Correlation of internalized stigma with self-esteem, social support and coping styles in patients with rheumatoid arthritis: A cross-sectional study

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2024-08-13 DOI:10.1111/jjns.12616

Yi Zhang, Biyu Shen, Weifen Meng, Bo Gao, Tiantian Wang, Yaqin Geng

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引用次数: 0

Abstract

Aim

To understand the status of internalized stigma in patients with rheumatoid arthritis (RA) and explore its relationship with self-esteem, social support, and coping style.

Methods

This cross-sectional study selected patients with RA who visited the Rheumatology and Immunology Department of a tertiary hospital from May 2022 to May 2023. The Chinese versions of the Internalized Stigma of Mental Illness Scale-Rheumatoid Arthritis (ISMI-RA), Social Support Rating Scale, Rosenberg Self-Esteem Scale, and Medical Coping Style Questionnaire were administered to assess the internalized stigma, social support, self-esteem, and coping styles, respectively. The Pearson correlation test or Spearman rank correlation was then used to analyze the correlation between these measures.

Results

Overall, 69.5% participants reported high level of internalized stigma. The average age of the 174 participants was 52.67 ± 12.24 years, with 87.36 per cent female patients. The mean ISMI-RA score was 54.49 ± 9.62, and the ISMI-RA subscale with the highest average score was alienation. The Pearson's correlations show that internalized stigma was positively associated with the coping styles of avoidance (r = .212, p < .01) and acceptance (r = .560, p < .01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = −.479, p < .01), social support (r = −.570, p < .01), and self-esteem(r = −.512, p < .05).

Conclusion

The high level of internalized stigma in RA patients suggests that we should develop interventions to improve patients' self-esteem, encourage them to adopt positive coping styles, and gain more social support for them, so as to alleviate their internalized stigma.

查看原文本刊更多论文

类风湿关节炎患者的内化成见与自尊、社会支持和应对方式的相关性：一项横断面研究。

目的：了解类风湿关节炎（RA）患者的内化成见状况，并探讨其与自尊、社会支持和应对方式的关系：本横断面研究选取了2022年5月至2023年5月在某三甲医院风湿免疫科就诊的RA患者。采用中文版精神疾病内部化成见量表-类风湿关节炎（ISMI-RA）、社会支持评定量表、罗森伯格自尊量表和医学应对方式问卷分别评估患者的内部化成见、社会支持、自尊和应对方式。然后使用皮尔逊相关检验或斯皮尔曼等级相关来分析这些测量之间的相关性：总体而言，69.5%的参与者表示内化成见程度较高。174 名参与者的平均年龄为（52.67 ± 12.24）岁，其中女性患者占 87.36%。ISMI-RA 平均得分为 54.49 ± 9.62，平均得分最高的 ISMI-RA 子量表是疏远。皮尔逊相关性显示，内化成见与回避的应对方式呈正相关（r = .212，p 结论：内化成见的高水平与回避的应对方式呈正相关（r = .212，p 结论：内化成见的高水平与回避的应对方式呈正相关）：RA患者的高度内化成见表明，我们应制定干预措施，提高患者的自尊，鼓励他们采取积极的应对方式，并为他们争取更多的社会支持，以减轻他们的内化成见。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.