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07-02-2018 | ORIGINAL PAPER | Uitgave 5/2018

Mindfulness Model of Stigma Resistance Among Individuals with Psychiatric Disorders

Tijdschrift:: Mindfulness > Uitgave 5/2018

Auteurs:: Kevin Ka Shing Chan, Christina W. L. Lee, Winnie W. S. Mak

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Abstract

Research shows that mindfulness may help individuals with psychiatric disorders resist stigma and improve their well-being. Less is known, however, about the underlying processes. The present study examined whether mindfulness was associated with stigma resistance and, in turn, life satisfaction among individuals with psychiatric disorders, as well as the potential mechanism underlying these associations. Cross-sectional questionnaire data were collected from 311 individuals with psychiatric disorders residing in Hong Kong, China. Structural equation modeling showed that mindfulness was positively associated with stigma resistance, and this association was mediated by self-compassion and psychological flexibility. Moreover, stigma resistance was positively associated with life satisfaction, and this association was mediated by self-stigma content and self-stigma process. Findings contributed to the literature by revealing the potential pathways through which mindfulness may help individuals with psychiatric disorders build resilience against stigma and improve their subjective quality of life.

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Meer informatie

Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress and Health, 26(5), 359–371. CrossRef

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. CrossRefPubMed

Bowen, N. K., & Guo, S. (2012). Structural equation modeling. New York: Oxford University Press.

Brach, T. (2003). Radical acceptance: embracing your life with the heart of a Buddha. New York: Bantam.

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. CrossRefPubMed

Caron, J., Mercier, C., Diaz, P., & Martin, A. (2005). Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorder. Psychiatry Research, 137(3), 203–213. CrossRefPubMed

Chan, K. K. S., & Lam, C. B. (2017). Trait mindfulness attenuates the adverse psychological impact of stigma on parents of children with autism spectrum disorders. Mindfulness, 8(4), 984–994. CrossRef

Chan, K. K. S., & Lam, C. B. (in press). The impact of familial expressed emotion on clinical and personal recovery among patients with psychiatric disorders: the mediating roles of self-stigma content and process.

Chan, K. K. S., & Mak, W. W. S. (2014). The mediating role of self-stigma and unmet needs on the recovery of people with schizophrenia living in the community. Quality of Life Research, 23(9), 2559–2568. CrossRefPubMed

Chan, K. K. S., & Mak, W. W. S. (2017). The content and process of self-stigma in people with mental illness. American Journal of Orthopsychiatry, 87(1), 34–43. CrossRefPubMed

Chan, H. L., Lo, L. Y., Lin, M., & Thompson, N. (2016). Revalidation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) with its newly developed Chinese version (Ch-CAMS-R). Journal of Pacific Rim Psychology, 10(e1), 1–10. CrossRef

Chang, C. C., Wu, T. H., Chen, C. Y., Wang, J. D., & Lin, C. Y. (2014). Psychometric evaluation of the Internalized Stigma of Mental Illness Scale for patients with mental illnesses: measurement invariance across time. PLoS One, 9(6), e98767. CrossRefPubMedPubMedCentral

Chen, J., Yan, L. S., & Zhou, L. H. (2011). Reliability and validity of Chinese version of Self-compassion Scale. Chinese Journal of Clinical Psychology, 19(6), 734–736.

Corrigan, P. W., & Shapiro, J. R. (2010). Measuring the impact of programs that challenge the public stigma of mental illness. Clinical Psychology Review, 30(8), 907–922. CrossRefPubMedPubMedCentral

Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9(1), 35–53.

Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. CrossRefPubMed

Feldman, C. (2005). Compassion: listening to the cries of the world. Berkeley, CA: Rodmell Press.

Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: the development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177–190. CrossRef

Firmin, R. L., Luther, L., Lysaker, P. H., Minor, K. S., & Salyers, M. P. (2016). Stigma resistance is positively associated with psychiatric and psychosocial outcomes: a meta-analysis. Schizophrenia Research, 175(1–3), 118–128. CrossRefPubMed

Fung, K. M., Tsang, H. W., Corrigan, P. W., Lam, C. S., & Cheng, W. M. (2007). Measuring self-stigma of mental illness in China and its implications for recovery. International Journal of Social Psychiatry, 53(5), 408–418. CrossRefPubMed

Girma, E., Tesfaye, M., Froeschl, G., Möller-Leimkühler, A. M., Dehning, S., & Müller, N. (2013). Facility based cross-sectional study of self stigma among people with mental illness: towards patient empowerment approach. International Journal of Mental Health Systems, 7, 21. CrossRefPubMedPubMedCentral

Hall, G. C. N., Hong, J. J., Zane, N. W. S., & Meyer, O. L. (2011). Culturally-competent treatments for Asian Americans: the relevance of mindfulness and acceptance-based psychotherapies. Clinical Psychology: Science and Practice, 18(3), 215–231.

Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. CrossRef

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. CrossRefPubMed

Ho, R. W., Chang, W. C., Kwong, V. W., Lau, E. S., Chan, G. H., Jim, O. T., et al. (in press). Prediction of self-stigma in early psychosis: 3-year follow-up of the randomized-controlled trial on extended early intervention. Schizophrenia Research.

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. CrossRef

Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. CrossRefPubMedPubMedCentral

Kornfield, J. (1993). A path with heart. New York: Bantam Books.

Lam, C. S., Tsang, H. W., Corrigan, P. W., Lee, Y. T., Angell, B., Shi, K., et al. (2010). Chinese lay theory and mental illness stigma: implications for research and practices. Journal of Rehabilitation, 76(1), 35–40.

Lau, Y. W., Picco, L., Pang, S., Jeyagurunathan, A., Satghare, P., Chong, S. A., & Subramaniam, M. (2017). Stigma resistance and its association with internalised stigma and psychosocial outcomes among psychiatric outpatients. Psychiatry Research, 257, 72–78. CrossRefPubMed

Lien, Y. J., Kao, Y. C., Liu, Y. P., Chang, H. A., Tzeng, N. S., Lu, C. W., & Loh, C. H. (2015). Internalized stigma and stigma resistance among patients with mental illness in Han Chinese population. Psychiatric Quarterly, 86(2), 181–197. CrossRefPubMed

Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: a preliminary test of a theoretical model. Annals of Behavioral Medicine, 37(1), 58–69. CrossRefPubMed

Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385. CrossRef

Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Social Science and Medicine, 71(12), 2150–2161. CrossRefPubMed

Luoma, J. B., Kohlenberg, B. S., Hayes, S. C., Bunting, K., & Rye, A. K. (2008). Reducing self-stigma in substance abuse through acceptance and commitment therapy: model, manual development, and pilot outcomes. Addiction Research and Theory, 16(2), 149–165. CrossRefPubMed

Luoma, J., Drake, C. E., Kohlenberg, B. S., & Hayes, S. C. (2011). Substance abuse and psychological flexibility: the development of a new measure. Addiction Research and Theory, 19(1), 3–13. CrossRef

Luoma, J. B., Kohlenberg, B. S., Hayes, S. C., & Fletcher, L. (2012). Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. Journal of Consulting and Clinical Psychology, 80(1), 43–53. CrossRefPubMed

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. CrossRefPubMed

Mak, W. W., & Cheung, R. Y. (2010). Self-stigma among concealable minorities in Hong Kong: conceptualization and unified measurement. American Journal of Orthopsychiatry, 80(2), 267–281. CrossRefPubMed

Mak, W. W., Poon, C. Y., Pun, L. Y., & Cheung, S. F. (2007). Meta-analysis of stigma and mental health. Social Science and Medicine, 65(2), 245–261. CrossRefPubMed

Mak, W. W., Chan, R. C., Pang, I. H., Chung, N. Y., Yau, S. S., & Tang, J. P. (2016). Effectiveness of Wellness Recovery Action Planning (WRAP) for Chinese in Hong Kong. American Journal of Psychiatric Rehabilitation, 19(3), 235–251. CrossRef

Mak, W. W., Chan, R. C., Wong, S. Y., Lau, J. T., Tang, W. K., Tang, A. K., et al. (2017). A cross-diagnostic investigation of the differential impact of discrimination on clinical and personal recovery. Psychiatric Services, 68(2), 159–166. CrossRefPubMed

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. CrossRef

Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12(2), 160–176. CrossRef

Neff, K. D., & Tirch, D. (2013). Self-compassion and ACT. In T. B. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance, and positive psychology: the seven foundations of well-being (pp. 78–106). Oakland: Context Press/New Harbinger Publications.

Palmeira, L., Pinto-Gouveia, J., & Cunha, M. (2017). Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (Kg-Free): a randomized controlled trial. Appetite, 112, 107–116. CrossRefPubMed

Papadopoulos, C., Foster, J., & Caldwell, K. (2013). ‘Individualism-collectivism’ as an explanatory device for mental illness stigma. Community Mental Health Journal, 49(3), 270–280. CrossRefPubMed

Patsiopoulos, A. T., & Buchanan, M. J. (2011). The practice of self-compassion in counseling: a narrative inquiry. Professional Psychology: Research and Practice, 42(4), 301–307. CrossRef

Quinn, D. M., Williams, M. K., & Weisz, B. M. (2015). From discrimination to internalized mental illness stigma: the mediating roles of anticipated discrimination and anticipated stigma. Psychiatric Rehabilitation Journal, 38(2), 103–108. CrossRefPubMedPubMedCentral

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy, 18(3), 250–255. CrossRefPubMed

Rapgay, L., & Bystrisky, A. (2009). Classical mindfulness: an introduction to its theory and practice for clinical application. Annals of the New York Academy of Sciences, 1172, 148–162. CrossRefPubMed

Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research, 121(1), 31–49. CrossRefPubMed

Ritsner, M., Ponizovsky, A., Endicott, J., Nechamkin, Y., Rauchverger, B., Silver, H., & Modai, I. (2002). The impact of side-effects of antipsychotic agents on life satisfaction of schizophrenia patients: a naturalistic study. European Neuropsychopharmacology, 12(1), 31–38. CrossRefPubMed

Rogers, W. M., & Schmitt, N. (2004). Parameter recovery and model fit using multidimensional composites: a comparison of four empirical parceling algorithms. Multivariate Behavioral Research, 39(3), 379–412. CrossRef

Salzberg, S. (1997). Lovingkindness: the revolutionary art of happiness. Boston, MA: Shambala.

Salzberg, S. (2005). The force of kindness: change your life with love and compassion. Boulder, CO: Sounds True.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological Methods, 7(4), 422–445. CrossRefPubMed

Sibitz, I., Unger, A., Woppmann, A., Zidek, T., & Amering, M. (2011). Stigma resistance in patients with schizophrenia. Schizophrenia Bulletin, 37(2), 316–323. CrossRefPubMed

Skinta, M. D., Lezama, M., Wells, G., & Dilley, J. W. (2015). Acceptance and compassion-based group therapy to reduce HIV stigma. Cognitive and Behavioral Practice, 22(4), 481–490. CrossRef

Slade, M. (2009). Personal recovery and mental illness: a guide for mental health professionals. Cambridge: Cambridge University Press. CrossRef

Strauss, C., Taylor, B. L., Gu, J., Kuyken, W., Baer, R., Jones, F., & Cavanagh, K. (2016). What is compassion and how can we measure it? A review of definitions and measures. Clinical Psychology Review, 47, 15–27. CrossRefPubMed

Stuart, H. (2008). Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry, 7(3), 185–188. CrossRefPubMedPubMedCentral

Teddlie, C., & Tashakkori, A. (2009). Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences. Newbury Park, CA: Sage.

Thoits, P. A. (2011). Resisting the stigma of mental illness. Social Psychology Quarterly, 74(1), 6–28. CrossRef

Tsang, H. W., Angell, B., Corrigan, P. W., Lee, Y. T., Shi, K., Lam, C. S., et al. (2007). A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery. Social Psychiatry and Psychiatric Epidemiology, 42(9), 723–733. CrossRefPubMed

Verhaeghe, M., Bracke, P., & Bruynooghe, K. (2008). Stigmatization and self-esteem of persons in recovery from mental illness: the role of peer support. International Journal of Social Psychiatry, 54(3), 206–218. CrossRefPubMed

Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z., Olson, M. C., et al. (2013). Compassion training alters altruism and neural responses to suffering. Psychological Science, 24(7), 1171–1180. CrossRefPubMedPubMedCentral

Wu, C. H., & Wu, C. Y. (2008). Life satisfaction in persons with schizophrenia living in the community: validation of the satisfaction with life scale. Social Indicators Research, 85(3), 447–460. CrossRef

Yadavaia, J. E., & Hayes, S. C. (2012). Acceptance and commitment therapy for self-stigma around sexual orientation: a multiple baseline evaluation. Cognitive and Behavioral Practice, 19(4), 545–559. CrossRef

Yang, X., & Mak, W. W. S. (2017). The differential moderating roles of self-compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8(3), 595–602. CrossRef

Ye, J., Chen, T. F., Paul, D., McCahon, R., Shankar, S., Rosen, A., & O’Reilly, C. L. (2016). Stigma and discrimination experienced by people living with severe and persistent mental illness in assertive community treatment settings. International Journal of Social Psychiatry, 62(6), 532–541. CrossRefPubMed

Zhang, C. Q., Chung, P. K., Si, G., & Liu, J. D. (2014). Psychometric properties of the Acceptance and Action Questionnaire–II for Chinese college students and elite Chinese athletes. Measurement and Evaluation in Counseling and Development, 47(4), 256–270. CrossRef

Titel: Mindfulness Model of Stigma Resistance Among Individuals with Psychiatric Disorders
Auteurs:: Kevin Ka Shing Chan
Christina W. L. Lee
Winnie W. S. Mak
Publicatiedatum: 07-02-2018
DOI: https://doi.org/10.1007/s12671-018-0887-2
Uitgeverij: Springer US
Tijdschrift: Mindfulness
Uitgave 5/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535

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Mindfulness Model of Stigma Resistance Among Individuals with Psychiatric Disorders

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