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Published Online: 31 October 2014

Work-Related Discrimination and Change in Self-Stigma Among People With Mental Illness During Supported Employment

Nicolas Rüsch, M.D., Carlos Nordt, Ph.D., Wolfram Kawohl, M.D., Elisabeth Brantschen, M.Sc., Bettina Bärtsch, M.Sc., Mario Müller, Ph.D., Patrick W. Corrigan, Psy.D., and Wulf Rössler, M.D., M.Sc.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 65, Number 12
https://doi.org/10.1176/appi.ps.201400073
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Abstract

Objective:

The relationship of work-related discrimination to the change in self-stigma and stigma stress was assessed among supported employment participants in Switzerland.

Methods:

Self-stigma and the cognitive appraisal of mental illness stigma as a stressor were measured at baseline among supported employment participants (N=116). These variables and work-related discrimination in the past year were assessed one year later (N=96).

Results:

Compared with participants who did not find employment (N=30), those who worked without experiencing discrimination (N=25) had lower levels of self-stigma and stigma stress at one year. Among those who worked and reported work-related discrimination (N=38), these measures did not decrease significantly.

Conclusions:

Experiencing discrimination at work may determine whether employment has positive effects in terms of self-stigma and stigma stress among individuals with mental illness. Interventions to reduce discrimination in work settings and to improve coping resources of these individuals could augment the positive effects of supported employment.

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Information & Authors

Information

Published In

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Cover: Two Children Watching the Clouds in a Field, by Elizabeth Shippen Green. © Copyright 2014 National Museum of American Illustration™, Newport, RI. Photos courtesy Archives of the American Illustrators Gallery™, New York City.

Psychiatric Services
Volume 65 • Number 12 • December 01, 2014
Pages: 1496 - 1498
PubMed: 25270160

History

Published ahead of print: 31 October 2014
Published online: 1 December 2014
Published in print: December 01, 2014

Authors

Details

Nicolas Rüsch, M.D.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Carlos Nordt, Ph.D.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Wolfram Kawohl, M.D.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Elisabeth Brantschen, M.Sc.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Bettina Bärtsch, M.Sc.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Mario Müller, Ph.D.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Patrick W. Corrigan, Psy.D.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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Wulf Rössler, M.D., M.Sc.
Except for Dr. Corrigan, the authors are with the Psychiatric University Hospital Zürich, Zürich, Switzerland. Dr. Rüsch is also with the Department of Psychiatry II, BKH Günzburg, University of Ulm, Ulm, Germany (e-mail: [email protected]). Dr. Rössler is also with the Institute of Psychiatry, Laboratory of Neuroscience (LIM27), University of Sao Paulo, Brazil. Dr. Corrigan is with the Illinois Institute of Technology, Chicago.
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