Mental health literacy, stigma, shame and self criticism: a study among young adults

Mª da Luz Vale-Dias, Mariana Maia de Carvalho, Maria Joao Martins, Sandra Vieira

Resumen


Mental health literacy (MHL) and mental illness stigma (MIS) represent new horizons of study and intervention, particularly important, for both communities and clinical settings (European Commission & Portuguese Ministry of Health, 2010). In this paper we aimed to: a) describe a clinical sample (CS) and non clinical group (NCG) in aspects related to family history of psychopathology, contact with mental illness and “learning about mental illness”; b) differentiate groups in terms of MHL, shame and self criticism; c) test associations between MHL with shame and self criticism; and, in the clinical sample, d) test the relationship between self stigma, shame and self criticism; e) explore the predictor role of other’s support in self stigma. To do so we collected data from a sample of 187 young adults, including CS and NCG, using: a Sociobiographic Questionnaire; Opinions about Mental Illness (Cohen & Struening, 1962); Other as Shamer Scale (Goss, Gilbert & Allan, 1994); Internalized Shame Scale (Cook, 1994); and Forms of Self Criticizing and Self Reassuring Scale (Gilbert, Clarke, Hempel, Miles, & Irons, 2004). Our results show that: most of the subjects learned what is mental illness at school; CS know more people that has or had mental illness than NCG; there are no differences on MHL within samples; shame and self criticism are higher in the CS and correlate with self stigma; others support predict self-stigma. Several research and clinical implications are presented.


Palabras clave


mental health literacy; shame; self criticism; clinical sample; community sample; young-adults

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Referencias


BMC - Bourget Management Consulting for the Canadian Alliance on Mental Illness (2007). Mental Health Mental Health Literacy: A Review of the Literature, retrieved from: http://www.camimh.ca/files/literacy/LIT_REVIEW_MAY_6_07.pdf

Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in. Psychiatric Treatment, 6, 65-72.

Campos, L. (2014). Abrir espaço à saúde mental. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.

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

Castilho, P. & Pinto-Gouveia, J. (2011). Autocriticismo: Estudo de validação da versão portuguesa da escala das formas do auto-criticismo e auto-tranquilização (FSCRS) e da escala das funções do auto-criticismo e auto-ataque (FSCS). Psychologica, 54, 63-86.

Cohen, J. & Struening, E.L. (1962). Opinions about mental illness in the personnel of two large mental hospitals. Journal of Abnormal and Social Psychology, 64, 349–360.

Cook, D. R. (1994). Internalized Shame Scale: Professional manual. Menomonie, WI: Channel Press, Available from author: E 5886 803rd Ave., Menomonie, WI 54751.

Corrigan, P.W., Demming Lurie, B., Goldman, H.H., Slopen, N., Medasani, K., & Phelan, S. (2005). How Adolescents Perceive the Stigma of Mental Illness and Alcohol Abuse. Psychiatric Services, 56, 544-550.

Eisenberg, D., Downs, M., Golberstein, E., Zivin, K. (2009). Stigma and Help-seeking for Mental Health among College Students. Medical Care Research & Review, 66(5), 522-541.

European Commission & Portuguese Ministry of Health (2010) [on line]. Background document for the thematic conference - Promoting Social Inclusion and Combating Stigma for better Mental Health and Well-being. Available at: http://ec.europa.eu/health/mental_health/docs/ev_20101108_bgdocs_en.pdf.

Gilbert, P. (2007). Psychotherapy and Counselling for Depression (3rd Eds). London: Sage.

Gilbert, P., Clarke, M., Hempel, S., Miles, J. N. V., & Irons, C. (2004) Criticising and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43, 31-50.

Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 235–263). London: Brunner-Routledge.

Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures. I: The other as shamer scale. Personality and Individual Differences, 17, 713–717.

Hogan, M. F. (2003). New Freedom Commission Report: The President’s New Freedom Commission. Recommendations to transform mental healthcare in America. Psychiatric Services,54,1467–1474.

Jorm, A. (Fevereiro, 2014). Literacia em saúde mental uma década de investigação e desafios. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.

Jorm, A. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177, 396-401.

Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollit, P. (1997). “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166, 182-186.

Jorm, A.F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67, 231-243.

Loureiro, L., Mendes, A., Barroso, T., Santos, J., Oliveira, R., & Ferreira, R. (2012). Literacia em Saúde Mental de Adolescentes e Jovens: conceitos e desafios. Revista de Enfermagem Referência, 3 (6), 157-166.

Loureiro, L., Dias, C. & Aragão, R. (2008). Crenças e Atitudes acerca das doenças e doentes mentais – Contributos para o estudo das representações sociais da loucura. Revista Referência, 8, 33-44. Disponível em: http://www.esenfc.pt/rr/rr/index.phpid_website=3&d=1&target=DetalhesArtigo&id_artigo=2118&id_rev=4&id_edicao=24

Matos, M., Pinto-Gouveia, J., & Duarte, C. (2011). Other as Shamer. Versão portuguesa e propriedades psicométricas de uma medida de vergonha externa [Other as Shamer: Portuguese version and psychometric properties of a measure of external shame]. Manuscript submitted for publication.

Matos, M., Pinto-Gouveia, J., & Duarte, C. (2012a). Above and beyond emotional valence: The unique contribution of central and traumatic shame memories to psychopathology vulnerability.

Memory, 20 (5), 461-477.

Matos, M., Pinto-Gouveia J., & Duarte, C. (2012b). When I don’t like myself: Psychometric properties of the Portuguese version of the Internalized Shame Scale. Spanish Journal of Psychology, 15 (3), 1411-1423.

Nestad G., Samuels J., Romanoski A., Folstein M. & McHugh P. (1994). Obsessions and compulsions in the community. Acta Psychiatrica Scandinavica, 89, 219-224.

Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21 st century. Health Promotion International, 15(3), 259–267.

Organização Mundial de Saúde (OMS) (2001). Saúde mental, nova concepção, nova esperança: Relatório sobre a Saúde no Mundo. Genebra: OMS.

Palha, F. (Fevereiro, 2014). O estigma como inibidor da procura de ajuda em saúde mental. Communication presented at Primeiro Congresso Internacional de Literacia sobre Saúde Mental – Coimbra.

Phelan, J.C., Link, B.G., Stueve, A. & Pescosolido, B.A. (2000). Public conceptions of mental illness in 1950 and 1996: What is mental illness and is it to be feared? Journal of Health and Social Behavior, 41(2), 188-207.

Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental problems [Supplement]. Australian e-Journal for the Advancement of Mental Health, 4(3), 2–34.

Tangney, J. P., & Dearing R. L. (2002). Shame and Guilt. New York: Guilford.

World Health Organization (1998). Health promotion glossary. World Health Organization: Geneva. Retrieved from: http://www.who.int/healthpromotion/about/HPR%20Glossary%201998.pdf

Zuroff, D. C., Santor, D., & Mongrain, M. (2005). Dependency, self-criticism, and maladjustment. In J. S. Auerbach, K. J. Levy & C. E. Schaffer (Eds.), Relatedness, Self-Definition and Mental Representation: Essays in Honor of Sidney J. Blatt. London: Brunner- Routledge.




DOI: https://doi.org/10.17060/ijodaep.2014.n1.v2.416 Statistics: Resumen : 836 views. PDF (English) : 559 views.  

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"International Journal of Developmental and Educational Psychology."

Revista Infad de Psicología.

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ISSN impreso: 0214-9877