Effects Of Stigma Research Articles

Social housing stigma in Toronto: Identifying asymmetries between stereotypes and statistical actualities of health, crime, and human capital

AbstractResearch on social housing stigma has proliferated due to growing concern over the effects of territorial stigmatization. The stereotyping of social housing as a site of ill‐health, criminality, and low human capital stems from empirically ambiguous narratives created and recirculated through popular modes (e.g., social media platforms, news coverage). This paper combines principal component analysis, k‐means cluster analysis, and geographic information systems to create and visualize clusters denoting different levels of health, crime, human capital, and dwelling composition in the city of Toronto, Canada. The quantitative research design allows for the identification of “asymmetries,” which are census tracts or neighbourhoods assigned to clusters indicative of high social housing density, and one of either sound health, low crime, or high human capital. The results reveal a spatial patterning of asymmetries in the inner city West End and Downtown, and in inner suburban North York, Etobicoke, and Scarborough. Overall, the paper illustrates the need to assess the empirical foundations of social housing stereotypes. Critically assessing stereotypes is important as they belie the rationale for social housing residents' living situations; pathologizes their identity, behaviour, and home; and generates public support for neoliberal solutions that displace long‐term residents from their communities.

Mediating effects of pain interference and stigma on the relationship between burn severity and posttraumatic stress disorder in burn survivors

Mediating effects of pain interference and stigma on the relationship between burn severity and posttraumatic stress disorder in burn survivors

Sexual and Reproductive Health Services Utilization among Adolescents in South Ethiopia: Examining the Role of Stigma, Social Support, and Self-Efficacy

Abstract Introduction: Despite the high burden of Sexual and Reproductive Health (SRH) during adolescence and it associated negative consequences. Yet, relatively little attention has been given to the role of stigma, social support, and self-efficacy in adolescents’ SRH services utilization. Therefore, this study aimed to examine the role of stigma, social support, and self-efficacy in adolescents’ SRH services utilization in South Ethiopia. Methods: A total of 1172 adolescents were selected using a multistage stratified random sampling method. Correlation analysis was performed to identify relationships between the variables. A structural equation model was used to examine the chain and single mediating roles of self-efficacy and perceived social support. Results: This study found that the direct, indirect, and overall effects of SRH-related stigma on the utilization of SRH services were significant. A single mediation effect via perceived social support was -0.0017 [bootstrap 95% CI: -0.0026, -0.0007] and self-efficacy was -0.00123 [bootstrap 95% CI: (-0.0023, -0.0002)] in the association between SRH service utilization and SRH-related stigma. The chain mediation effect test showed that perceived social support and self-efficacy mediated the effect of SRH-related stigma on SRH service utilization, with a mediation effect score of -0.0025 [bootstrap 95% CI: (-0 .0034, -0.0015)]. Conclusion: The association between SRH-related stigma and SRH service utilization was partially mediated by self-efficacy and perceived social support. The chain mediation effect test also confirmed that perceived social support and self-efficacy sequentially mediated the effect of SRH-related stigma on SRH service utilization. Therefore, designing comprehensive interventions that target “3S” stigma, social support, and self-efficacy may be effective in improving service utilization. Keywords: Adolescents; Sexual and Reproductive Health Service; Stigma; Self-efficacy, Perceived social support; South Ethiopia.

Healthcare providers' perspectives on stigma when working with people with functional seizures.

This study aimed to explore healthcare providers' (HCPs) perspectives and experiences of stigma when working with people with Functional Seizures (FS). Particular focus was given to understanding HCPs' experience and knowledge of FS, discovering the attitudes held by HCPs towards working with FS as a mental health condition, and exploring HCPs' views of how their stigma manifests towards people with FS when in an occupational setting. Semi-structured individual interviews were conducted with thirteen HCPs who specialised in the diagnosis and/or treatment and management of FS. A reflexive thematic analysis was utilised to analyse the semi-structured interviews for means of identifying themes within the data. Themes identified included those of contextual factors which indirectly influence stigma, inclusive of a lack of time and resources. HCPs additionally described having a general limited understanding of FS as a condition and becoming frustrated with their patients, which in turn fuelled a stigmatising culture. HCPs also pointed to the idea of diagnostic terms being inappropriate and adding to stigma. HCPs' personal stigma as well as institutionalised stigma were identified. The HCPs also reported on the negative attitudes and actions directed towards FS patients. Strategies to reduce stigma were also explored. There are various ways in which HCPs' stigma towards individuals with FS can occur, both directly and indirectly. HCPs play a key role in supporting their FS patients and alleviating the effects of stigma; thus, it is important to understand their perspectives and experiences through further research.

Lived experiences of students with virological failure on antiretrovirals at a university in Limpopo.

Human immunodeficiency virus (HIV)-positive students at a rural university in Limpopo province are followed-up according to the national guidelines for the treatment of HIV. Blood monitoring revealed that some students on antiretroviral (ARV) treatment were not virologically suppressed despite adherence and compliance being emphasised at every visit. The study sought to identify the students' experiences that were hindering the viral load from improving. A two-phase qualitative, explorative, descriptive study design was followed. Convenience purposive sampling methods were taken on. By means of a semi-structured interview guide, face-to-face interviews were directed. Thematic content analysis was applied. Non-disclosure, noisy ARV packaging, stigma, and service delivery played a role in determining levels of student adherence and compliance with ARVs in the study sample. Study findings suggest practical recommendations to improve compliance among students on ARVs: provision of HIV education to all students to help reduce stigma and make it easier to disclose HIV status; use of user-friendly noise-free packaging by pharmaceutical companies to enclose medication, such as blister packs; a supermarket approach in service delivery points to reduce the stigmatising effects of consulting rooms for ARV services.Contribution:There is scope to examine the relevance of these findings for other students in the country, to compare them, and to use material from larger studies to guide targeted interventions that could improve adherence among young people.

A Study of the Relationship between Men Who Have Sex with Men Stigma and Depression: A Moderated Mediation Model

(1) Background: Men who have sex with men (MSM) have a high prevalence of depression due to stigma. However, whether resilience and social support play a moderating role in the effects of stigma on depression remains to be tested. This study constructed a moderated mediation model to explore the mediating role of perceived stigma in the relationship between enacted stigma and depression and whether this relationship is moderated by social support. (2) Methods: MSM were recruited during November–December 2022 using a non-probability sampling method, and a total of 1091 participants were included. Enacted stigma, perceived stigma, resilience, social support, and depressive symptoms were measured. Mediation and moderated mediation models were used to analyze the relationships between these variables. (3) Results: Moderated mediation analyses show that enacted stigma indirectly affects depression through perceived stigma (β = 0.315, 95% confidence interval = 0.221 to 0.421). Social support had a positive moderating effect between enacted stigma and depressive symptoms (β = 0.194, p < 0.001) and a negative moderating effect between perceived stigma and depressive symptoms (β = −0.188, p < 0.001). (4) Resilience and perceived stigma mediated the relationship between enacted stigma and depression, and the relationship between enacted stigma, perceived stigma, and depression was moderated by social support. Reducing stigma while increasing social support has the potential to alleviate depressive symptoms among Chinese MSM.

Stigmatization of Ebola virus disease survivors in 2022: A cross-sectional study of survivors in Sierra Leone

BackgroundEvidence has demonstrated a high proportion of Ebola virus disease (EVD) survivors experienced stigma due to the disease. This study sought to understand the longer-term effects of stigma encountered by survivors of the 2014–2016 EVD epidemic living in Sierra Leone. MethodsThis was a cross-sectional study of 595 EVD survivors and 403 close contacts (n = 998) from Sierra Leone. Assessments were conducted using a three-part survey between November 2021 to March 2022. We explored the socio-demographic factors associated with stigma experienced by EVD survivors. Findings50·6 % (n = 301) of EVD survivors reported that they continued to experience at least one aspect of stigma. Females were disproportionately affected by stigma, with 45·2 % of females reporting isolation from friends and family compared to 33·9 % of men (p = 0·005). Multivariable logistic regression models revealed those aged 40–44, living rurally, and reporting an acute infection longer than seven days was associated with EVD-related stigma at the time of survey. InterpretationThis study demonstrates stigma is still prevalent among people who survived EVD in 2022. It also identified socio-demographic factors associated with stigma that can be used for targeting interventions. Importantly, this highlights the continued need for EVD survivors to access mental healthcare and social support systems well after disease recovery. FundingThis study was funded by the Canadian Institutes for Health Research (Grant no. PJT-175098. JK is funded by a Tier 2 Canada Research Chair in the Molecular Pathogenesis of Emerging and Re-Emerging Viruses. SS is funded by a Tier 2 Canada Research Chair in Program Science and Global Public Health.

The relationship between psychological resilience and quality of life among the Chinese diabetes patients: the mediating role of stigma and the moderating role of empowerment

BackgroundAlthough some factors, such as stigma and empowerment, influence the complex relationship between psychological resilience and quality of life, few studies have explored similar psychological mechanisms among patients with diabetes. Therefore, this study explored the mediating role of stigma and the moderating role of empowerment in the psychological mechanisms by which psychological resilience affects quality of life.MethodsFrom June to September 2022, data were collected by multi-stage stratified sampling and random number table method. Firstly, six tertiary hospitals in Wuhu were numbered and then selected using the random number table method, resulting in the First Affiliated Hospital of Wannan Medical College being selected. Secondly, two departments were randomly selected from this hospital: endocrinology and geriatrics. Thirdly, survey points were set up in each department, and T2DM patients were randomly selected for questionnaire surveys. In addition, we used the Connor-Davidson Elasticity Scale (CD-RISC) to measure the psychological resilience of patients, and used the Stigma Scale for Chronic Illness (SSCI) to measure stigma. Empowerment was measured by the Diabetes Empowerment Scale (DES). Quality of Life was assessed by the Diabetes Quality of Life Scale (DQoL). We used SPSS (version 21) and PROCESS (version 4.1) for data analysis.Results(1) Psychological resilience was negatively correlated with stigma and quality of life, and positively correlated with empowerment. Stigma was positively associated with empowerment and quality of life. Empowerment was negatively correlated with quality of life. (2) The mediation analysis showed that psychological resilience had a direct predictive effect on the quality of life, and stigma partially mediated the relationship; Empowerment moderates the first half of "PR → stigma → quality of life"; Empowerment moderates the latter part of "PR → stigma → quality of life."ConclusionsUnder the mediating effect of stigma, psychological resilience can improve quality of life. Empowerment has a moderating effect on the relationship between psychological resilience and stigma, and it also has a moderating effect on the relationship between stigma and quality of life. These results facilitate the understanding of the relationship mechanisms between psychological resilience and quality of life.

Touching the cornerstone: An illustrative example of the effects of stigma and discrimination on vaccine-hesitant parents

ObjectivesThe concept of vaccine hesitancy encompasses multiple views on the subject. However, there has been an increasing polarization of the discourse on vaccine hesitancy leading to the stigmatization of those parents who expressed doubts or concerns regarding vaccination practices. The present study aimed to explore the drivers and consequences of polarized discourses on vaccination in the Portuguese context. This paper is part of a broader study which aims to gain a deeper understanding about the phenomenon of vaccine hesitancy at the European level. Study designA qualitative research design was used. MethodsThe sample was comprised of thirty-one Portuguese vaccine hesitant parents who were interviewed. A thematic analysis of the transcribed interviews was performed which allowed us to identify key themes. ResultsThe results showed that the labelling of vaccine-hesitant parents as ‘anti-vaxxers’ along with social media play a crucial role in promoting the polarization of vaccine-related attitudes. The stigmatization of vaccine hesitant parents has a disruptive impact on their social network leading them to search for online platforms where they can exchange vaccines-related information without being discriminated. ConclusionsThe stigma and discrimination experienced by vaccine-hesitant parents stimulated that hesitancy becomes more entrenched. Therefore, pluralism should be used to tailor vaccination promotion campaigns to different targets, promoting its reach and efficacy.

The acute inflammatory effects of weight stigma: An experimental pilot study.

The acute inflammatory effects of weight stigma: An experimental pilot study.

Exploring the Nexus of Social Stigma, Perceived Social Support, and Life Satisfaction among Women Facing Delayed Conception

In recent research, a fascinating exploration delved into the intricate relationship between social stigma, perceived social support, and life satisfaction among women who experienced delayed conception. The study included a diverse sample of 105 females drawn from various regions of Sialkot. To assess these critical dimensions, the researchers employed the Stigma Scale and Discrimination (DISC), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Satisfaction with Life Scale (SWLS). Employing a cross-sectional research design with a quantitative approach, the data was meticulously collected and analyzed. Notably, the results demonstrated a negative correlation between social stigma and perceived social support (r = -.303**, p < .01), underlining the profound impact of social support in alleviating the stigma associated with delayed conception. Furthermore, the study revealed a significant negative correlation between social stigma and life satisfaction (r = .415**, p < .01), highlighting the detrimental influence of stigma on overall life satisfaction. Conversely, there was a positive correlation between life satisfaction and perceived social support (r = .312**, p < .01), emphasizing the beneficial role of social support in promoting a greater sense of life satisfaction among these women. The findings of this study unveiled an intriguing role for social support as a mediator in mitigating the adverse effects of stigma while simultaneously enhancing life satisfaction in women who faced challenges in conceiving.

Psychosocial burden and healthcare disillusionment in recurrent UTI: a large-scale international survey of patient perspectives

ObjectivesRecurrent UTI (rUTI) is a debilitating health condition that is associated with persistent mental, physical, and social burdens. People living with rUTI face inconsistencies in diagnostic testing and fragmented treatment pathways alongside their symptoms, which are likely to add considerably to their illness-related burdens. This study aimed to characterize the factors negatively impacting this population using the qualitative perspectives of people living with the condition.MethodsQualitative data were collected via free-text responses using an online survey hosted by an rUTI patient advocacy website. Female participants with self-reported rUTI (n = 1,983) described the factors that were most salient to their experience of living with the condition. Data were analyzed using a coding reliability approach to thematic analysis.ResultsTwo overarching themes were identified: (1) the patient burden of rUTI, which describes the multifaceted biopsychosocial impact of the illness, and (2) healthcare disillusionment, which describes patient dissatisfaction with healthcare received, both in terms of the treatments offered and communication with healthcare professionals. The patient burden of rUTI encompassed four subordinate themes: facing ongoing uncertainty; symptom salience; sex is not simple anymore; and perceived UTI stigma. Healthcare disillusionment included three subordinate themes: discomfort with frequent antibiotic use; fragmented treatment pathways; and devalued patient perspectives.ConclusionsThe findings demonstrated that ambiguity in the diagnosis of rUTI and inconsistencies in the subsequent treatment pathway are exacerbated by poor patient–clinician communication. The extent of the female-specific burden of rUTI symptoms confirmed the harmful effects of illness-related stigma. This novel qualitative reporting of rUTI symptom burden and life impact highlights the urgent need for increased patient-centered care for those living with rUTI. More effective rUTI management could have a major impact on treatment outcomes and patient-reported psychosocial wellbeing.

Causes and Recommendations of Stigma in PTSD

In addition to suffering from symptoms, individuals with posttraumatic stress disorder (PTSD) also suffer from self-stigma and public stigmatization due to PTSD. This article examines the stigma that patients with PTSD usually experience, and whether these stigmas are related to the identity, economic status, and other co-occurring mental illnesses of patients. Through reviewing the previous studies, this paper discusses the causes, forms and effects of stigma. In addition, it was found that individualized psychotherapy programs and mindfulness can be effective in alleviating the stress of stigma for PTSD patients. And social acceptance and support for the PTSD community can be increased by managing content about the disorder on social media and changing the content framework of news organizations, such as increasing anti-stigma and introducing knowledge about PTSD. The social acceptance and support of the PTSD community can be increased by, for example, increasing anti-stigma and knowledge about PTSD. Future research should focus on addressing the stigma associated with mental illnesses such as PTSD and addressing the psychological damage caused by stigma.

Anti-Asian racism related stigma, racial discrimination, and protective factors against stigma: a repeated cross-sectional survey among university students during the COVID-19 pandemic.

Since the onset of the COVID-19 pandemic in March 2020, reports of anti-Asian American or Pacific Islander (AAPI) hate have increased in the United States. Institutions of higher education provide a unique opportunity to examine COVID-19 related stigma and protective factors in AAPI young adults enrolled in college. The goal of this research was to examine COVID-19 related stigma among a diverse college student population. We posited that AAPI students experience more racial discrimination, internalized stigma, and/or anticipated racial discrimination than other students. We also sought to identify protective behavioral factors against stigma. This study includes data from a repeated cross-sectional survey that was administered among college students at a large public university in the United States in April (n = 1,359) and November 2020 (n = 1,196). All university enrolled students with an active email account were eligible to participate in the online survey, which included questions about COVID-19 stigma (anticipated, enacted, internalized), stigma resistance, sources of COVID-19 information, lifestyle behaviors, and sociodemographic information. Binary logistic regression models were utilized to assess differences in stigma between race and ethnic groups and to identify factors associated with stigma. AAPI students were more likely to experience all three types of stigma compared to other race and ethnic groups. AAPI students in both waves were at least 2 times more likely to experience enacted stigma and 7.3 times more likely to experience anticipated stigma in the earlier wave compared to non-Hispanic White students. Students who had experienced enacted stigma were more likely to experience anticipated stigma, and those who experienced enacted and anticipated stigma were more likely to experience internalized stigma. Higher education level, living with neighbors/roommates, maintaining a healthy lifestyle, and thinking positively about oneself may act as protective factors against different types of stigma. AAPI students have a greater risk of experiencing COVID-19 stigma compared to those from other race and ethnic groups. Universities should combat anti-AAPI sentiments and COVID-19 stigma and promote public health efforts to build resistance against the negative effects of stigma.

Looking through the lens of stigma: Understanding and anticipating concerns about the responsible development and use of psychiatric electroceutical interventions (PEIs)

Psychiatric electroceutical interventions (PEIs) show promise for treating depression, but few studies have examined stakeholders' views on them. Using interview data and survey data that analyzed the views of psychiatrists, patients, caregivers, and the general public, a conceptual map was created to represent stakeholders’ views on four PEIs: electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), and adaptive brain implants (ABIs). Stigma emerged as a key theme connecting diverse views, revealing that it is a significant factor in the acceptance and usage of PEIs. Stigma not only discourages seeking mental health services for depression but also inhibits the acceptance of PEIs. Addressing the pervasive and complex effects of stigma highlights the need to change societal attitudes toward mental illnesses and their treatments and to provide support to patients who may benefit from these interventions. The map also demonstrates the value of conceptual mapping for anticipating and mitigating ethical considerations in the development and use of PEIs.

The effects of stigma and discrimination on help‐seeking behaviour and the role of police contact

AbstractIn the attempt to increase mental health‐related service contacts, research has increasingly focussed on understanding help‐seeking; this has repeatedly found stigma and discrimination to present as significant factors inhibiting contact with services. Other cognate research has demonstrated the over‐representation of mental illness in the criminal justice system, and varied impacts of police contact on perceptions of police legitimacy and future compliance‐related behaviour. However, there has been limited‐to‐no research examining the potential effects of police contact on future help‐seeking behaviours. The study included 101 Australian‐based participants with a lived experience of mental illness who completed an online survey measuring anticipated and experienced discrimination, stigma, police contact variables and general help‐seeking. Findings suggested that anticipated discrimination and prior police contact were associated with a lower intention to seek help, with those reporting prior police contact being significantly less likely to seek help than those without prior police contact. The results indicate the need to consider individualised experiences of contacts with health and justice services, and for these services to prioritise procedurally just engagement, to limit experiences of discrimination and increase people's inclination to seek help.

Stigma and mental health in endometriosis.

This review provides an overview of patient experiences of endometriosis, endometriosis-related types and sources of stigma pertaining to menstruation, chronic pain, and infertility, and their impact on patients' mental health with particular implications for patient care. Because endometriosis is a complex disease with multifactorial etiology, complicated pathophysiology, and a spectrum of clinical features, diagnosis of endometriosis is typically a lengthy process, and many patients experience initial misdiagnosis. A hallmark symptom is severe menstrual pain with other symptoms including chronic pelvic pain, dysmenorrhea, and infertility. Prior research documents that the diagnostic odyssey, complex management, disabling and unpredictable nature of the disease, and painful symptom profile affect multiple life domains of patients, resulting in poor physical, social, and psychological functioning and clinically-significant rates of anxiety and depression for many. More recently, stigma has been recognized as a potent contributor to poor mental health in endometriosis patients, but existing research is limited and largely atheoretical. We identify major sources of stigma related to endometriosis, including menstrual stigma, chronic pain stigma, and infertility stigma, and their likely impact on patients and health care provision. An integrative theoretical approach is described to facilitate research on the prevalence and effects of endometriosis stigma and their explanatory mechanisms, highlighting specific well-validated psychological instruments to assess stigma. Implications for patient care are emphasized. Better understanding of stigma and mental health in people with endometriosis will enhance the standard of care for this patient population.

Predicting the Influences of Depression and Sexual Stigma on Motivation to Get Vaccinated against COVID-19 in Lesbian, Gay, and Bisexual Young Adults: A 4-Year Follow-Up Study.

Vaccination is a crucial preventive measure against COVID-19. However, limited research has focused on identifying the factors predicting motivation to get vaccinated against COVID-19 (MoVAC-19) among lesbian, gay, and bisexual (LGB) individuals. This study examined the predictive effects of depression and sexual stigma (i.e., perceived sexual stigma from family members, perceived sexual orientation microaggression, and internalized sexual stigma) before the COVID-19 pandemic on MoVAC-19 among LGB individuals 4 years later during the COVID-19 pandemic in Taiwan. Baseline data related to depression and sexual stigma were collected in 2018 and 2019. Depression was assessed using the 20-item Mandarin Chinese version of the Center for Epidemiologic Studies Depression Scale. Perceived sexual stigma from family members was assessed using the Homosexuality-Related Stigma Scale. Internalized sexual stigma was assessed using the Measure of Internalized Sexual Stigma for Lesbians and Gay Men. Perceived sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory. Participant MoVAC-19 during the pandemic was assessed using the nine-item Motors of COVID-19 Vaccination Acceptance Scale. The associations of depression and sexual stigma at baseline with MoVAC-19 at follow-up were examined through multivariate linear regression analysis. Internalized sexual stigma was negatively associated with MoVAC-19, whereas perceived sexual orientation microaggression was positively associated with MoVAC-19. Depression and perceived sexual stigma from family members were not significantly associated with MoVAC-19. Although male sex and older age were positively associated with increased MoVAC-19, sex and age did not moderate the relationship between sexual stigma and motivation to get vaccinated. Among LGB individuals, sexual stigma experiences should be considered when developing intervention strategies aimed at enhancing MoVAC-19.

지역아동센터 이용 아동이 인식하는 사회적낙인감이 행복감에 미치는 영향: 적응유연성의 조절효과

지역아동센터 이용 아동이 인식하는 사회적낙인감이 행복감에 미치는 영향: 적응유연성의 조절효과

The relationship between psychological resilience and depression among the diabetes patients under the background of "dynamic zero COVID-19": the mediating role of stigma and the moderating role of medication burden.

Depression in diabetes patients is caused by their own disease or the surrounding social environment. How to cope with changes in mentality and adjust psychological stress responses, especially under China's dynamic zero COVID-19 policy, is worth further discussion. The researchers constructed a moderated mediation model to test the effect of psychological resilience during dynamic zero COVID-19 on depression in diabetes patients and the mediating role of stigma and the moderating effect of medication burden. From June to September, 2022, data were collected in Jinghu District, Wuhu City, Anhui Province, by multi-stage stratified sampling. Firstly, we selected a tertiary hospital randomly in Jinghu District. Secondly, departments are randomly chosen from the hospital. Finally, we set up survey points in each department and randomly select diabetes patients. In addition, we used the Connor-Davidson Elasticity Scale (CD-RISC) to measure psychological resilience of patients, and used the Stigma Scale for Chronic Illness (SSCI) to measure stigma, medication burden was measured by the Diabetes Treatment Burden Scale (DTBQ), and depression was assessed by the Patient Health Questionnaire-9 (PHQ-9). We used SPSS (version 23.0) and PROCESS (version 4.1) for data analysis. (1) Psychological resilience was negatively correlated with stigma, medication burden, and depression. Stigma was positively associated with medication burden and depression. Medication burden and depression are positively correlated, (2) The mediation analysis showed that psychological resilience had a direct predictive effect on depression, and stigma partially mediated the relationship, and (3) Medication burden moderates the direct pathway by which psychological resilience predicts depression; Medication burden moderates the first half of "psychological resilience → stigma → depression." Under the mediating effect of stigma, psychological resilience can improve depression. Medication burden has a moderating effect on the relationship between psychological resilience and depression, and it also has a moderating effect on the relationship between psychological resilience and stigma. These results facilitate the understanding of the relationship mechanisms between psychological resilience and depression.