Stigma resistance among people with schizophrenia at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia: a cross-sectional institution based study
Stigma resistance among people with schizophrenia at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia: a cross-sectional institution based study
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DOI：
10.1155/2014/694565
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发表时间：
2014-09-12
期刊：
影响因子：
4.4
通讯作者：
Tiruneh, Bewket Tadesse
中科院分区：
文献类型：
--
作者：
Bifftu, Berhanu Boru;Dachew, Berihun Assefa;Tiruneh, Bewket Tadesse
背景：精神分裂症是一种最严重的致残性和污名化的精神障碍。与社会污名一起，内化污名和感知污名可以引发恶性循环，降低个体抵抗污名的能力。帮助患者科普感知和内化的污名在对抗污名中起着至关重要的作用。本研究的目的是评估的患病率和相关因素的精神分裂症患者参加门诊部的伊曼纽尔精神专科医院，阿迪斯，Ethiopia.Methods：机构为基础的横断面研究设计。样本量计算采用单一人群比例公式。受试者通过系统抽样技术进行选择。进行双变量和多变量逻辑回归以确定关联的存在和强度。比值比与95%的置信区间进行计算，以确定显着性levelofsignificant.Results：共有411名受试者参加了这项研究，给予97.4%的响应率。低污名抵抗率为51.6%。农村宅基（AOR = 0.29（95%CI：0.142，0.594），难以坚持抗精神病药物治疗（AOR = AOR = 0.3，95%CI：0.155，0.542），内化污名（AOR = 0.24，95%CI：（0.111，0.530），异化（AOR = 0.5，95%CI：（0.270，0.927），刻板印象支持（AOR = 0.37（95%CI：0.312，0.463）和社交退缩（AOR = 0.27，95%CI：（0.156，0.468））是与低污名抵抗相关的因素。农村居住、抗精神病药物治疗依从性差、高内化污名、疏离感和社会退缩是与低污名抵抗相关的因素。鼓励参与不同的社会关系，如交友计划，家庭和同伴支持小组的建议。
Background: Schizophrenia is one of the most disabling and severely stigmatized mental disorders. Together with social stigma, internalized stigma and perceived stigma can trigger a vicious cycle and diminishes the stigma resistance abilities of individual. Helping patients to cope up with perceived and internalized stigma play crucial role in fighting stigma. This study aimed to assess the prevalence and associated factors of stigma resistance among people with schizophrenia attending the outpatient department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.Methods: Institution based cross-sectional study design was employed. Single population proportion formula was used to calculate sample size. Subjects were selected by systematic sampling techniques. Bivariate and multivariate logistic regressions were performed to identify the presence and strength of association. Odds ratios with 95% confidence interval were computed to determine the level of significance.Results: A total of 411 subjects participated in the study giving a response rate of 97.4%. The prevalence of low stigma resistance was found to be 51.6%. Rural residence (AOR = 0.29 (95% CI: 0.142, 0.594), difficulties of adherence to antipsychotic medication (AOR = AOR = 0.3, 95% CI: 0.155, 0.542), internalized stigma (AOR = 0.24, 95% CI: (0.111, 0.530), alienation (AOR = 0.5, 95% CI: (0.270, 0.927), stereotype endorsement (AOR = 0.37(95% CI: 0.312, 0.463) and social withdrawal (AOR = 0.27, 95% CI: (0.156, 0.468) were factors statistically associated with low stigma resistance.Conclusion: In this study, overall more than half of the study participants had low stigma resistance. Rural residence, difficulties of adherence to antipsychotic medication, high internalized stigma, alienation and social withdrawal were factors statistically associated with low stigma resistance. Encouraging participations in different social relationships such as befriending programs, family and peer support groups are recommended.