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This study examined whether self-stigma content and process would prospectively influence parental warmth and hostility through increasing parenting stress among parents of children with autism spectrum disorder (ASD). On three occasions across two years, 441 Hong Kong parents of children with ASD provided questionnaire data. Path analyses showed that self-stigma content and process were associated with greater parenting stress, which was, in turn, associated with reduced parental warmth and increased parental hostility. Our findings reveal the longitudinal influences of self-stigma on parenting practices and demonstrate how these influences can be explained by parenting stress. Our findings also suggest the importance of supporting parents of children with ASD to mitigate self-stigma and associated parenting stress in improving their parenting practices.

The present study examined the longitudinal associations of parents' discrimination experiences with children's internalizing and externalizing symptoms among families of autistic children and tested whether these associations would be mediated by parental depression, harsh parenting, and coparenting conflict. On three occasions across 2 years (i.e. T1, T2, and T3), 441 parents of autistic children from Hong Kong, China, provided questionnaire data. Path analyses showed that parents' discrimination experiences at T1 had significant direct effects on parental depression, harsh parenting, and coparenting conflict at T2, which, in turn, had significant direct effects on children's internalizing and externalizing symptoms at T3. Bootstrap analyses further demonstrated that parents' discrimination experiences at T1 had significant indirect effects on children's internalizing and externalizing symptoms at T3 via parental depression, harsh parenting, and coparenting conflict at T2. Theoretically, our findings elucidate how parents' discrimination experiences may longitudinally heighten children's internalizing and externalizing symptoms by adversely affecting parental well-being and parent-child and inter-parental relationships. Practically, our findings highlight the importance of designing and implementing community-based stigma reduction programs and family-based stigma coping interventions to reduce parents' discrimination experiences and associated adverse outcomes on well-being, parenting, marriage, and child development.

This study examined whether child autistic symptoms would heighten parental affective symptoms through evoking enacted stigma from the community (i.e., public and courtesy stigma) and felt stigma within the parents (i.e., vicarious and self-stigma). Cross-sectional questionnaire data were collected from 441 parents of children with autism spectrum disorder. Path analyses showed that social communication and interaction deficits and restricted and repetitive behaviors in child autism were positively associated with public and courtesy stigma. While public stigma was positively associated with parental vicarious stigma, courtesy stigma was positively associated with parental self-stigma. Both vicarious and self-stigma were positively associated with depressive and anxiety symptoms among parents. Findings revealed how child autism could compromise parental well-being through exacerbating the family's stigmatizing experiences.

Grandparents play a critical role in child-rearing both in the evolutionary history of human beings and in modern societies. The current study examined how grandparental involvement might contribute to young adults’ cognitive and social adjustment and whether grandchildren’s filial piety beliefs might moderate the impact of grandparental involvement. A total of 287 Hong Kong college students completed questionnaire measures of grandparental involvement, cognitive well-being, breadth and depth of friendships, and reciprocal and authoritarian filial piety beliefs. Results indicated that grandparental involvement was positively associated with young adults’ cognitive well-being and friendship quality even after controlling for parental influences, but only for young adults with strong filial piety beliefs. Moreover, reciprocal filial piety was a significant moderator for both cognitive well-being and friendship quality, whereas authoritarian filial piety only moderated the association between grandparental involvement and cognitive well-being. Findings highlighted the relevance of grandparental involvement in understanding youth development, and the importance of considering cultural values when investigating intergenerational interactions. [ABSTRACT FROM AUTHOR]

The present study examined the associations of familial expressed emotion (EE) with clinical and personal recovery among patients with psychiatric disorders, as well as the potential mechanisms underlying these associations. Guided by the content-process theory of self-stigma, we hypothesized that EE would be negatively associated with clinical and personal recovery and that these associations would be mediated by self-stigma content and process. A total of 311 patients with psychiatric disorders completed questionnaires on their perceptions of EE, self-stigma, and recovery. Structural equation modeling demonstrated that EE was positively associated with self-stigma content and process, which were in turn negatively associated with clinical and personal recovery. The indirect effects of EE on clinical and personal recovery, via self-stigma content and process, were also significant. Multigroup analyses further demonstrated that the impact of EE on self-stigma and recovery was generalizable across patients with psychotic and nonpsychotic disorders. Theoretically, our findings revealed the potential pathways through which EE may adversely affect psychiatric recovery. Practically, our findings highlighted the importance of designing multipronged intervention programs to reduce familial EE and its potential harmful impact on psychiatric patients. In addition to helping family members improve their knowledge about psychiatric disorders and adjust their communication styles, practitioners should help psychiatric patients develop resilience against EE, mitigate self-stigma, and achieve recovery. (PsycINFO Database Record (c) 2018 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

The present study investigated how perceived stigma from mental health service providers would influence the mental health recovery of people with mental illness. Specifically, this study examined whether perceived stigma from service providers would adversely affect the clinical, functional, and personal recovery of people with mental illness by exacerbating the content and process of self-stigma and service disengagement. A total of 353 people with mental illness completed questionnaires about perceived stigma from service providers, self-stigma content and process, service disengagement, and clinical, functional, and personal recovery. The associations among these variables were analyzed using structural equation modeling and bootstrap analyses. Structural equation modeling showed that perceived stigma from service providers was related to higher levels of self-stigma content and process, which were, in turn, related to greater levels of service disengagement and then lower levels of clinical, functional, and personal recovery. Bootstrap analyses further showed that perceived stigma from service providers had significant indirect effects on clinical, functional, and personal recovery through self-stigma content and process and service disengagement. Our findings show that perceived stigma from service providers may adversely affect mental health recovery through intensifying self-stigma and heightening service disengagement. These findings highlight the importance of mitigating the stigma-related experiences of people with mental illness in order to facilitate their mental health recovery. (PsycInfo Database Record (c) 2023 APA, all rights reserved).