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Experienced stigma and its impacts in psychosis: The role of social rank and external shame

Wood, Lisa and Irons, Chris (2017) 'Experienced stigma and its impacts in psychosis: The role of social rank and external shame.' Psychology and Psychotherapy: Theory, Research and Practice, 90 (3). pp. 419-431. ISSN 0007-1129

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Objectives Experienced stigma is detrimental to those who experience psychosis and can cause emotional distress and hinder recovery. This study aimed to explore the relationship between experienced stigma with emotional distress and recovery in people with psychosis. It explored the role of external shame and social rank as mediators in these relationships. Design A cross‐sectional design was implemented. Methods Fifty‐two service users were administered a battery of questionnaires examining experienced stigma, external shame, social rank, personal recovery, positive symptoms, depression, and anxiety. Correlation and multiple regression analysis were conducted on the data. Where appropriate, mediation analysis was employed to explore social rank and external shame as mediatory variables. Results Experienced stigma was significantly related to shame (social rank and external shame), positive symptoms, emotional distress (depression and anxiety), and personal recovery. The impact of experienced stigma on depression was mediated by external shame. Social rank was a mediator between experienced stigma and personal recovery only. Conclusion People with psychosis who have experienced stigma are likely to experience emotional distress and be inhibited in their recovery. This was found to be partly mediated by external shame and low social rank. Clinical approaches to stigma need to target these as potential maintenance factors.

Item Type: Article
Uncontrolled Keywords: emotion dysregulation; interpersonal problems; personality disorders; symptom severity
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA790 Mental Health
Divisions: Faculty of Science and Health
Faculty of Science and Health > Health and Social Care, School of
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 01 May 2018 14:43
Last Modified: 06 Jan 2022 13:43

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