Correlation between stigma and subjective well-being of patients with mental disorders and their matched family members
10.11886/scjsws20210331001
- VernacularTitle:精神障碍患者及家属病耻感与主观幸福感的相关性
- Author:
Yumin FU
1
;
Dongmei WU
1
;
Lei YANG
2
;
Yixun TANG
1
;
Changjiu HE
1
;
Yuchuan YUE
1
Author Information
1. The Fourth People’s Hospital of Chengdu， Chengdu 610036， China
2. School of Nursing， Chengdu Medical College， Chengdu 610083， China
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Patients;
Family members;
Stigma;
Subjective well-being
- From:
Sichuan Mental Health
2021;34(5):448-453
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo understand the status of stigma and subjective well-being of patients with mental disorders and co-resident family members， to analyze the correlation between them， and to compare the impact of stigma upon the subjective well-being of patients and family members of the same household. MethodsPatients with mental disorders （n=154） and their families （n=154） who visited the outpatient department of a tertiary psychiatric hospital in Chengdu from October to November 2019 were selected， and four instruments were used for collecting the data， including self-designed demographic information questionnaire， self-designed disease-related information questionnaire， brief version of Internalized Stigma of Mental Illness Scale （ISMI-10） and Index of Well-Being Scale （IWB）. ResultsA total of 118 （76.62%） patients with mental disorders and 151 （98.05%） family members experienced stigma. The total score and each factors score in ISMI-10 of family members were higher than those of patients （P<0.01）， and the total score and each dimension score in IWB were lower than those of patients （P<0.01）. Pearson correlation analysis showed that ISMI-10 total score of patients and family members was negatively correlated with IWB total score （r=-0.600，-0.202， P<0.05 or 0.01）. After controlling demographic and disease-related variables， multiple linear regression analysis showed that the regression model of mental disorder patients achieved good fit effect （adjusted R2=0.457）， with statistical significance （F=26.746， P<0.01）， while the regression model of co-living family members was lack of fit （adjusted R2=0.035）. After controlling for family demographic variables， the model was at the statistical level （F=3.769， P<0.01）. ConclusionMental disorder patients have low illness stigma and high subjective well-being， whereas the opposite is true for family members. Moreover， there is a negative relationship between stigma and subjective well-being for both patients and family members， stigma is a significant factor affecting subjective well-being for people with mental disorders.
