Stigma resistance and its association with internalised stigma and psychosocial outcomes among psychiatric outpatients

• Published in: Psychiatry research 2017-11, Vol.257, p.72-78
• Main Authors: Lau, Ying Wen, Picco, Louisa, Pang, Shirlene, Jeyagurunathan, Anitha, Satghare, Pratika, Chong, Siow Ann, Subramaniam, Mythily
• Format: Article
• Language: English
• Subjects: Adult; Ambulatory Care - psychology; Ambulatory Care - trends; Cross-Sectional Studies; Defense Mechanisms; Ethnic Groups - psychology; Female; Humans; Internalised stigma; Male; Mental Disorders - ethnology; Mental Disorders - psychology; Mental Disorders - therapy; Mental illness; Middle Aged; Multi-ethnicity; Outpatients - psychology; Self Concept; Singapore; Singapore - ethnology; Social Stigma; Stigma resistance; Treatment Outcome; Young Adult
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/j.psychres.2017.07.027

Studies have suggested that stigma resistance plays an important role in the recovery from mental illness. However, there has been limited research in Asian countries that has examined the benefits of stigma resistance among the mentally ill in Asian populations. Hence, this study aimed to assess the prevalence of stigma resistance and establish the socio-demographic correlates of stigma resistance, as well as its association with internalised stigma and psychosocial outcomes among a multi-ethnic population of 280 outpatients with obsessive compulsive disorder (OCD), schizophrenia, depressive disorders and anxiety disorders in Singapore. Prevalence of stigma resistance measured using the Stigma Resistance subscale of the Internalised Stigma of Mental Illness Scale was 82.9%. ANOVA and logistic regressions were conducted and results revealed that: (i) Stigma resistance was positively associated with being separated/divorced/widowed but negatively associated with depression diagnosis; (ii) Psychosocial outcomes such as self-esteem and psychological health were positively associated with stigma resistance; and (iii) Internalised stigma was negatively associated with stigma resistance. Moving forward, treatments could emphasize on improving the self-esteem and psychological health of patients to increase their stigma resistance for counteracting effects of public and internalised stigma. •280 multi-ethnic outpatients with various mental disorders were recruited.•82.9% of the participants had moderate to high stigma resistance.•Marital status and diagnosis were significantly associated with stigma resistance.•Quality of life and self-esteem were positively associated with stigma resistance.•Internalised stigma and stereotype endorsement were negatively associated with stigma resistance.