposed model. Self-esteem fully mediated the relation between internalized stigma and the physical and the social relationships domains, and partially mediated the relationship between internalized stigma and psychological, environment and level of independence QOL domains. Such results provided empirical support and shed light upon previous research. Specifically the results emphasize the mediating role that self-esteem plays in the degree to which internalized stigma exerts a negative effect on specific QOL domains.Conclusions: Self-esteem appears to be a core element in reducing the negative effects of internalized stigma on aspects of QOL among people with mental illness. These findings suggest there is a crucial impact regarding clinical mental health interventions along with important theoretical implications.

Place, publisher, year, edition, pages
2016. Vol. 25, no 1, 55-61 p.
Keyword [en]
Mental disorders, QOL domains, self-stigma, self-esteem
National Category
Psychology
Identifiers
URN: urn:nbn:se:miun:diva-27254DOI: 10.3109/09638237.2015.1124387ISI: 000369871300010PubMedID: 26828897Scopus ID: 2-s2.0-84953284298OAI: oai:DiVA.org:miun-27254DiVA: diva2:913405
Available from: 2016-03-21 Created: 2016-03-17 Last updated: 2016-12-15Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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  • de-DE
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