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“Depression is who I am”: Mental illness identity, stigma and wellbeing
Abstract
Background Previous research has found that in the face of discrimination, people tend to identify more strongly with stigmatized groups. Social identification can, in turn, buffer wellbeing against the negative consequences of discrimination. However, this rejection identification model has never been tested in the context of mental illness identity.Methods A survey was conducted with 250 people with diagnosed depression or current symptoms of at least moderate clinical severity.Results Experiencing mental illness stigma was associated with poorer wellbeing. Furthermore, people who had experienced such stigma were more likely to identify as a depressed person. Social identification as depressed magnified, rather than buffered, the relationship between stigma and reduced wellbeing. This relationship was moderated by perceived social norms of the depressed group for engaging in depressive thoughts and behaviors.Conclusions These findings suggest that mental illness stigma is a double-edged sword: as well as the direct harms for wellbeing, by increasing identification with other mental illness sufferers, stigma might expose sufferers to harmful social influence processes.
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“Some authors have highlighted the social role of diagnostic labels, such as Cruwys and Gunaseelan (111) who found that people diagnosed with depression tended to identify more with their diagnosis when they faced stigma, using the identification with a group as a buffer against discrimination.”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [111]
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Metadata
- Authors
- Cruwys, T., & Gunaseelan, S.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Cruwys, Tegan
- ORCID
- Cruwys, Tegan
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 189
- Pages
- 36-42
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1875970793
- Cited by
- 162
- References
- 57
- Citations by year
- 2026: 14 · 2025: 41 · 2024: 10 · 2023: 19 · 2022: 14 · 2021: 14 · 2020: 11 · 2019: 16 · 2018: 8 · 2017: 9 · 2016: 6
- FWCI
- 12.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- mental health stigma, depression, social identification, well-being, discrimination, social norms, social influence
- MeSH terms
- Adaptation, Psychological, Depression, Female, Humans, Male, Middle Aged, Queensland, Social Adjustment, Social Identification, Stereotyping, Social Stigma
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