ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019
The impact of experienced discrimination and self-stigma on sleep and health-related quality of life among individuals with mental disorders in Hong Kong.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.Sleep health · 2022Pooled it
- Self-stigma and suicide risk mediates the associations of inattention/impulsivity symptoms with psychological distress and quality of life among people with schizophrenia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- The cost of high cognitive insight: chain mediation of stigma and dysfunctional sleep beliefs and attitudes in chronotype among patients with schizophrenia.Frontiers in psychiatry · 2026Article
- The Association Between Tuberculosis-Related Stigma and Sleep Quality Among Hospitalized Tuberculosis Patients: The Indirect Role of Anxiety.Patient preference and adherence · 2026Article
- Association of self-stigma, impulsivity, and insomnia with anxiety and depression in patients with Kallmann syndrome.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Mental health stigma and its consequences: a systematic scoping review of pathways to discrimination and adverse outcomes.EClinicalMedicine · 2025Review
- Changes in mental health stigma and well-being: knowledge, attitudes and behavioural intentions among Hong Kong residents between 2021 and 2023.BJPsych open · 2025Article
- Longitudinal impact of mental health mindsets on self-stigma and well-being among individuals with mental disorders.Applied psychology. Health and well-being · 2025Article
- Longitudinal impact of stigma resistance on mental health among individuals with mental disorders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Psychosocial Correlates of Insomnia Symptoms Among Women and Men Receiving Buprenorphine Treatment for Opioid Use Disorder.NeuroSci · 2025Article
- Comorbidity Network of Self-Stigma, Insomnia, and Mental Health in Chronic Disease Patients: A Network Analysis.Psychology research and behavior management · 2025Article
- Examining associations among daily discrimination, psychosocial risk factors, and pain outcomes in people with chronic low back pain.Frontiers in pain research (Lausanne, Switzerland) · 2025Article
- Visitor characteristics and changes in mental health stigma after attending the Mind Space mental health experience exhibition.Frontiers in psychiatry · 2024Article
- The relationship between self-stigma and quality of life in long-term hospitalized patients with schizophrenia: a cross-sectional study.Frontiers in psychiatry · 2024Article
- Longitudinal impact of self-stigma content and process on parental warmth and hostility among parents of children with autism spectrum disorder.Journal of autism and developmental disorders · 2023Article
- Sleep Disturbances and Chronic Pain in People with HIV: Implications for HIV-Associated Neurocognitive Disorders.Current sleep medicine reports · 2022Article
- Racial Discrimination and Health-Related Quality of Life: An Examination Among Asian American Immigrants.Journal of racial and ethnic health disparities · 2022Article
- The stigma of patients with chronic insomnia: a clinical study.BMC psychiatry · 2022Article
- Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade.Frontiers in psychiatry · 2022Article
- Differential Impact of Experienced and Anticipated Discrimination on Sleep and Health Among Sexual Minorities.Archives of sexual behavior · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
Abstract
purposeFor many individuals with mental disorders, stigma may represent a potent stressor that can disrupt sleep and impair health and quality of life. In this study, we tested a stigma model of sleep health, hypothesizing that public stigma (as indicated by experienced discrimination) and internalized stigma (as indicated by self-stigma content and process) would affect sleep and, in turn, health-related quality of life (HRQoL) among individuals with mental disorders.
methodsA total of 282 individuals with mental disorders from Hong Kong, China, completed questionnaire measures of experienced discrimination, self-stigma content and process, sleep disturbance, and physical and mental HRQoL. Structural equation modeling and Bootstrap analyses were conducted to analyze the relations among the variables.
resultsStructural equation modeling showed that experienced discrimination was positively associated with self-stigma content and process, which were, in turn, linked to greater sleep disturbance and consequently poorer physical and mental HRQoL. Bootstrap analyses further demonstrated that experienced discrimination had significant indirect effects on sleep disturbance, via self-stigma content and process, and on physical and mental HRQoL, via self-stigma content and process and sleep disturbance.
conclusionsTheoretically, this study highlighted the importance of considering the contributions of both public and internalized stigma, and differentiating between self-stigma content and process, when evaluating the sleep quality and health status of individuals with mental disorders. Practically, this study pointed to the necessity of developing anti-stigma and anti-self-stigma interventions at societal and individual levels in order to reduce stigma-related stress and improve sleep and health outcomes among individuals with mental disorders.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.