Self-stigma as a mediator between social capital and empowerment among people with major depressive disorder in Europe: the ASPEN study

M Lanfredi, S Zoppei, C Ferrari, C Bonetto, T Van Bortel, G Thornicroft, L Knifton, N Quinn, G Rossi, A Lasalvia, The ASPEN Study group

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Individual social capital has been recognized as having an important role for health and well-being. We tested the hypothesis that poor social capital increases internalized stigma and, in turn, can reduce empowerment among people with major depressive disorder (MDD).  This is a cross-sectional multisite study conducted on a sample of 516 people with MDD in 19 European countries. Structural Equation Models were developed to examine the direct and indirect effects of self-stigma and social capital on empowerment.  Social capital and self-stigma accounted for 56% of the variability in empowerment. Higher social capital was related to lower self-stigma (r=-0.72, P<0.001) which, in turn, partially mediated the relationship between social capital and empowerment (r=0.38, P<0.001).  Social capital plays a key role in the appraisal of empowerment, both directly and through the indirect effect mediated by self-stigma. In order to improve empowerment of people with MDD, we identify strategies to foster individual social capital, and to overcome the negative consequences related to self-stigma for attainment of life goals.

LanguageEnglish
Pages58-64
Number of pages7
JournalEuropean Psychiatry : the Journal of the Association of European Psychiatrists
Volume30
Issue number1
Early online date29 Aug 2014
DOIs
Publication statusPublished - 1 Jan 2015

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Major Depressive Disorder
Power (Psychology)
Social Capital
Structural Models
Cross-Sectional Studies
Health

Keywords

  • self-stigma
  • social capital
  • depression
  • empowerment

Cite this

Lanfredi, M ; Zoppei, S ; Ferrari, C ; Bonetto, C ; Van Bortel, T ; Thornicroft, G ; Knifton, L ; Quinn, N ; Rossi, G ; Lasalvia, A ; The ASPEN Study group. / Self-stigma as a mediator between social capital and empowerment among people with major depressive disorder in Europe : the ASPEN study. In: European Psychiatry : the Journal of the Association of European Psychiatrists. 2015 ; Vol. 30, No. 1. pp. 58-64.
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Self-stigma as a mediator between social capital and empowerment among people with major depressive disorder in Europe : the ASPEN study. / Lanfredi, M; Zoppei, S; Ferrari, C; Bonetto, C; Van Bortel, T; Thornicroft, G; Knifton, L; Quinn, N; Rossi, G; Lasalvia, A; The ASPEN Study group.

In: European Psychiatry : the Journal of the Association of European Psychiatrists, Vol. 30, No. 1, 01.01.2015, p. 58-64.

Research output: Contribution to journalArticle

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AU - Van Bortel, T

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AU - Quinn, N

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AU - Lasalvia, A

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