Rajasri Clinic, Hyderabad, Telangana, India.
Sri Venkateswara Nursing Home, Hyderabad, Telangana, India.
East Asian Arch Psychiatry. 2020 Dec;30(4):101-107. doi: 10.12809/eaap1943.
To examine perceived stigma and its correlates in remitted patients with mental illnesses and their caregivers.
In patients with mental illnesses, their perceived stigma (Perceived Devaluation Discrimination Scale), endorsed secrecy (Secrecy scale), self-esteem (Rosenberg Self-Esteem Scale), functioning (Work Social Adjustment Scale), and emotional wellbeing (Well Being Index) were assessed. In caregivers, their perceived stigma towards patients (Devaluation of Consumer Scale) and families (Devaluation of Consumer Families Scale), emotional wellbeing (Well Being Index), and depressive symptoms (Centre for Epidemiological Studies-Depression scale) were assessed. Differences between diagnoses were examined using ANOVA. Correlation between perceived stigma among patients and caregivers was studied.
Of 152 patients with mental illnesses, 76.3% and 85.53 % reported moderate-to-high levels of perceived stigma and endorsed secrecy, respectively. Of 152 caregivers, 40.13% and 25.65% reported moderate-to-high levels of perceived stigma towards patients and families, respectively. Overall, patients had high levels of perceived stigma and endorsed secrecy, low self-esteem, moderate functional impairment, and extremely poor emotional wellbeing. There were significant differences across different diagnostic categories with respect to self-esteem, functioning, perceived stigma, secrecy, and emotional wellbeing. Patients with substance use disorders reported highest perceived stigma, lowest self-esteem, and most severe functional impairment, and their caregivers reported highest perceived stigma towards patients and families, most-reduced emotional wellbeing, and highest rates of depressive symptoms. Patients' perceived stigma was not associated with caregivers' perceived stigma.
Perceived stigma is prevalent among patients and caregivers and affects their quality of life. The stigma associated with substance use disorder merits special attention.
探讨缓解期精神疾病患者及其照顾者的感知污名及其相关因素。
在精神疾病患者中，评估其感知污名（贬值歧视量表）、保密性（保密量表）、自尊（罗森伯格自尊量表）、功能（工作社会适应量表）和情感健康（幸福感指数）。在照顾者中，评估他们对患者（消费者贬值量表）和家庭（消费者家庭贬值量表）的感知污名、情感健康（幸福感指数）和抑郁症状（流行病学研究中心抑郁量表）。使用方差分析比较不同诊断之间的差异。研究患者和照顾者之间感知污名的相关性。
在 152 名精神疾病患者中，分别有 76.3%和 85.53%报告了中度至高度的感知污名和保密性。在 152 名照顾者中，分别有 40.13%和 25.65%报告了对患者和家庭的中度至高度感知污名。总体而言，患者的感知污名和保密性程度较高，自尊心较低，功能中度受损，情感健康极差。在自尊、功能、感知污名、保密性和情感健康方面，不同诊断类别之间存在显著差异。物质使用障碍患者报告的感知污名最高，自尊心最低，功能障碍最严重，他们的照顾者报告的对患者和家庭的感知污名最高，情感健康最低，抑郁症状发生率最高。患者的感知污名与照顾者的感知污名无关。
感知污名在患者和照顾者中普遍存在，并影响他们的生活质量。与物质使用障碍相关的污名值得特别关注。
