Lori M Nabors1, Phillip T Yanos2, David Roe3, Ilanit Hasson-Ohayon4, Bethany L Leonhardt1, Kelly D Buck5, Paul H Lysaker6. 1. University of Indianapolis, Indianapolis, IN, USA. 2. John Jay College of Criminal Justice, New York, NY, USA. 3. University of Haifa, Haifa, Israel. 4. Bar-Ilan University, Tel Aviv, Israel. 5. Roudebush VA Medical Center, Indianapolis, IN, USA. 6. Roudebush VA Medical Center, Indianapolis, IN, USA; Roudebush VA Medical Center and the Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: plysaker@iupui.edu.
Abstract
OBJECTIVE: While research continues to document the impact of internalized stigma among persons with schizophrenia, little is known about the factors which promote stigma resistance or the ability to recognize and reject stigma. This study aimed to replicate previous findings linking stigma resistance with lesser levels of depression and higher levels of self-esteem while also examining the extent to which other factors, including metacognitive capacity and positive and negative symptoms, are linked to the ability to resist stigma. METHOD: Participants were 62 adults with schizophrenia-spectrum disorders who completed self-reports of stigma resistance, internalized stigma, self-esteem, and rater assessments of positive, negative, disorganization, and emotional discomfort symptoms, and metacognitive capacity. RESULTS: Stigma resistance was significantly correlated with lower levels of acceptance of stereotypes of mental illness, negative symptoms, and higher levels of metacognitive capacity, and self-esteem. A stepwise multiple regression revealed that acceptance of stereotypes of mental illness, metacognitive capacity, and self-esteem all uniquely contributed to greater levels of stigma resistance, accounting for 39% of the variance. CONCLUSION: Stigma resistance is related to, but not synonymous with, internalized stigma. Greater metacognitive capacity, better self-esteem, and fewer negative symptoms may be factors which facilitate stigma resistance. Published by Elsevier Inc.
OBJECTIVE: While research continues to document the impact of internalized stigma among persons with schizophrenia, little is known about the factors which promote stigma resistance or the ability to recognize and reject stigma. This study aimed to replicate previous findings linking stigma resistance with lesser levels of depression and higher levels of self-esteem while also examining the extent to which other factors, including metacognitive capacity and positive and negative symptoms, are linked to the ability to resist stigma. METHOD:Participants were 62 adults with schizophrenia-spectrum disorders who completed self-reports of stigma resistance, internalized stigma, self-esteem, and rater assessments of positive, negative, disorganization, and emotional discomfort symptoms, and metacognitive capacity. RESULTS: Stigma resistance was significantly correlated with lower levels of acceptance of stereotypes of mental illness, negative symptoms, and higher levels of metacognitive capacity, and self-esteem. A stepwise multiple regression revealed that acceptance of stereotypes of mental illness, metacognitive capacity, and self-esteem all uniquely contributed to greater levels of stigma resistance, accounting for 39% of the variance. CONCLUSION: Stigma resistance is related to, but not synonymous with, internalized stigma. Greater metacognitive capacity, better self-esteem, and fewer negative symptoms may be factors which facilitate stigma resistance. Published by Elsevier Inc.
Authors: Marcelo L Schwarzbold; Robert S Kern; Derek M Novacek; Jessica E McGovern; Lauren T Catalano; Michael F Green Journal: Schizophr Res Date: 2021-01-11 Impact factor: 4.939
Authors: Catherine van Zelst; Martine van Nierop; Daniëlla S van Dam; Agna A Bartels-Velthuis; Philippe Delespaul Journal: PLoS One Date: 2015-02-23 Impact factor: 3.240