| Fu Yumin,Wu Dongmei,Yang Lei,Tang Yixun,He Changjiu,Yue Yuchuan,Correlation between stigma and subjective well-being of patients with mental disorders and their matched family members[J].SICHUAN MENTAL HEALTH,2021,34(5):448-453 |
| Correlation between stigma and subjective well-being of patients with mental disorders and their matched family members |
DOI：10.11886/scjsws20210331001 |
| English keywords:Mental disorders Patients Family members Stigma Subjective well-being |
| Fund projects:四川省科技厅项目（项目名称：基于隐马尔可夫模型的精神分裂症患者攻击发展分类及预测研究（面上），项目编号：2018JY0306）；四川省护理科研课题计划项目（项目名称：成都市精神康复资源现状与对策分析，项目编号：H20006） |
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| Objective To 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.Methods Patients 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）.Results A 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）.Conclusion Mental 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. |
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