Internalized stigma, anticipated discrimination and perceived public stigma in adults with ADHD
Abstract
The objective of this study is to assess internalized stigma, perceived public stigma, anticipated discrimination and their associations with demographic, psychiatric and psychosocial characteristics in adult ADHD. Stigmatization was assessed with the Internalized Stigma of Mental Illness Scale, the Questionnaire on Anticipated Discrimination and the Questionnaire on Public Stereotypes Perceived by Adults with ADHD. The sample comprised n = 104 adults with ADHD, of whom n = 24 (23.3%) reported high internalized stigma, n = 92 (88.5%) anticipated discrimination in daily life and n = 70 (69.3%) perceived public stigma. Internalized stigma and/or anticipated discrimination correlated with ADHD symptoms, psychological distress, self-esteem, functional impairment and quality of life and was associated with ADHD family history and employment status. Most frequently perceived stereotypes were doubts about the validity of ADHD as a mental disorder. Internalized stigma and anticipated discrimination are highly prevalent in adult ADHD and correlate with the burden of disease. ADHD is associated with characteristic public stereotypes, which are distinct from stereotypes related to other mental disorders. Stigmatization should be considered in the clinical management of adult ADHD and evaluated further in future studies.
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Adults with ADHD frequently experience stigma about their diagnoses, with 89% reporting anticipated discrimination in daily lives.
“Adults with ADHD frequently experience stigma about their diagnoses, with 89% reporting anticipated discrimination in their daily lives (Masuch et al., 2019).”
From The experiences of adults with ADHD in interpersonal relationships and online communities: A qualitative study (2023) · cites this paper as Masuch et al., 2019
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- Authors
- Masuch, T. V., Bea, M., Alm, B., Deibler, P., & Sobanski, E.
- Affiliations
- Heidelberg University (DE)
- Corresponding author
- Sobanski, Esther
- Venue
- ADHD Attention Deficit and Hyperactivity Disorders
- Published
- 2018-10-19
- Volume
- 11
- Issue
- 2
- Pages
- 211-220
- ISSN
- 1866-6116 (ISSN-L)
- 1866-6647
- OpenAlex
- W2897772912
- Cited by
- 85
- References
- 44
- Citations by year
- 2026: 22 · 2025: 16 · 2024: 20 · 2023: 9 · 2022: 8 · 2021: 2 · 2020: 7 · 2019: 1
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- ADHD Attention Deficit and Hyperactivity Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- adult ADHD, self-stigma, anticipated discrimination, perceived public stigma, mental health stigma, psychological distress, self-esteem, quality of life, functional disability, employment status, family history of ADHD
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Quality of Life, Self Concept, Stereotyping, Young Adult, Social Stigma, Anticipation, Psychological, Social Discrimination
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