I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery

Introduction It has been suggested that liberal values such as lack of autonomy and burden discourses shape the public’s relation toward people with health problems. However, previous research on the role of such values on one’s recovery and well-being is scarce. Objectives We investigated whether...

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Main Authors: D. Lampropoulos, H. Klaas, D. Spini
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822015218/type/journal_article
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author D. Lampropoulos
H. Klaas
D. Spini
author_facet D. Lampropoulos
H. Klaas
D. Spini
author_sort D. Lampropoulos
collection DOAJ
description Introduction It has been suggested that liberal values such as lack of autonomy and burden discourses shape the public’s relation toward people with health problems. However, previous research on the role of such values on one’s recovery and well-being is scarce. Objectives We investigated whether perceived autonomy mediates the impact of stigma and negative social experiences on life satisfaction and recovery. Methods Our sample, drawn from a subsample of the Swiss Household Panel survey, consisted of 326 individuals reporting a mental health problem (50.3% women, Mage = 50.7, SD = 13) and 354 individuals reporting a physical health issue (49.7% women, Mage = 53.6, SD = 14.7). We tested a model where perceived autonomy, measured with four items drawn from the Acceptance of Illness Scale (AIS), mediates the impact of experienced stigma and negative social experiences on health satisfaction and self-reported recovery. Results Our analysis of direct and indirect paths confirmed our hypothesis. Our model showed a good fit to the data for persons with a mental health problem (CFI = .984; RMSEA = .038) and an adequate fit for persons with a physical health problem (CFI = .92; RMSEA = .080). Conclusions Our results provide empirical evidence for the potentially self-stigmatizing role of the autonomy ideal for people with health problems and invite for the development of further research and practice regarding this role. Disclosure No significant relationships.
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spelling doaj.art-7cbd50e515c64debab0aeb9239bc54d82023-11-17T05:08:44ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S594S59410.1192/j.eurpsy.2022.1521I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recoveryD. Lampropoulos0H. Klaas1D. Spini2University of Lausanne, Swiss National Centre Of Competence In Research Lives, Switzerland, Lausanne, SwitzerlandFORS, Fors, Lausanne, SwitzerlandUniversity of Lausanne, Swiss National Centre Of Competence In Research Lives, Switzerland, Lausanne, Switzerland Introduction It has been suggested that liberal values such as lack of autonomy and burden discourses shape the public’s relation toward people with health problems. However, previous research on the role of such values on one’s recovery and well-being is scarce. Objectives We investigated whether perceived autonomy mediates the impact of stigma and negative social experiences on life satisfaction and recovery. Methods Our sample, drawn from a subsample of the Swiss Household Panel survey, consisted of 326 individuals reporting a mental health problem (50.3% women, Mage = 50.7, SD = 13) and 354 individuals reporting a physical health issue (49.7% women, Mage = 53.6, SD = 14.7). We tested a model where perceived autonomy, measured with four items drawn from the Acceptance of Illness Scale (AIS), mediates the impact of experienced stigma and negative social experiences on health satisfaction and self-reported recovery. Results Our analysis of direct and indirect paths confirmed our hypothesis. Our model showed a good fit to the data for persons with a mental health problem (CFI = .984; RMSEA = .038) and an adequate fit for persons with a physical health problem (CFI = .92; RMSEA = .080). Conclusions Our results provide empirical evidence for the potentially self-stigmatizing role of the autonomy ideal for people with health problems and invite for the development of further research and practice regarding this role. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822015218/type/journal_articlestigmaLiberal valuesself-stigma Recovery
spellingShingle D. Lampropoulos
H. Klaas
D. Spini
I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
European Psychiatry
stigma
Liberal values
self-stigma
Recovery
title I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
title_full I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
title_fullStr I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
title_full_unstemmed I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
title_short I am not autonomous enough! The role of autonomy beliefs in the relation between social stigma and recovery
title_sort i am not autonomous enough the role of autonomy beliefs in the relation between social stigma and recovery
topic stigma
Liberal values
self-stigma
Recovery
url https://www.cambridge.org/core/product/identifier/S0924933822015218/type/journal_article
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AT dspini iamnotautonomousenoughtheroleofautonomybeliefsintherelationbetweensocialstigmaandrecovery