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Leadership plays a key role in the well-being of military personnel, either contributing to health improvement or, conversely, becoming a source of stress. In the present study we propose that security providing leadership can reduce work stress in the military context. Furthermore, we suggest that security-providing leaders exert their positive influence on work stress by creating a psychological safety climate and preventing organizational dehumanization. A sample of 204 members (72.5% men) of the Spanish Air Force volunteered to participate in this empirical study and completed an online questionnaire and both the direct and indirect structural equation models were analyzed. Results show a negative relationship between security providing leadership and work stress. Additionally, organizational dehumanization and psychological safety climate act as mediators in this relationship. These results support this novel approach to leadership in the military context. They also offer new ways to create better organizational environments. By treating their subordinates in a personalized manner and supporting them, security-providing leaders can improve employees' perceptions of psychological safety climate and combat feelings of organizational dehumanization, which, in turn, can reduce work stress.
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PURPOSE: This study analyzes whether knowing that a male with obesity has a romantic relationship with a normal weight woman improves impressions about him. METHODS: An online experiment was conducted with a sample of 3024 adult participants (1828 women and 1196 men) with a mean age of 36.11 (SD = 13.49). Each participant was shown two photographs: one of a male target with obesity and one of his female partner (who had either normal weight or obesity depending on the condition). The respondents' sex was added as a fixed factor into the analyses. Physical attractiveness was rated using an item with a scale ranging from 0 to 100. Competence, warmth, and morality were measured using a 17-item adjective list. RESULTS: The target was assessed as more attractive when he had a partner with normal weight (F(1, 3009) = 4.85, p = .028, [Formula: see text] = .002), and was also given higher scores for competence (F(1, 3009) = 4.93, p = .026, [Formula: see text] = .002), warmth (F(1, 3009) = 4.32, p = .038, [Formula: see text] = .001), and morality (F(1, 3009) = 11.16, p = .001, [Formula: see text] = .004). There was a significant interaction between partner weight and the respondents' sex for physical attractiveness, as the difference between the scores in each condition was only significant for women. CONCLUSION: It is possible that women perceived that the male target who had a normal weight partner had a higher status or some hidden quality besides his physical appearance, and thus rated him as more attractive. LEVEL OF EVIDENCE: Level I, experimental study.
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Atitude , Obesidade , Adulto , Humanos , Masculino , FemininoRESUMO
This study performed a content analysis of the language of the Spanish judgements addressing the sexual transmission of HIV in order to determine its possible interrelationship with HIV-related stigma. All judgements and writs dictated by Spanish penal and civil jurisdictions between 1981 and December 2016 were obtained through a systematic search of the Spanish legal databases. The inclusion criterion was that the possible transmission of HIV was judged as an individual infraction, regardless of whether other infractions were involved. Twenty judgements were selected and analysed through direct content analysis assisted by the software MAXQDA 12. The majority of the cases (85%) were brought before the penal jurisdiction. Most of the judgements applied the crimes of bodily harm or grievous bodily harm (75%). Aspects closely related to the determinants of HIV-related stigma, such as the perception of HIV as a severe and easily transmitted infection, and attributions of responsibility and blame to people with HIV, were found in the judgements' reasoning. They were associated with outdated scientific and technical knowledge. Furthermore, some arguments found are repeated literally and successively in several judgments from different years, ignoring medical advances. Most plaintiffs were unaware of their sexual partner's HIV status. The scarce results found regarding the concealment of HIV status suggested that fear of stigma could be the reason thereof. The results suggested that training legal professionals in the epidemiological, clinical, and social aspects of HIV could influence stigma reduction, leading to a more objective consideration of the characteristics of this infection.
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Crime , Infecções por HIV/transmissão , Idioma , Estigma Social , Adulto , Medo , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Linguística , Masculino , Parceiros Sexuais , Comportamento Social , Revelação da VerdadeRESUMO
BACKGROUND: Honey bee population decline threatens the beekeeping sector, agriculture and global biodiversity. Early detection of colony mortality may facilitate rapid interventions to contain and prevent mortality spread. Among others, deformed wing virus (DWV) is capable of inducing colony losses, especially when combined with Varroa destructor mite. Since the bee immune system plays a crucial role in ensuring that bees are able to face these pathogens, we explored whether expression of immune genes could serve as biomarkers of colony health. RESULTS: Herein, we describe a preliminary immunological marker composed of two immune genes (relish and defensin), which provide insight on honey bee antiviral defense mechanism. Of the tested genes, relish expression correlated with the presence of DWV-Varroa complex, while decreased defensin expression correlated with poor resistance to this complex. CONCLUSIONS: The monitoring of these genes may help us to better understand the complex physiology of honey bees's immune system and to develop new approaches for managing the health impacts of DWV infection and varroa infestation in the field.
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Abelhas/genética , Abelhas/imunologia , Animais , Abelhas/parasitologia , Abelhas/virologia , Marcadores Genéticos , Nível de Saúde , Infestações por Ácaros , Infecções por Vírus de RNA , Vírus de RNA/imunologia , Varroidae/imunologiaRESUMO
The internalization of schizophrenia-related stigma highly affects people living with this disease, hindering their recovery process. The aim of this work is to study the effect of alienation and stereotype endorsement on the specific dimensions of schizophrenia-specific quality of life (SQoL), through the damage on self-esteem and self-efficacy. The model was tested in 167 patients with schizophrenia by path analysis using maximum likelihood procedure. The data fit the proposed model, but not all hypothesized predictions were met. A negative effect of alienation on self-esteem and self-efficacy was shown, while the negative effect of stereotype endorsement on these self-concept-related variables was non-significant. Self-esteem significantly contributed to the variance of the three dimensions of SQoL, while self-efficacy seems not to be involved in the model. Our results suggest that both alienation and stereotype endorsement have a direct effect on psychosocial SQoL and physical SQoL, while motivation and energy-related SQoL is affected only indirectly by alienation (through the decrease of self-esteem). Finally, we found that self-esteem significantly mediates the negative effect of alienation on the three dimensions of SQoL. We propose that the strengthening of self-esteem would mitigate the damage on SQoL, protecting specially the motivation and energy dimension, which may favor recovery.
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Qualidade de Vida/psicologia , Esquizofrenia/fisiopatologia , Autoimagem , Estigma Social , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Psicologia do Esquizofrênico , Autoeficácia , Adulto JovemRESUMO
BACKGROUND: The goal of this research is to study the psychosocial determinants of HIV-testing as a function of the decision or change stage concerning this health behavior. The determinants considered in the major ongoing health models and the stages contemplated in the Precaution Adoption Process Model are analysed. METHODS: A cross-sectional survey was administered to 1,554 people over 16 years of age living in Spain by a computer-assisted telephone interview (CATI). The sample design was randomised, with quotas of sex and age. The survey measured various psychosocial determinants of health behaviors considered in the main cognitive theories, the interviewees' stage of change concerning HIV-testing (lack of awareness, decision not to act, decision to act, action, maintenance, and abandonment), and the signal for the action of getting tested or the perceived barriers to being tested. RESULTS: Approximately two thirds of the population had not ever had the HIV test. The predominant stage was lack of awareness. The most frequently perceived barriers to testing were related to the health system and to the stigma. We also found that the psychosocial determinants studied differed depending on the respondents' stage of change. Perception of risk, perceived self-efficacy, proximity to people who had been tested, perceived benefits of knowing the diagnosis, and a positive instrumental and emotional attitude were positively associated with the decision and maintenance of testing behavior. However, unrealistic underestimation of the risk of HIV infection, stereotypes about the infection, and the perceived severity of HIV were associated with the decision not to be tested. CONCLUSIONS: There are various sociocognitive and motivational profiles depending on people's decision stage concerning HIV-testing. Knowing this profile may allow us to design interventions to influence the psychosocial determinants that characterise each stage of change.
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Infecções por HIV/psicologia , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Programas de Rastreamento/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Infecções por HIV/diagnóstico , Humanos , Masculino , Programas de Rastreamento/métodos , Pessoa de Meia-Idade , Motivação , Percepção , Autoeficácia , Estigma Social , Espanha , Inquéritos e QuestionáriosRESUMO
The goal of this study is to test a model in which personal discrimination predicts internalized stigma, while group discrimination predicts a greater willingness to engage in collective action. Internalized stigma and collective action, in turn, are associated to positive and negative affect. A cross-sectional study with 213 people with mental illness was conducted. The model was tested using path analysis. Although the data supported the model, its fit was not sufficiently good. A respecified model, in which a direct path from collective action to internalized stigma was added, showed a good fit. Personal and group discrimination appear to impact subjective well-being through two different paths: the internalization of stigma and collective action intentions, respectively. These two paths, however, are not completely independent, as collective action predicts a lower internalization of stigma. Thus, collective action appears as an important tool to reduce internalized stigma and improve subjective well-being. Future interventions to reduce the impact of stigma should fight the internalization of stigma and promote collective action are suggested.
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Processos Grupais , Pessoas Mentalmente Doentes/psicologia , Preconceito/psicologia , Autoimagem , Estigma Social , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Adulto JovemRESUMO
The Screenphiv, a screening measure for psychological issues related to HIV, was psychometrically tested in a study involving 744 HIV-infected people in Spain. Participants ages 18-82 (M = 43.04, 72 % men, 28 % women) completed an assessment protocol that included the Screenphiv and the MOS-HIV. A trained interviewer also collected relevant illness-related clinical data and socio-demographics from the participants. A confirmatory factor analysis was used to evaluate the goodness of fit of the Screenphiv's theoretical model and confirmed six first-order factors and two second-order factors [RMSEA (IC 90 %) = 0.07 (0.07-0.08)]. No floor or ceiling effects were observed for the scores. Cronbach's alphas were acceptable for all of the factors (from 0.65 to 0.92). Criterion-related validity also achieved; Screenphiv scores were related to socio-demographic and clinical variables and MOS-HIV summary scores. The Screenphiv is a reliable and valid measure, ready to use in research and clinical settings in Spain.
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Infecções por HIV/psicologia , Satisfação Pessoal , Psicometria/instrumentação , Qualidade de Vida , Perfil de Impacto da Doença , Inquéritos e Questionários , Síndrome da Imunodeficiência Adquirida/psicologia , Adaptação Psicológica , Adolescente , Adulto , Idoso , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/métodos , Reprodutibilidade dos Testes , Apoio Social , Espanha , Adulto JovemRESUMO
This research focuses on female underrepresentation in managerial positions. Specifically, two studies examine gender-typing for managerial roles in Spain using ratings for real and ideal managers. In addition, we analyse the existence of same-gender bias on evaluations of the behavior of actual leaders. In the first study, 195 Spanish workers evaluate the extent to which gender-stereotypical traits are important for becoming a successful middle manager in three conditions (female managers, male managers, and managers in general). In the second study, we explore the degree to which the behavior of real Spanish managers is gender-typed and the existence of same-gender bias on leadership styles - transformational, transactional and avoidant/passive - and on leadership outcomes - effectiveness, extra effort and satisfaction - from the perspective of subordinates (N = 605). Overall, the results demonstrate that masculine characteristics were rated as more important than feminine characteristics for managerial positions, and they were more often assigned to male managers than to female managers. Unexpectedly, this manager-male association is stronger among female participants than among male participants. Our findings also demonstrate that women subordinates evaluate their same-sex supervisors more favorably in transformational leadership, effectiveness, and extra effort. The negative consequences derived from gender-typing managerial positions are highlighted according to the role congruity theory of prejudice toward female leaders. The positive effects of in-group female bias on behavior ratings are also noted. The mixed implications of these results for women's advancement to leadership positions are discussed.
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Liderança , Sexismo , Estereotipagem , Adolescente , Adulto , Idoso , Feminino , Identidade de Gênero , Humanos , Masculino , Pessoa de Meia-Idade , Espanha , Adulto JovemRESUMO
PURPOSE: This study analyzes the mediating role of social identity in the relationship between enacted stigma and internalized stigma and quality of life of people with HIV. METHODS: A total of 557 people with HIV participated in this study. Participants were recruited from hospitals and non-governmental organizations. Questionnaires measuring perceived stigma (Berger's HIV Stigma Scale), social identity (Cameron's three factor identity scale), and quality of life (Ruiz and Baca's Quality of Life Questionnaire) were administered. The instruments were adapted for use with the Spanish population. Structural equation modeling (SEM) was used to test the mediation model, and multigroup SEM was conducted to evaluate its invariance. RESULTS: Both enacted stigma and internalized stigma had a negative influence on the quality of life of people with HIV, but this influence occurred in different ways. Enacted stigma had a direct negative influence on quality of life. No dimension of group identity protected people with HIV from its negative influence. However, the negative influence of internalized stigma was totally mediated by some dimensions of group identification, mainly through in-group affect. CONCLUSIONS: Group identification not only did not protect people with HIV from the negative effects of stigmatization, but it may even be detrimental in the case of internalized stigma. This suggests that in highly stigmatized groups, the salience of identity is negative and worsens the members' opinion of their own group. This argues for different kinds of intervention to improve the quality of life of people with HIV.
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Infecções por HIV/psicologia , Qualidade de Vida , Identificação Social , Estigma Social , Estereotipagem , Adulto , Mecanismos de Defesa , Feminino , Indicadores Básicos de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Espanha , Inquéritos e QuestionáriosRESUMO
This study aims to develop an instrument for the assessment of psychological predictors of well-being and quality of life (QoL) in people living with HIV. A four-step procedure was followed to achieve this objective. A literature review, focus group in different regions of Spain and content analysis generated a preliminary pool of 96 items. Interjudgement ratings over the items and a cognitive debriefing interview were performed to delete or review items (one omitted and 15 reviewed). The psychometric properties of the instrument were assessed in a sample of 84 HIV+. Pilot testing allowed a new wave of depuration process by empirical criteria (30 items omitted). A final pool of 63 items covering 23 facets (α from 0.53 to 0.95) of psychological predictors remained. Exploratory factorial analysis (GLS) assessing the underlying structure of the questionnaire showed a six-factor model explaining 56.5 of variance. Empirical exploratory structure revealed evidence of goodness of fit (χ(2) = 113.110, gl = 130, p > 0.05; RMSEA = 0.017; RMSEA IC90 % 0.000-0.057). This study presents the first instrument able to screen key psychological variables expected to be related to adjustment, well-being and QoL in people with HIV.
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Infecções por HIV/psicologia , Satisfação Pessoal , Psicometria/instrumentação , Qualidade de Vida , Perfil de Impacto da Doença , Inquéritos e Questionários , Síndrome da Imunodeficiência Adquirida/psicologia , Atividades Cotidianas , Adaptação Psicológica , Análise Fatorial , Feminino , Grupos Focais , Humanos , Masculino , Psicometria/métodos , Pesquisa Qualitativa , Reprodutibilidade dos Testes , Apoio Social , Fatores Socioeconômicos , EspanhaRESUMO
The main objective of this study was to examine the consequences of perceived discrimination in people with hearing and visual impairments. Using path analysis, we attempted to validate a multigroup model in which perceived personal discrimination is associated with internalization of stigma, which, in turn, is negatively related to self-esteem; conversely, perceived discrimination against the in-group contributes to enhanced group identification, which promotes the intention to engage in collective action, which, in turn, has beneficial effects on self-esteem. The sample consisted of a total of 200 Spanish-speaking participants, of whom 104 had hearing impairments and 96 had visual impairments. The results showed that the proposed multigroup model fit the data well. For both groups, internalized stigma played a mediating role in the relationship between perceived personal discrimination and self-esteem. However, the pathway from group discrimination to self-esteem was not as clearly supported by the data. The results are interpreted from a psychosocial perspective and may contribute to design interventions aimed at improving the well-being of people with hearing and visual impairments.
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Autoimagem , Estigma Social , Audição , Humanos , Identificação Social , Transtornos da VisãoRESUMO
The objective of this study was to examine the relationships of participants' home characteristics (living space) and job prospects after the coronavirus disease 2019 (COVID-19) pandemic to their subjective psychological well-being (SWB) (in terms of both affective and cognitive aspects). We also examined the role of participants' resilience as a possible mediator in the relationships among the aforementioned variables. The sample comprised 474 Spanish adults who completed an online questionnaire between 14 and 24 April 2020, when COVID-19 confinement was very strict in Spain. We proposed a path analysis model including the described variables. The model presented a good fit (χ2 = 7.41, df = 5, p = 0.376, comparative fit index = 0.996, Tucker-Lewis index = 0.987; root mean square error of approximation = 0.032). The results indicated that living space and future job prospects predicted resilience, which, in turn, was related to SWB. Moreover, the bootstrapping results revealed a mediating effect of resilience that showed indirect relationships between living space and SWB and between job prospects and SWB. Our results underline the importance of environmental (living space) and job-related variables to predict SWB as well as the mediating role that resilience may play during the confinement period.
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COVID-19 , Resiliência Psicológica , Adulto , Humanos , SARS-CoV-2 , Espanha/epidemiologia , Inquéritos e QuestionáriosRESUMO
The main objective of this research is to examine the consequences of perceived discrimination in family caregivers of people with physical disabilities. Through path analysis, we test the association between caregivers' perceived discrimination and their anxiety and depression and the mediating role that affiliate stigma and self-efficacy may play. We proposed a model that has not been tested previously in the literature on caregivers of people with physical disabilities. The sample includes 186 Spanish fathers (35%) or mothers (65%) raising children with physical disabilities. Descriptive statistics and Pearson's correlation coefficients were calculated and structural equation modeling was used to examine the mediating effect. Results show that caregivers' perceived discrimination is positively associated with their affiliate or internalized stigma that in turn is harmful to their anxiety and depression. However, caregivers' self-efficacy plays a mediating role in the relation between affiliate stigma and caregivers' anxiety and depression. These results may be useful for designing interventions to improve the psychological well-being of the parents of children with physical disabilities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Pessoas com Deficiência , Angústia Psicológica , Cuidadores , Criança , Humanos , Autoeficácia , Estigma SocialRESUMO
This study was conducted with the purpose of analyzing the combined and mediating effect of actor's withdrawal-partner's demand conflict resolution strategies between avoidance attachment dimension and relationship satisfaction. We conducted a dyadic study with 175 heterosexual couples (aged between 18 and 72 years) who filled in the questionnaires. Six hypotheses were tested using the actor-partner interdependence model with mediation analysis (APIMeM). Results showed that the avoidance dimension of attachment was more strongly associated with actor's withdrawal strategy than with demand/aggression strategy. Furthermore, avoidance attachment was negatively associated with both actor's and partner's relationship satisfaction, the actor effect being higher. Withdrawal strategy was a mediator between actor's avoidance and actor's relationship satisfaction, but it was not a mediator for partner's relationship satisfaction. The interactive pattern of actor's withdrawal-partner's demand/aggression was associated with low levels of both actor's and partner's relationship satisfaction. These results point out to the need of discerning the interactive pattern of conflict-solving strategies as well as their intertwined effect on relationship satisfaction.
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Leadership styles in work contexts play a role in employees' well-being, contributing to better health or, on the contrary, being a source of stress. In this study we propose that security providing leadership may be considered as a resource to prevent employees' job burnout. First, we examine the relationship between employees' perception of their leader's degree of security in providing leadership and the employees' degree of job-related burnout. Second, the underlying processes by which leaders as security providers exert their influence on burnout are analyzed with a focus on the mediating role of two variables: an organizational climate oriented to psychological safety and organizational dehumanization. A total of 655 Spanish employees (53.7% women) completed a paper-and-pencil self-report questionnaire. To recruit participants, we employed an exponential non-discriminative snowball sampling. Results, using Partial Least Squares Structural Equation Modeling (PLS-SEM) to test hypotheses, show that security providing leadership was related negatively to burnout. Furthermore, psychological safety climate and organizational dehumanization mediated the relationship between security providing leadership and burnout. These findings support the attachment approach to leadership and open new avenues for creating better organizational environments. Security-providing leaders, by supporting employees and treating them in a personalized way, can enhance the psychological safety climate and prevent organizational dehumanization and consequent job burnout.
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Esgotamento Profissional , Liderança , Esgotamento Profissional/prevenção & controle , Esgotamento Psicológico , Feminino , Humanos , Masculino , Organizações , Local de TrabalhoRESUMO
Do leaders who build a sense of shared social identity in their teams thereby protect them from the adverse effects of workplace stress? This is a question that the present paper explores by testing the hypothesis that identity leadership contributes to stronger team identification among employees and, through this, is associated with reduced burnout. We tested this model with unique datasets from the Global Identity Leadership Development (GILD) project with participants from all inhabited continents. We compared two datasets from 2016/2017 (n = 5290; 20 countries) and 2020/2021 (n = 7294; 28 countries) and found very similar levels of identity leadership, team identification and burnout across the five years. An inspection of the 2020/2021 data at the onset of and later in the COVID-19 pandemic showed stable identity leadership levels and slightly higher levels of both burnout and team identification. Supporting our hypotheses, we found almost identical indirect effects (2016/2017, b = -0.132; 2020/2021, b = -0.133) across the five-year span in both datasets. Using a subset of n = 111 German participants surveyed over two waves, we found the indirect effect confirmed over time with identity leadership (at T1) predicting team identification and, in turn, burnout, three months later. Finally, we explored whether there could be a "too-much-of-a-good-thing" effect for identity leadership. Speaking against this, we found a u-shaped quadratic effect whereby ratings of identity leadership at the upper end of the distribution were related to even stronger team identification and a stronger indirect effect on reduced burnout.
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COVID-19 , Liderança , Esgotamento Psicológico , Humanos , Pandemias , SARS-CoV-2RESUMO
BACKGROUND: People with autism spectrum disorders (ASD) and people with intellectual disabilities (ID) are stigmatized, and therefore discriminated against worldwide and, on many occasions, this stigma and discrimination are expanded to include their family caregivers. The main objective of this research was to examine the consequences of perceived discrimination on family caregivers of children with ASD and children with ID. METHODS: The sample consisted of 109 Spanish caregivers of children with ASD and 83 caregivers of children with ID. They completed four questionnaires: Multidimensional Perceived Discrimination Scale, Affiliate Stigma Scale, Social Support Questionnaire and Rosenberg Self-Esteem Scale. RESULTS: Using path analysis, we found support for a model in which personal discrimination perceived by caregivers was positively associated with affiliate stigma, which, in turn, was negatively related to caregivers' self-esteem. The model also shows the total mediational role of affiliate stigma in the association between perceived discrimination and self-esteem and the partial mediational role that social support plays in the association between perceived discrimination and caregivers' self-esteem. CONCLUSIONS: Caregivers' perceived discrimination negatively influences caregivers' self-esteem, but this relationship is mediated by both affiliate stigma (totally) and social support (partially). These results have theoretical and practical implications and may contribute to improving the quality of life of parents of children with ASD and ID that in turn would result in an improvement of the quality of life of their children.
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Transtorno do Espectro Autista , Deficiência Intelectual , Cuidadores , Criança , Humanos , Qualidade de Vida , Estigma Social , Apoio Social , EspanhaRESUMO
PURPOSE: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. METHOD: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. RESULTS: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. CONCLUSIONS: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.
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Pessoas com Deficiência , Qualidade de Vida , Resiliência Psicológica , Estigma Social , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Identificação Social , Espanha , Inquéritos e Questionários , Adulto JovemRESUMO
Previous research has shown that the internalization of schizophrenia-related stigma is associated with a worse prognosis and more suicidal tendencies. Empirical literature suggests that affective well-being -composed of positive affect (e.g. pride, enthusiasm, vitality, inspiration) and negative affect (e.g. shame, guilt, annoyance, worry)- seems to be the key component which, when being negatively affected by internalized stigma and the subsequent deterioration of self-concept, would lead to more severe symptomatology, lower recovery, and higher risk of suicide. Thus, our aim was to delve into the process by which affective well-being is impacted by the two main dimensions of internalized stigma (stereotype endorsement and alienation), with self-esteem and self-efficacy as mediators. The model was tested by path analysis -maximum likelihood procedure- in a sample of 216 patients. Our results indicate that alienation would entail more damage than stereotype endorsement both on affective well-being and on self-concept. Findings suggest that self-esteem mediates the impact of both internalized stigma dimensions on both types of affect, and that self-efficacy mediates the impact of alienation on positive affect. It is concluded that, in clinical practice, an important effort should be made to prevent internalized stigma (especially, alienation) and to promote positive self-concept of patients (especially, self-esteem).