Self-labeling as having a mental or physical illness: the effects of stigma and implications for help-seeking.

Abstract:

PURPOSE:Personal and perceived stigma can hinder persons in appraising their symptoms as constituting part of a mental illness (self-labeling), an important early step in the help-seeking process. This study examines the impact of personal and perceived stigma on self-labeling and provides prospective data on the possible connections between self-labeling and help-seeking behavior. METHODS:Personal stigmatizing attitudes, perceived stigma and self-labeling behavior as well as their statistical connections were cross-sectionally investigated in a community sample of 207 participants with a present untreated mental health problem. We further conducted prospective analyses to investigate possible associations between self-labeling and help-seeking behavior at 3 and 6 month follow-ups. Socio-demographics, previous treatment and depression symptoms were also measured as potential confounders. RESULTS:Personal stigmatizing attitudes were significantly more pronounced in respondents who self-labeled as physically compared to mentally ill, while group differences in levels of perceived stigma were not. Self-labeling as physically or mentally ill increased the likelihood of seeking help from the health service provider deemed most suitable for that label (physical: GP, p <0.05; mental: MHP, p < 0.1) compared to persons who applied no self-label. CONCLUSIONS:The findings suggest that personal stigmatizing attitudes-rather than perceived stigma-impact on self-labeling, and highlight the need for interventions that assist persons with mental illness in overcoming those attitudes. They also underscore the possible impact of self-labeling in the help-seeking process and underline the important role of GPs in mental health care. Further, preferably epidemiological research into the matter would be desirable.

authors

Horsfield P,Stolzenburg S,Hahm S,Tomczyk S,Muehlan H,Schmidt S,Schomerus G

doi

10.1007/s00127-019-01787-7

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

907-916

issue

7

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-019-01787-7

journal_volume

55

pub_type

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