Evidence map›Paper›PMID 33652325›Full record

ArticleJournal of psychiatric research2021

Support for the social-cognitive model of internalized stigma in serious mental illness.

Lauren T Catalano, Clayton H Brown, Alicia Lucksted, Samantha M Hack, Amy L Drapalski

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lauren T CatalanoDesert Pacific Mental Illness Research, Education and Clinical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA; Department of Psychiatry and Biobehavioral Science, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA. Electronic address: lcatalano@ucla.edu.
Clayton H BrownDepartment of Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA; Department of Epidemiology & Public Health, University of Maryland, School of Medicine, Baltimore, MD, USA.
Alicia LuckstedDepartment of Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA; Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland, Baltimore, MD, USA.
Samantha M HackDepartment of Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA; School of Social Work, University of Maryland, Baltimore, MD, USA.
Amy L DrapalskiDepartment of Veterans Affairs VISN 5 Mental Illness Research, Education, and Clinical Center, Baltimore, MD, USA; Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland, Baltimore, MD, USA.
University of Maryland, Baltimore · USWest Los Angeles College · US

Funding

RCT to Improve Internalized Stigma and Services Engagement Among People with SMIR01MH090036 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI LUCKSTED, ALICIA · 2011 to 2013
$1.0M
HSRD VA I01 HX000279NIMH NIH HHS R01 MH090036
6 · The paper itself

Abstract

One prominent social-cognitive model of internalized stigma by Corrigan and his colleagues (2012; 2002) proposes that individuals are exposed to societal stereotypes about mental illness, at least tacitly agree with them, and may apply them to oneself, engendering harmful self-beliefs. There is limited empirical support for this model in serious mental illness. Moreover, it is not clearly established how internalized stigma and its associated factors impact recovery in this population. The current study uses structural equation modeling (SEM) to assess the social-cognitive model's goodness of fit in a sample of Veterans with serious mental illness (Veteran sample, n = 248), and then validates the model in a second and independent sample of individuals receiving community-based psychiatric rehabilitation services (community sample, n = 267). Participants completed the Self-Stigma of Mental Illness Scale (SSMIS; Corrigan et al., 2006) and measures of self-esteem, self-efficacy, and recovery attitudes. Consistent with Corrigan and colleagues' formulation of internalized stigma, SEM analyses showed a significant indirect pathway from stereotype awareness, to stereotype agreement, to application to self, to self-esteem decrement, to poorer recovery attitudes. Additionally, there was a significant direct effect from stereotype awareness to self-esteem. This study shows that individuals with serious mental illness experience psychological harm from stigma in two ways: (1) through perceived public prejudice and bias, and (2) through internalizing these negative messages. In particular, stigma harms individuals' self-esteem, which then reduces their recovery attitudes.

Indexed as

Mental DisordersSocial StigmaCognitionHumansSelf ConceptStereotypingInternalized stigmaPerceived stigmaRecovery attitudesSelf-stigmaSerious mental illnessSocial-cognitive model

Identifiers

PMID33652325
PMCPMC8969461
OpenAlexW3131830558

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.