Effects of perceived social status and discrimination on hope and empowerment among individuals with serious mental illnesses

PSYCHIATRY RESEARCH

卷:286

Article

Langlois, Stephanie¹  Pauselli, Luca²  Anderson, Simone³  Ashekun, Oluwatoyin¹  Ellis, Samantha³  Graves, JaShala³  Zern, Adria⁴  Gaffney, Ebony³  Shim, Ruth S.⁵  Compton, Michael T.⁴ 

[1] DeKalb Community Serv Board, 445 Winn Way, Decatur, GA USA

[2] Icahn Sch Med Mt Sinai, St Lukes West Hosp Ctr, Dept Psychiat, 1 Gustave L Levy Pl, New York, NY 10029 USA

[3] Gateway Behav Hlth Serv, 800 E 70th St, Savannah, GA USA

[4] Columbia Univ, Dept Psychiat, Vagelos Coll Phys & Surg, 722 W 168th St, New York, NY 10027 USA

[5] Univ Calif Davis, Dept Psychiat & Behav Sci, 2230 Stockton Blvd, Sacramento, CA 95817 USA

关键词: Bipolar disorder;    Depression;    Empowerment Scale;    Functional recovery;    Herth Hope Scale;    Mental health policy;    Schizophrenia;    Social determinants;    Social Status Ladder;   

DOI  :  10.1016/j.psychres.2020.112855

来源: Elsevier

【 摘 要 】

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.

【 授权许可】

Free