Self-Esteem Prevalence Amongst Acute Psychiatric Inpatients; Socio-Demographic Correlates and Association with Internalized Stigma and User Satisfaction

Author(s):  
Frias VM ◽  
García-Estela A ◽  
Colom F ◽  
Fortuny JR ◽  
Bulbena A ◽  
...  
2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed

Context: Mentally ill patients challenging dual difficulties that are illness and stigma. Internalized stigma viewed as maladaptive psychosocial phenomena that can affect all aspects of mentally ill patient life. Aim: The current study emerged aiming to assess internalized stigma of mental illness and its relation with self-esteem and social support among psychiatric patients. Methods: Descriptive research design used to achieve the aim of this study. A convenience sample of one hundred hospitalized psychiatric patients recruited for the study from inpatient units of Mental Health and Addiction Treatment Hospital in Minia governorate. The data collection tools included socio-demographic and clinical data questionnaire, Internalized Stigma of Mental Illness Scale, Rosenberg's Self Esteem Scale, and Multidimensional Scale of Perceived Social Support. Results: The findings show that less than half of patients have a severe level of total internalized stigma score. There is a highly significant correlation between overall internalized stigma score and its all subscales with self-esteem and social support. Conclusions: Internalized stigma level was high among psychiatric patients. A significant negative correlation found between total internalized stigma score with self-esteem and social support of the studied patients. The study recommended further studies regarding educational interventions to raise awareness and decrease internalized stigma among patient with mental illness. Besides, providing support for patient and families of mentally ill patients to promote their capacity to manage and cope with stigma. 


10.2196/22047 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e22047
Author(s):  
Vincent Israel Opoku Agyapong ◽  
Marianne Hrabok ◽  
Wesley Vuong ◽  
April Gusnowski ◽  
Reham Shalaby ◽  
...  

Background With the emergence of the COVID-19 pandemic, providing counseling to people with drug or alcohol addiction while maintaining physical distance has been challenging. This protocol describes the use of text messaging (as used in the Text4Hope-Addiction Support program) as a convenient, evidence-based, cost-effective, and accessible population-level mental health intervention with high user satisfaction proven in prior research. Objective The project goal is to implement a program of daily supportive text messaging (Text4Hope-Addiction Support) to reduce drug or alcohol cravings as well as anxiety and depression, typically associated with alcohol and substance use disorders. The aim of this study is to evaluate the prevalence of cravings, anxiety, and depressive symptoms; demographic correlates of the same; and the outcomes of the Text4Hope-Addiction Support intervention in mitigating cravings, anxiety, and depressive symptoms. Methods Self-administered, anonymous, online questionnaires will be used to assess cravings for the primary substance of addiction (Brief Substance Craving Scale), anxiety (Generalized Anxiety Disorder-7), and depressive symptoms (Patient Health Questionnaire-9). Data will be collected at baseline (onset of receiving text messages), program midpoint (6 weeks), and program end (12 weeks). Results As of October 2020, data collection is in progress; and it is expected to be completed by fall 2021. Data analysis will include parametric and nonparametric techniques, focusing on primary outcomes (ie, cravings, anxiety, and depressive symptoms) and metrics of use, including the number of subscribers and user satisfaction. Conclusions This Text4Hope-Addiction Support project will provide key information regarding the prevalence rates of cravings, anxiety, and depressive symptoms among persons with alcohol and substance use disorders; demographic correlates of cravings, anxiety, and depression; and outcome data related to this scalable population-level intervention. Information from this study will be valuable for addiction care practitioners; it will inform the policy and decision making regarding population-level addiction treatment and support during emergencies. International Registered Report Identifier (IRRID) DERR1-10.2196/22047


2021 ◽  
pp. 000-000
Author(s):  
Clara González-Sanguino ◽  
Sara González-Domínguez ◽  
Miguel A. Castellanos ◽  
Manuel Muñoz

2011 ◽  
Vol 26 (S2) ◽  
pp. 461-461
Author(s):  
I. Keser ◽  
N. Saygin ◽  
S. Turkan ◽  
B. Kulaksizoglu ◽  
K. Buldukoglu

IntroductionInternalized stigmatization means a internalized reaction in the person with mentally illness as a answer against the people reject and discrimination.ObjectiveThe peoples with mentally illness believe that most people reject and devalue people with mental illnesses, they may suffer a number of negative outcomes, such as demoralization, lowered self-esteem.AimThe aim of our study was to identify the relationship between the factors effecting the internalized stigmatization and self-esteem among patients with mentally illness.MethodsIn this study, we measured the prevalence of internalized stigma among 115 outpatients referring to the Psychiatry Service of Antalya Education and Research Hospital between 2009–2010 using Rosenberg Self-Esteem(SE) Scale, the Internalized Stigma of Mental Illness(ISMI) Scale, and Personel Datasheet.ResultsOf the patients, 53.9% had middle level of SE and the 22.00–70.00 ranging of ISMI, 30.4% of the patients were found to be 21–30 years-old. We found the increase of ISMI when SE was decreased in both of gender(p = 0.01, r = -0.67) and it was also found to be decreased of ISMI when the education level was increased in the patients(p = 0.004,r = -0.27). Recurrent hospitalization of the patients increased their ISMI points(p = 0.014, r = 0.23). There was no statistical relation between the living place of the patients and their ISMI points(p = 0.523).ConclusionsOur results suggest that some factors effected internalized stigma and showed the relationship between the internalized stigmatization and self-esteem among patients with mentally illness. To decrease and prevent internalized stigmatization, a specific education should be provided to patients, families and society by health professionals.


2009 ◽  
Vol 39 (3) ◽  
pp. 227-241 ◽  
Author(s):  
France Talbot ◽  
Gregory E. Harris ◽  
Douglas J. French

Self-esteem has been identified as an important clinical variable within various psychological and psychiatric conditions. Surprisingly, its prognostic and discriminative value in predicting treatment outcome has been understudied. Objective: The current study aims to assess, in an acute psychiatric setting, the comparative role of self-esteem in predicting treatment outcome in depression, anxiety, and global symptom severity, while controlling for socio-demographic variables, pre-treatment symptom severity, and personality pathology. Design: Treatment outcome was assessed with pre- and post-treatment measures. Method: A heterogeneous convenience sample of 63 psychiatric inpatients completed upon admission and discharge self-report measures of depression, anxiety, global symptom severity, and self-esteem. Results: A significant one-way repeated-measures multivariate analysis of variance (MANOVA) followed up by analyses of variance (ANOVAs) revealed significant reductions in depression (η2 = .72), anxiety (η2 = .55), and overall psychological distress (η2 = .60). Multiple regression analyses suggested that self-esteem was a significant predictor of short-term outcome in depression but not for anxiety or overall severity of psychiatric symptoms. The regression model predicting depression outcome explained 32% of the variance with only pre-treatment self-esteem contributing significantly to the prediction. Conclusions: The current study lends support to the importance of self-esteem as a pre-treatment patient variable predictive of psychiatric inpatient treatment outcome in relation with depressive symptomatology. Generalization to patient groups with specific diagnoses is limited due to the heterogeneous nature of the population sampled and the treatments provided. Implications for clinical practice and future research are discussed.


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