Effects of perceived social status and discrimination on hope and empowerment among individuals with serious mental illnesses.
Bipolar disorder
Depression
Empowerment Scale
Functional recovery
Herth Hope Scale
Mental health policy
Schizophrenia
Social Status Ladder
Social determinants
Journal
Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385
Informations de publication
Date de publication:
08 Feb 2020
08 Feb 2020
Historique:
received:
05
11
2019
revised:
06
02
2020
accepted:
06
02
2020
pubmed:
25
2
2020
medline:
25
2
2020
entrez:
25
2
2020
Statut:
aheadofprint
Résumé
Hope and empowerment are key elements of recovery in the context of serious mental illnesses (SMI). We examined predictors of hope among individuals with SMI and tested a hypothesized path model in which perceived social status and perceived discrimination adversely impact hope, directly and through their impacts on depressive symptoms. Data from 232 individuals with SMI receiving care in public-sector settings were used in both a multiple linear regression (predicting Herth Hope Scale scores), and in path analyses examining both direct and indirect effects of perceived social status (Social Status Ladder) and perceived discrimination (Everyday Discrimination Scale). Depressive symptoms, perceived social status, and perceived discrimination were predictive of hope. Path analyses revealed that perceived social status has a direct effect on hope and empowerment but also impacts hope through its effects on depression. Similarly, perceived everyday discrimination affects hope and empowerment, though this effect is mediated through its effects on depression. Two alternative models and a trimmed hypothesized model did not fit the data or improve fit. These social determinants of mental health should provoke program and policy change to improve mental health and enhance recovery among persons with SMI.
Identifiants
pubmed: 32092596
pii: S0165-1781(19)32255-3
doi: 10.1016/j.psychres.2020.112855
pmc: PMC7775621
mid: NIHMS1565552
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
112855Subventions
Organisme : NIMH NIH HHS
ID : R01 MH101307
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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