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Psychological Distress and Subjective Burden of Caregivers of People with Mental Illness: The Role of Affiliate Stigma and Face Concern

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Abstract

The present study tested the mediating role of affiliate stigma on the relationships between face concern with psychological distress and subjective burden among caregivers of people with severe mental illnesses. One hundred and eight Chinese caregivers in Hong Kong were surveyed. Based on Baron and Kenny’s (J Pers Soc Psychol 51:1173–1182, 1986) approach, affiliate stigma was found to serve as a partial mediator between face concern and caregiver distress and a full mediator between face concern and subjective burden. Cultural linkage of stigma and caregiver outcomes was identified, suggesting that researchers and practitioners should use a culturally sensitive approach to understand caregivers’ experience and alleviate their stigma.

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Acknowledgments

The study was supported by the Hong Kong Research Grants Council Competitive Earmarked Research Grant (Project No. CUHK4145/04H). We sincerely thank the staff of Baptist Oi Kwan Social Service, Hong Kong Familylink Mental Health Advocacy Association, and New Life Psychiatric Rehabilitation Association for their assistance in data collection.

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Correspondence to Winnie W. S. Mak.

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Mak, W.W.S., Cheung, R.Y.M. Psychological Distress and Subjective Burden of Caregivers of People with Mental Illness: The Role of Affiliate Stigma and Face Concern. Community Ment Health J 48, 270–274 (2012). https://doi.org/10.1007/s10597-011-9422-9

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  • DOI: https://doi.org/10.1007/s10597-011-9422-9

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