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The Impact of Self-Stigma and Mutual Help Programs on the Quality of Life of People with Serious Mental Illnesses

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Abstract

Mutual help programs (MHPs) are informal services developed and operated by people with serious mental illnesses for peers with these illnesses. We expect MHPs to have positive effects on quality of life and inverse associations with self-stigma. We hypothesize group identification and social support to be key ingredients that lead to MHPs benefits and hence to also be significant correlates. Eighty-five people with serious mental illness reported current and past MHP experience and completed self-report measures of quality of life, self-stigma, group identification, and social support. Self-stigma was shown to be a significant and large correlate of quality of life. Satisfaction with current and past MHP participation was also associated with quality of life. Group identification and satisfaction with one’s support network were significantly and largely associated with MHP satisfaction. MHPs are a specific example of the broader category of consumer operated services which also include drop-in centers and education-for-advocacy programs. Findings about group identification will inform ongoing development of MHPs and consumer operated services, as well as evaluation of these programs.

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References

  • Blake, R. L., & McKay, D. A. (1986). A single-item measure of social supports as a predictor of morbidity. The Journal of Family Practice, 22(1), 82–84.

    PubMed  Google Scholar 

  • Campbell, J. (2005). The historical and philosophical development of peer-run support programs. In S. Clay, B. Schell, P. W. Corrigan, & R. O. Ralph (Eds.), On our own, together: Peer programs for people with mental illness (pp. 213–238). Nashville, TN: Vanderbilt University Press.

    Google Scholar 

  • Clay, S., Schell, B., Corrigan, P. W., & Ralph, R. (2005). On our own, together: Peer programs for people with mental illness. Nashville: Vanderbilt University Press.

    Google Scholar 

  • Correll, J., & Park, B. (2005). A Model of the ingroup as a social resource. Personality and Social Psychology Review, 9, 341–359.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W. (Ed.). (2005). On the stigma of mental illness: Practical strategies for research and social change (p. 343). Washington DC: American Psychological Association Press.

    Google Scholar 

  • Corrigan, P. W. (2006). Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 15(10), 1493–1496.

    Article  Google Scholar 

  • Corrigan, P. W., & Phelan, S. (2004). Social support and recovery in people with serious mental illness. Community Mental Health Journal, 40(6), 513–523.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., & Watson, A. (2005). Findings from the national comorbidity survey on the frequency of violent behavior in individuals with psychiatric disorders. Psychiatry Research, 136, 153–162.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Faber, D., Rashid, F., & Leary, M. (1999). The construct validity of empowerment among consumers of mental health services. Schizophrenia Research, 38, 77–84.

    Article  PubMed  CAS  Google Scholar 

  • Corrigan, P. W., Slopen, N., Gracia, G., Phelan, S., Keogh, C., & Keck, L. (2005). Some recovery processes in mutual-help groups for persons with mental illness; II; qualitative analysis of participant interviews. Community Mental Health Journal, 41(6), 721–735.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Watson, A. C., & Barr, L. (2006). Understanding the self-stigma of mental illness. Journal of Social and Clinical Psychology, 25(8), 875–884.

    Article  Google Scholar 

  • Corrigan, P. W., Morris, S., Larson, J., Rafacz, J., Wassel, A., Michaels, P., et al. (2010). Self-stigma and coming out about one’s mental illness. Journal of Community Psychology, 38(3), 259–275.

    Article  Google Scholar 

  • El-Badri, S., & Mellsop, G. (2007). Stigma and quality of life as experienced by people with mental illness. Australasian Psychiatry, 15(3), 195–200.

    Article  PubMed  Google Scholar 

  • Glasford, D., Dovidio, J., & Pratto, F. (2009). I continue to feel so good about us: In-group identification and the use of social identity–enhancing strategies to reduce intragroup dissonance. Personality and Social Psychology Bulletin, 35, 415–427.

    Article  PubMed  Google Scholar 

  • Hatzidimitriadou, E. (2002). Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups. Journal of Community & Applied Social Psychology, 12(4), 271–285.

    Article  Google Scholar 

  • Hendryx, M., Green, C. A., & Perrin, N. A. (2009). Social support, activities, and recovery from serious mental illness: STARS study findings. The Journal of Behavioral Health Services & Research, 36(3), 320–329.

    Article  Google Scholar 

  • Hsiung, P., Pan, A., Liu, S., Chen, S., Peng, S., & Chung, L. (2010). Mastery and stigma in predicting the subjective quality of life of patients with schizophrenia in Taiwan. Journal of Nervous and Mental Disease, 198(7), 494–500.

    Article  PubMed  Google Scholar 

  • Jetten, J., Spears, R., & Manstead, A. (2001). Similarity as a source of differentiation: The role of group identification. European Journal of Social Psychology, 31(6), 621–640.

    Article  Google Scholar 

  • Jetten, J., Schmitt, M., Branscombe, N., & McKimmie, B. (2005). Suppressing the negative effect of devaluation on group identification: The role of intergroup differentiation and intragroup respect. Journal of Experimental Social Psychology, 41(2), 208–215.

    Article  Google Scholar 

  • Johnsen, M., Teague, G., & McDonel Herr, E. (2005). Common Ingredients as a fidelity measure for peer-run programs. In S. Clay, B. Schell, P. W. Corrigan, & R. O. Ralph (Eds.), On our own, together: Peer programs for people with mental illness (pp. 213–238). Nashville, TN: Vanderbilt University Press.

    Google Scholar 

  • Lam, J., & Rosenheck, R. (1999). Social support and service use among homeless persons with serious mental illness. International Journal of Social Psychiatry, 45(1), 13–28.

    Article  PubMed  CAS  Google Scholar 

  • Lehman, A. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11(1), 51–62.

    Article  Google Scholar 

  • Lehman, A. (1999). A review of instruments for measuring quality of life outcomes in mental health. In N. E. Miller & K. M. Magruder (Eds.), Cost-effectivenes s of psychotherapy: A guide for practitioners, researchers, and policymakers (pp. 174–181). New York, NY, US: Oxford University Press.

    Google Scholar 

  • Lundberg, B., Hansson, L., Wentz, E., & Björkman, T. (2009). Are stigma experiences among persons with mental illness, related to perceptions of self-esteem, empowerment and sense of coherence? Journal of Psychiatric and Mental Health Nursing, 16(6), 516–522.

    Article  PubMed  CAS  Google Scholar 

  • Maton, K. (1989). Community settings as buffers of life stress? Highly supportive churches, mutual help groups, and senior centers. American Journal of Community Psychology, 17(2), 203–232.

    Article  Google Scholar 

  • McCorkle, B., Rogers, E., Dunn, E., Lyass, A., & Wan, Y. (2008). Increasing social support for individuals with serious mental illness: Evaluating the compeer model of intentional friendship. Community Mental Health Journal, 44(5), 359–366.

    Article  PubMed  Google Scholar 

  • Mok, B. (2004). Individual self-help group participation and empowerment in Hong Kong. Journal of Sociology & Social Welfare, 31(3), 153–168.

    Google Scholar 

  • Mowbray, C., Bybee, D., Hollingsworth, L., Goodkind, S., & Oyserman, D. (2005). Living arrangements and social support: Effects on the well-being of mothers with mental illness. Social Work Research, 29, 41–55.

    Article  Google Scholar 

  • Mueller, B., Nordt, C., Lauber, C., Rueesch, P., Meyer, P. C., & Roessler, W. (2006). Social support modifies perceived stigmatization in the first years of mental illness: a longitudinal approach. Social Science and Medicine, 62(1), 39–49.

    Article  PubMed  Google Scholar 

  • Price, M. A., Hill, C. D., Williams, V. S., Morlock, R. J., Leeuwenkamp, O., & Patterson, T. L. (2008). Measures of functional status and quality of life in schizophrenia. Current Psychiatry Reviews, 4(1), 28–38.

    Article  Google Scholar 

  • Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129(3), 257–265.

    Article  PubMed  Google Scholar 

  • Ritsher, J., Otilingam, P., & Grajalesa, M. (2003). Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121(1), 31–49.

    Article  PubMed  Google Scholar 

  • Rogers, E. S., Chamberlin, J., Ellison, M., & Crean, T. (1997). A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatric Services, 48, 1042–1047.

    PubMed  CAS  Google Scholar 

  • Rogers, E. S., Anthony, W., & Lyass, A. (2004). The nature and dimensions of social support among individuals with severe mental illnesses. Community Mental Health Journal, 40(5), 437–450.

    Article  PubMed  Google Scholar 

  • Rogers, E. S., Ralph, R. O., & Salzer, M. S. (2010). Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatric Services, 61(9), 933–936.

    Article  PubMed  Google Scholar 

  • Rüsch, N., Lieb, K., Bohus, M., & Corrigan, P. W. (2006). Self-stigma, empowerment and perceived legitimacy of discrimination among women with mental illness. Psychiatric Services, 57(3), 399–402.

    Article  PubMed  Google Scholar 

  • Rüsch, N., Corrigan, P. W., Powell, K., Rajah, A. O., Wilkniss, S., & Batia, K. (2009a). A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophrenia Research, 110(1–3), 65–71.

    Article  PubMed  Google Scholar 

  • Rüsch, N., Corrigan, P. W., Wassell, A., Michaels, P., Olschewski, M., Wilkniss, S., et al. (2009b). Ingroup perception and responses to stigma among persons with mental illness. Acta Psychiatrica Scandinavica, 120(4), 320–328.

    Article  PubMed  Google Scholar 

  • Sarason, B. R., Sarason, I., & Pierce, G. (Eds.). (1990). Social support: An interactional view. Oxford, England: Wiley.

    Google Scholar 

  • Schutt, R. K., & Rogers, E. S. (2009). Empowerment and peer support: Structure and process of self-help in a consumer-run center for individuals with mental illness. Journal of Community Psychology, 37(6), 697–710.

    Article  Google Scholar 

  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The mini-international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.

    PubMed  Google Scholar 

  • Skantze, K., Malm, U., Dencker, S. J., May, P. R. A., & Corrigan, P. W. (1992). Comparisons of quality of life to standard of living in schizophrenic outpatients. British Journal of Psychiatry, 161, 797–801.

    Article  PubMed  CAS  Google Scholar 

  • Staring, A. B. P., Van der Gaag, M., Van den Berge, M., Duivenvoorden, H. J., & Mulder, C. L. (2009). Stigma moderates the associations of insight with depressed mood, low self-esteem, and low quality of life in patients with schizophrenia spectrum disorders. Schizophrenia Research, 115(2–3), 363–369.

    Article  PubMed  CAS  Google Scholar 

  • Tyler, T. R. (2001). Cooperation in organizations. In M. A. Hogg & D. J. Terry (Eds.), Social identity processes in organizational contexts (pp. 149–166). Philadelphia: Psychology Press.

    Google Scholar 

  • Watson, A., Corrigan, P. W., Larson, J., & Sells, M. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin, 36(6), 1312–1318.

    Google Scholar 

  • Wilkinson, G. S., & Robertson, G. J. (2006). Wide range achievement test-4 professional manual. Lutz, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

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Authors and Affiliations

  1. Illinois Institute of Technology, Chicago, IL, USA

    Patrick W. Corrigan & Kristin A. Sokol

  2. Psychiatric University Hospital, Zürich, Switzerland

    Nicolas Rüsch

Authors
  1. Patrick W. Corrigan
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  2. Kristin A. Sokol
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  3. Nicolas Rüsch
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Correspondence to Patrick W. Corrigan.

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Corrigan, P.W., Sokol, K.A. & Rüsch, N. The Impact of Self-Stigma and Mutual Help Programs on the Quality of Life of People with Serious Mental Illnesses. Community Ment Health J 49, 1–6 (2013). https://doi.org/10.1007/s10597-011-9445-2

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  • DOI: https://doi.org/10.1007/s10597-011-9445-2

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