Association of Mental Health Recovery to Internalized Stigma and Meaning in Life of Community-Dwelling People with Mental Disorder

재가 정신질환자의 내재화된 낙인, 삶의 의미와 정신건강회복과의 관계

  • Received : 2019.07.09
  • Accepted : 2019.08.09
  • Published : 2019.08.30


Purpose: The purpose of this study was to investigate the associations of mental health recovery to internalized stigma and meaning in life of community-dwelling people with mental disorder. Methods: Participants were 150 people with mental disorder who were enrolled at one of the community mental health institutions in D, S, and U cities, South Korea. Data analyses included a descriptive analysis, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS 25.0 software. Results: There were significant mean differences in mental health recovery according to education, religion, residential status, diagnosis, and day program use status of people with mental disorder living in the community. The significant predictors of mental health recovery included presence of meaning, stigma resistance, diagnosis (Major depressive disorder), and search for meaning. The regression model explained 58.7% of mental health recovery. Conclusion: Improving meaning in life and stigma resistance will increase the chances of mental health recovery among community- dwelling people with mental disorder.



Supported by : 한국연구재단


  1. Kwak YB, Kim JY, Lee MH. Effects of self-efficacy, health attitudes, and healthy lifestyle on recovery of people with mental disorders in the community. The Korean Psychiatric and Mental Health Nursing Academic Society. 2018;27(4):303-312.
  3. Oliveira-Maia AJ, Mendonça C, Pessoa MJ. Camacho M, Gago J. The mental health recovery measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness. Frontiers in Psychology. 2016;7:1-8.
  4. Bae EK, An HJ. The influences of recovery on mentally disabled persons' behavior and symptom in the community. Journal of Social Science. 2016;42(2):231-251.
  5. Park JI. A meta-analysis on the variables related with recovery among persons with mental illness. The Journal of the Korea Contents Association. 2018;18(12):535-546.
  6. Corrigan PW, Watson AC. The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice. 2002;9(1):35-53.
  7. Capar M, Kavak F. Effect of internalized stigma on functional recovery in patients with schizophrenia. Perspectives in Psychiatric Care. 2019;55:103-111.
  8. Livingston JD, Boyd JE. Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Social Science & Medicine. 2010;71(12): 2150-61.
  9. Kim JH, Na HJ. Mediating effect of self-efficacy in the relationship between internalized stigma and treatment adherence of community dwelling patients with mental illness. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016;25(1):11-20.
  10. Jeon JK. The influence of the meaning in life on the mental health of university students with relationship loss: Focusing on the mediating effects of post traumatic growth. Journal of Digital Convergence. 2017;15(11):339-349.
  11. Volkert J, Schulz H, Brutt AL, Andreas S. Meaning in life: Relationship to clinical diagnosis and psychotherapy outcome. Journal of Clinical Psychology. 2014;70(6):528-535.
  12. Yoo SK, Park ES, Kim SJ, Cho HJ. Meta-analytic review on the relationship between meaning in life and mental health (Mainly of domestic studies between 1996-2013). Korean Journal of Psychology: General. 2014;33(2):441-465.
  13. Joung J, Jang MY, Shin SH. The mediating effect of internalized stigma on the relationship between hospitalization stress and quality of life among patients with mental illness in a closed ward. Journal of East-West Nursing Research. 2018;24(1):70-80.
  14. Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry research. 2003;121(1):31-49.
  15. Hwang TY, Lee WK, Han ES, Kwon EJ. A study on the reliability and validity of the Korean version of internalized stigma of mental illness scale (K-ISMI). Journal of Korean Neuropsychiatric Association. 2006;45(5):418-26.
  16. Steger MF, Frazier P, Oishi S, Kaler M. The development and validation of the meaning in life questionnaire. [dissertation]. University of Minnesota; 2004.
  17. Won DR. Kim KH, Kwon SJ. Validation of the Korean version of meaning in life questionnaire. Korean Journal of Health Psychology. 2005;10(2):211-225.
  18. Bullock WA. The mental health recovery measure. In: Campbell-Orde T, Garrett E, Leff S, editors. Measuring the Promise of Recovery: A Compendium of Recovery and Recovery Related Instruments. Part II. Cambridge (MA): The Evaluation Center @ HSRI; 2005. p. 36-41.
  19. Song GO. Validation of the Korean version of the mental health recovery measure. Mental Health & Social Work, 2010;34:154-188.
  20. Michal ME, Ilanit HO, Philip TY, Paul HL, David R. Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope. Psychiatry Research. 2013;208(1):15-20.
  21. Capatina O, Miclutia I. Internalized stigma as a predictor of quality of life in schizophrenia. Journal of Evidence-Based Psychotherapies. 2018;18(2):35-53.
  22. Marco JH, Alonso S. Meaning in life buffers the association between clinical anxiety and global maladjustment in participants with common mental disorders on sick leave. Psychiatry Research. 2019;271:548-553.
  23. Min SY. The moderating effect of community cohesion on the relationship between neighborhood disorder and community integration among persons with mental illnesses. Korean Journal of Social Welfare. 2015;67(3):57-82.
  24. Tew J, Ramon S, Slade M, Bird V, Melton J, Boutillier CL. Social factors and recovery from mental health difficulties: A review of the evidence. British Journal of Social Work. 2012;42:443-460.
  25. Min SY, Wong YLI. Sources of social support and community integration among persons with serious mental illnesses in Korea. Journal of Mental Health. 2015; 24(4):183-188.
  26. Park SY, Kwon SM. A theoretical review with clinical implications for the meaning in life. The Korean Journal of Psychology: General. 2012;31(3):741-768.
  27. Kim NR, Jang MH. Effects of self-assertive training applying reality therapy techniques on self-esteem and internalized stigma in schizophrenia patients. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2019;28(1):37-49.
  28. Choi SS, Choi YJ. The process of community integration on recovery of the person with psychiatric disabilities. Journal of Rehabilitation Research. 2010;14(4):225-255.
  29. Lloyd C, King R, Moore L. Subjective and objective indicators of recovery in severe mental illness: A cross-sectional study. International Journal of Social Psychiatry. 2010;56:220-229.