Purpose: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. Method: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. Results: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. Conclusions: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.

The main objective of this research is to examine the consequences of perceived discrimination in family caregivers of people with physical disabilities. Through path analysis, we test the association between caregivers' perceived discrimination and their anxiety and depression and the mediating role that affiliate stigma and self-efficacy may play. We proposed a model that has not been tested previously in the literature on caregivers of people with physical disabilities. The sample includes 186 Spanish fathers (35%) or mothers (65%) raising children with physical disabilities. Descriptive statistics and Pearson's correlation coefficients were calculated and structural equation modeling was used to examine the mediating effect. Results show that caregivers' perceived discrimination is positively associated with their affiliate or internalized stigma that in turn is harmful to their anxiety and depression. However, caregivers' self-efficacy plays a mediating role in the relation between affiliate stigma and caregivers' anxiety and depression. These results may be useful for designing interventions to improve the psychological well-being of the parents of children with physical disabilities.

Objectives: The aim of this study was to identify the possible relationships between psychological, pain, and disability variables with respect to the perception of change/recovery from physiotherapy in patients with chronic musculoskeletal pain (CMP). Methods: A cross-sectional observational study was performed with 150 patients. All patients completed a series of self-administered questionnaires and a series of self-reports to quantify the perception of change with respect to the physiotherapy they underwent, the level of disability and pain intensity, the level of fear of movement, the level of catastrophism, the degree of self-efficacy, the level of therapeutic alliance and their adherence to the physiotherapy. Results: The strongest correlations were between the subjective perception of change and the number of sessions, treatment beliefs, self-efficacy, pain intensity, collaboration, and bonding. The linear regression model showed that the number of sessions, treatment beliefs, self-efficacy, compliance, pain intensity, and bonding were predictors of subjective perception of improvement, with 50% of the variance. Conclusions: Treatment beliefs, therapeutic alliance, degree of self-efficacy, and pain intensity have been shown to be predictors of a subjective perception of improvement in patients with CMP. In turn, multimodal treatments had the greatest positive impact on the subjective perception of improvement.

The main objectives of this study were to analyze the relationship between perceived stigma and psychological well-being among women survivors of intimate partner violence against women and to explore the mediating roles of a positive attitude toward seeking psychological help and resilience in this context. This cross-sectional study included 58 women survivors of intimate partner violence against women who were contacted through various providers of assistance to women victims in Extremadura (Spain). The relationships between the variables of the study were analyzed using Pearson correlation coefficients and a path analysis to explore the potential mediation effects of resilience and attitude toward seeking psychological help in the relationship between perceived stigma of partner violence and psychological well-being. The results revealed negative relationships between the perceived stigma of partner violence and both resilience and psychological well-being. In contrast, perceived stigma was positively related to attitude toward seeking psychological help, while resilience and attitude toward seeking psychological help were positively related to psychological well-being. Resilience was found to mediate the relationship between perceived stigma and well-being as well as to promote attitude toward seeking psychological help. The results revealed the presence of perceived stigma in women who had experienced intimate partner violence against women as well as the negative effect of perceived stigma on their psychological well-being. These findings highlight the need to implement measures to address this problem through specific interventions as well as to sensitize the general population to this issue through awareness campaigns that promote understanding of the problem.

Dentro del estudio de los procesos sociocognitivos implicados en la conducta de salud, el objetivo de este estudio es obtener la percepción de rol de las personas implicadas en la relación del profesional de la salud con el paciente. Así como su asociación con el cumplimiento terapéutico del paciente. Cien pacientes de hipertensión arterial esencial y cien profesionales de la salud (médicos y de enfermería) respondieron a los cuestionarios especialmente elaborados para este trabajo. El cumplimiento terapéutico lo valoramos mediante una medida combinada de autoinforme y consecución de los objetivos terapéuticos. Los resultados mostraron que el rol del paciente podría evaluarse por los profesionales sanitarios en función de tres dimensiones fundamentales (obediencia/resistencia hacia la asistencia sanitaria; confianza/desconfianza hacia los profesionales sanitarios y cumplimiento/incumplimiento hacia los tratamientos terapéuticos). El rol de médico percibido por los pacientes se definió de forma más amplia y exigente que el rol de la enfermera. Y por último, observamos diferencias entre los pacientes cumplidores y los incumplidores respecto a algunas características atribuidas al rol del médico.