Katherine C Cunningham1, Alicia Lucksted2. 1. VA Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC). 2. Department of Psychiatry, University of Maryland School of Medicine.
Abstract
OBJECTIVE: The social-cognitive model is useful in understanding internalized stigma, but research has not examined it in relationship to recovery orientation, an important outcome. This study examined the impact of the four stages of internalized stigma on recovery orientation and assessed cognitive insight as a moderator. METHOD: Data from a community sample of adults with serious mental illness (N = 268) were collected through structured interviews. Regression-based analyses were used to examine the main effects of internalized stigma on recovery orientation and the moderating effect of cognitive insight. RESULTS: Applying stigmatizing beliefs to oneself and the related decrement in self-esteem each predicted decreased recovery orientation. Cognitive insight moderated the effect of self-application of stigmatizing beliefs on recovery orientation. IMPLICATIONS: Increasing cognitive insight by fostering flexibility in self-cognitions may help reduce internalized stigma. Interventions may also benefit from addressing the emotional component of internalized stigma, such as feelings of shame. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
OBJECTIVE: The social-cognitive model is useful in understanding internalized stigma, but research has not examined it in relationship to recovery orientation, an important outcome. This study examined the impact of the four stages of internalized stigma on recovery orientation and assessed cognitive insight as a moderator. METHOD: Data from a community sample of adults with serious mental illness (N = 268) were collected through structured interviews. Regression-based analyses were used to examine the main effects of internalized stigma on recovery orientation and the moderating effect of cognitive insight. RESULTS: Applying stigmatizing beliefs to oneself and the related decrement in self-esteem each predicted decreased recovery orientation. Cognitive insight moderated the effect of self-application of stigmatizing beliefs on recovery orientation. IMPLICATIONS: Increasing cognitive insight by fostering flexibility in self-cognitions may help reduce internalized stigma. Interventions may also benefit from addressing the emotional component of internalized stigma, such as feelings of shame. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Authors: Amy L Drapalski; Deborah Medoff; George J Unick; Dawn I Velligan; Lisa B Dixon; Alan S Bellack Journal: Psychiatr Serv Date: 2012-01 Impact factor: 3.084
Authors: Amy L Drapalski; Alicia Lucksted; Paul B Perrin; Jennifer M Aakre; Clayton H Brown; Bruce R DeForge; Jennifer E Boyd Journal: Psychiatr Serv Date: 2013-03-01 Impact factor: 3.084
Authors: Lauren T Catalano; Clayton H Brown; Alicia Lucksted; Samantha M Hack; Amy L Drapalski Journal: J Psychiatr Res Date: 2021-02-13 Impact factor: 4.791