ArticleSocial science & medicine (1982)2017
Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms.
Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 28 citations in OpenAlex.
- Self-stigma and depression among community-dwelling adults with physical disabilities in China: the chain mediating role of social participation and self-esteem.Frontiers in psychology · 2026Article
- Challenging the Public Stigma of Alcohol Use Disorder in the UK Using Video 'Education' and 'Contact' Interventions: A Pilot Study.International journal of mental health and addiction · 2026Article
- Anxious Traits Intensify the Impact of Depressive Symptoms on Stigma in People Living with HIV.Brain sciences · 2025Article
- The impact of self-stigma on college students' attitudes toward professional psychological help-seeking: serial-mediated effects of discrimination perceptions and core self-evaluations.Frontiers in psychology · 2025Article
- Adapting a health facility HIV stigma-reduction participatory training intervention to address drug use stigma in HIV care and treatment clinics in Dar es Salaam, Tanzania.Harm reduction journal · 2024Article
- Racial and Ethnic Differences in the Associations Between COVID-19 Stigma and Mental Health in a Population-Based Study of Adults with SARS-CoV-2 Infection.Health equity · 2024Article
- Profiles of quality of life among patients using emergency departments for mental health reasons.Health and quality of life outcomes · 2023Article
- "Lovesick": Mental Health and Romantic Relationships among College Students.International journal of environmental research and public health · 2022Article
- Article
- A Mixed-Methods Study: Sex Differences in Experiences of Stigma Associated With Alcoholism and Alcohol Use Disorders Among Injury Patients in Tanzania.Alcoholism, clinical and experimental research · 2020Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
The stigma associated with mental illness or addiction is significantly and positively related to psychiatric symptoms. According to Modified Labeling Theory, several processes should mediate this relationship, including rejection experiences, stigma management (secrecy coping), and social support. In the first comprehensive test of this theory, we examined a serial mediation model on three waves of data from 138 adults receiving outpatient behavioral health treatment. Participants were recruited from outpatient behavioral health clinics in a large northeastern city in the United States and completed interviews that assessed stigma, rejection experiences, stigma management, social support, and psychiatric symptoms. There was a direct effect between stigma and psychiatric symptoms and an indirect effect in which perceived rejection, secrecy coping and social support sequentially and longitudinally intervened in the stigma and psychiatric symptom relationship. Higher perceptions of stigma predicted more rejection experiences, which marginally increased secrecy coping and decreased social support. In turn, decreased social support increased psychiatric symptoms. We provide support for Modified Labeling Theory and the clinical utility of specific mediators in the relationship between stigma and psychiatric symptoms among adults in behavioral health treatment living in urban settings.
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