Stigma in relation to families living with parental mental illness: An integrative review

Stigma is a pervasive social mechanism with negative ramifications for people who experience mental illness. Less is known about the stigma experiences of families where a parent has a mental illness. This review aims to identify and synthesize evidence on the concept of stigma and stigma‐related ex...

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Vydané v:International journal of mental health nursing Ročník 30; číslo 1; s. 6 - 26
Hlavní autori: Reupert, Andrea, Gladstone, Brenda, Helena Hine, Rochelle, Yates, Scott, McGaw, Violette, Charles, Grant, Drost, Louisa, Foster, Kim
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Australia Wiley Subscription Services, Inc 01.02.2021
Predmet:
Australia
Bullying
Campaigns
Child
Child & adolescent psychiatry
Children
Community education
Embarrassment
Families & family life
family
Guilt
Health promotion
Humans
Illnesses
Internalization
Literary criticism
Mental Disorders
Mental health services
mental illness
Meta-analysis
parent
Parent-child relations
Parenting
Parents
Parents & parenting
Public health
Relatives
Social institutions
Social isolation
Social norms
Social Stigma
Stigma
Systematic review
Violations
Australia
parent
stigma
mental illness
family
children
ISSN:1445-8330, 1447-0349, 1447-0349
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Shrnutí:Stigma is a pervasive social mechanism with negative ramifications for people who experience mental illness. Less is known about the stigma experiences of families where a parent has a mental illness. This review aims to identify and synthesize evidence on the concept of stigma and stigma‐related experiences and outcomes reported by parents and children living with parental mental illness. An integrative review method was employed, with PRISMA (Preferred Reporting Items of Systematic Review and Meta‐Analyses) guidelines to search and select literature and extract and analyse data. This approach allows for inclusion of theoretical and empirical literature and for concept definition. Fifty‐eight papers, mostly from the USA, Australia, and the UK, met the inclusion criteria. Stigma was primarily conceptualized in families as a marked difference that was negatively appraised, and which could be internalized. Some articles examined how underpinning assumptions could shape the behaviour of individuals and groups and be embedded within social institutions and structures. For parents, mental illness stigma was interconnected with stigma relating to perceived violations of social and cultural norms related to parenting. Children’s experience of stigma resulted in bullying, embarrassment, guilt and social isolation, and efforts to conceal their parent’s mental illness. One outcome was that stigma prevented children and parents from seeking much needed supports. Public health policies and campaigns that focus exclusively on promoting open disclosure of mental illness to foster community education outcomes are unlikely to be effective without additional strategies aimed at preventing and redressing the structural impacts of stigma for all family members.
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ISSN:1445-8330
1447-0349
1447-0349
DOI:10.1111/inm.12820