Internalized stigma and quality of life among persons with severe mental illness: the mediating roles of self-esteem and hope
Open accessAbstract
Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and structural equation modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem.
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Hope is associated with enhanced mental health and quality of life in the general population.
“hope is associated with enhanced mental health and quality of life in the general population [19-21]”
From A digital, coach-assisted intervention to address the psychosocial needs of young adult cancer survivors: Randomized controlled trial protocol and intervention adaptation process (2024) · cites this paper as [19]
The Introduction (page unavailable) links hope with recovery and quality of life among people with severe mental illness, and the Abstract (page unavailable) reports an association between hope and quality of life in that population. The paper does not establish the claimed association with mental health and quality of life in the general population; its mention of the general population is only a comparison of hope levels. (LLM, conf=0.88)
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References 51 · Cited by 204
Research works printed but not linked: 3
- Dubrov A 2002 The influence of hope, openness to experience and situational control on resistance to organizational change. MA Thesis Department of Psychology, Bar-Ilan University
- Landeen J Seeman V 2000 Exploring hope in individuals with schizophrenia International Journal of Psychosocial Rehabilitation 5 45 52
- Rosenberg M Society and the Adolescent Child 1965 Princeton, NJ Princeton University Press
- Authors
- Mashiach-Eizenberg, M., Hasson-Ohayon, I., Yanos, P. T., Lysaker, P. H., & Roe, D.
- Affiliations
- City University of New York (US)
- Richard L. Roudebush VA Medical Center (US)
- University of Haifa (IL)
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 208
- Issue
- 1
- Pages
- 15-20
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3665740
- OpenAlex
- W2073401322
- Cited by
- 204
- References
- 51
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 19 · 2023: 16 · 2022: 19 · 2021: 23 · 2020: 12 · 2019: 17 · 2018: 21 · 2017: 17 · 2016: 17 · 2015: 16 · 2014: 7 · 2013: 2
- FWCI
- 19.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R34MH082161)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- self-stigma, quality of life, self-esteem, hope, severe mental illness, mediation, stigma reduction interventions
- MeSH terms
- Adult, Mental Disorders, Cross-Sectional Studies, Female, Humans, Internal-External Control, Male, Models, Psychological, Quality of Life, Self Concept, Social Stigma, Hope
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