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Stigma toward internalizing and externalizing disorders: How do adolescents perceive their peers? A network analysis
Stefania Mannarini1,2, Federica Taccini2,3, Alessandro Alberto Rossi1,2
1Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, Padova, Italy.
Adolescent stigma differs for Major Depressive Disorder (MDD) and Attention-Deficit Hyperactivity Disorder (ADHD), with dangerousness a key factor in both. Understanding these perceptions is crucial for mental health interventions.
Area of Science:
- Psychology
- Psychiatry
- Adolescent Mental Health
Background:
- Stigma surrounding mental health disorders significantly impacts adolescent well-being and treatment seeking.
- Internalizing disorders like Major Depressive Disorder (MDD) and externalizing disorders like Attention-Deficit Hyperactivity Disorder (ADHD) present unique challenges in perception and societal attitudes.
- Facets of stigma, including attributions and social distance, require nuanced investigation in adolescent populations.
Purpose of the Study:
- To investigate differential facets of stigma between adolescent Major Depressive Disorder (MDD) and Attention-Deficit Hyperactivity Disorder (ADHD).
- To compare the network structures and relationships among stigma components for MDD and ADHD in adolescents.
- To identify key drivers of stigma associated with internalizing versus externalizing disorders.
Main Methods:
- Utilized two vignettes depicting peers with MDD or ADHD presented to 616 Italian adolescents.
- Employed Repeated Measures MANOVA to analyze differences in stigma attributions.
- Conducted Psychometric Network Analysis to examine the interrelationships between stigma facets.
Main Results:
- Biogenetic causes, social distancing, and discomfort were more frequently attributed to MDD compared to ADHD.
- Perceived dangerousness was significantly higher for ADHD than for MDD.
- Psychometric Network Analysis revealed no significant differences in the network structure of stigma components between MDD and ADHD.
- The 'dangerousness' component emerged as a highly influential node in stigma networks for both disorders.
Conclusions:
- Specific stigma facets vary between internalizing (MDD) and externalizing (ADHD) disorders in adolescents.
- Despite differing attributions, the underlying network of stigma components shows similar structures for both MDD and ADHD.
- The concept of 'dangerousness' consistently plays a pivotal role in adolescent stigma across different mental health conditions.
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