Stigma by association and family burden among family members of people with mental illness: the mediating role of coping

Purpose This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff. Design/methodology/approach The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention. Findings Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity. Originality/value The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.

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Calidad de vida en personas diagnosticadas con trastorno límite de personalidad: papel mediador de la satisfacción vital

Revista de Psicopatología y Psicología Clínica ◽

10.5944/rppc.vol.23.num.2.2018.20954 ◽

2018 ◽

Vol 23 (2) ◽

pp. 89

Author(s):

Beatriz Thadani ◽

Ana M. Pérez-García ◽

José Bermúdez

Keyword(s):

Quality Of Life ◽

Mental Illness ◽

Life Satisfaction ◽

Borderline Personality ◽

Mediating Role ◽

Dsm 5 ◽

Calidad De Vida ◽

Sf 36

Abstract: Quality of life in patients with borderline personality disorder: The mediating role of life satisfaction. Borderline personality disorder (BPD) is a mental illness characterized by a pattern of instability in relationships, moods and behavior. Using two groups of women (clinical or diagnosed with BPD, N = 138; and control, with no physical or mental illness, N = 124) this study analyzed the differences between pathological personality traits, measured by the Personality Inventory for DSM-5 and different domains of quality of life (SF-36 and the WHODAS 2.0) as well as the mediating role of life satisfaction in personality traits and quality of life. Differences were found between the groups in pathological personality and quality of life. Moreover, many SF-36 dimensions were partially mediated by life satisfaction in both groups. Therefore, new treatments for BPD may include developing life satisfaction, palliating the effects of this disorder on quality of life, reducing its impact on day-to-day tasks.Resumen: El trastorno de personalidad límite (TPL) se caracteriza por inestabilidad en las relaciones, el humor y la conducta. Se analizaron en dos grupos de mujeres (clínico o con TPL, N = 138; y control, sin enfermedad física o mental, N = 124) las diferencias en rasgos patológicos de personalidad (evaluados con el Personality Inventory for DSM-5) y diferentes dominios de calidad de vida (SF-36 y WHODAS 2.0), así como el papel mediador de la satisfacción vital en las relaciones entre personalidad y calidad de vida. Se encontraron diferencias entre los grupos en personalidad patológica y calidad de vida. Además, varias dimensiones de calidad de vida del SF-36 estaban mediadas parcialmente por la satisfacción vital en ambos grupos. Por tanto, los tratamientos del TPL podrían incluir el desarrollo de satisfacción vital para paliar sus efectos en la calidad de vida de los que lo padecen, reduciendo su impacto en las tareas del día a día.

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“You Don't Get No Help”: The Role of Community Context in Effectiveness of Evidence-Based Treatments for People with Mental Illness Leaving Prison for High Risk Environments

American Journal of Psychiatric Rehabilitation ◽

10.1080/15487768.2013.789709 ◽

2013 ◽

Vol 16 (2) ◽

pp. 154-178 ◽

Cited By ~ 21

Author(s):

Stacey L. Barrenger ◽

Jeffrey Draine

Keyword(s):

Mental Illness ◽

High Risk ◽

Community Context ◽

Evidence Based ◽

Risk Environments ◽

People With Mental Illness ◽

Evidence Based Treatments ◽

High Risk Environments

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The mediating role of knowledge on the contact and stigma of mental illness in Hong Kong

International Journal of Social Psychiatry ◽

10.1177/0020764020975792 ◽

2020 ◽

pp. 002076402097579

Author(s):

Qi Fang ◽

Tian-Ming Zhang ◽

Yin Ling Irene Wong ◽

Yuen Yum Yau ◽

Xu-Hong Li ◽

...

Keyword(s):

Mental Health ◽

Mental Illness ◽

Hong Kong ◽

Equation Modeling ◽

Mediating Role ◽

Attitudes And Behaviors ◽

Stigmatizing Attitudes ◽

And Behaviors ◽

Prejudicial Attitudes

Background: Although knowledge is a crucial component in contact theory delineating how prejudice changes toward out-groups with stigmatized conditions, little is known about the mediating role of knowledge on contact, stigmatizing attitudes, and behaviors toward mental illness. Aim: This study aimed to examine the mechanism underlie contact and stigma change by knowledge. Methods: A total of 366 participants including family members (FM), mental health providers (MHP), and community residents (CR) recruited across communities in Hong Kong and completed measures of contact level, contact quantity, contact quality, mental health related knowledge, prejudice, and discriminatory behaviors. Structural equation modeling was adopted to test the association among the key variables. Results: Higher level of contact was significantly correlated with better knowledge, less prejudice, and less discriminatory behaviors. Knowledge was directly and negatively correlated with prejudicial attitudes but was not significantly related to discriminatory behaviors. Furthermore, lower levels of prejudice were associated with less discriminatory behaviors. Conclusion: Enhancement of contact may increase understanding toward people with mental illness (PMI) and diminish stigmatizing attitudes and behaviors. Although prejudicial attitudes may be reduced by broadening mental health knowledge, increasing knowledge only might not ameliorate discriminatory behaviors. Future research should test mediators on contact and stigma by using longitudinal data.

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