Affiliate stigma of mental illness in family caregivers of persons with mental illness in Hong Kong

2021 ◽  
pp. 002076402110577
Author(s):  
Xu-Hong Li ◽  
Shu-Yu Deng ◽  
Tian-Ming Zhang ◽  
Yi-Zhou Wang ◽  
Dan-Nuo Wei ◽  
...  

Background: Affiliate stigma of family caregivers may severely influence family caregiving, early treatment, and recovery of people with mental illness (PMI), and it may be impacted by the knowledge of mental illness and contact with PMI. However, little is known about the correlation between affiliate stigma of family caregivers of PMI and contact in Hong Kong. Aims: This study aimed to investigate affiliate stigma and its influencing factors among family caregivers of PMI in Hong Kong. Methods: A total of 106 family caregivers in Hong Kong participated in the study. The measurements included affiliate stigma, contacts (quantity, quality, and level), knowledge, prejudice, and discriminatory behaviors. Multiple regression analyses were employed. Results: The mean score of affiliate stigma scale (ASS) in family caregivers was 2.17 ( SD = 0.65). In regression analyses, the results showed that contact quantity and contact level were significantly associated with higher affiliate stigma and its cognitive domain, while contact quality (e.g. positive contact) were significantly associated with lower affiliate stigma and its all domains among family caregivers. The positive relationship between prejudicial attitudes and affiliate stigma was also found. Conclusions: Affiliate stigma is severe among family caregivers of PMI in Hong Kong. The results of this study indicate that contact, especially positive contact, contributes to reducing affiliate stigma among family caregivers of PMI. The results of this study are important for development of health policy on reducing stigma in family caregivers of PMI. The effectiveness of Enhancing Contact Model (ECM) should be examined in future anti-stigma interventions.

2021 ◽  
pp. 002076402199747
Author(s):  
Mao-Sheng Ran ◽  
Man-Man Peng ◽  
Yuen Yum Yau ◽  
Tian-Ming Zhang ◽  
Xu-Hong Li ◽  
...  

Background: It remains unknown what the impacts of multiple dimensions of contact (e.g. level, quantity and quality) are on the stigma of mental illness. Aims: To explore the relationship between the multiple dimensions of contact and stigma of mental illness among family members (FM), mental health workers (MHW) and community residents (CR) in Hong Kong. Methods: The stigma, contact and knowledge were measured in FM, MHW and CR in Hong Kong. Multiple regression analyses were used. Results: MHW ( n = 141) had higher knowledge, more contact and lower stigma of mental illness than CR ( n = 95) or FM ( n = 62). Knowledge and contact quality were significantly associated with lower stigma of mental illness in the three groups. However, contact level and contact quantity were not significantly associated with most stigma components. The contact level was positively associated with stigma of mental illness among FM and CR. Conclusions: The results of this study highlight the differences in knowledge, contact and stigma of mental illness among different stakeholder groups. This study suggests that positive contact (e.g. equal, supportive, voluntary and pleasant contact) reduces stigma of mental illness, while negative contact (e.g. unfriendly, unsupportive, unpleasant contact) may increase stigma. The Enhancing Contact Model (ECM) should be tested in future anti-stigma interventions.


2004 ◽  
Vol 28 (12) ◽  
pp. 451-454 ◽  
Author(s):  
K. F. Chung ◽  
M. C. Wong

Aims and MethodThe study was intended to rectify the lack of data on how Chinese people experience the stigma of mental illness. A questionnaire on perceived stigmatisation, experiences of rejection and ways of coping with stigma was completed by 193 persons attending a psychiatric out-patient clinic in Hong Kong.ResultsMost of the participants were aware of the stigma associated with mental illness, but experiences of rejection were relatively less frequent. Eleven per cent of the respondents indicated that they were neglected by health care professionals and 8% had been avoided by family members. The most frequently reported coping method was maintaining secrecy about the illness.Clinical ImplicationsIn China, people with mental health problems experience stigma in various degrees. However, some of the people surveyed expressed feelings of relief that others were supportive and sympathetic towards their illness. Mental health professionals should maintain optimism in helping their patients to cope with the stigma.


2016 ◽  
Vol 27 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Daniel Kim-Wan Young ◽  
Petrus Y. N. Ng ◽  
Jia-Yan Pan ◽  
Daphne Cheng

Purpose: This study aims to translate and test the reliability and validity of the Internalized Stigma of Mental Illness-Cantonese (ISMI-C). Methods: The original English version of ISMI is translated into the ISMI-C by going through forward and backward translation procedure. A cross-sectional research design is adopted that involved 295 participants randomly drawn from a population of Chinese consumers participated in different kinds of community-based mental health services. Results: Results show that the Cronbach’s α coefficient of the ISMI-C is .93. With regard to validity test, the ISMI-C shows significant and negative correlation with measures on self-esteem and quality of life. Also, an explorative factor analysis yields five factors that are consistent with previous research results. Discussion: This study shows that the ISMI-C is a reliable and valid measure. ISMI-C can facilitate the development of interventions in reducing self-stigma for people with mental illness across Chinese societies.


2017 ◽  
Vol 61 (6) ◽  
pp. 1067-1082 ◽  
Author(s):  
Petrus Ng ◽  
Daniel KW Young ◽  
Jiayan Pan ◽  
King-Keung Law

Family members play an important role in caregiving with more emphasis on early intervention for people suffering from mental illness. Using both quantitative and qualitative methods, this study examines the effects of a community mental health intervention project (CoMHIP) on burdens of caregivers who have family members with suspected mental illness. Results showed that family caregivers’ burden and psychological stress level had been reduced ( p < .001). The caregivers subjectively experienced a significant reduction in stress regarding the caregiving subscales, supervision, tension, worrying and urging after seeking CoMHIP service. Findings for the study have implications on social work interventions regarding family caregiving of people with suspected mental health problems.


2010 ◽  
Vol 19 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Herbert Matschinger

Aims– Based on findings from population surveys, we provide an overview of the public's emotional reactions to people with mental illness.Methods– A literature search for populations studies using measures of emotional response to people with mental illness was carried out. In addition, data on the public's emotional reactions, originating from representative surveys conducted in Germany in the years 1990, 1993 and 2001, were analysed.Results– Positive emotional reactions to people with mental illness are most prevalent, followed by fear and anger. This pattern appears relatively stable across different cultures. In recent years, the emotional response of the public remained unchanged or even deteriorated. The public seems to react quite differently to people with different mental disorders. Emotional reactions have a substantial effect on the desire for social distance. The association between familiarity with mental disorder and the desire for social distance is to a considerable extent mediated through emotions.Conclusions– The public's emotional reactions to people with mental disorder are relatively under-researched. More research may help better understand the complexities of the stigma surrounding mental illness. Interventions aimed at reducing the stigma of mental illness may benefit from paying more attention to emotions.


2016 ◽  
Vol 208 (4) ◽  
pp. 314-315 ◽  
Author(s):  
Patrick W. Corrigan

SummaryTwo approaches have emerged to deal with the stigma of mental illness: normalcy, where people with mental illness are framed as ‘just like everyone else’; and solidarity, where the public agrees to stand with those with mental illness regardless of their symptoms. Pros and cons of each approach are considered.


2020 ◽  
Vol 47 (10) ◽  
pp. 1211-1227
Author(s):  
Jennifer Eno Louden ◽  
Perman Gochyyev ◽  
Jennifer L. Skeem

Specialty mental health probation caseloads have shown promise in reducing recidivism for justice-involved people with mental illness. However, assignment to these caseloads may be stigmatizing due to labeling effects. We examined (1) whether assignment to specialty probation versus traditional probation is associated with greater internalized stigma among clients and (2) whether probation officers are the source of some of this stigmatization. As part of a multisite longitudinal study, 138 specialty probation clients and 148 similar clients from traditional probation rated their internalized stigma of mental illness, and officers rated their attitudes toward each of their supervisees. Specialty probation clients experienced more internalized stigma ( d = .61) than traditional clients. Although both specialty and traditional officers held stigmatizing attitudes toward clients, only traditional officers’ attitudes were associated with clients’ internalized stigma. Probation officers from both types of agency may benefit from antistigma interventions to effectively work with clients with mental illness.


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