Impact Of Eating Disorder Type On General Population Perceptions Of Stigma And Likelihood Of Comorbidity, Gabri Notov, Grace Schroeder, Kaz Skelton, Kevin Summers, Sarah Huff

DU Undergraduate Research Journal Archive

Eating disorders carry a significant risk of mortality, necessitating further research. Previous work has examined how stigma influences treatment seeking in other mental health conditions, creating a potential area for improving disordered eating outcomes. Additionally, prior meta-analyses have discovered high comorbidity of other mental health diagnoses with disordered eating. Some work has attempted to examine the perception of comorbid mental health problems alongside eating disorders, but this construct has not been studied in depth within general populations. To date, no work has simultaneously examined stigmatization and knowledge of common mental health problems with disordered eating in this population. This study …

Assessing Middle Eastern American Attitudes Towards Substance Use Disorders, Hazem Alata, Hussein Bazzi, Saleh Al-Juburi, Angie Achkar, Liam Browning, Nicole Oska, Adam Chaban, Arash Javanbakht

Medical Student Research Symposium

Assessing Middle Eastern American Attitudes Towards Substance Use Disorders

Introduction:

Substance use disorders (SUD) among Middle Eastern and North African (MENA) populations remain largely understudied, despite evidence of high prevalence rates and lower rates of treatment engagement. Unique cultural conceptualizations and beliefs surrounding substance use disorders may perpetuate stigma, further contributing to disparities in access to and utilization of treatment services. This study aims to explore the attitudes and perspectives of individuals from MENA communities regarding substance use disorders, with the goal of identifying and addressing barriers to treatment.

Methods:

An anonymous bilingual Qualtrics survey was administered, gathering responses from …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Stigma Of Obesity And Healthcare Utilization, Moya A. O'Leary

Antioch University Dissertations & Theses

The impact of personal factors on healthcare utilization is an essential area of research to improve overall health outcomes among the population. This study explored the relationship between perceived stigma and healthcare avoidance among men and evaluated the relationship between self-reported body mass index (BMI) and avoidance of healthcare appointments due to weight-related stigma and other reasons. This study found no significant relationship between BMI and avoidance of preventive medical appointments due to perceived stigma. However, men from all weight categories endorsed avoiding preventive healthcare appointments due to weight-related reasons and for other reasons. This study explored the reported reasons …

Measuring Intersectional Strength And Stigma Among Racially Minoritized Gender Diverse Young Adults, Joseph Carter

Dissertations, Theses, and Capstone Projects

Background: Racially minoritized transgender and gender expansive young adults (RMTGEYA; aged 18-26) experience mental health inequities due to intersectional, multilevel stigma. RMTGEYA communities embody intersectional strength and resilience that can mitigate the impact of stigma. Understanding and capturing strength and stigma factors to address these inequities has significant implications for clinical science research and practice. There is, however, a complete absence of instruments that are validated to do so. Objective: The goal of this study is to conduct a three-phase, mixed methods study that centers intersectional and community engaged methods of psychometric development for a measure that captures daily experiences …

Centering Veg*Ns Of Color: An Intersectional Imperative To Anti-Veg*N Stigma, Caitlin M. Mercier

Faculty Publications – Psychology

Veg*ns of color continue to be underrepresented with their health less understood in veg*n scholarship. As intersectionality and health outcomes remain an understudied focus in anti-veg*n scholarship, the concealable stigmatized identity (CSI) framework offers a way to identify the link between stigmatization and health outcomes for VOC. Using the CSI framework, the paper provides a review of multilevel manifestations of anti-veg*n stigmatization in previous and current veg*n scholarship. The paper offers future directions for researchers to examine stigmatization and its impact on VOC. Recommendations are provided to generate knowledge about the experiences and health of VOC.

Stigma And Help-Seeking Differences: Mental Health In The Us And The Uk, Ashley Mcgettrick

Psychology Theses

The cultures and healthcare systems in the United States and the United Kingdom are very different from each other, though citizens in both of these countries are exposed to stigma surrounding mental health and help-seeking. Examining the differences in stigma predictors and help-seeking behaviors between the two countries offers valuable insight into what cultural and structural factors play a role in whether or not a person in need seeks help. This study involved an online survey that asked college students in both countries to answer questions about their personal experience regarding mental health stigma and help-seeking. Multiple regressions were used …

Understanding Associations Between Chronic Illness Identity, Psychological Flexibility, And Type 2 Diabetes Emotional, Behavioral, And Psychosocial Functioning., Valery Bodziony

Electronic Theses and Dissertations

Introduction: Illness identity, defined as the extent to which one integrates their illness into their sense of self, may be a key psychological factor to consider in overall adjustment to and management of Type 2 Diabetes. Emerging research suggests illness identity integration is associated with aspects of diabetes-specific functioning. Psychological flexibility has also been found to be associated with positive diabetes-specific functioning. This modifiable cognitive factor may play a role in the relationship between illness identity and diabetes-specific functioning. This study aims to examine associations between illness identity enrichment, illness identity rejection, psychological flexibility, and aspects of diabetes-functioning, including self-management …

Illness Stigma, Social Connectedness, And Health In People Living With Chronic Illness: A Structural Equation Model, Abigail Brooke Crawford

UNF Graduate Theses and Dissertations

The complexity of chronic or unexplained conditions may lead to potential stigma for those suffering long-term symptoms as they do not follow the expected pattern of recovery following diagnosis and treatment. Experiencing such illness-related stigma has potential for leading to a belongingness identity of detachment with implications for health across physical, social, and psychological dimensions. This study aimed to examine the relationship between stigma, social connection, mental health, physical health, and social functioning in a group of 231 participants with ongoing symptoms of chronic illness through structural equation modeling. The fit indices all suggest that the model reasonably fits the …

Mental Health Stigma And Law Enforcement Officers, Moses Park

Dissertations

Purpose: The purpose of this phenomenological research was to describe the perception of law enforcement officers (LEOs) about the stigmatizing behavior they experienced from fellow officers in their organization, after they sought mental health services, following a traumatic event they were involved in.

Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. Data was collected via semi-structured interviews with a purposive sample of 12 active and retired LEOs who served in southern California.

Findings: After the analysis, seven major findings were yielded. The major findings of the study are: (a) Within the law enforcement …

Impacts Of Diabetes Stigma On Acute Healthcare Engagement Among Adults With Type 2 Diabetes, Kate Camillo

Honors Theses

Introduction: Individuals frequently experience public and self-stigma stemming from type 2 diabetes. Prior studies have linked stigma with higher levels of poorer diabetes outcomes such as greater disease-related distress and worse glycemic control. However, few if any studies have examined the association between diabetes-related stigma and healthcare utilization. This gap in the literature is critically important given the importance of proactive disease management and preventive care as well the high costs of acute service use in this population. Therefore, the purpose of the present study was to examine the relationship between type 2 diabetes stigma, patient activation, and acute medical …

Causal Attribution, Personal Responsibility, And Regret In Lung Cancer Survivors, Justin Ulland, Anthony Cortez-Morales, Kevin R. Criswell

2022 Symposium

Introduction: Lung cancer is the second-most common cancer for males and females and the leading cause of cancer-related deaths in the United States. Ninety percent of lung cancer cases are associated with a smoking history. Less is known about (a) how lung cancer survivors with and without smoking histories attribute their cancer to secondhand smoke and (b) how those attributions may be associated with personal responsibility, regret, and stigma from medical staff/professionals. This secondary data analytic study examined 196 lung cancer survivors.

Method: Paper surveys included (a) whether secondhand smoking caused their cancer, (b) whether they perceived control …

How Positive And Negative Emotions Are Regulated By And Associated With Stigma In University Students With And Without Mental And Physical Chronic Health Conditions, Katherine Crisp, Zlata Krisyuk, Kevin R. Criswell

2022 Symposium

Introduction: Over one-third of undergraduate students report having at least one mental or physical chronic health condition (CHC). Stigma is associated with undesirable emotion/mood, worse quality of life, and diminished academic performance. Less is known about (a) whether emotional experiences may be regulated differently between students with and without CHCs and (b) whether negative and positive emotion regulation are differentially associated with stigma awareness and internalized stigma in students with CHCs. The present study examines cross-sectional survey data from Fall 2020 quarter.

Method: Students without CHCs (n = 51) and students with CHCs (n = 150) …

Timing Of Sexual Minority Identity Developmental Milestones And Well-Being Among Three Generations Of Gay Men, Joseph R. Hillesheim

Dissertations and Theses

Social and political changes during recent decades have contributed to a more accepting environment for sexual minorities (non-heterosexual individuals) in the U.S., but recent evidence suggests that these shifts may create a “developmental collision” for younger generations (Meyer et al., 2021; Russell & Fish, 2019). Younger generations of sexual minorities “come out” and reach other sexual identity milestones earlier than older generations, and earlier timing of sexual identity development may contribute to increased vulnerability to stigma. The present study aimed to contribute to limited research on the relationship between the timing of sexual identity development milestones and well-being among three …

Stigma Reduction Programming In Monterey County, Don Heading

Capstone Projects and Master's Theses

Mental illness-related stigma is a barrier to societal inclusion and productivity. With nearly one in five individuals being impacted by mental illness in the United States (Substance Abuse and Mental Health Services Administration, 2019), there is a greater need for understanding through education to support those affected by mental illness. Stigma impacts those with mental illness in the realms of employment, housing, and incarceration. The Success Over Stigma Program located within the OMNI Resource Center in Salinas, California addresses the lack of education by offering contact-based community education delivered by those affected by mental illness. The project addressed the need …

The Role Of Perceived Heterosexism In Posttraumatic Stress Symptom Severity Among Trauma-Exposed Sexual Minority Individuals, Natalie M. Cereseto

Theses and Dissertations

This thesis employed structured posttraumatic stress disorder (PTSD) assessments, a micro-longitudinal 30-day daily diary assessment, and multilevel modeling to investigate the unique and interactive effects of traumatic stress and daily sexual minority-related discrimination on PTSD symptoms and negative affect in a diverse sample of 38 trauma-exposed SM individuals.

Emotional, Social, And Behavioral Factors Affecting Wellbeing And Academic Performance In University Students With Chronic Diseases: Proposed Longitudinal Study, Kevin R. Criswell, Wren Whitman, Madelynn Smith, Polly Denison, Kyle Anderson

2020 Symposium Posters

Background: Chronic diseases (CDs) affect about half (45%) of individuals in the U.S., and this population is expected to grow. Despite the high prevalence and psychosocial burden of CDs, less is known about the effects of CDs on university students’ academic performance and psychosocial wellbeing. Research on how CDs might affect pursuit of valued activities (e.g., higher education), psychosocial wellbeing, and internalized stigma is lacking in university students with CDs.

Aims: The first aim is to characterize the effects of chronic diseases on academic performance and psychosocial wellbeing in university students. The second aim is to examine the …

Problems With Adherence And Social Stigma In Adolescents With Type 1 Diabetes, Lauralee Davis

Master’s Theses

For adolescents with Type 1 Diabetes the clinical importance of both adherence to disease management and social support from family and friends is apparent. However, the role that family support or peer support plays on adherence to diabetes management or how stigma impacts adherence is still unclear. This study aims to determine differences between the type of support provided by family compared to peers, to examine how possible differences in the type of support impact adherence, to examine how social anxiety and stigma may be related to adherence, and to examine the types of barriers adolescents with Type 1 Diabetes …

Relationships Among Parkinson’S Disease Symptoms, Stigma, And Mental Health: A Strengths-Based Perspective, Richard S. Henry

Theses and Dissertations

As rates of Parkinson’s disease (PD) increase, so does the need to examine some of the negative social consequences experienced by people with PD. Symptoms of PD have been linked to greater experiences of stigma, and the more visible symptoms of PD increase an individual’s likelihood for experiencing stigmatization and social rejection. Individuals who experience high levels of stigma generally have poorer mental health outcomes. While these relationships are well documented, little is known about whether stigma mediates the relationship between PD symptoms and mental health outcomes. Additionally, some past research suggests that the personal strengths of social support and …

Resilience Among Survivors Of Adverse Childhood Experiences In Appalachia, Bridget Jeter

Electronic Theses and Dissertations

The empirical investigation of adverse childhood events (ACEs) and their relationship with health and well-being outcomes in later life is increasing. Less is known about factors that may promote resilience for those who have survived such challenges, such as how resilience may be facilitated for those with ACEs residing in a marginalized region such as South Central Appalachia. Multidimensional spirituality, social support, stigma related to ACEs, and Appalachian acculturation may serve as both valid cultural factors and potential indicators of resilience. Cross-sectional, simultaneous multiple regression analysis was performed on data collected from 272 adult patients of a South Central Appalachian …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

Do Healthcare Students Endorsing Stigma Of Mental Illness Screen For Suicidal Ideation? An Evaluation Of Knowledge, Attitudes, And Behaviors, Dannel K. Petgrave

Electronic Theses and Dissertations

The stigma of mental illness endorsed by healthcare professionals has been linked to adverse outcomes. This issue underscores the need for early anti-stigma interventions in the context of professional training. The present study measured stigma change and suicide screening behaviors among medical, nursing, and pharmacy students enrolled in an interprofessional Communication Skills for Healthcare Professionals course. The Mental Health Knowledge Schedule (MAKS; Evans-Lacko et al., 2010), Opening Minds Scale for Health Care Providers (OMS-HC; Modgill, Patten, Knaak, Kassam, & Szeto, 2014), and the Marlowe-Crowne Social Desirability Scale Form C (M-C SDS Form C; Reynolds, 1982) was administered at baseline (T …

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …

Stigma And Its Reduction: The Role Of Knowledge, Causal Attribution, And Mental Disorder Type, Jesica N. Ferguson

Undergraduate Honors Thesis Projects

Abstract

Research has shown undeniable evidence of mental illness stigma. Stigma has been shown to reduce treatment seeking and negatively impact emotion and cognition in individuals with mental illness (Livingstone & Boyd, 2010). By discovering the driving forces behind stigma, treatment seeking and quality of life can be improved for individuals with mental illness. This study investigates the effect of knowledge, disorder type, and causal attribution on mental illness stigma. Specifically, participants were assigned to one of two conditions, knowledge or no knowledge. Knowledge conditions included information about a disorder (schizophrenia or depression, depending on disorder condition) such as definition, …

The Effect Of Stigma On Intimate Partner Violence Reporting Among Men Who Have Sex With Men, Wesley Eugene Harris

Undergraduate Honors Theses

This study examined the relation between stigma and reporting of intimate partner violence (IPV) in a sample of men who have sex with men (MSM). It was hypothesized that enacted stigma would result in lower reporting of IPV and that the type of IPV would moderate the relationship between enacted stigma and reporting. Using an online survey, we measured IPV (physical, psychological, and sexual violence) and stigma (perceived, enacted, and internalized). Participants (N = 46) were asked if they had ever experienced any of those forms of violence, as well as if they had ever reported the violence through an …

An Integrated Behavioral Model Of Healthcare Utilization Among Transgender And Gender-Nonconforming Adults, Megan Elizabeth Sutter

Theses and Dissertations

Transgender and gender-nonconforming (TGNC) individuals in the United States experience significant marginalization due to stigma enacted at the structural, interpersonal, and individual levels. As a result, this population has reported increased behavioral and physical health needs, as well as unique barriers to healthcare. Moreover, TGNC individuals have reported greater experiences of childhood abuse compared to cisgender individuals. The cumulative experiences of stigma-related stressors and adverse childhood experiences put this population at risk for the development of mental and physical health problems, increasing need for health services. However, TGNC individuals have reported being denied medical care and postponing seeking care due …

Exploring The Lived Experience Of People With Dementia Through Interpretative Phenomenological Analysis, Helen F. Johnson

The Qualitative Report

Dementia is arguably one of the biggest challenges facing society today, impacting millions of people worldwide. Nonetheless, there is only a relatively small body of research exploring what it is like to live with dementia from the perspectives of people who have this condition. This is partly because of the (implicit or explicit) belief that people with dementia lack insight into their condition and cannot talk about their experiences clearly. In this article, I argue that such beliefs are typically both erroneous and unhelpful, and that there is great value in seeking to illuminate the lived experiences of people with …

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and sociodemographic variables.The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited stigma scores signaling agreement with the proposed …

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and socio-demographic variables. The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited …

"There’S More To Us Than This:" A Qualitative Study Of Black Young Adults’ Perceptions Of Media Portrayals Of Hiv, Maya Corneille, Anna Lee, Roseina Britton, Judith C. Barker

Journal of Health Disparities Research and Practice

The extent to which the targeted group attends to and is engaged by HIV/STI prevention messages is one component of effective health communication. Through an empirical examination of the cumulative perceptions of HIV/STI prevention media messages targeted to Black youth and young adults, this qualitative study privileges the voices of Black/ African American young adults as a group that is frequently targeted in HIV prevention campaigns. Semi-structured interviews with 23 Black/African American young adults yielded key themes that suggest barriers to effective health communication. Traditionally, health promotion has advocated for targeted messages as a means to increase risk perception and …