De La Salle University.
Jose Rizal University.
J Psychol. 2021;155(2):238-256. doi: 10.1080/00223980.2021.1876620. Epub 2021 Feb 4.
Literature on the cultural psychological aspect of mental health suggests that antecedents of mental health in individualistic cultures, or societies that prioritize independence, autonomy, and personal uniqueness do not always apply in collectivistic cultures, or societies that prioritize interdependence, social connection, interpersonal harmony, and norms. The aim of the present study was to determine the mechanisms underlying the impact of self-stigma on depression and anxiety in a collectivistic culture such as the Philippines. Specifically, this study sought to examine: (1) the mediating role of self-criticism on the impact of self-stigma on depression and anxiety, and (2) the moderating role of interdependent self-construal on the impact of self-criticism on depression and anxiety in Filipinos. Surveys measuring self-stigma, self-criticism, interdependent self-construal, depression, and anxiety symptoms were administered to 312 adolescents in rural communities in the Philippines. Using structural equation modeling, findings revealed indirect effects of self-stigma on both depression and anxiety self-criticism. Findings confirmed that interdependent self-construal attenuate the detrimental impact of self-criticism on depression and anxiety in collectivistic contexts. This study offers novel insights about the underlying mechanisms that operate in the impact of self-stigma on depression and anxiety symptoms among individuals in collectivist contexts. We highlight that self-criticism may have both adaptive and maladaptive functions in collectivist cultures. The study provides implications on the importance of culturally sensitive clinical interventions in preventing depression and anxiety by combating self-stigma and the negative aspect of self-criticism in collectivist cultures. Limitations and future directions are discussed.
心理健康文化心理方面的文献表明，在个人主义文化或优先重视独立性、自主性和个人独特性的社会中，心理健康的前因并不总是适用于集体主义文化或优先重视相互依存、社会联系、人际和谐和规范的社会。本研究旨在确定个人主义文化（如菲律宾）中自我污名对抑郁和焦虑的影响机制。具体来说，本研究试图探讨：（1）自我批评在自我污名对抑郁和焦虑影响中的中介作用，以及（2）相互依存的自我概念在自我批评对抑郁和焦虑影响中的调节作用。对 312 名菲律宾农村社区的青少年进行了自我污名、自我批评、相互依存的自我概念、抑郁和焦虑症状的测量调查。使用结构方程模型，研究结果显示自我污名对抑郁和焦虑有间接影响——自我批评。研究结果证实，相互依存的自我概念减轻了自我批评对集体主义环境中抑郁和焦虑的不利影响。本研究为自我污名对集体主义背景下个体抑郁和焦虑症状影响的潜在机制提供了新的见解。我们强调，自我批评在集体主义文化中可能具有适应性和不适应性的双重功能。该研究强调了在集体主义文化中，通过对抗自我污名和自我批评的消极方面，进行文化敏感的临床干预对预防抑郁和焦虑的重要性。讨论了局限性和未来方向。
