Department of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison, Wisconsin.
Department of Psychology, Illinois Institute of Technology, Chicago, Illinois.
J Nerv Ment Dis. 2023 Oct 1;211(10):764-771. doi: 10.1097/NMD.0000000000001697. Epub 2023 Jul 24.
Consequences of self-stigma exhibit a four-step regressive model from being aware of public stigma, to agreeing with it, to applying it to oneself, to resulting harm on the self. We hypothesize the relationship between self-stigma and psychosocial functioning is mediated by three constructs: the why try effect, stigma stress coping resources, and personal recovery. Two hundred eight people with depressive and bipolar disorders participated the study. Data partially supported the regressive model of self-stigma. Awareness was not found to be associated with other regressive stages. The model representing the path between self-stigma-harm and psychosocial functioning was significant and robust. The path was mediated by the why try effect and personal recovery. Findings echo the growing body of research attempting to describe outcomes of self-stigma, in this case, psychosocial functioning. Programs meant to erase self-stigma, and its effect on functioning should incorporate the why try effect and personal recovery as strategic ingredients.
自耻感的后果呈现出从意识到公众污名，到认同它，再到将其应用于自身，最后对自身造成伤害的四步倒退模型。我们假设自耻感与心理社会功能之间的关系是由三个结构介导的：尝试的原因、污名压力应对资源和个人康复。208 名患有抑郁和双相情感障碍的人参与了这项研究。数据部分支持自耻感的倒退模型。没有发现意识与其他倒退阶段有关。代表自耻感-伤害与心理社会功能之间关系的模型是显著和稳健的。该路径由尝试的原因和个人康复来介导。研究结果呼应了越来越多的试图描述自耻感后果的研究，在这种情况下，是心理社会功能。旨在消除自耻感及其对功能影响的项目应该将尝试的原因和个人康复作为战略要素纳入其中。
