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

RLM Van Der Sanden, JB Pryor, SE Stutterheim… - Social psychiatry and …, 2016 - Springer
Social psychiatry and psychiatric epidemiology, 2016Springer
Purpose When someone has a mental illness, family members may share the experience of
stigma. Past research has established that family members' experiences of stigma by
association predict psychological distress and lower quality-of-life. Methods The present
study, conducted with 503 family members of people with mental illness examined the
prevalence of 14 different coping strategies. Of greater importance, we examined the role of
these coping strategies as mediators of the relationships between stigma by association and …
Purpose
When someone has a mental illness, family members may share the experience of stigma. Past research has established that family members’ experiences of stigma by association predict psychological distress and lower quality-of-life.
Methods
The present study, conducted with 503 family members of people with mental illness examined the prevalence of 14 different coping strategies. Of greater importance, we examined the role of these coping strategies as mediators of the relationships between stigma by association and family burden, on the one hand, and outcomes, such as psychological distress and quality-of-life, on the other.
Results
The results showed that both perceived stigma by association and family burden are associated with greater psychological distress and lower quality-of-life, and that most coping strategies mediate these relationships.
Conclusions
Adaptive coping strategies were related to reduced negative outcomes, while most maladaptive coping strategies were related to enhanced negative outcomes. Implications for intervention development are discussed.
Springer
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