Hospital das Clínicas de Porto Alegre and Post-Graduate Medical Sciences Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
J Psychiatr Ment Health Nurs. 2012 Oct;19(8):665-71. doi: 10.1111/j.1365-2850.2011.01849.x. Epub 2011 Nov 17.
The aim of this study was to investigate the impact of self-rated stigma and functioning in patients with bipolar disorder in South Brazil. This is a cross-sectional study. Sixty participants with bipolar disorder were recruited from an outpatient Bipolar Disorder Program. Experiences with and impact of perceived stigma were evaluated using the Inventory of Stigmatizing Experiences. Functional impairment was assessed with the Functioning Assessment Short Test (FAST). Higher scores of self-perceived stigma were correlated with higher FAST scores, indicating more disability. After linear correlation analysis, current depressive symptoms, age at onset of treatment, age at diagnosis and functioning were correlated with self-perceived stigma. The study demonstrated a correlation between stigma and poor functioning in bipolar disorder. Perceived stigma is really important to individuals with bipolar disorder, both to how they experience their illness and to its results on functioning. Potential consequences of such results for mental health care professionals are discussed. Differential clinical features, sociocultural factors and the sample size limit the generalization of the present findings.
本研究旨在调查南巴西南部双相情感障碍患者的自我感知耻辱感和功能对其的影响。这是一项横断面研究。从双相情感障碍门诊项目中招募了 60 名双相情感障碍患者。使用耻辱感体验量表评估患者的耻辱感体验及其影响，使用功能评估简短测试评估其功能障碍。自我感知耻辱感的评分越高，表明功能障碍越严重。经过线性相关分析，当前抑郁症状、治疗开始年龄、诊断年龄和功能与自我感知耻辱感相关。本研究表明，在双相情感障碍中，耻辱感与功能不良之间存在相关性。自我感知耻辱感对双相情感障碍患者非常重要，不仅影响他们对疾病的体验，还影响疾病对其功能的影响。讨论了这些结果对精神卫生保健专业人员的潜在影响。不同的临床特征、社会文化因素和样本量限制了本研究结果的推广。
