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- Publisher Website: 10.1016/j.genhosppsych.2018.12.007
- Scopus: eid_2-s2.0-85059449799
- PMID: 30654294
- WOS: WOS:000465378900002
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Article: Self-stigma, stigma coping and functioning in remitted bipolar disorder
Title | Self-stigma, stigma coping and functioning in remitted bipolar disorder |
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Authors | |
Keywords | Stigma Self-stigma Functioning Stigma coping |
Issue Date | 2019 |
Publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/genhospsych |
Citation | General Hospital Psychiatry, 2019, v. 57, p. 7-12 How to Cite? |
Abstract | Objective:
Stigma has a deleterious effect on functioning in individuals with bipolar disorder (BD). However, there has been no research investigating how stigma coping predicts self-stigma and functioning in BD. Furthermore, how different stages of self-stigma might affect functioning is unclear. The following hypotheses were examined: (1) Stigma coping by withdrawal and secrecy was associated with more self-stigma; (2) Stigma coping by withdrawal and secrecy was associated with worse social functioning; and (3) Later stages of self-stigma were associated with worse social functioning.
Methods:
A random sample of remitted BD in a regional psychiatric clinic was examined using a cross-sectional design (n = 115). Self-stigma was measured using the Chinese versions of Self-Stigma of Mental Illness Scale (C-SSMIS). Social functioning was assessed using the Functional Assessment Short Test (FAST). Stigma coping was evaluated using the Stigma Coping Orientation Scale (SCOS).
Results:
Multiple regression analysis revealed that coping by secrecy was associated with the stereotype agreement subscale of C-SSMIS, while coping by withdrawal was associated with the C-SSMIS self-concurrence and self-esteem decrement subscales. Another regression analysis showed that FAST total score was associated with the self-esteem decrement subscale of C-SSMIS and the severity of depressive and manic symptoms.
Conclusion:
We showed that self-esteem decrement, the final stage of self-stigma, was the most crucial stage in determining psychosocial functioning. Our findings suggested that stigma-reduction intervention should be arranged during the early stage of BD and targeted at various dysfunctional stigma coping. |
Persistent Identifier | http://hdl.handle.net/10722/266511 |
ISSN | 2023 Impact Factor: 4.1 2023 SCImago Journal Rankings: 1.751 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Au, CH | - |
dc.contributor.author | Wong, SMC | - |
dc.contributor.author | Law, CW | - |
dc.contributor.author | Wong, MC | - |
dc.contributor.author | Chung, KF | - |
dc.date.accessioned | 2019-01-18T08:21:07Z | - |
dc.date.available | 2019-01-18T08:21:07Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | General Hospital Psychiatry, 2019, v. 57, p. 7-12 | - |
dc.identifier.issn | 0163-8343 | - |
dc.identifier.uri | http://hdl.handle.net/10722/266511 | - |
dc.description.abstract | Objective: Stigma has a deleterious effect on functioning in individuals with bipolar disorder (BD). However, there has been no research investigating how stigma coping predicts self-stigma and functioning in BD. Furthermore, how different stages of self-stigma might affect functioning is unclear. The following hypotheses were examined: (1) Stigma coping by withdrawal and secrecy was associated with more self-stigma; (2) Stigma coping by withdrawal and secrecy was associated with worse social functioning; and (3) Later stages of self-stigma were associated with worse social functioning. Methods: A random sample of remitted BD in a regional psychiatric clinic was examined using a cross-sectional design (n = 115). Self-stigma was measured using the Chinese versions of Self-Stigma of Mental Illness Scale (C-SSMIS). Social functioning was assessed using the Functional Assessment Short Test (FAST). Stigma coping was evaluated using the Stigma Coping Orientation Scale (SCOS). Results: Multiple regression analysis revealed that coping by secrecy was associated with the stereotype agreement subscale of C-SSMIS, while coping by withdrawal was associated with the C-SSMIS self-concurrence and self-esteem decrement subscales. Another regression analysis showed that FAST total score was associated with the self-esteem decrement subscale of C-SSMIS and the severity of depressive and manic symptoms. Conclusion: We showed that self-esteem decrement, the final stage of self-stigma, was the most crucial stage in determining psychosocial functioning. Our findings suggested that stigma-reduction intervention should be arranged during the early stage of BD and targeted at various dysfunctional stigma coping. | - |
dc.language | eng | - |
dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/genhospsych | - |
dc.relation.ispartof | General Hospital Psychiatry | - |
dc.subject | Stigma | - |
dc.subject | Self-stigma | - |
dc.subject | Functioning | - |
dc.subject | Stigma coping | - |
dc.title | Self-stigma, stigma coping and functioning in remitted bipolar disorder | - |
dc.type | Article | - |
dc.identifier.email | Wong, SMC: wongcsm@hku.hk | - |
dc.identifier.email | Chung, KF: kfchung@hku.hk | - |
dc.identifier.authority | Chung, KF=rp00377 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.genhosppsych.2018.12.007 | - |
dc.identifier.pmid | 30654294 | - |
dc.identifier.scopus | eid_2-s2.0-85059449799 | - |
dc.identifier.hkuros | 296689 | - |
dc.identifier.volume | 57 | - |
dc.identifier.spage | 7 | - |
dc.identifier.epage | 12 | - |
dc.identifier.isi | WOS:000465378900002 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 0163-8343 | - |