دورية أكاديمية
"Shame on Me": Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong.
| العنوان: | "Shame on Me": Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong. |
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| المؤلفون: | Yeung NCY; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China. nelsonyeung@cuhk.edu.hk.; Jockey Club School of Public Health and Primary Care, Room 508, Postgraduate Education Centre, Prince of Wales Hospital, School of Medicine, The Chinese University of Hong Kong, Hong Kong, China. nelsonyeung@cuhk.edu.hk., Lee EKP; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Kong APS; Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Leung MKW; New Territories East Cluster, Hospital Authority, Hong Kong, China. |
| المصدر: | International journal of behavioral medicine [Int J Behav Med] 2024 Apr; Vol. 31 (2), pp. 241-251. Date of Electronic Publication: 2023 Apr 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9421097 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7558 (Electronic) Linking ISSN: 10705503 NLM ISO Abbreviation: Int J Behav Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994- |
| مواضيع طبية MeSH: | Quality of Life*/psychology , Diabetes Mellitus, Type 2*/complications, Humans ; Hong Kong ; Cross-Sectional Studies ; Stress, Psychological/psychology ; Social Stigma ; Shame |
| مستخلص: | Background: Studies have suggested that type 2 diabetes mellitus (T2DM) are at risk of self-stigmatization (i.e., internalized sense of shame about having diabetes). Self-stigma has been found to be associated with poorer psychological outcomes among chronic disease patients; relevant studies examining such an association and its psychosocial mechanisms are scarce among Chinese T2DM patients. This study aimed to examine the association between self-stigma and psychological outcomes among T2DM patients in Hong Kong. Self-stigma was hypothesized to be associated with higher psychological distress and lower quality of life (QoL). Such associations were also hypothesized to be mediated by lower perceived social support, lower self-care self-efficacy, plus higher self-perceived burden to significant others. Methods: T2DM patients (N = 206) recruited from hospitals and clinics in Hong Kong were invited to complete a cross-sectional survey measuring the aforementioned variables. Results: After controlling for covariates, multiple mediation analysis results indicated the indirect effects from self-stigma to psychological distress via increased self-perceived burden (β = 0.07; 95% CI = 0.02, 0.15) and decreased self-care self-efficacy (β = 0.05; 95% CI = 0.01, 0.11) were significant. Moreover, the indirect effect from self-stigma to QoL via decreased self-care self-efficacy was also significant (β = -0.07; 95% CI = -0.14, -0.02). After considering the mediators, the direct effects from self-stigma to higher psychological distress and lower QoL remained significant (βs = 0.15 and -0.15 respectively, ps < .05). Conclusions: Self-stigma could be linked to poorer psychological outcomes through increased self-perceived burden and decreased self-care self-efficacy among T2DM patients. Targeting those variables when designing interventions might facilitate those patients' psychological adjustments. (© 2023. International Society of Behavioral Medicine.) |
| التعليقات: | Erratum in: Int J Behav Med. 2024 May 28;:. (PMID: 38806801) |
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| معلومات مُعتمدة: | 2018.029 2019 Direct Research Grant of the Medicine Panel at the Chinese University of Hong Kong; ECS 24610320 University Grants Committee |
| فهرسة مساهمة: | Keywords: Burden; Psychological distress; Quality of life; Self-care self-efficacy; Self-stigma; Type 2 diabetes |
| تواريخ الأحداث: | Date Created: 20230403 Date Completed: 20240409 Latest Revision: 20240529 |
| رمز التحديث: | 20240529 |
| DOI: | 10.1007/s12529-023-10176-z |
| PMID: | 37010798 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-7558 |
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| DOI: | 10.1007/s12529-023-10176-z |