The effects of perceived stigma on quality of life outcomes in persons with early-stage dementia: Longitudinal findings: Part 2
The effects of perceived stigma on quality of life outcomes in persons with early-stage dementia: Longitudinal findings: Part 2
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DOI：
10.1177/1471301213504202
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发表时间：
2015-09-01
影响因子：
2.4
通讯作者：
Liu, Megan F.
中科院分区：
文献类型：
--
作者：
Burgener, Sandy C.;Buckwalter, Kathleen;Liu, Megan F.
这篇文章是对痴呆症患者感受到的耻辱的研究的第二份报告，这里报道了关于耻辱和生活质量之间的联系的发现。对50名痴呆症患者和47名家庭照顾者进行了抽样，收集了基线、6个月、12个月和18个月的数据。修改后的污名影响量表测量了感知到的污名。生活质量结果包括：抑郁、焦虑、行为症状、个人控制、身体健康、自尊、社会支持和活动参与。线性混合模型或广义线性混合模型(用于抑郁症)分析显示，感觉到的耻辱的某些方面与每个结果相关。社交拒绝与焦虑、行为症状、健康和参与活动有关。内化羞耻与焦虑、个人控制、健康、自尊、社会支持、理解和帮助以及参与活动有关。最后，社交隔离与抑郁、焦虑、个人控制、健康、自尊、社会支持理解和参与活动有关。从这些发现中可以明显看出感受到的耻辱和生活质量之间关系的复杂性。
This article is the second report from a study examining perceived stigma in persons with dementia with findings regarding the association between stigma and quality of life outcomes being reported here. Fifty persons with dementia and 47 family caregivers were sampled, with data being collected at baseline and six, 12, and 18 months. The modified Stigma Impact Scale measured perceived stigma. Quality of life outcomes included: depression, anxiety, behavioral symptoms, personal control, physical health, self-esteem, social support, and activity participation. Linear mixed model or generalized linear mixed model (for depression) analyses revealed that some aspect of perceived stigma was associated with each outcome. Social rejection was associated with anxiety, behavioral symptoms, health, and activity participation. Internalized shame was associated with anxiety, personal control, health, self-esteem, social support understanding and assistance, and activity participation. Finally, social isolation was associated with depression, anxiety, personal control, health, self-esteem, social support understanding, and activity participation. The complexity of relationships between perceived stigma and quality of life outcomes is evident from these findings.