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An Attribution Model of Public Discrimination Towards Persons with Mental Illness
Abstract
In this study, we build on previous work by developing and estimating a model of the relationships between causal attributions (e.g., controllability, responsibility), familiarity with mental illness, dangerousness, emotional responses (e.g., pity, anger, fear), and helping and rejecting responses. Using survey data containing responses to hypothetical vignettes, we examine these relationships in a sample of 518 community college students. Consistent with attribution theory, causal attributions affect beliefs about persons' responsibility for causing their condition, beliefs which in turn lead to affective reactions, resulting in rejecting responses such as avoidance, coercion, segregation, and withholding help. However, consistent with a danger appraisal hypothesis, the effects of perceptions of dangerousness on helping and rejecting responses are unmediated by responsibility beliefs. Much of the dangerousness effects operate by increasing fear, a particularly strong predictor of support for coercive treatment. The results from this study also suggest that familiarity with mental illness reduces discriminatory responses.
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“Community stigma was operationalized using a 12-item scale adapted from Corrigan et al.'s Attribution Questionnaire [29]”
From Co-creating systems change for mental health: a theory of change approach from the MeHPriC initiative in Lagos, Nigeria (2025) · cites this paper as [29]
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Dohle, S., Schreiber, M., Wingen, T., & Baumann, M. (2021) · Journal of Applied Social Psychology · doi:10.1111/jasp.12844 · Cited by 12
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“Further studies would therefore be required to collect data specifically relating to attribution theory within this population, perhaps building on expanded attribution models such as that developed by Corrigan et al. (2003) which included controllability of cause as a predictor of social distance.”
BackgroundGeneral Beliefs About Illicit Drug Use and Stigma: Perspective of People Who Use Illicit Drugs
Ventura, C. A. A., Carrara, B. S., Fernandes, R. H. H., Bobbili, S. J., Eugênio, S. J., Domingos, S. G. D. Á., & Ferreira, P. S. (2022) · Community Mental Health Journal · doi:10.1007/s10597-022-00944-8 · Cited by 8
“The belief that people who use illicit drugs are dangerous can lead to fear and prejudice, leading to discriminatory actions and behavrious (Corrigan et al., 2003).”
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“In particular, stigmatizing beliefs held by the general public have been suggested to influence the emotional reactions and helping behaviors of community members, while worsening denial of the illness by the affected individual [4, 5, 12].”
BackgroundStigmatised attitudes towards the ‘stressed’ or ‘ill’ models of mental illness
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“Although some types of mental illnesses, such as depression, are not as stigmatized as others (e.g., schizophrenia and drug dependence), evidence suggests that the stigma surrounding mental illness endures in the United States (Corrigan et al. 2003; Link et al. 1999; Martin, Pescosolido, and Tuch 2000; Martin et al. 2…”
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“Interestingly, those are the main predictor emotions as put forward by research on stigma of mental illnesses (Angermeyer et al., 2010; Corrigan et al., 2003) which may suggest that the SCM framework omits specificities concerning some stereotypic subgroups.”
Comartin, E. B., Wells, K., Zacharias, A., & Kubiak, S. P. (2020) · The Prison Journal · doi:10.1177/0032885520956334 · Cited by 8
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College Students’ Reasons for Depression Nondisclosure in Primary Care
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“This method has frequently been utilized in mental health stigma research (Corrigan et al., 2003; Halter, 2004; Lepatin et al., 2012).”
MethodWillingness to treat drug dependence and depression: comparisons of future health professionals
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The impact of religiosity and attribution theory on attitudes toward addiction and cancer
Switzer, B., & Boysen, G. A. (2008) · Mental Health Religion & Culture · doi:10.1080/13674670802428449 · Cited by 8
“We measured stigmatizing attitudes relating to dangerousness, social distance, blame for the illness, negative emotion, and failure to help (Boysen & Vogel, 2008; Corrigan et al., 2003).”
BackgroundMoralização sobre o uso de álcool entre agentes comunitários de saúde
da Silveira, P. S., Martins, L. F., & Ronzani, T. M. (2009) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 8
Public beliefs about trauma and its consequences: Profiles and correlates of stigma
Clapp, J. D., Sowers, A. F., Freng, S. A., Elmi, L. M., Kaya, R. A., & Bachtel, A. R. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.992574 · Cited by 6
Assessing Determinants of Shifting Attitudes on Drug Policy Reform in Maine
Glover, R. W., & Sporer, K. (2023) · Journal of Drug Issues · doi:10.1177/00220426231205797 · Cited by 7
“…towards substance use disorder (ASUD) scale is a measure adapted from earlier work on exposure to those with mental health issues and substance use disorder (Bathje et al., 2019; Corrigan et al., 2003) and is designed to gauge respondent stigma towards individuals with substance use disorder (SUD).”
Zeng, X. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e32985 · Cited by 7
“One concerns the mechanism of self-stigma increasing the symptoms of mental illness [32].”
BackgroundMethodResultInfluentialInstitutional Epistemic Isolation in Psychiatric Healthcare
Spencer, L. J. (2024) · Social Epistemology · doi:10.1080/02691728.2024.2403620 · Cited by 7
“…but familiarity could also extend to somatic illnesses): ‘it varies in intensity from viewing television portrayals of mental illness, to having a friend or co-worker with mental illness, to having a family member with mental illness, to having a mental illness oneself’ (Corrigan et al. 2003, 166).”
Kwak, H., Puzakova, M., McGill, A. L., & Kim, J. (2025) · Journal of the Academy of Marketing Science · doi:10.1007/s11747-025-01086-5 · Cited by 7
“Previous research further indicates that stereotypical characteristics of a person are likely to influence impressions of that person in the absence of external factors (i.e., situational or environmental conditions external to the actor; Corrigan et al. (2003)).”
Mental Illness Stigma in Turkish and Greek Cypriot Communities Living in Cyprus: A Pilot Study
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“is different from some previous studies suggesting the psychosocial attribution leading to stigma because the affected people were blamed for not controlling the psychosocial roots (Corrigan et al., 2003; Martin et al., 2000).”
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“In study 1, we used Corrigan et al.’s (2003) Personal Responsibility Beliefs subscale to measure perceived controllability.”
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Vielma-Aguilera, A., Castro-Alzate, E. S., Saldivia, S., & Pamela Grandón, F. (2021) · Revista Ciencias de la Salud · doi:10.12804/revistas.urosario.edu.co/revsalud/a.10054 · Cited by 11
Reducing mental illness stigma: What types of images are most effective?
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“Drawing on Corrigan et al. (2003), coercion-segregation towards the story’s protagonist was assessed by asking participants to rate four items such as ‘I think Eliza poses a risk to her neighbors unless she is hospitalized’ (alpha 0.95).”
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“Median (IQR) 19 (16-21) 19 (16-21) 17 (12-21) 16.”
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“‘as a result of a brain tumour’ or ‘as a result of abusing illegal drugs’), based on the finding that specifying the cause of mental illness influences stigma towards those with mental illness [17].”
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DSM-5 Trichotillomania: Perception of Adults with Trichotillomania After Psychosocial Treatment
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Autism, Art, and Accessibility to Theater
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Werner, S. (2017) · Journal of Intellectual Disability Research · doi:10.1111/jir.12439 · Cited by 7
Interpersonal Contact and Attitudes Toward Adolescents Who Abuse Substances
Richardson, G. B., Montgomery, L., & Brubaker, M. D. (2016) · Journal of Drug Education · doi:10.1177/0047237917744330 · Cited by 7
Attitude toward mental illnesses among paramedical professionals and junior doctors
Shah, H., Solanki, C., Vankar, G., & Parikh, M. N. (2017) · Annals of Indian Psychiatry · doi:10.4103/aip.aip_23_17 · Cited by 7
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Pilot of a consumer based anti-stigma mentorship program for nursing students
Fokuo, J. K., Maroney, M. M., & Corrigan, P. W. (2019) · Journal of Public Mental Health · doi:10.1108/jpmh-02-2019-0020 · Cited by 7
Self-citationOpening the Minds’ Eye: The Pivotal Role of Sympathy in Depression Coverage Effectiveness
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“This finding was different from Corrigan et al. (2003) statement that the attribution of depression causes outside the individual could make people feel pity and compassion, which indicates that the attribution message strategy in the depression news coverage plays a significant role in triggering…”
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Die Haltung der Öffentlichkeit zu Zwangsmassnahmen bei psychiatrischen PatientInnen
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“Diese Einstellung kann wiederum durch bestehende Kontakte mit Betroffenen verändert werden [37].”
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Can stigmatizing attitudes be prevented in psychology students?
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Reducing Employers' Stigma by Supported Employment
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Ferrari, S., Bressi, C., Busnelli, E., Mattei, G., Pozzoli, S. M., Oliva, A., Galeazzi, G. M., & Pingani, L. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17145207 · Cited by 6
Devkota, H. R., Poudel, S., Shrestha, M. K., Oli, R. U., Rai, N. K., Poudel, M. P., Banjara, P., Malla, C., Hazel, Y. P., Dahal, A., et al. (2024) · BMC Public Health · doi:10.1186/s12889-024-18682-9 · Cited by 7
“Stigma often leads to negative beliefs, stereotypes, prejudice, and a desire to avoid or exclude stigmatized persons [4].”
BackgroundSauer, S. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.116937 · Cited by 6
Aspekte der Inanspruchnahme von Psychotherapie in Deutschland zu Zeiten der DDR und danach
Gallistl, A., Strauss, B. M., Kaufmann, M. T., Nussmann, H. D., Heller, A., & Brähler, E. (2024) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/a-2351-4232 · Cited by 6
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Foster, L., LEATHEM, J. M., & Humphries, S. (2016) · Brain Injury · doi:10.1080/02699052.2016.1174783 · Cited by 6
“mental illness literature [10,11] it was expected that support would be found for both mediation models.”
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Shearer, A. L., Röth, E., Cefalu, M. S., Breslau, J. A., McBain, R. K., Wong, E. C., Burnam, M. A., & Collins, R. L. (2020) · Psychiatric Services · doi:10.1176/appi.ps.202000064 · Cited by 6
Knettel, B. A., Cherenack, E. M., & Friis-Healy, E. A. (2021) · Journal of American College Health · doi:10.1080/07448481.2020.1846046 · Cited by 6
“Attributions, which are beliefs about the source and cause of an illness, are influential in guiding perceptions of mental illness and mental health treatment.(8) For example, causal attributions have been associated with internalized and social stigma, care-seeking decisions, levels of care engagement, and treatment…”
BackgroundPark, I. Y., Barman‐Adhikari, A., Hsu, H.-T., Narendorf, S. C., Maria, D. S., Shelton, J., Ferguson, K. M., Bender, K., & Petering, R. (2021) · Journal of Technology in Human Services · doi:10.1080/15228835.2021.1931636 · Cited by 6
“Moreover, YAEH face discrimination due to their experience of homelessness and their demographics, such as race/ethnicity, gender, and sexual orientation (Corrigan et al., 2003).”
BackgroundMind the Gap: Researching ‘Alternatives to Coercion’ in Mental Health Care
Gooding, P. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.021 · Cited by 8
Pei, L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1001796 · Cited by 8
“When a worker discloses a mental disease, he or she may face stigmarelated negative behaviors from instructors and students, such as social rejection, prejudice, discrimination, and harassment (104, 108, 109).”
BackgroundChen, J., Bao, Y., Zhang, G., & Huang, X. (2022) · Sustainability · doi:10.3390/su142215408 · Cited by 6
Distributive justice criteria and social categorization processes predict healthcare allocation bias
Madeira, F., Bú, E. A. D., Freitas, G. S., & Pereira, C. R. (2022) · British Journal of Health Psychology · doi:10.1111/bjhp.12640 · Cited by 6
Liang, L.-Y., & Zhang, Y. (2022) · Psychiatry · doi:10.1080/00332747.2022.2154505 · Cited by 6
“…with increased depression (Grant et al., 2016), anxiety (Grant et al., 2016), loneliness (Mao et al., 2020), decreased self-esteem (Wartelsteiner et al., 2016), poor self-efficacy (Fan et al., 2021), higher avoidance and isolation (Corrigan et al., 2003), and diminished hope (Mao et al., 2020).”
BackgroundWho Helps Who? The Role of Stigma Dimensions in Harassment Intervention
Ghumman, S. S., Ryan, A. M., & Park, J. S. (2023) · Journal of Business Ethics · doi:10.1007/s10551-022-05307-7 · Cited by 6
“…hypothetical question: “If a coworker with one of the following attributes ( religious person, Atheist, etc.) was being harassed at work,…” coupled with a modified 2-item helping scale (Corrigan et al., 2003), rating their willingness to help (e.g., how likely is it that you would help this person?”
Public Attitudes towards Penalties for Sexting by Minors
Blyth, C., & Roberts, L. D. (2014) · Current Issues in Criminal Justice · doi:10.1080/10345329.2014.12036012 · Cited by 6
“A fourth item on blame (Lambert and Raichle 2000) was added to improve the internal reliability of .70 reported by Corrigan et al (2003).”
BackgroundCommunity-Based Mental Health Services: Is Coercion Necessary?
Sullivan, W. P., & Carpenter, J. (2010) · Journal of Social Work in Disability & Rehabilitation · doi:10.1080/1536710x.2010.493483 · Cited by 6
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News media framing of self-harm in Australia.
Staniland, L., Hasking, P. A., Lewis, S. P., & Boyes, M. E. (2021) · Stigma and Health · doi:10.1037/sah0000350 · Cited by 6
Thibodeau, R., & Merges, E. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00870-6 · Cited by 6
“Some published evidence supports this view (Corrigan et al., 2003; Weiner et al., 1988; see also Jones et al., 1984).”
The stigma of mental health professionals towards users with a mental disorder.
Valverde-Bolivar, E., García-Arenas, J. J., Pelegrin, I. L., Pérez-Gómez, L., Muñoz, M., & Simonelli‐Muñoz, A. J. (2022) · PubMed Central · Cited by 6
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“This trend has been demonstrated through vignette research and survey research on attitudes and behaviors toward those believed to have mental health problems (Boisvert & Faust, 1999; Corrigan et al., 2003; Link, Cullen, Frank, & Wozniak, 1987; Martin, Pescosolido, & Tuch, 2000).”
BackgroundStigmatizing attributions towards depression among South Asian and Caucasian college students
Thapar-Olmos, N., & Myers, H. F. (2017) · International Journal of Culture and Mental Health · doi:10.1080/17542863.2017.1340969 · Cited by 6
“Attribution theory is a well-validated model that explicates the relationships between attributions, emotions, and behaviours in a reliable and testable manner (Corrigan et al., 2003; Weiner, 2006).”
BackgroundResultKhan, S., Gonzalez, T., McKenzie, R., & Feng, B. (2022) · Journal of Health Communication · doi:10.1080/10810730.2022.2104412 · Cited by 5
Luo, T., Xu, S., & Zhang, K. (2024) · Drug and Alcohol Review · doi:10.1111/dar.13818 · Cited by 5
Mamolis, G., Triantafyllopoulou, P., & Jones, K. (2024) · Journal of Long-Term Care · doi:10.31389/jltc.189 · Cited by 5
Johansson, O., & Kunst, J. (2017) · Journal of Applied Social Psychology · doi:10.1111/jasp.12483 · Cited by 4
Buck, B., & Hester, N. (2018) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2018.37.1.69 · Cited by 5
Autism Spectrum Disorder and Harassment: An Application of Attribution Theory
Mogavero, M. C., & Hsu, K. (2018) · International Journal of Criminology and Sociology · doi:10.6000/1929-4409.2018.07.19 · Cited by 5
“Applying AT or explaining one’s behavior in terms of a disorder typically assigns less culpability and decreases one’s criminal responsibility for their behavior (Corrigan et al. 2003; Freckelton and List 2009).”
BackgroundMethodInfluentialŚwitaj, P., Grygiel, P., Krzyżanowska-Zbucka, J., Sonik-Włodarczyk, J., Chrostek, A., Jaholkowski, P. P., Wciórka, J., & Anczewska, M. (2019) · Psychiatria Polska · doi:10.12740/pp/109818 · Cited by 5
“The Attribution Questionnaire-9 [33] was constructed based on the attribution model of the stigma of mental illness [34, 35], according to which attributions about the causes of mental illness and an individual’s ability to control them affect our beliefs about the degree of personal responsibility for the illness whi…”
MethodSörman, K., Cox, J. M., Rimsten, C. E., Stanziani, M. R., Lernestedt, C., Kristiansson, M., & Howner, K. (2020) · Criminal Justice and Behavior · doi:10.1177/0093854820910774 · Cited by 5
“In contrast, offenses that are perceived to be the result of an organic cause outside the control of the person charged with a crime (e.g., due to head injury), are more likely to evoke sympathy and result in less punitive sentiments (Corrigan et al., 2003; Markowitz & watson, 2015).”
BackgroundGarbacz, S. A., Vatland, C. H., Kern, L., von der Embse, N. P., Novotnak, T., Minch, D. R., & Weist, M. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108551830.013 · Cited by 6
Lack of continuity of care experienced by people diagnosed with schizophrenia in South Korea
Oh, H., Kim, M., Kim, J., Choi, H., Kim, H. S., Holley, L. C., & Kweon, O. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13446 · Cited by 5
The influence of Alzheimer’s disease stigma on pain assessment in older persons
Vitou, V., Gély-Nargeot, M.-C., Jeandel, C., & Bayard, S. (2022) · Dementia · doi:10.1177/14713012221117907 · Cited by 10
“…on the literature about mental health stigma even though the processes and determinants may differ in some ways, given that dementia diagnoses do not elicit the same kind of emotional and cognitive attributions (Corrigan, 2007; Corrigan et al., 2003; Link et al., 1989; Werner et al., 2010, 2011).”
BackgroundKako zaposleni roditelji djece s teškoćama u razvoju usklađuju zahtjeve radne i obiteljske uloge?
Ombla, J., Slišković, A., Ivanišević, M. N., Šimunić, A., & Ljubičić, M. (2023) · Revija za sociologiju · doi:10.5613/rzs.53.1.3 · Cited by 5
Stereotypes of people with intellectual disabilities held by university education students
Beunza‐García, S., Biencinto, C., del Peral, J. A. M., Fenellós, C. B., & Molina, E. C. (2023) · Research and Practice in Intellectual and Developmental Disabilities · doi:10.1080/23297018.2023.2240362 · Cited by 5
Stereotypes and OCD-Symptom Presentations: A Mixed-Methods Evaluation Using Male-Character Vignettes
Ponzini, G. T., Signorelli, M., Claydon, E. A., Lilly, C. L., & Steinman, S. A. (2023) · Clinical Psychological Science · doi:10.1177/21677026231192893 · Cited by 7
“AQ-9.”
InfluentialGerhart, J. I., Oswald, L. B., McLouth, L. E., Gibb, L., Perry, L. M., England, A. E., Sannes, T., Schoenbine, D., Ramos, K., Greenberg, J., et al. (2023) · Illness, crises, and loss · doi:10.1177/10541373231201952 · Cited by 7
“Individuals are more likely to be discriminated against when their behavior is deemed to be within their control, dangerous, or unfamiliar (Corrigan et al., 2003; Corrigan & Nieweglowski, 2019).”
Iimura, D., & Ishida, O. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1279169 · Cited by 5
Błaszkiewicz, M., Szcześniak, D. M., Ciułkowicz, M., Kowalski, K., Rymaszewska, J. E., Bartosz, B., Bulińska, K., Karczewski, M., Brodaty, H., & Rymaszewska, J. (2024) · Aging & Mental Health · doi:10.1080/13607863.2024.2320139 · Cited by 7
“We adopt the Corrigan’s conceptualization of stigma (P. Corrigan et al., 2003) as the process of assigning cognitive attributions to another person (stereotyping), followed by the emotional reactions (positive, such as compassion or sorrow, and negative, e.g. embarrassment or shame), which, in turn…”
Drążkowski, D., & Trepanowski, R. (2024) · SAGE Open · doi:10.1177/21582440241251471 · Cited by 5
“…the cause of an illness as controllable (such as HIV/ AIDS, drug addiction, and obesity), they tend to blame the affected individual, ostracize them from society, feel less fondness and pity toward them, and exhibit less desire to offer assistance (Corrigan et al., 2000, 2003; Weiner et al., 1988).”
Increasing Social Support for Women via Humanizing Postpartum Depression
Wang, T. G., & Pavelko, R. L. (2024) · Health Communication · doi:10.1080/10410236.2024.2361582 · Cited by 5
“…in line with other studies investigating causal beliefs and social biases associated with traditionally stigmatized disorders like schizophrenia (P. Corrigan et al., 2003), stuttering (Boyle, 2016), HIV (Seacat et al., 2007), AIDS, obesity, and drug addiction (Weiner et al., 1988), indicating that…”
Chaves, A., Arnáez, S., Roncero, M., & García‐Soriano, G. (2024) · Brain and Behavior · doi:10.1002/brb3.70159 · Cited by 5
Burnout in mental health professionals and its relation with their attitudes towards mental illness
Olmo-Romero, F. D., Rebolleda-Gil, C., Varandas, P., Martı́n-Carrasco, M., González-Blanco, M., Perna, G., Pomarol‐Clotet, E., Martinez-Cabezón, A. C., Huerta-Ramírez, R., & Salvador, R. (2024) · The European Journal of Psychiatry · doi:10.1016/j.ejpsy.2024.100289 · Cited by 7
Galanis, C. R., & King, D. L. (2025) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2024.100581 · Cited by 5
Prototype analysis on beliefs about people with depression: Examining Japanese university students
Kashihara, J. (2016) · The Japanese journal of psychology · doi:10.4992/jjpsy.87.14071 · Cited by 5
Metadata
- Authors
- Corrigan, P., Markowitz, F. E., Watson, A., Rowan, D., & Kubiak, M. A.
- Affiliations
- University of Chicago (US)
- Northern Illinois University (US)
- Prairie State College (US)
- Venue
- Journal of Health and Social Behavior
- Publisher
- SAGE Publications
- Published
- 2003-06
- Volume
- 44
- Issue
- 2
- Pages
- 162
- ISSN
- 0022-1465 (ISSN-L)
- OpenAlex
- W2104804522
- Cited by
- 1,407
- References
- 81
- Citations by year
- 2026: 73 · 2025: 98 · 2024: 83 · 2023: 88 · 2022: 95 · 2021: 123 · 2020: 99 · 2019: 85 · 2018: 57 · 2017: 71 · 2016: 76 · 2015: 63 · 2014: 56 · 2013: 50 · 2012: 52
- FWCI
- 19.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health and Social Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r24mh062198-06)
- National Institute of Mental Health (5 R24 MH62198)
- 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 › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental illness, causal attribution, attribution theory, perceived dangerousness, responsibility beliefs, fear, pity, anger, rejection response, involuntary treatment, segregation, community college students, stigma
- MeSH terms
- Adult, Attitude to Health, Mental Disorders, Female, Humans, Male, Models, Psychological, Prejudice, Social Environment, Stereotyping, Students, Universities, Midwestern United States, Behavioral Research
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