The Effects on Social Stigma on Quality of Life Among Middle-aged and Older Persons with Mental Illness: Moderating Effect of Self-esteem

2020 ◽  
Vol 11 (2) ◽  
pp. 1559-1570
Author(s):  
Sunmi Kim ◽  
Eunhye Kim
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Older Persons ◽  
Social Stigma ◽  
Self Esteem ◽  
Moderating Effect ◽  
Middle Aged

scholarly journals The relationship between internalized stigma and quality of life among people with mental illness: are self-esteem and sense of coherence sequential mediators?

2017 ◽  
Vol 26 (9) ◽  
pp. 2471-2478 ◽  
Author(s):  
Piotr Świtaj ◽  
Paweł Grygiel ◽  
Anna Chrostek ◽  
Izabela Nowak ◽  
Jacek Wciórka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Sense Of Coherence ◽  
Psychiatric Treatment ◽  
Self Esteem ◽  
Internalized Stigma ◽  
Cross Sectional ◽  
People With Mental Illness ◽  
Sectional Analysis

Abstract Purpose To elucidate the mechanism through which internalized stigma reduces the quality of life (QoL) of people with mental illness by exploring the mediating roles of self-esteem and sense of coherence (SOC). Methods A cross-sectional analysis of 229 patients diagnosed with schizophrenia or affective disorders was undertaken to test a sequential mediation model assuming that more severe internalized stigma is related to lower self-esteem, which is associated with weaker SOC, which in turn relates to worse QoL. Results The proposed model was supported by the data. A sequential indirect effect from internalized stigma to QoL via self-esteem and SOC turned out to be significant [beta = −0.06, SE = 0.02; 95% CI (−0.11, −0.03)]. Support was also found for simple mediation models with either self-esteem or SOC as single mediators between internalized stigma and QoL. Conclusions Self-esteem and SOC are personal resources that should be considered as potential targets of interventions aiming to prevent the harmful consequences of internalized stigma for the QoL of people receiving psychiatric treatment.

scholarly journals Perceived social support and quality of life among adolescents in residential youth care: a cross-sectional study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Marianne Tevik Singstad ◽  
Jan Lance Wallander ◽  
Hanne Klæboe Greger ◽  
Stian Lydersen ◽  
Nanna Sønnichsen Kayed
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Perceived Social Support ◽  
Skills Training ◽  
Well Being ◽  
Youth Care ◽  
Self Esteem ◽  
Moderating Effect ◽  
Residential Youth Care

Abstract Background Residential youth care (RYC) institutions aim to provide care and stability for vulnerable adolescents with several previous and present challenges, such as disrupted attachments, wide-ranging adverse childhood experiences, mental health problems, and poor quality of life (QoL). To the best of our knowledge, the present study is the first to provide knowledge of the associations between perceived social support and QoL and to explore the potential moderating effect of perceived social support on QoL for adolescents who have experienced maltreatment and polyvictimization. Methods All RYC institutions with adolescents between the ages 12–23 in Norway were asked to participate in the study. A total of 86 institutions housing 601 adolescents accepted the invitation, from which 400 adolescents volunteered to participate. The Child and Adolescent Psychiatric Interview was used to gather information on maltreatment histories and degree of victimization; the Kinder Lebensqualität Fragebogen was used to measure QoL through several domains (overall QoL, physical well-being, emotional well-being, and self-esteem); and the Social Support Questionnaire was used to measure perceived social support. Linear regression and independent samples t-test were used to study the associations between perceived social support and QoL as well as the potential moderating effect of perceived social support in the association between maltreatment history and QoL. Results Perceived social support was positively associated with QoL for both girls and boys, with domain-specific findings. A higher number of different types of support persons was associated with overall QoL, emotional well-being, and self-esteem for boys, but only with self-esteem for girls. Individual social support from RYC staff and friends was associated with higher QoL for girls. However, perceived social support did not moderate the association between maltreatment history and reduced QoL for either sex. Conclusions This study emphasizes the importance of maintaining social support networks for adolescents living in RYC, the crucial contribution of RYC staff in facilitating social support, and the potential value of social skills training for these vulnerable adolescents. Furthermore, a wider range of initiatives beyond social support must be carried out to increase QoL among adolescents with major maltreatment and polyvictimization experiences.

scholarly journals Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope

2013 ◽  
Vol 208 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Michal Mashiach-Eizenberg ◽  
Ilanit Hasson-Ohayon ◽  
Philip T. Yanos ◽  
Paul H. Lysaker ◽  
David Roe
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Self Esteem ◽  
Internalized Stigma

scholarly journals Structural Equation Modeling on Quality of Life in Middle-Aged Women with Urinary Incontinence

2021 ◽  
Vol 28 (1) ◽  
pp. 43-55
Author(s):  
Young Ran Yeom ◽  
Aekyung Kim
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Urinary Incontinence ◽  
Self Care ◽  
Self Esteem ◽  
Equation Modeling ◽  
Middle Aged ◽  
Modified Model ◽  
Care Agency

Purpose: The purpose of this study was to investigate factors affecting the quality of life of middle-aged women with urinary incontinence by using Wilson and Cleary (1995)'s health-related quality of life model and previous studies. This article was done to construct a model for the collection of data on women with urinary incontinence and verifying the suitability of the model and the hypotheses presented in the model.Methods: A total of 209 valid questionnaires which met the criteria of middle-aged women who experienced urinary incontinence was used for final analysis. The exogenous and endogenous variables of the hypothesis model consisted of age, number of delivery, menstrual status, self-esteem, social support, physical symptoms, depression, anxiety, self-care agency and quality of life. The data were analyzed using IBM SPSS/WINdow 25.0 and AMOS 18.0 program.Results: The fitness of the modified model, x<sup>2</sup>/df=1.675, RMR=0.047, RMAEA=0.057, GFI=0.900, AGFI=0.855, NFI=0.923, TLI=0.957, CFI=0.9674. In the modified model, self-esteem showed the strongest total impact including the direct and indirect impacts on the quality of life of women with incontinence. In the result of verification of the modified model, quality of life explained by 58.8% through self-esteem, social support, self-care agency.Conclusion: Efforts are needed to improve self-esteem for middle-aged women with urinary incontinence, alleviate psychological symptoms, and develop self-care agency that they can manage themselves. Various aspects of physical, mental and psychological aspects can be comprehensively assessed and utilized to develop an interactive strategy system through individual programs and social support.

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