Is stigma internalized? The longitudinal impact of public stigma on self-stigma

J Couns Psychol. 2013 Apr;60(2):311-316. doi: 10.1037/a0031889. Epub 2013 Feb 18.

Abstract

Stigma is considered an important barrier to seeking mental health services. Two types of stigma exist: public stigma and self-stigma. Theoretically, it has been argued that public stigma leads to the development of self-stigma. However, the empirical support for this assertion is limited to cross-sectional data. Therefore, the goal of this research was to examine the relationship between public stigma and self-stigma over time. Perceptions of public and self-stigma were measured at Time 1 (T1) and then again 3 months later at Time 2 (T2). Using structural equation modeling, we conducted a cross-lag analysis of public stigma and self-stigma among a sample of 448 college students. Consistent with assertions that public stigma leads to the development of self-stigma, we found that public stigma at T1 predicted self-stigma at T2, whereas the converse was not true. These findings suggest that if self-stigma develops from public stigma, interventions could be developed to interrupt this process at the individual level and reduce or eliminate self-stigma despite perceptions of public stigma.

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Internal-External Control*
  • Longitudinal Studies
  • Male
  • Mental Disorders / psychology*
  • Mental Disorders / therapy*
  • Models, Psychological
  • Patient Acceptance of Health Care / psychology*
  • Psychological Theory
  • Psychotherapy*
  • Self Concept*
  • Self Efficacy
  • Social Stigma*
  • Stereotyping
  • Students / psychology*
  • Surveys and Questionnaires*
  • Young Adult