Resilience as a response to the stigma of depression: A mixed methods analysis

Boardman, F, Griffiths, F, Kokanovic, R, Potiriadis, M, Dowrick, C and Gunn, J 2011, 'Resilience as a response to the stigma of depression: A mixed methods analysis', Journal of Affective Disorders, vol. 135, no. 13, pp. 267-276.


Document type: Journal Article
Collection: Journal Articles

Title Resilience as a response to the stigma of depression: A mixed methods analysis
Author(s) Boardman, F
Griffiths, F
Kokanovic, R
Potiriadis, M
Dowrick, C
Gunn, J
Year 2011
Journal name Journal of Affective Disorders
Volume number 135
Issue number 13
Start page 267
End page 276
Total pages 10
Publisher Elsevier
Abstract Background: Stigma has been shown to have a significant influence on help-seeking, adherence to treatment and social opportunities for those experiencing depression. There is a need for studies which examine how the stigma of depression intersects with responses to depression. Methods: 161 telephone interviews with people experiencing depressive symptoms, derived from a longitudinal cohort study, were sampled on the basis of their perceptions of stigma around depression. Interview transcripts were searched for references to stigma and analysed thematically. The frequency of the themes was calculated and cross-referenced, producing a meta-theme matrix. Results: Stigma was closely linked to ideas about responsibility for causation and/or continuation of depressive symptoms. Stigmatised individuals felt compelled to take steps to develop their resilience including drawing on existing support networks and expanding on positive emotions and personal strengths in order to counteract this stigma. However, such strategies were burdensome for some. These participants gained relief from relinquishing their personal responsibility. Limitations: The data were briefer than many interview studies. This narrowed its interpretation, but allowed a large sample of participants. Conclusions: When considering how to tailor therapies for those experiencing depressive symptoms, health professionals should consider the interaction of stigma with coping strategies. Many individuals can build on existing relationships and personal strengths to develop resilience, some however need to first relinquish the expectation of having sufficient pre-existing resilience within themselves.
Subject Sociology not elsewhere classified
Keyword(s) Depression
Mixed methods
Primary care
Resilience
Stigma
DOI - identifier 10.1016/j.jad.2011.08.007
Copyright notice © 2011 Elsevier
ISSN 0165-0327
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