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Exploring the Impact of Verbal Abuse on Recovery: A Mediation Study

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Abstract

Objective

People with serious mental illnesses are exposed to high rates of verbal abuse. This study examines the impact of such experiences on loneliness and social support, which is hypothesized to ultimately diminish recovery.

Method

Fifty participants with serious mental illnesses reported on their experiences with verbal abuse, loneliness, social support, and recovery.

Results

Verbal abuse was found to be related to loneliness and social support, and both mediated the relationship between verbal abuse and recovery.

Conclusions and Implications for Practice

Verbal abuse is an all too common experience of people with serious mental illnesses that ultimately affects their recovery. Specifically, exposure to verbal abuse may impact recovery by increasing sense of loneliness and perceived social support. The implications are that a heightened awareness of verbal abuse and its impact on recovery should draw attention to interventions that decrease exposure and increase self-advocacy to combat negative outcomes.

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References

  • Badcock, J. C., Shah, S., Mackinnon, A., Stain, H. J., Galletly, C., Jablensky, A., et al. (2015). Loneliness in psychotic disorders and its association with cognitive function and symptom profile. Schizophrenia Research, 169(1–3), 268–273.

    Article  Google Scholar 

  • Bellack, A. S., Mueser, K. T., Gingerich, S., et al. (2004). Social Skills Training for Schizophrenia: Second Edition–A Step-by-Step Guide. New York, NY: The Builford Press.

    Google Scholar 

  • Boyda, D., McFeeters, D., & Shevlin, M. (2015). Intimate partner abuse, sexual abuse, and the mediating role of loneliness on psychosis. Psychosis, 7(1), 1–13. https://doi.org/10.1080/17522439.2014.917433.

    Article  Google Scholar 

  • Brekke, J. S., Prindle, C., Bae, S. W., & Long, J. D. (2001). Risks for individuals with schizophrenia who are living in the community. Psychiatric Services Journal, 52(10), 1358–1366.

    Article  CAS  Google Scholar 

  • Brusilovskiy, E., Townley, G., Snethen, G., & Salzer, M. S. (2016). Social media use, community participation and psychological well-being among individuals with serious mental illnesses. Computers in Human Behavior, 65, 232–240. https://doi.org/10.1016/j.chb.2016.08.036.

    Article  Google Scholar 

  • Castillo, E. G., Chung, B., Bromley, E., Kataoka, S. H., Braslow, J. T., Essock, S. M., et al. (2018). Community, public policy, and recovery from mental illness: emerging research and initiatives. Harvard Review of Pychiatry, 26(2), 70.

    Article  Google Scholar 

  • Corrigan, P. W., & Phelan, S. M. (2004). Social support and recovery in people with serious mental illnesses. Community Mental Health Journal, 40(6), 513–523. https://doi.org/10.1007/s10597-004-6125-5.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Salzer, M., Ralph, R. O., Sangster, Y., & Keck, L. (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin, 30(4), 1035–1041.

    Article  Google Scholar 

  • Crump, C., Sundquist, K., Winkleby, M. A., & Sundquist, J. (2013). Comorbidities and mortality in bipolar disorder: A Swedish national cohort study. JAMA Psychiatry, 70(9), 931–939. https://doi.org/10.1001/jamapshychiatry.2013.1394.

    Article  PubMed  Google Scholar 

  • Faris, R., Ashar, A., Gasser, U., & Joo, D. (2016). Understanding harmful speech. Accessed Online (August 25, 2019). Networked Policy Series, Berkman Klein Center Publication Series No. 2016–18. https://cyber.harvard.edu/publications/2016/UnderstandingHarmfulSpeech. Accessed 8 December 2016

  • Fortuna, K. L., Ferron, J., Pratt, S. I., Muralidharan, A., Aschbrenner, K. A., Williams, A. M., et al. (2019). Unmet needs of people with serious mental illness: Perspectives from certified peer specialists. Psychiatric Quarterly. https://doi.org/10.1007/s11126-019-09647-y.

    Article  Google Scholar 

  • Gayer-Anderson, C., & Morgan, C. (2013). Social networks, support and early psychosis: A systematic review. Epidemiol Psychiatry Science, 22, 131–146.

    Article  CAS  Google Scholar 

  • Gonzales, L., Davidoff, K. C., Nadal, K. L., & Yanos, P. T. (2015). Microaggressions experienced by persons with mental illnesses: An exploratory study. Psychiatric Rehabilitation Journal, 38, 234–241. https://doi.org/10.1037/prj0000096.

    Article  PubMed  Google Scholar 

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. NY: Guilford Press.

    Google Scholar 

  • Hendryx, M., Green, C. A., & Perrin, N. A. (2009). Social support, activities, and recovery from serious mental illness: STARS study findings. Journal of Behavioral Health Services & Research, 36(3), 320–329.

    Article  Google Scholar 

  • Herman, J. L. (1992). Trauma and recovery: The aftermath of abuse New York: Basic books, ix, 268. American Journal of Clinical Hypnosis, 36(3), 211–213. https://doi.org/10.1080/00029157.1994.10403071.

    Article  Google Scholar 

  • Hiday, V. A. (2006). Putting community risk in perspective: A look at correlations, causes and controls. International Journal of Law and Psychiatry, 29(4), 316–331. https://doi.org/10.1016/j.ijlp.2004.08.010.

    Article  PubMed  Google Scholar 

  • Holvast, F., Burger, H., de Waal, M. M. W., van Marwijk, H. W. J., Comijs, H. C., & Verhaak, P. F. M. (2015). Loneliness is associated with poor prognosis in late-life depression: Longitudinal analysis of the Netherlands study of depression in older persons. Journal of Affect Disorder, 185, 1–7.

    Article  Google Scholar 

  • Humm, A., Kaminer, D., & Hardy, A. (2018). Social support, abuse exposure and mental health among young South African adolescents. Journal of Children Adolescent and Mental Health, 30, 41–50. https://doi.org/10.2989/17280583.2018.1476358.

    Article  Google Scholar 

  • Kaniasty, K., & Norris, F. H. (1993). A test of the social support deterioration model in the context of natural disaster. Journal of psychology, 64(3), 395–408.

    CAS  Google Scholar 

  • Kaplan, K., Salzer, M. S., Solomon, P., Brusilovskiy, E., & Cousounis, P. (2011). Internet peer support for individuals with psychiatric disabilities: A randomized controlled trial. Social Science and Medicine, 72(1), 54–62. https://doi.org/10.1016/j.socscimed.2010.09.037.

    Article  PubMed  Google Scholar 

  • Karni-Vizer, N., & Salzer, M. S. (2016). Verbal violence experiences of adults with serious mental illnesses. Psychiatric Rehabilitation Journal, 39(4), 299–304. https://doi.org/10.1037/prj0000214.

    Article  PubMed  Google Scholar 

  • Kunst, M. J. J., Bogaerts, S., & Winkel, F. W. (2010). Domestic abuse and mental health in a dutch community sample: The adverse role of loneliness. Journal of Community & Applied Social Psychology, 20, 419–425. https://doi.org/10.1002/casp.1040.

    Article  Google Scholar 

  • Lefley, H. P. (2009). Family psychoeducation for serious mental illness. USA: Oxford University Press.

    Book  Google Scholar 

  • Lenhart, A., Ybarra, M., Zickuhr, K., & Price-Feeney. M. (2016). “Online harassment, digital abuse, and cyberstalking in America.” Data & Society Institute. https://datasociety.net/output/online-harassment-digital-abuse-cyberstalking/. Accessed 21 Nov 2016.

  • Levendosky, A. A., Bogat, G. A., Theran, S. A., Trotter, J. S., Eye, A. V., & Davidson, W. S. (2004). The social networks of women experiencing domestic abuse. American Journal of Community Psychology, 34(1–2), 95–109.

    Article  Google Scholar 

  • McGaffin, B. J., Deane, F. P., Kelly, P. J., & Blackman, R. J. (2018). Social support and mental health during recovery from drug and alcohol problems. Addiction Research & Theory, 26(5), 386–395. https://doi.org/10.1080/16066359.2017.1421178.

    Article  Google Scholar 

  • Motzek, S. (2012). Recovery from mental disorder and access to social support mechanisms in transnational social spaces. Transnational Social Review, 2(2), 157–176. https://doi.org/10.1080/21931674.2012.10820732.

    Article  Google Scholar 

  • Pickett, S. A., Diehl, S. M., Steigman, P. J., Prater, J. D., Fox, A., Shipley, P., et al. (2012). Consumer empowerment and self-advocacy outcomes in a randomized study of peer-led education. Community mental health journal, 48(4), 420–430.

    Article  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731.

    Article  Google Scholar 

  • Russell, D. (1996). UCLA loneliness scale (version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40. https://doi.org/10.1207/s15327752jpa6601_2.

    Article  CAS  PubMed  Google Scholar 

  • Russell, D., Peplau, L. A., & Cutrona, C. E. (1980). The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480.

    Article  CAS  Google Scholar 

  • Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42(3), 290–294. https://doi.org/10.1207/s15327752jpa4203_11.

    Article  CAS  PubMed  Google Scholar 

  • Salzer, M. S., & Brusilovskiy, E. (2014). Advancing recovery science: reliability and validity properties of the recovery assessment scale. Psychiatric Survey Journal, 65(4), 442–453. https://doi.org/10.1176/appi.ps.201300089.

    Article  Google Scholar 

  • Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705–714. https://doi.org/10.1016/0277-9536(91)90150-B.

    Article  CAS  Google Scholar 

  • Shim, R. S., & Compton, M. T. (2018). Addressing the social determinants of mental health: If not now, when? If not us, who? Psychiatric Services, 69(8), 844–846. https://doi.org/10.1176/appi.ps.201800060.

    Article  PubMed  Google Scholar 

  • Slade, M., Williams, J., Bird, V., Leamy, M., & Le Boutillier, C. (2012). Recovery grows up. Journal of Mental Health, 21(2), 99–103. https://doi.org/10.3109/09638237.2012.670888.

    Article  PubMed  Google Scholar 

  • Solomon, Z., Bensimon, M., Greene, T., Horesh, D., & Ein-Dor, T. (2015). Loneliness trajectories: the role of posttraumatic symptoms and social support. Journal of Loss and Trauma, 20, 1–21. https://doi.org/10.1080/15325024.2013.815055.

    Article  Google Scholar 

  • Teicher, M. H., Samson, J. A., Polcari, A., & McGreenery, C. E. (2006). Sticks, stone, and hurtful words: Relative effects of various forms of childhood maltreatment. The American Journal of Psychiatry, 163, 993–1000. https://doi.org/10.1176/ajp.2006.163.6.993.

    Article  PubMed  Google Scholar 

  • Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J., & Le Boutillier, C. (2012). Social factors and recovery from mental health difficulties: A review of the evidence. British Journal of Social Work, 42, 443–460. https://doi.org/10.1093/bjsw/bcr076.

    Article  Google Scholar 

  • Thomas, K. A., Goodman, L., & Putnins, S. (2015). “I have lost everything”: Trade-offs of seeking safety from intimate partner abuse. American Journal of Orthopsychiatry. https://doi.org/10.1037/ort0000044.

    Article  Google Scholar 

  • Townley, G., & Kloos, B. (2011). Examining the psychological sense of community for individuals with serious mental illness residing in supported housing environments. Community Mental Health Journal, 47(4), 436–446.

    Article  Google Scholar 

  • Townley, G., & Kloos, B. (2009). Development of a measure of sense of community for individuals with serious mental illness residing in community settings. Journal of community psychology, 37(3), 362–380.

    Article  Google Scholar 

  • Trocchio, S., Chassler, D., & Storbj€ork J, Delucchi K, Witbrodt J, Lundgren L., (2013). The association between self-reported mental health status and alcohol and drug abstinence 5 years post-assessment for an addiction disorder in U.S. and Swedish samples. Journal of Addictive Diseases, 32, 180–193.

    Article  Google Scholar 

  • Weiss, R. S. (1973). Loneliness: The experience of emotional and social isolation. Cambridge, MA, US: The MIT Press.

    Google Scholar 

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Acknowledgements

This study was supported by funding from Temple University Dean’s Award. Thanks to the community mental health organizations and consumers who partnered with us for this study and to Christopher Green and Jared Pryor who made this work possible.

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Correspondence to Mark S. Salzer.

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Salzer, M.S., Karni-Vizer, N. Exploring the Impact of Verbal Abuse on Recovery: A Mediation Study. Community Ment Health J 57, 994–999 (2021). https://doi.org/10.1007/s10597-020-00707-3

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