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International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

Parallel Mediation of Mindfulness and Psychological Distress Self-Stigma in the Relationship Between Mental Health Self-Stigma and Psychological Distress among Young Adults in Malaysia

Aini Azeqa Ma’rof, Haslinda Abdullah, Syasya Firzana Azmi

http://dx.doi.org/10.6007/IJARBSS/v14-i8/22578

Open access

This study explores the parallel mediating roles of mindfulness and psychological distress self-stigma in the relationship between mental health self-stigma and psychological distress among young adults in Malaysia. Utilizing a cross-sectional survey of 413 young adults from various educational institutions and community settings, the research employs established instruments to measure the constructs. The findings indicate that mental health self-stigma is a significant predictor of psychological distress, with mindfulness and psychological distress self-stigma serving as crucial mediators. Young adults with lower levels of mental health self-stigma who engage in mindfulness practices and have reduced psychological distress self-stigma are more likely to experience lower levels of psychological distress. This highlights the importance of promoting mindfulness practices and addressing psychological distress self-stigma to reduce the adverse effects of mental health self-stigma. Practical strategies suggested include implementing mindfulness-based interventions, such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), and conducting psychoeducational and cognitive-behavioral programs to reduce self-stigma. In conclusion, the study provides empirical evidence on the mediating roles of mindfulness and psychological distress self-stigma in the relationship between mental health self-stigma and psychological distress. By understanding these dynamics, mental health professionals and organizations can develop targeted strategies to support young adults in managing psychological distress, ultimately improving their psychological wellbeing. These findings offer valuable insights for both academics and practitioners in mental health intervention and youth development.

Arnett, J. J. (2014). Emerging adulthood: The winding road from the late teens through the twenties. Oxford University Press.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Chen, S., & Mak, W. W. (2021). Reducing the effects of internalized stigma in people with mental illness: A narrative review of internalized stigma reduction interventions. Psychiatric Services, 72(3), 261-273.
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., ... & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11-27.
Conley, C. S., Kirsch, A. C., Dickson, D. A., & Bryant, F. B. (2014). Negotiating the transition to college: Developmental trajectories and gender differences in psychological functioning, cognitive-affective strategies, and social well-being. Emerging Adulthood, 2(3), 195-210.
Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9(1), 35-53.
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70.
Corrigan, P. W., Larson, J. E., & Rusch, N. (2009). Self-stigma and the "why try" effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75-81.
Desrosiers, A., Vine, V., Klemanski, D. H., & Nolen-Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: Common and distinct mechanisms of action. Depression and Anxiety, 30(7), 654-661.
Eisenberg, D., Downs, M. F., Golberstein, E., & Zivin, K. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review, 66(5), 522-541.
Griffiths, K. M., Carron?Arthur, B., Parsons, A., & Reid, R. (2014). Effectiveness of programs for reducing the stigma associated with mental disorders. A meta?analysis of randomized controlled trials. World Psychiatry, 13(2), 161-175.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1-12.
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10(1), 1-9.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2006). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion.
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-1056.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Psychosomatic Research, 78(6), 519-528.
Levin, M. E., Luoma, J. B., Lillis, J., Hayes, S. C., & Vilardaga, R. (2014). The Acceptance and Action Questionnaire–Stigma (AAQ-S): Developing a measure of psychological flexibility with stigmatizing thoughts. Journal of Contextual Behavioral Science, 3(1), 21-26.
Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., & Phelan, J. C. (2001). Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services, 52(12), 1621-1626.
Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150-2161.
Luo, W., Fu, X., & Ma, J. (2021). The effectiveness of mindfulness-based stress reduction on psychological distress and the mediating role of self-stigma: A meta-analysis. Mindfulness, 12(2), 394-408.
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology, 2, 97-101.
Mak, W. W., Chan, R. C., Wong, S. Y., & Law, L. S. (2017). Social support and psychological distress: The mediating role of self-esteem among emerging adults in Hong Kong. Community Mental Health Journal, 53(6), 744-752.
Masuda, A., Hill, M. L., Morgan, J., & Cohen, L. L. (2021). The role of mindfulness in reducing self-stigma among individuals with chronic pain. Journal of Clinical Psychology, 77(1), 119-131.
Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T. (2015). College students: Mental health problems and treatment considerations. Academic Psychiatry, 39, 503-511.
Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The "backbone" of stigma: Identifying the global core of public prejudice associated with mental illness. American Journal of Public Health, 103(5), 853-860.
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2(3), 223-228.
Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2013). Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research, 209(3), 665-669.
Schulenberg, J. E., & Schoon, I. (2012). The transition to adulthood across time and space: Overview of Special Section. Longitudinal and Life Course Studies, 3(2), 164-172.
Tucker, J. R., Hammer, J. H., Vogel, D. L., Bitman, R. L., Wade, N. G., & Maier, E. J. (2020). Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different? Journal of Counseling Psychology, 67(3), 362-374.
Twenge, J. M., & Campbell, W. K. (2019). Media use is linked to lower psychological well-being: Evidence from three datasets. Psychiatric Quarterly, 90, 311-331.
Vogel, D. L., Heimerdinger-Edwards, S. R., Hammer, J. H., & Hubbard, A. (2013). "Boys don't cry": Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, 60(3), 409-418.
Vogel, D. L., Wade, N. G., & Haake, S. (2007). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 54(1), 40-50.
World Health Organization. (2021). Mental health and substance use. Retrieved from WHO website.
Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal, 38(2), 171-178.

Ma’rof, A. A., Abdullah, H., & Azmi, S. F. (2024). Parallel Mediation of Mindfulness and Psychological Distress Self-Stigma in the Relationship Between Mental Health Self-Stigma and Psychological Distress among Young Adults in Malaysia. International Journal of Academic Research in Business and Social Sciences, 14(8), 2008–2022.