Research On Influencing Factors Of Stigma In Hospitalized Depression Patients

Major depressive disorder(MDD)is an common chronic psychiatric disorder clinically,with high rate of morbidity,recurrence,suicide.Although depression could get effective treatment,many potential patients would rather conceal their symptoms than seek for treatment.Stigma was used to refer people’s discrimination or prejudice toward those people with specific characters.Later numerous researchers widen this concept.In the medical field it mainly refers to the negative cognition,behavior,and emotional experience induced by kinds of diseases.Recent years numerous researches concern stigma have been done domestically and internationally,include researches about AIDS,mental disease,obesity,homosexual,drug-achoo abuse,poverty and so on.In early stage our national research mainly focus on stigma of disease,such as schizophrenia and AIDS.Actually,depressive patients also confront with suffering induced by stigma,while our domestic research is significantly deficient.Recent research show that the absence and deficient of treatment for mental disorders caused a huge gap between morbidity and rate of treatment.However,stigma is one of the main reasons contribute to this gap.Moreover,stigma is also a heavy obstacle for the development of mental health service and returning to society of people with mental disorders.The aim of this study is to assess self-stigma among Chinese inpatients with depressive disorders and to examine the factors related to self-stigma,and offer fresh thread for treatment and intervention to depressive disorders.This study was a cross-sectional and descriptive investigation.A convenient sample of 100 inpatients with depressive disorders in two hospitals of Nanking,Jiangsu province was involved in questionnaire investigation.A self-designed questionnaire was applied to collect their demographic data,Self-rating Depression Scale(SDS)was conducted to evaluate the severity of depressive disorder.Besides,Social Support Revalued Scale(SSRS),Simplified Coping Style Questionnaire(SCSQ)and Rosenberg Self-esteem Scale(RSES)were implemented to learn about their social function.In sum,the study aims to explore the impact of demography,social support,coping style and self-esteem on stigma of patients with depressive disorders.We conduct descriptive statistic,Spearman correlation,F-test,t-test,multiple comparisons,multiple stepwise regression,mediation effect analysis with SPSS 19.0.The result were listed below:(1)Stigma is common among inpatients with depressive disorders.And the level of secrecy,education,challenge,feeling of understood were significantly higher than middle point,while the level of perceived devaluation-discrimination,withdraw,distancing and sense of difference and ashamed show no significant difference regard of the middle point.(2)Gender,education background,economic level and religion influence self-stigma of inpatients with depressive disorders.The female patients experience higher level of stigma than males.And the stigma of depressed inpatients increased with education background firstly and then decrease.Besides,patients with bachelor degree experience the greatest stigma,and patients with middle school and lower degree experience the least stigma.Patients with middle income experience the greatest stigma,then is the patients with high income,and patients with low income experience the least stigma.The high educated patients with religion experience higher level of stigma than high educated patients without religion.(3)The more severe the depression,less social support,more negative coping style and lower self-esteem,the greater self-stigma.(4)Social support,self-esteem and coping style all have impact on stigma of patients with depressive disorders,and the partial mediating effect that is played by self-esteem between social support and stigma was verified,the partial mediating effect that is played by negative coping style between self-esteem and stigma was verified,the partial mediating effect of negative coping style and self-esteem between social support and stigma is verified.