How stigma impacts on people with psychosis: The mediating effect of self-esteem and hopelessness on subjective recovery and psychotic experiences



Vass, Victoria ORCID: 0000-0001-6771-871X, Morrison, A, Law, H, Dudley, J, Taylor, Pamela, Bennett, Kate ORCID: 0000-0003-3164-6894 and Bentall, Richard
(2015) How stigma impacts on people with psychosis: The mediating effect of self-esteem and hopelessness on subjective recovery and psychotic experiences. Psychiatry Research, 230 (2). 487 - 495. (Submitted)

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Abstract

This study aimed to examine how stigma impacts on symptomatic and subjective recovery from psychosis, both concurrently and longitudinally. We also aimed to investigate whether self-esteem and hopelessness mediated the observed associations between stigma and outcomes. 80 service-users with psychosis completed symptom (Positive and Negative Syndrome Scale) and subjective recovery measures (Process of Recovery Questionnaire) at baseline and 6-months later, and also completed the King Stigma Scale, the Self-Esteem Rating Scale and the Beck Hopelessness Scale at baseline. In cross sectional regression and multiple mediation analyses of the baseline data, we found that stigma predicted both symptomatic and subjective recovery, and the effects of stigma on these outcomes were mediated by hopelessness and self-esteem. When the follow-up data were examined, stigma at baseline continued to predict recovery judgements and symptoms. However, self-esteem only mediated the effect of stigma on PANSS passive social withdrawal. Self-esteem and hopelessness should be considered in interventions to reduce the effects of stigma. Interventions that address the current and long-term effects of stigma may positively affect outcome for people being treated for psychosis.

Item Type: Article
Additional Information: Date: 2015 (submitted)
Uncontrolled Keywords: social stigmas, psychosis, social discrimination, mental disorders, stereotyping/stigmatisation, indirect effects
Depositing User: Symplectic Admin
Date Deposited: 19 Jul 2016 10:25
Last Modified: 03 Apr 2021 13:10
DOI: 10.1016/j.psychres.2015.09.042
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3002372