The effect of personal and group discrimination on the subjective well-being of people with mental illness: the role of internalized stigma and collective action intention.

STATISTICAL correlation; DISCRIMINATION (Sociology); INTENTION; MENTAL illness; PATH analysis (Statistics); SENSORY perception; PROBABILITY theory; QUESTIONNAIRES; SCALE analysis (Psychology); SCHIZOPHRENIA; SCHIZOTYPAL personality disorder; SOCIAL stigma; GROUP process; WELL-being; STRUCTURAL equation modeling; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics

The goal of this study is to test a model in which personal discrimination predicts internalized stigma, while group discrimination predicts a greater willingness to engage in collective action. Internalized stigma and collective action, in turn, are associated to positive and negative affect. A cross-sectional study with 213 people with mental illness was conducted. The model was tested using path analysis. Although the data supported the model, its fit was not sufficiently good. A respecified model, in which a direct path from collective action to internalized stigma was added, showed a good fit. Personal and group discrimination appear to impact subjective well-being through two different paths: the internalization of stigma and collective action intentions, respectively. These two paths, however, are not completely independent, as collective action predicts a lower internalization of stigma. Thus, collective action appears as an important tool to reduce internalized stigma and improve subjective well-being. Future interventions to reduce the impact of stigma should fight the internalization of stigma and promote collective action are suggested. [ABSTRACT FROM AUTHOR]

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