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Microaggression Towards Mental Illness and Related Factors

Year 2025, Issue: 67, 218 - 230, 18.03.2025
https://doi.org/10.53568/yyusbed.1591104

Abstract

Microaggressions against individuals with mental illness represent a pervasive form of discrimination that negatively impacts individuals' mental health and well-being. These microaggressions, defined as brief and commonplace verbal, behavioural, or environmental indignities, often convey derogatory messages to marginalized groups, including those with mental health issues. The subtle yet damaging nature of these interactions can lead to profound psychological consequences, including increased anxiety, depression, and social isolation. Understanding the societal and cultural contexts that shape these experiences is essential for developing effective interventions that address the unique needs of individuals with mental illness. In this context, this study, planned as a descriptive and cross-sectional research design, aimed to determine the levels of microaggression and the affecting factors towards individuals with mental illness in the general population. This cross-sectional study was conducted with 312 individuals using purposive sampling method over the age of 18 who were reached via an online questionnaire and agreed to participate in the study. Data were collected by sociodemographic data form, Religious Worldview Scale, Ethnocultural Empathy Scale, Microaggressions Towards Mental Illness Scale. As a result of the regression analysis, female gender, high economic status, and religious beliefs were found to be significant predictors of microaggression towards mental illnesses.

References

  • Barber, S., Gronholm, P., Ahuja, S., Rüsch, N., & Thornicroft, G. (2019). Microaggressions towards people affected by mental health problems: a scoping review. Epidemiology and Psychiatric Sciences, 29. https://doi.org/10.1017/s2045796019000763
  • Baysal, G. Ö. D. (2013). Damgalanma ve ruh sağlığı. Arşiv Kaynak Tarama Dergisi, 22(2), 239-251.
  • Çam, O., & Bilge, A. (2011, July). Türkiye'nin Batısında Yaşayan Halkın Ruhsal Hastalığa ve Hastalara Yönelik İnanç ve Tutumlarının Belirlenmesi. In Yeni Symposium (Vol. 49, No. 3).
  • Çam, O., & Bilge, A. (2013). Türkiye’de ruhsal hastalığa/hastaya yönelik inanç, tutum ve damgalama süreci: Sistematik derleme. Psikiyatri Hemşireliği Dergisi, 4(2), 91-101.
  • Conover, K. & Israel, T. (2019). Microaggressions and social support among sexual minorities with physical disabilities. Rehabilitation Psychology, 64(2), 167-178. https://doi.org/10.1037/rep0000250
  • Corrigan, P. W., Edwards, A. B., Green, A., Diwan, S. L., & Penn, D. L. (2001). Prejudice, social distance, and familiarity with mental illness. Schizophrenia bulletin, 27(2), 219-225.
  • Deres, A. T., Bürkner, P. C., Klauke, B., & Buhlmann, U. (2020). The role of stigma during the course of inpatient psychotherapeutic treatment in a German sample. Clinical Psychology & Psychotherapy, 27(2), 239-248.
  • Ertem, M. Y., & Karakaş, M. (2022). Validity and reliability study of the mental illness micro-aggression scale-perpetrator version. Archives of psychiatric nursing, 41, 234-240.
  • Fekih-Romdhane, F., Daher-Nashif, S., Stambouli, M., Alhuwailah, A., Helmy, M., Shuwiekh, H. A. M., ... & Hallit, S. (2023). Mental illness stigma as a moderator in the relationship between religiosity and help-seeking attitudes among Muslims from 16 Arab countries. BMC public health, 23(1), 1671.
  • Follmer, K. & Jones, K. (2017). Stereotype content and social distancing from employees with mental illness: the moderating roles of gender and social dominance orientation. Journal of Applied Social Psychology, 47(9), 492-504. https://doi.org/10.1111/jasp.12455
  • Fong, T. & Mak, W. (2022). The effects of internet-based storytelling programs (amazing adventure against stigma) in reducing mental illness stigma with mediation by interactivity and stigma content: randomized controlled trial. Journal of Medical Internet Research, 24(8), e37973. https://doi.org/10.2196/37973
  • Girma, E., Tesfaye, M., Froeschl, G., Möller-Leimkühler, A. M., Müller, N., & Dehning, S. (2013). Public stigma against people with mental illness in the Gilgel Gibe Field Research Center (GGFRC) in Southwest Ethiopia. PloS one, 8(12), e82116.
  • Gonzales, L., Davidoff, K. C., DeLuca, J. S., & Yanos, P. T. (2015). The mental illness microaggressions scale-perpetrator version (MIMS-P): Reliability and validity. Psychiatry Research, 229(1-2), 120-125.
  • Gonzales, L., Davidoff, K. C., Nadal, K. L., & Yanos, P. T. (2015). Microaggressions experienced by persons with mental illnesses: An exploratory study. Psychiatric rehabilitation journal, 38(3), 234.
  • Gonzales, L., Kois, L. E., Chen, C., López-Aybar, L., McCullough, B., & McLaughlin, K. J. (2022). Reliability of the term “serious mental illness”: A systematic review. Psychiatric services, 73(11), 1255-1262.
  • Goplen, J., & Plant, E. A. (2015). A religious worldview: Protecting one’s meaning system through religious prejudice. Personality and Social Psychology Bulletin, 41(11), 1474-1487.
  • Gür, K. & Küçük, L. (2016). Females’ attitudes toward mental illness: a sample from rural istanbul, turkey. Iranian Red Crescent Medical Journal, 18(5). https://doi.org/10.5812/ircmj.22267
  • Haro, J. (2016). The role of geographical and social context on ethnic identity and ethnocultural empathy (Doctoral dissertation, California State University, Sacramento).
  • Kuşat, A., & Bulut, M. B. (2016). Dini dünya görüşleri ölçeğinin Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. Uluslararası Sosyal Araştırmalar Dergisi, 9(43), 2502-2509.
  • Lincoln, A. K., Arford, T., Doran, M. V., Guyer, M., & Hopper, K. (2015). A preliminary examination of the meaning and effect of limited literacy in the lives of people with serious mental illness. Journal of Community Psychology, 43(3), 315-320.
  • Lu, Y., Hill, C. E., Hancock, G. R., & Keum, B. T. (2020). The effectiveness of helping skills training for undergraduate students: changes in ethnocultural empathy. Journal of Counseling Psychology, 67(1), 14-24. https://doi.org/10.1037/cou0000404
  • Ma, M., Shi, Z., Chen, Y., & Ma, X. (2022). Recovery journey of schizophrenic patients in chinese culture:a qualitative study of experiences.. https://doi.org/10.21203/rs.3.rs-2125631/v1
  • Meng, N., Huang, X., Wang, J., Wang, M., & Wang, Y. (2022). The factors and outcomes of stigma toward mental disorders among medical and nursing students: a cross-sectional study. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-03996-y
  • Mukaka, M. M. (2012). A guide to appropriate use of correlation coefficient in medical research. Malawi medical journal, 24(3), 69-71.
  • O’Connor, L., Yanos, P., & Firmin, R. (2018). Correlates and moderators of stigma resistance among people with severe mental illness. Psychiatry Research, 270, 198-204. https://doi.org/10.1016/j.psychres.2018.09.040
  • Özdikmenli-Demir, G., & Demir, S. (2014). Testing the psychometric properties of the scale of ethnocultural empathy in Turkey. Measurement and Evaluation in Counseling and Development, 47(1), 27-42.
  • Park, J., Lee, E., Barker, K., Roberts, K., Tseng, Y., Elmer, J., … & Tsen, J. (2023). Mental illness identity development and service utilization experiences among asian americans with mental illness: a qualitative study. Psychiatric Rehabilitation Journal, 46(1), 36-44. https://doi.org/10.1037/prj0000557
  • Rasoal, C., Jungert, T., Hau, S., & Andersson, G. (2011). Development of a swedish version of the scale of ethnocultural empathy. Psychology, 02(06), 568-573. https://doi.org/10.4236/psych.2011.26087
  • Rasoal, C., Jungert, T., Hau, S., Edvardsson Stiwne, E., & Andersson, G. (2009). Ethnocultural empathy among students in health care education. Evaluation & the Health Professions, 32(3), 300-313.
  • Şen, F., Taşkın, E., Özmen, E., Ademir, Ö., & Demet, M. M. (2003). Türkiye’de kırsal bir bölgede yaşayan halkın depresyona ilişkin tutumları. Anadolu Psikiyatri Dergisi, 4(3), 133-143
  • Sisselman-Borgia, A., Budescu, M., Torino, G., & Ramos, M. (2021). Mental health among black youth experiencing socioeconomic microaggressions. The Journal of Contemporary Social Services, 102(3), 300-315. https://doi.org/10.1177/1044389420978135
  • Sorrell, S. A., Lefevor, G. T., & Berg, C. O. (2023). “like little knives, stabbing me”: the impact of microaggressions on lgbtq+ teens and their parents in the church of jesus christ of latter‐day saints. Journal for the Scientific Study of Religion, 63(2), 213-239. https://doi.org/10.1111/jssr.12882
  • Taşkın, E. O., Şen, F. S., Aydemir, Ö., Demet, M. M., Özmen, E., & İÇELLİ, İ. (2002). Türkiye’de Kırsal Bir Bölgede Yaşayan Halk› n Şizofreniye İlişkin Tutumlar›. Türk Psikiyatri Dergisi.
  • Taufik, T. (2019). Ethnocultural empathy in a pluralistic society: Inter-ethnic relationships of Javanese and Chinese children in Surakarta. The Open Psychology Journal, 12(1).
  • Tumin, M., Rahman, M. M., & Jantan, Z. (2021). Effect Of Education On Stigma And Discrimination Towards Mental Illness: A Multivariate Analysis Of Covariance. Malaysian Journal of Public Health Medicine, 21(2), 329-337. Türkiye İstatistik Kurumu (TÜİK). 10 Eylül 2024, https://www.tuik.gov.tr/
  • Vaccaro, J., Seda, J., & Yanos, P. (2018). Political attitudes as predictors of the multiple dimensions of mental health stigma. International Journal of Social Psychiatry, 64(5), 459-469. https://doi.org/10.1177/0020764018776335
  • Wang, Y. W., Davidson, M. M., Yakushko, O. F., Savoy, H. B., Tan, J. A., & Bleier, J. K. (2003). The scale of ethnocultural empathy: Development, validation, and reliability. Journal of counseling psychology, 50(2), 221.
  • Zieger, A., Mungee, A., Schomerus, G., Ta, T. M. T., Dettling, M., Angermeyer, M. C., & Hahn, E. (2016). Perceived stigma of mental illness: A comparison between two metropolitan cities in India. Indian Journal of Psychiatry, 58(4), 432-437.
  • Zolezzi, M., Bensmail, N., Zahrah, F., Khaled, S. M., & El-Gaili, T. (2017). Stigma associated with mental illness: perspectives of university students in Qatar. Neuropsychiatric disease and treatment, 1221-1233.
  • Zoubaa, S., Dure, S., & Yanos, P. (2020). Is there evidence for defensive projection? the impact of subclinical mental disorder and self-identification on endorsement of stigma. Stigma and Health, 5(4), 434-441. https://doi.org/10.1037/sah0000217

Ruhsal Hastalıklara Yönelik Mikroagresyon ve İlişkili Faktörler

Year 2025, Issue: 67, 218 - 230, 18.03.2025
https://doi.org/10.53568/yyusbed.1591104

Abstract

Ruhsal hastalığı olan bireylere yönelik mikro saldırılar, bireylerin ruh sağlığını ve iyilik halini olumsuz etkileyen yaygın bir ayrımcılık biçimini temsil eder. Kısa ve sıradan sözlü, davranışsal veya çevresel aşağılamalar olarak tanımlanan bu mikro saldırılar, ruh sağlığı sorunları olan bireyler de dahil olmak üzere marjinal gruplara genellikle aşağılayıcı mesajlar iletir. Bu etkileşimlerin incelikli ancak zarar verici doğası, artan kaygı, depresyon ve sosyal izolasyon gibi derin psikolojik sonuçlara yol açabilir. Bu deneyimleri şekillendiren toplumsal ve kültürel bağlamları anlamak, ruhsal hastalığı olan bireylerin benzersiz ihtiyaçlarını ele alan etkili müdahaleler geliştirmek için esastır. Bu bağlamda tanımlayıcı ve kesitsel bir araştırma deseni olarak planlanan bu çalışma, genel toplumda ruhsal hastalığı olan bireylere yönelik mikro saldırganlık düzeylerini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Kesitsel tipteki bu çalışma, çevrimiçi anket yoluyla ulaşılan ve çalışmaya katılmayı kabul eden 18 yaş üstü 312 bireyle amaçlı örnekleme yöntemi kullanılarak yürütülmüştür. Veriler sosyodemografik veri formu, Dini Dünya Görüşü Ölçeği, Etno kültürel Empati Ölçeği, Ruhsal Hastalıklara Yönelik Mikro Saldırganlık Ölçeği kullanılarak toplanmıştır. Yapılan regresyon analizi sonucunda kadın cinsiyet, yüksek ekonomik durum ve dini inançların ruhsal hastalıklara yönelik mikroagresyonun önemli birer yordayıcısı olduğu bulunmuştur.

References

  • Barber, S., Gronholm, P., Ahuja, S., Rüsch, N., & Thornicroft, G. (2019). Microaggressions towards people affected by mental health problems: a scoping review. Epidemiology and Psychiatric Sciences, 29. https://doi.org/10.1017/s2045796019000763
  • Baysal, G. Ö. D. (2013). Damgalanma ve ruh sağlığı. Arşiv Kaynak Tarama Dergisi, 22(2), 239-251.
  • Çam, O., & Bilge, A. (2011, July). Türkiye'nin Batısında Yaşayan Halkın Ruhsal Hastalığa ve Hastalara Yönelik İnanç ve Tutumlarının Belirlenmesi. In Yeni Symposium (Vol. 49, No. 3).
  • Çam, O., & Bilge, A. (2013). Türkiye’de ruhsal hastalığa/hastaya yönelik inanç, tutum ve damgalama süreci: Sistematik derleme. Psikiyatri Hemşireliği Dergisi, 4(2), 91-101.
  • Conover, K. & Israel, T. (2019). Microaggressions and social support among sexual minorities with physical disabilities. Rehabilitation Psychology, 64(2), 167-178. https://doi.org/10.1037/rep0000250
  • Corrigan, P. W., Edwards, A. B., Green, A., Diwan, S. L., & Penn, D. L. (2001). Prejudice, social distance, and familiarity with mental illness. Schizophrenia bulletin, 27(2), 219-225.
  • Deres, A. T., Bürkner, P. C., Klauke, B., & Buhlmann, U. (2020). The role of stigma during the course of inpatient psychotherapeutic treatment in a German sample. Clinical Psychology & Psychotherapy, 27(2), 239-248.
  • Ertem, M. Y., & Karakaş, M. (2022). Validity and reliability study of the mental illness micro-aggression scale-perpetrator version. Archives of psychiatric nursing, 41, 234-240.
  • Fekih-Romdhane, F., Daher-Nashif, S., Stambouli, M., Alhuwailah, A., Helmy, M., Shuwiekh, H. A. M., ... & Hallit, S. (2023). Mental illness stigma as a moderator in the relationship between religiosity and help-seeking attitudes among Muslims from 16 Arab countries. BMC public health, 23(1), 1671.
  • Follmer, K. & Jones, K. (2017). Stereotype content and social distancing from employees with mental illness: the moderating roles of gender and social dominance orientation. Journal of Applied Social Psychology, 47(9), 492-504. https://doi.org/10.1111/jasp.12455
  • Fong, T. & Mak, W. (2022). The effects of internet-based storytelling programs (amazing adventure against stigma) in reducing mental illness stigma with mediation by interactivity and stigma content: randomized controlled trial. Journal of Medical Internet Research, 24(8), e37973. https://doi.org/10.2196/37973
  • Girma, E., Tesfaye, M., Froeschl, G., Möller-Leimkühler, A. M., Müller, N., & Dehning, S. (2013). Public stigma against people with mental illness in the Gilgel Gibe Field Research Center (GGFRC) in Southwest Ethiopia. PloS one, 8(12), e82116.
  • Gonzales, L., Davidoff, K. C., DeLuca, J. S., & Yanos, P. T. (2015). The mental illness microaggressions scale-perpetrator version (MIMS-P): Reliability and validity. Psychiatry Research, 229(1-2), 120-125.
  • Gonzales, L., Davidoff, K. C., Nadal, K. L., & Yanos, P. T. (2015). Microaggressions experienced by persons with mental illnesses: An exploratory study. Psychiatric rehabilitation journal, 38(3), 234.
  • Gonzales, L., Kois, L. E., Chen, C., López-Aybar, L., McCullough, B., & McLaughlin, K. J. (2022). Reliability of the term “serious mental illness”: A systematic review. Psychiatric services, 73(11), 1255-1262.
  • Goplen, J., & Plant, E. A. (2015). A religious worldview: Protecting one’s meaning system through religious prejudice. Personality and Social Psychology Bulletin, 41(11), 1474-1487.
  • Gür, K. & Küçük, L. (2016). Females’ attitudes toward mental illness: a sample from rural istanbul, turkey. Iranian Red Crescent Medical Journal, 18(5). https://doi.org/10.5812/ircmj.22267
  • Haro, J. (2016). The role of geographical and social context on ethnic identity and ethnocultural empathy (Doctoral dissertation, California State University, Sacramento).
  • Kuşat, A., & Bulut, M. B. (2016). Dini dünya görüşleri ölçeğinin Türkçeye uyarlanması: Geçerlik ve güvenirlik çalışması. Uluslararası Sosyal Araştırmalar Dergisi, 9(43), 2502-2509.
  • Lincoln, A. K., Arford, T., Doran, M. V., Guyer, M., & Hopper, K. (2015). A preliminary examination of the meaning and effect of limited literacy in the lives of people with serious mental illness. Journal of Community Psychology, 43(3), 315-320.
  • Lu, Y., Hill, C. E., Hancock, G. R., & Keum, B. T. (2020). The effectiveness of helping skills training for undergraduate students: changes in ethnocultural empathy. Journal of Counseling Psychology, 67(1), 14-24. https://doi.org/10.1037/cou0000404
  • Ma, M., Shi, Z., Chen, Y., & Ma, X. (2022). Recovery journey of schizophrenic patients in chinese culture:a qualitative study of experiences.. https://doi.org/10.21203/rs.3.rs-2125631/v1
  • Meng, N., Huang, X., Wang, J., Wang, M., & Wang, Y. (2022). The factors and outcomes of stigma toward mental disorders among medical and nursing students: a cross-sectional study. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-03996-y
  • Mukaka, M. M. (2012). A guide to appropriate use of correlation coefficient in medical research. Malawi medical journal, 24(3), 69-71.
  • O’Connor, L., Yanos, P., & Firmin, R. (2018). Correlates and moderators of stigma resistance among people with severe mental illness. Psychiatry Research, 270, 198-204. https://doi.org/10.1016/j.psychres.2018.09.040
  • Özdikmenli-Demir, G., & Demir, S. (2014). Testing the psychometric properties of the scale of ethnocultural empathy in Turkey. Measurement and Evaluation in Counseling and Development, 47(1), 27-42.
  • Park, J., Lee, E., Barker, K., Roberts, K., Tseng, Y., Elmer, J., … & Tsen, J. (2023). Mental illness identity development and service utilization experiences among asian americans with mental illness: a qualitative study. Psychiatric Rehabilitation Journal, 46(1), 36-44. https://doi.org/10.1037/prj0000557
  • Rasoal, C., Jungert, T., Hau, S., & Andersson, G. (2011). Development of a swedish version of the scale of ethnocultural empathy. Psychology, 02(06), 568-573. https://doi.org/10.4236/psych.2011.26087
  • Rasoal, C., Jungert, T., Hau, S., Edvardsson Stiwne, E., & Andersson, G. (2009). Ethnocultural empathy among students in health care education. Evaluation & the Health Professions, 32(3), 300-313.
  • Şen, F., Taşkın, E., Özmen, E., Ademir, Ö., & Demet, M. M. (2003). Türkiye’de kırsal bir bölgede yaşayan halkın depresyona ilişkin tutumları. Anadolu Psikiyatri Dergisi, 4(3), 133-143
  • Sisselman-Borgia, A., Budescu, M., Torino, G., & Ramos, M. (2021). Mental health among black youth experiencing socioeconomic microaggressions. The Journal of Contemporary Social Services, 102(3), 300-315. https://doi.org/10.1177/1044389420978135
  • Sorrell, S. A., Lefevor, G. T., & Berg, C. O. (2023). “like little knives, stabbing me”: the impact of microaggressions on lgbtq+ teens and their parents in the church of jesus christ of latter‐day saints. Journal for the Scientific Study of Religion, 63(2), 213-239. https://doi.org/10.1111/jssr.12882
  • Taşkın, E. O., Şen, F. S., Aydemir, Ö., Demet, M. M., Özmen, E., & İÇELLİ, İ. (2002). Türkiye’de Kırsal Bir Bölgede Yaşayan Halk› n Şizofreniye İlişkin Tutumlar›. Türk Psikiyatri Dergisi.
  • Taufik, T. (2019). Ethnocultural empathy in a pluralistic society: Inter-ethnic relationships of Javanese and Chinese children in Surakarta. The Open Psychology Journal, 12(1).
  • Tumin, M., Rahman, M. M., & Jantan, Z. (2021). Effect Of Education On Stigma And Discrimination Towards Mental Illness: A Multivariate Analysis Of Covariance. Malaysian Journal of Public Health Medicine, 21(2), 329-337. Türkiye İstatistik Kurumu (TÜİK). 10 Eylül 2024, https://www.tuik.gov.tr/
  • Vaccaro, J., Seda, J., & Yanos, P. (2018). Political attitudes as predictors of the multiple dimensions of mental health stigma. International Journal of Social Psychiatry, 64(5), 459-469. https://doi.org/10.1177/0020764018776335
  • Wang, Y. W., Davidson, M. M., Yakushko, O. F., Savoy, H. B., Tan, J. A., & Bleier, J. K. (2003). The scale of ethnocultural empathy: Development, validation, and reliability. Journal of counseling psychology, 50(2), 221.
  • Zieger, A., Mungee, A., Schomerus, G., Ta, T. M. T., Dettling, M., Angermeyer, M. C., & Hahn, E. (2016). Perceived stigma of mental illness: A comparison between two metropolitan cities in India. Indian Journal of Psychiatry, 58(4), 432-437.
  • Zolezzi, M., Bensmail, N., Zahrah, F., Khaled, S. M., & El-Gaili, T. (2017). Stigma associated with mental illness: perspectives of university students in Qatar. Neuropsychiatric disease and treatment, 1221-1233.
  • Zoubaa, S., Dure, S., & Yanos, P. (2020). Is there evidence for defensive projection? the impact of subclinical mental disorder and self-identification on endorsement of stigma. Stigma and Health, 5(4), 434-441. https://doi.org/10.1037/sah0000217
There are 40 citations in total.

Details

Primary Language English
Subjects Sociology of Health
Journal Section Issue
Authors

Cemile Hürrem Ayhan 0000-0002-6326-2177

Fuat Tanhan 0000-0002-1990-4988

Özge Sukut 0000-0001-6394-3346

Hülya Bilgin 0000-0001-7332-5568

Mehmet Cihad Aktaş 0000-0002-6529-9766

Kadriye Aslan 0009-0009-3681-4544

Publication Date March 18, 2025
Submission Date November 25, 2024
Acceptance Date March 4, 2025
Published in Issue Year 2025 Issue: 67

Cite

APA Ayhan, C. H., Tanhan, F., Sukut, Ö., Bilgin, H., et al. (2025). Microaggression Towards Mental Illness and Related Factors. Yüzüncü Yıl Üniversitesi Sosyal Bilimler Enstitüsü Dergisi(67), 218-230. https://doi.org/10.53568/yyusbed.1591104

Journal of Yüzüncü Yıl University Graduate School of Social Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).