Understanding the factors that influence psychological distress in youth is critical for effective mental health intervention. This investigation aims to elucidate the interrelations among mental health self-stigma, mindfulness, and psychological distress among youth in Johor, Malaysia. Self-administered questionnaires were employed, incorporating validated scales such as the Internalized Stigma for Mental Illness Scale-10 (ISMI-10), Five Facet Mindfulness Questionnaire (FFMQ-15), and the General Health Questionnaire (GHQ-12). Statistical analyses included descriptive statistics, Pearson correlation, and multiple regression. The result shows that the majority of respondents exhibited moderate levels across the evaluated variables: mental illness self-stigma, psychological distress self-stigma, mindfulness, and psychological distress. Pearson correlation analyses revealed that self-stigma associated with mental illness and psychological distress were positively correlated with psychological distress. In contrast, mindfulness exhibited a negative correlation to psychological distress. Multiple regression analyses identified both psychological distress self-stigma and mindfulness as significant predictors of psychological distress levels among the youth in Johor. Meanwhile, mindfulness emerged as the most potent unique predictor. This study underscores the importance of both psychological distress self-stigma and mindfulness in influencing psychological distress levels among youth. These findings may serve as a pivotal foundation for future interventions aimed at mitigating psychological distress among youth. The study's results have significant implications for mental health policies and programs, emphasizing the need to address both self-stigma and mindfulness to effectively manage psychological distress in youth.
Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256.
Arvidsdotter, T., Marklund, B., Taft, C., & Kylén, S. (2015). Quality of life, sense of coherence and experiences with three different treatments in patients with psychological distress in primary care: a mixed-methods study. BMC Complementary and Alternative Medicine, 15(1), 1-12.
Aruta, J. J. B. R., Antazo, B. G., & Paceño, J. L. (2021). Self-stigma is associated with depression and anxiety in a collectivistic context: the adaptive cultural function of self-criticism. The Journal of Psychology, 155(2), 238-256.
Baer, R. A. (2007). Mindfulness, assessment, and transdiagnostic processes. Psychological Inquiry, 18(4), 238-242.
Baer, R. A., & Krietemeyer, J. (2006). Overview of mindfulness-and acceptance-based treatment approaches. Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications, 3-27.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45.
Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., ... & Williams, J. M. G. (2008). Construct validity of the five-facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329-342.
Bai, S., Elavsky, S., Kishida, M., Dvorakova, K., & Greenberg, M. T. (2020). Effects of mindfulness training on daily stress response in college students: Ecological momentary assessment of a randomized controlled trial. Mindfulness, 11, 1433-1445.
Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal Of Consulting and Clinical Psychology, 77(5), 855.
Bluth, K., & Eisenlohr-Moul, T. A. (2017). Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, self-compassion, and emotional well-being outcomes. Journal of Adolescence, 57, 108-118.
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560-572.
Chen, E. S., Chang, W. C., Hui, C. L., Chan, S. K., Lee, E. H. M., & Chen, E. Y. (2016). Self-stigma and affiliate stigma in first-episode psychosis patients and their caregivers. Social Psychiatry and Psychiatric Epidemiology, 51, 1225-1231.
Corrigan, P. (2004). How stigma interferes with mental health care. American psychologist, 59(7), 614.
Corrigan, P. W. (2000). Mental health stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology: Science and Practice, 7(1), 48.
Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16.
Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self–stigma of mental illness: Implications for self–esteem and self–efficacy. Journal Of Social And Clinical Psychology, 25(8), 875-884.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta?analysis of school?based universal interventions. Child Development, 82(1), 405-432.
Dvo?áková, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: Pilot randomized controlled trial. Journal of American College Health, 65(4), 259-267.
Eitle, D. J. (2002). Exploring a source of deviance-producing strain for females: Perceived discrimination and general strain theory. Journal of Criminal Justice, 30(5), 429-442.
Erikson, E. H. (1968). On the nature of psycho-historical evidence: In search of Gandhi. Daedalus, 695-730.
Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review Public Health, 26, 399-419.
Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., & Rutter, C. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27(1), 191-197.
Graetz, B. (1991). Multidimensional properties of the general health questionnaire. Social Psychiatry And Psychiatric Epidemiology, 26, 132-138.
Griffiths, K. M., Carron?Arthur, B., Parsons, A., & Reid, R. (2014). Effectiveness of programs for reducing the stigma associated with mental disorders. A meta?analysis of randomized controlled trials. World Psychiatry, 13(2), 161-175.
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10(1), 1-9.
Hayes, S. C., & Plumb, J. C. (2007). Mindfulness from the bottom up: Providing an inductive framework for understanding mindfulness processes and their application to human suffering. Psychological Inquiry, 18(4), 242-248.
Hayes, S. C., & Wilson, K. G. (2003). Mindfulness: Method and process. Clinical Psychology: Science and Practice, 10(2), 161.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal Of Consulting And Clinical Psychology, 78(2), 169.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives On Psychological Science, 6(6), 537-559.
Hurrelmann, K., & Quenzel, G. (2015). Lost in transition: status insecurity and inconsistency as hallmarks of modern adolescence. International Journal of Adolescence And Youth, 20(3), 261-270.
Ilic, M., Reinecke, J., Bohner, G., Roettgers, H. O., Beblo, T., Driessen, M., ... & Corrigan, P. W. (2016). Belittled, avoided, ignored, denied: Assessing forms and consequences of stigma experiences of people with mental illness. In Social Psychological Perspectives on Stigma (pp. 31-40). Routledge.
Kabat-Zinn, J. (1990). Mindfulness-based stress reduction. Using the wisdom of your body and mind to face stress, pain, and illness, 467.
Kara, E., & Buyruk Genç, A. (2023). A Study of Adult Attitudes toward Online and Face-to-Face Counseling According to Self-Concealment, Multidimensional Perceived Social Support and Certain Demographic Variables during COVID-19 Pandemic. International Journal of Psychology and Educational Studies, 10(1), 127-143.
Kent, A., Waller, G., & Dagnan, D. (1999). A greater role of emotional than physical or sexual abuse in predicting disordered eating attitudes: The role of mediating variables. International Journal of Eating Disorders, 25(2), 159-167.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Psychosomatic Research, 78(6), 519-528.
Klingbeil, D. A., Renshaw, T. L., Willenbrink, J. B., Copek, R. A., Chan, K. T., Haddock, A., ... & Clifton, J. (2017). Mindfulness-based interventions with youth: A comprehensive meta-analysis of group-design studies. Journal of school psychology, 63, 77-103.
Kok, J. K., & Low, S. K. (2019). Risk factors contributing to vulnerability of mental health disorders and the protective factors among Malaysian youth. International Journal of School & Educational Psychology, 7(2), 102-112.
Krafft, C., Sieverding, M., Salemi, C., & Keo, C. (2018, April). Syrian refugees in Jordan: Demographics, livelihoods, education, and health. In Economic Research Forum Working Paper Series (Vol. 1184). Santa Monica, CA, USA: RAND Corporation.
Larson, L. R., Stedman, R. C., Cooper, C. B., & Decker, D. J. (2015). Understanding the multi-dimensional structure of pro-environmental behavior. Journal Of Environmental Psychology, 43, 112-124.
Lau, S. C., Chow, H. J., Wong, S. C., & Lim, C. S. (2021). An empirical study of the influence of individual-related factors on undergraduates' academic burnout: Malaysian context. Journal of Applied Research in Higher Education, 13(4), 1181-1197.
Levin, M. E., Luoma, J. B., Lillis, J., Hayes, S. C., & Vilardaga, R. (2014). The Acceptance and Action Questionnaire–Stigma (AAQ-S): Developing a measure of psychological flexibility with stigmatizing thoughts. Journal Of Contextual Behavioral Science, 3(1), 21-26.
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(1), 363-385.
Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150-2161.
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology, 2, 97-101.
Lutz, A., Jha, A. P., Dunne, J. D., & Saron, C. D. (2015). Investigating the phenomenological matrix of mindfulness-related practices from a neurocognitive perspective. American Psychologist, 70(7), 632.
Mackenzie, C. S., Visperas, A., Ogrodniczuk, J. S., Oliffe, J. L., & Nurmi, M. A. (2019). Age and sex differences in self-stigma and public stigma concerning depression and suicide in men. Stigma and Health, 4(2), 233.
Martin, T. J., Spencer, S. D., & Masuda, A. (2020). Mindfulness mediates the relationship between mental health self-stigma and psychological distress: A cross-sectional study. Current Psychology, 1-10.
Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227.
Masuda, A., & Latzman, R. D. (2011). Examining associations among factor-analytically derived components of mental health stigma, distress, and psychological flexibility. Personality and Individual Differences, 51(4), 435-438.
Masuda, A., Allen, G. K., Liu, C., & Tully, E. C. (2021). The roles of self-concealment and perceived racial and ethnic discrimination in general psychological distress among racial and ethnic minority College students in the United States. International Journal for the Advancement of Counselling, 43(4), 472-488.
McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011). Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care. Current Opinion In Psychiatry, 24(4), 301-306.
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., ... & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980-989.
O’reilly, M., Dogra, N., Whiteman, N., Hughes, J., Eruyar, S., & Reilly, P. (2018). Is social media bad for mental health and wellbeing? Exploring the perspectives of adolescents. Clinical Child Psychology And Psychiatry, 23(4), 601-613.
Osher, D., Cantor, P., Berg, J., Steyer, L., & Rose, T. (2021). Drivers of human development: How relationships and context shape learning and development 1. In The Science of Learning and Development (pp. 55-104). Routledge.
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. The Lancet, 369(9569), 1302-1313.
Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research, 121(1), 31-49.
Rodzlan Hasani, W. S., Saminathan, T. A., Ab Majid, N. L., Miaw Yn, J. L., Mat Rifin, H., Abd Hamid, H. A., ... & Mohd Yusoff, M. F. (2021). Polysubstance use among adolescents in Malaysia: Findings from the National Health and Morbidity Survey 2017. Plos one, 16(1), e0245593.
Skinta, M. D., Lezama, M., Wells, G., & Dilley, J. W. (2015). Acceptance and compassion-based group therapy to reduce HIV stigma. Cognitive and Behavioral Practice, 22(4), 481-490.
Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends In Cognitive Sciences, 9(2), 69-74.
Twenge, J. M., & Campbell, W. K. (2019). Media use is linked to lower psychological well-being: Evidence from three datasets. Psychiatric Quarterly, 90, 311-331.
Twenge, J. M., & Nolen-Hoeksema, S. (2002). Age, gender, race, socioeconomic status, and birth cohort difference on the children's depression inventory: a meta-analysis. Journal Of Abnormal Psychology, 111(4), 578.
van der Star, A. (2020). Structural, interpersonal, and individual factors influencing sexual orientation-based disparities in mental health: a socio-ecological perspective on sexual minority stigma (Doctoral dissertation, Karolinska Institutet (Sweden).
Vauth, R., Kleim, B., Wirtz, M., & Corrigan, P. W. (2007). Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatry Research, 150(1), 71-80.
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 40.
Williams, J. M. G., Crane, C., Barnhofer, T., Brennan, K., Duggan, D. S., Fennell, M. J., ... & Russell, I. T. (2014). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: a randomized dismantling trial. Journal of Consulting and Clinical Psychology, 82(2), 275.
Yanos, P. T., Lucksted, A., Drapalski, A. L., Roe, D., & Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatric Rehabilitation Journal, 38(2), 171–178.
Yanos, P. T., Roe, D., & Lysaker, P. H. (2011). Narrative enhancement and cognitive therapy: a new group-based treatment for internalized stigma among persons with severe mental illness. International Journal of Group Psychotherapy, 61(4), 576-595.
Yanos, P. T., Roe, D., Markus, K., & Lysaker, P. H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatric Services, 59(12), 1437-1442.
Zoogman, S., Goldberg, S. B., Hoyt, W. T., & Miller, L. (2015). Mindfulness interventions with youth: A meta-analysis. Mindfulness, 6, 290-302.
