The effect of personal and group discrimination on the subjective well-being of people with mental illness: the role of internalized stigma and collective action intention

Psychol Health Med. 2017 Apr;22(4):406-414. doi: 10.1080/13548506.2016.1164322. Epub 2016 Mar 17.

Abstract

The goal of this study is to test a model in which personal discrimination predicts internalized stigma, while group discrimination predicts a greater willingness to engage in collective action. Internalized stigma and collective action, in turn, are associated to positive and negative affect. A cross-sectional study with 213 people with mental illness was conducted. The model was tested using path analysis. Although the data supported the model, its fit was not sufficiently good. A respecified model, in which a direct path from collective action to internalized stigma was added, showed a good fit. Personal and group discrimination appear to impact subjective well-being through two different paths: the internalization of stigma and collective action intentions, respectively. These two paths, however, are not completely independent, as collective action predicts a lower internalization of stigma. Thus, collective action appears as an important tool to reduce internalized stigma and improve subjective well-being. Future interventions to reduce the impact of stigma should fight the internalization of stigma and promote collective action are suggested.

Keywords: Mental illness; affects; collective action; discrimination; internalized stigma; structural equation modelling.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Group Processes*
  • Humans
  • Intention
  • Male
  • Mentally Ill Persons / psychology*
  • Middle Aged
  • Models, Statistical
  • Prejudice / psychology*
  • Self Concept*
  • Social Stigma*
  • Young Adult