Comparing Affiliate Stigma Between Family Caregivers of People With Different Severe Mental Illness in Taiwan

被引:61
作者
Chang, Chih-Cheng [1 ,2 ,3 ]
Yen, Cheng-Fang [4 ,5 ,6 ]
Jang, Fong-Lin [1 ]
Su, Jian-An [7 ,8 ]
Lin, Chung-Ying [9 ,10 ]
机构
[1] Chi Mei Med Ctr, Dept Psychiat, Tainan, Taiwan
[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, London, England
[3] Chia Nan Univ Pharm & Sci, Coll Recreat & Hlth Management, Dept Senior Citizen Serv Management, Tainan, Taiwan
[4] Kaohsiung Med Univ, Sch Med, Dept Psychiat, Kaohsiung, Taiwan
[5] Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, Taiwan
[6] Kaohsiung Med Univ Hosp, Dept Psychiat, Kaohsiung, Taiwan
[7] Chang Gung Mem Hosp, Dept Psychiat, Chiayi, Taiwan
[8] Chang Gung Univ, Grad Inst Clin Med Sci, Taoyuan, Taiwan
[9] Chang Gung Inst Technol, Dept Nursing, Taoyuan, Taiwan
[10] Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Hong Kong, Peoples R China
关键词
Affiliate stigma; bipolar; caregiver burden; depression; schizophrenia; self-esteem; RANDOMIZED CONTROLLED-TRIAL; SELF-STIGMA; BURDEN INVENTORY; INTELLECTUAL DISABILITY; PSYCHOMETRIC PROPERTIES; 1ST-EPISODE PSYCHOSIS; DEPRESSIVE-DISORDERS; INTERNALIZED STIGMA; REDUCTION PROGRAM; SUBJECTIVE BURDEN;
D O I
10.1097/NMD.0000000000000671
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The family caregivers of people with mental illness may internalize the public stereotypes into the affiliate stigma (i.e., the self-stigma of family members). This study aimed to compare the affiliate stigma across schizophrenia, bipolar disorder, and major depressive disorder, and to investigate potential factors associated with affiliate stigma. Each caregiver of family members with schizophrenia (n = 215), bipolar disorder (n = 85), and major depressive disorder (n = 159) completed the Affiliate Stigma Scale, Rosenberg Self-Esteem Scale, Caregiver Burden Inventory, Taiwanese Depression Questionnaire, and Beck Anxiety Inventory. After controlling for potential confounders, the hierarchical regression models showed that caregivers of a family member with schizophrenia had a higher level of affiliate stigma than those of bipolar disorder (beta = -0.109; p < 0.05) and major depressive disorder (beta = -0.230; p < 0.001). Self-esteem, developmental burden, and emotional burden were significant factors for affiliate stigma. The affiliate stigma of caregivers is associated with their self-esteem, caregiver burden, and by the diagnosis.
引用
收藏
页码:542 / 549
页数:8
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