Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression
Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression
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DOI：
10.1176/appi.ajp.158.3.479
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发表时间：
2001-03-01
影响因子：
17.7
通讯作者：
Meyers, BS
中科院分区：
文献类型：
--
作者：
Sirey, JA;Bruce, ML;Meyers, BS
目的：作者的目标是检查在何种程度上认为耻辱感影响治疗中止在年轻人和老年人与majordepress.Method：一个两阶段的抽样设计确定了92个新入院的门诊患者与抑郁症。在入院时评估感知的耻辱。停止治疗记录在3个月follow-up.Results：虽然年轻的患者比老年患者感知更多的耻辱，耻辱预测治疗中止只有在老年patients.Conclusions：患者的耻辱感的看法在治疗开始时影响他们随后的治疗行为。污名化是一个适当的干预目标，旨在改善治疗依从性和结果。
Objective: The authors' goal was to examine the extent to which perceived stigma affected treatment discontinuation in young and older adults with major depression.Method: A two-stage sampling design identified 92 new admissions of outpatients with major depression. Perceived stigma was assessed at admission. Discontinuation of treatment was recorded at 3-month follow-up.Results: Although younger patients reported perceiving more stigma than older patients, stigma predicted treatment discontinuation only among the older patients.Conclusions: Patients' perceptions of stigma at the start of treatment influence their subsequent treatment behavior. Stigma is an appropriate target for intervention aimed at improving treatment adherence and outcomes.