Master of Science / Department of Journalism and Mass Communications / Nancy W. Muturi / Stigma towards mental illness is a problem that runs deep in most societies, causing difficulties for the people who are ill, the people related to them, and the community (Papadopoulos, Leavey, & Vincent, 2002). Stigma is one of the most crucial reasons for depressed people to avoid seeking help. Numerous interventions and campaigns for reducing public stigma have been implemented with limited effect on mental health stigma. Previous studies have focused on effectiveness of anti-stigma messages, how they are communicated and on the use of contact strategies to strengthen campaign influence (Jensen, 2017). This study examined how the key elements of the attribution theory— locus of causality, stability, and controllability – contribute to public emotional reaction and discrimination towards people with depression. Other vital variables included the level of perceived stigma, level of contact with stigmatized persons, six dimensions of stigma, communication channels, the access to depression-related resources and demographic factors. Data were gathered through an online survey that was distributed to a random sample recruited from M-Turk (N=533). Results showed negative associations between locus of causality and negative emotions (β = -.38, t = -9.47, p =.000), and discrimination (β = -.10, t = -2.41, p =.02), which means that the more participants believe the situation are responsible for the cause of depression, the more negative emotion and intention of discrimination they held. Among all information channels, Interpersonal Channel was the only significant predictor of discrimination (β = .21, t = 4.29, p =.000). Overall, this study shows that more empathy and more familiarity with depression do not lead to less discrimination. On the contrary, participants believed people with depression were easily controlled by the situation and did not put effort to change it.

This study investigated the relationship between public stigma, self-stigma, and help-seeking attitudes in a sample of undergraduate student-athletes. Student-athletes appear to be at increased risk for developing mental health issues compared to their non-athlete counterparts (Etzel et al., 2006). However, student-athletes appear to underutilize available mental health services for fear of being labeled as mentally ill as well as other factors (Pinkerton, Hinz, and Barrow, 1989). The purpose of the current study is to explore two facets of stigma as a potential explanation for negative attitudes toward help-seeking and thus the underutilization of these mental health services. Sixty-six student-athletes completed a 10-minute paper-pencil survey. The survey included measures of self-stigma, public stigma, help-seeking attitudes, demographic variables, and an open-ended question regarding barriers to help-seeking. Results indicated that self-stigma mediated the relationship between public stigma and help-seeking attitudes, which replicates the mediated model found in Vogel et al. (2007). Self-stigma appears to explain how negative stereotypes about those who seek help are internalized to form negative attitudes toward help-seeking for student-athletes. Further, student-athletes noted barriers to help-seeking such as lack of time or knowledge of resources as well as fear of being labeled as mentally ill. Implications for research and practice are delineated.

The present study drew from the publicly available Amerispeak survey (n = 6,515) and examined public stigma towards different substances, the relationship between preferences for abstinence-based recovery and stigma toward each substance, and whether perceived dangerousness of substances moderates the relationship between preferences for abstinence-based recovery and public stigma. The results indicate that the general public has greater stigmatizing attitudes towards methamphetamine use disorder than cocaine use disorder, opioid use disorder, and alcohol use disorder. Furthermore, a preference for abstinence-based recovery was associated with greater stigmatizing attitudes toward all SUDs. The perceived dangerousness of a substance did not moderate the relationship between preference for abstinence-based recovery and stigmatizing attitudes towards SUDs but was related to public stigma in several models. Results have implications for creating stigma interventions for the general public, which can be adapted for abstinence-based settings, like healthcare organizations and treatment centers.

Previous research on stigma has identified many negative outcomes associated with its experience. These often include decreased affect and decreased life satisfaction. The present study examined sense of mastery - the sense of control one feels they have over the events in their life - as a moderator or mediator for these negative effects of stigma. To examine this, the Life Evaluations Survey was distributed to psychology students at a Southeastern university (N = 392). Participants completed measures of public stigma, self-stigma, sense of mastery, positive and negative affect, and life satisfaction. Results revealed experiences of public and self-stigma were associated with a decreased sense of mastery. In addition, sense of mastery was found to partially explain the relationship between stigma and quality of life. By contrast, results did not support a moderating role of mastery. Findings suggests that stigmatized individuals experience a sense of diminished control over their lives, which translates into decreased positive affect and life satisfaction.

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little correlation between public stigma and social distance, blameworthiness, and fear of unpredictable behavior. Only .077 of the variance in public stigma was explained by the combination of independent variables. This study has demonstrated a possible shift in societal attitudes toward mental illness. It is important to determine the cause of this change in results so that continued education regarding mental health awareness may positively affect social change.

L'objectif de cette thèse est d'explorer la stigmatisation perçue liée à la maladie d'Alzheimer (MA) parmi une population d'aidants familiaux (enfants adultes ou conjoints) accompagnant leurs proches (conjoints ou parents) vivant avec une probable MA. Parmi les patients, non seulement, il est examiné les sources de stigmatisation envers les personnes vivant avec une probable MA associées aux réactions émotionnelles et comportementales d'affiliation ou de distance sociale de l'entourage. Mais encore il est observé les facteurs de stigmatisation qui prédisent une variation de leur qualité de vie. Parmi, leurs aidants familiaux, il est étudié les facteurs de stigmatisation qui prédisent une variation de la symptomatologie dépressive et du fardeau de soins. Dans cette relation, il est étudié le rôle modérateur du soutien social. Nos résultats indiquent parmi les patients, que la fréquence des symptômes comportementaux liés à la dépression prédisent les émotions négatives et les comportements de distance sociale de l'entourage. Aussi, nous observons que la qualité de vie du patient varie selon son lieu de résidence. Au domicile, il est observé davantage de comportements de distance sociale venant de l'entourage. Parmi les proches aidants, il est constaté que soutien social modère les effets entre les émotions négatives, les comportements de distance sociale de l'entourage envers le patient, et la symptomatologie, le fardeau de soins des aidants. Mais que le soutien social exacerbe les effets entre les émotions positives de l'entourage et le fardeau de soins. Cette thèse permet d'objectiver la stigmatisation liée à la maladie d'Alzheimer parmi les patients et leurs proches aidants. Les résultats obtenus justifieraient l'élaboration d'actions de communication centrées sur la nécessité du soutien social auprès de l'ensemble des personnes affectées par la maladie d'Alzheimer. / This thesis aims at exploring the perceived stigmatization towards persons possibly leaving with Alzheimer’s disease among the population of the family caregivers – grown-up children and spouses. Not only do we have observed sources of stigmatizations aimed at patients possibly leaving with Alzheimer’s disease, in relation with emotional reactions and either affiliation behavior, or social distancing from the family and social circle, but we have also observed factors of stigmatization leading to variations in patients’ quality of life. Amongst family caregivers, we have studied factors of stigmatization leading to changes in the associated depressive symptoms and the increased caregiver burden. With respect to the relationship induced, we have given attention to the moderating role of social support. Our results show that, among patients, the negative emotions and the social distancing behavior from social circle can be linked to the frequency of behavioral symptoms related to the depression. With respect to this observation, we show an variation in the patients’ quality of life according to the places they live in. At home, we have noted increased social distancing behavior from the social circle. Amongst the relatives caregivers, we have also noticed that social support has a moderating influence on the effects of negative emotions, the social distancing behavior from the social circle towards the patient, the symptoms and the burden of care felt by the caregivers. However, the social support exacerbates the relation between positive emotions among the relatives and the burden of care. This thesis gives us the opportunity to objectify the stigmatization process with respect to Alzheimer’s disease amongst patients and their relatives caregivers. Our results could open the way to specific communications promoting the necessity for social support in favor of the entire population concerned by Alzheimer’s disease.

Stigma about mental illness is often identified as one of the most prominent obstacles to seeking mental health services. This seems to be particularly true among first responders. Unfortunately, the research regarding stigma in first responders is lacking. This may be due, in part, to the absence of appropriate measurement tools to allow such research. Stuart’s Police Officer Stigma Scale (POSS) has recently been developed to address this issue, but its psychometric properties have gone largely untested. Therefore, this study sought to identify the underlying factor structure and internal consistency of the POSS. This paper used a sample of one hundred and thirty-five first responders. This paper used a sample of one hundred and thirty-five first responders. Sixty participants were police officers, forty-eight were firefighters/EMTs, three were dispatchers, and twenty-four did not complete some portion of the scale/training and were omitted. Using factor analysis with an orthogonal rotation on Stuart’s eleven-item POSS, the participant’s results revealed two main components. Component one is “maltreatment of colleagues with a mental disorder,” and component two is “fear of disclosing a mental disorder.” Findings from this research are similar to the results of previous studies with components such as unwillingness to disclose a mental health condition, fear of how the public will treat an individual with a mental disorder, and anger towards those who decide to seek treatment or get diagnosed with a mental illness. These findings imply that Stuart’s POSS is reliable but needs to include two components rather than one. With the two main components, further research can now be conducted to understand why and ultimately mitigate maltreatment or stigma against first responders with a mental health condition.