양극성 장애 환자의 낙인 저항에 대한 영향 요인
Factors Affecting Stigma Resistance in Patients with Bipolar Disorder
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives ZZStigma resistance is an individual capacity to fight the stigma of mental illness and is an issue of ongoing research regarding the stigma. The aim of this study was to evaluate predictors of stigma resistance in patients with bipolar disorder. MethodsZZDemographic, clinical, and psychosocial data were collected from 102 bipolar patients in a university mental hospital. Stigma resistance was measured using a subscale of the Internalized Stigma of Mental Illness Scale. Patients completed self-reported questionnaires including items on self-esteem, hopelessness, social support, and social conflict. ResultsZZStigma resistance showed positive association with functioning, self-esteem, and social support, and showed negative association with depressive symptoms, hopelessness, and social conflict. In multivariate analysis, stigma resistance was predicted by sex, education, and self-esteem. Self-esteem was the strongest predictive factor of stigma resistance. ConclusionZZIn accordance with previous studies, self-esteem was a central role of predicting stigma resistance. A program for improving self-esteem and its related psychosocial factors will be helpful to enhancing stigma resistance in bipolar patients.
Abstract
Objectives ZZStigma resistance is an individual capacity to fight the stigma of mental illness and is an issue of ongoing research regarding the stigma. The aim of this study was to evaluate predictors of stigma resistance in patients with bipolar disorder. MethodsZZDemographic, clinical, and psychosocial data were collected from 102 bipolar patients in a university mental hospital. Stigma resistance was measured using a subscale of the Internalized Stigma of Mental Illness Scale. Patients completed self-reported questionnaires including items on self-esteem, hopelessness, social support, and social conflict. ResultsZZStigma resistance showed positive association with functioning, self-esteem, and social support, and showed negative association with depressive symptoms, hopelessness, and social conflict. In multivariate analysis, stigma resistance was predicted by sex, education, and self-esteem. Self-esteem was the strongest predictive factor of stigma resistance. ConclusionZZIn accordance with previous studies, self-esteem was a central role of predicting stigma resistance. A program for improving self-esteem and its related psychosocial factors will be helpful to enhancing stigma resistance in bipolar patients.
참고문헌 (44)
- Mental health: a report of the Surgeon General - Executive summary, "U. S. Department of Health and Human Services", Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, ~ (1999)
- Choi YS, "Family views about social stigma of mental illness patients", Korean J Clin Psychol, 15, pp.69~89 (1996)
- Sung SJ, "The impact of psychiatric clerkship on the stigma towards the mentally ill of medical students", pp.2010
- 박근우, "정신장애인에 대한 대학생의 편견과 차별 - AIDS, 수형자 사례 유형과의 비교 -", 사회과학연구, 28(4), pp.383~408 (2012), 사회과학연구소
- 김경희, "정신질환자에 대한 교사의 태도 및 차별과 편견 원인", 정신간호학회지, 22(2), pp.97~106 (2013), 정신간호학회
- 강미경, "정신질환에 대한 지역사회 주민의태도 및 인식 관련 요인 연구", 한국산학기술학회논문지, 15(1), pp.291~298 (2014), 한국산학기술학회[DOI]
- Corrigan PW, "The stigma of mental illness: explanatory models and methods for change", Appl Prev Psychol, 11, pp.179~190 (2005)
- Corrigan PW, "Structural levels of mental illness stigma and discrimination", Schizophr Bull, 30, pp.481~491 (2004)
- Corrigan PW, "The impact of stigma on severe mental illness", Cogn Behav Pract, 5, pp.201~222 (1995)
- Link BG, "A modified labeling theory approach to mental disorders: an empirical assessment", Am Sociol Rev, 54, pp.400~423 (1989)
- Link BG, "Conceptualizing stigma", Annu Rev Sociol, 27, pp.363~385 (2001)
- Livingston JD, "Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis", Soc Sci Med, 71, pp.2150~2161 (2010)
- Perlick DA, "Stigma as a barrier to recovery: adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder", Psychiatr Serv, 52, pp.1627~1632 (2001)
- Michalak EE, "Bipolar disorder and quality of life: a patient-centered perspective.", Qual Life Res, 15, pp.25~37 (2006)
- Mansell W, "The ascent into mania: a review of psychological processes associated with the development of manic symptoms", Clin Psychol Rev, 28, pp.494~520 (2008)
- Miklowitz DJ, "The psychopathology and treatment of bipolar disorder", Annu Rev Clin Psychol, 2, pp.199~235 (2006)
- Sibitz I, "Stigma resistance in patients with schizophrenia", Schizophr Bull, 37, pp.316~323 (2011)
- Thoits PA, "Resisting the stigma of mental illness", Soc Psychol Q, 74, pp.6~28 (2011)
- Nabors LM, "Stereotype endorsement, metacognitive capacity, and self-esteem as predictors of stigma resistance in persons with schizophrenia", Compr Psychiatry, 55, pp.792~798 (2014)
- Sheehan DV, "The Mini-International Neuropsychiatric Interview (M.I.N.I.):the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision (DSM-IV-TR)" (2000), American Psychiatric Association
- Ritsher JB, "Internalized stigma of mental illness: psychometric properties of a new measure", Psychiatry Res, 121, pp.31~49 (2003)
- Ritsher JB, "Internalized stigma predicts erosion of morale among psychiatric outpatients", Psychiatry Res, 129, pp.257~265 (2004)
- 황태연, "한국판 정신질환의 내재화된 낙인 척도의 신뢰도 및 타당도 연구", 신경정신의학, 45(5), pp.418~426 (2006), 대한신경정신의학회
- Amador XF, "Assessment of insight in psychosis", Am J Psychiatry, 150, pp.873~879 (1993)
- Gilleen J, "Domains of awareness in schizophrenia", Schizophr Bull, 37, pp.61~72 (2011)
- Overall JE, "The Brief Psychiatric Rating Scale", Psychol Rep, 10, pp.799~812 (1962)
- Young RC, "A rating scale for mania:reliability, validity and sensitivity", Br J Psychiatry, 133, pp.429~435 (1978)
- Montgomery SA, "A new depression scale designed to be sensitive to change", Br J Psychiatry, 134, pp.382~389 (1979)
- 이미리, "아동의 자기존중감 수준에 따른 일상생활 경험과 정서경험의 차이", 한국심리학회지: 발달, 22(2), pp.41~57 (2009), 한국심리학회 산하 한국발달심리학회
- Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Beck AT, "The measurement of pessimism:the hopelessness scale", J Consult Clin Psychol, 42, pp.861~865 (1974)
- Park JW, "A study to development a scale of social support", pp.1985
- Rauktis ME, "Negative social interactions, distress, and depression among those caring for a seriously and persistently mentally ill relative", Am J Community Psychol, 23, pp.279~299 (1995)
- 정선혜, "사회관계망의 구조적 특성과 기능적 특성이 정신장애인의 사회적응에 미치는 영향", 신경정신의학, 47(2), pp.190~199 (2008), 대한신경정신의학회
- Rosenberg M, "Global selfesteem and specific self-esteem: different concepts, different outcomes", Am Sociol Rev, 60, pp.141~156 (1995)
- Link BG, "On describing and seeking to change the experience of stigma", Psychiatr Rehabil Skills, 6, pp.201~231 (2002)
- Davis L, "Self-esteem as a mediator of the relationship between role functioning and symptoms for individuals with severe mental illness: a prospective analysis of Modified Labeling theory", Schizophr Res, 137, pp.185~189 (2012)
- Werner P, "Self-stigma, self-esteem and age in persons with schizophrenia", Int Psychogeriatr, 20, pp.174~187 (2008)
- Lysaker PH, "Associations of multiple domains of self-esteem with four dimensions of stigma in schizophrenia", Schizophr Res, 98, pp.194~200 (2008)
- Kim WJ, "Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness", Psychiatry Res, 225, pp.433~439 (2015)
- Brohan E, "Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries: the GAMIAN-Europe study", J Affect Disord, 129, pp.56~63 (2011)
- Cerit C, "Stigma: a core factor on predicting functionality in bipolar disorder", Compr Psychiatry, 53, pp.484~489 (2012)
- Hawke LD, "Stigma and bipolar disorder: a review of the literature", J Affect Disord, 150, pp.181~191 (2013)
