Journal of Korean Academy of Psychiatric and Mental Health Nursing (정신간호학회지)

The Korean Academy of Psychiatric and Mental Health Nursing (한국정신간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Stigma and Social Support on Depressive Symptoms in Hospitalized Patients with Pulmonary Tuberculosis

폐결핵 입원 환자의 낙인과 사회적 지지가 우울에 미치는 영향

  • Received : 2017.08.09
  • Accepted : 2017.10.31
  • Published : 2017.12.31
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study was to examine the relationships between depressive symptoms, stigma and social support in hospitalized PTB (pulmonary tuberculosis) patients. Methods: Participants were 256 patients with PTB who were admitted in two national tuberculosis hospitals. Results: Higher levels of stigma were significantly related to depressive symptoms in patients with PTB. Self-reports of social support by medical staff were negatively associated with depressive symptoms in patients with PTB. Stigma and social support by medical staff were found to be significant predictors of depressive symptoms after controlling for potential confounders. Conclusion: Findings suggest that intervention for depressive symptoms be incorporated into treatment for patients with PTB, and strategies to decrease TB-related stigma and increase social support by medical staff be provided to prevent depressive symptoms.

Keywords

References

  1. Sweetland A, Oquendo M, Wickeramaratne P, Weissman M, Wainberg M. Depression: a silent driver of the global tuberculosis epidemic. World Psychiatry. 2014;13(3):325-326. https://doi.org/10.1002/wps.20134
  2. Yoo HS, Kang HY, Park WS, Sohn HJ, Ko YY. Global Tuberculosis Status in 2013. Korean Centers for Disease Control and Prevention. Cheongju: CDC; 2013.
  3. Peltzer K, Naidoo P, Matseke G, Louw J, McHunu G, Tutshana B. Prevalence of psychological distress and associated factors in tuberculosis patients in public primary care clinics in South Africa. BMC Psychiatry. 2012;27(12):89-98. https://doi.org/10.1186/1471-244X-12-89.
  4. Long NH, Johansson E, Diwan Vk, Winkvist A. Fear and social isolation as consequences of tuberculosis in Vietnam: a gender analysis. Health Policy. 2001;58:69-81. https://doi.org/10.1016/S0168-8510(01)00143-9
  5. Ugarte-Gil C, Ruiz P, Zamudio C, Canaza L, Otero L, Kruger H, Seas C. Association of major depressive episode with negative outcomes of tuberculosis treatment. PLoS ONE. 2013;8(7):e69514. https://doi.org/10.1371/journal.pone.006951
  6. Ambaw F, Mayston R, Hanlon C, Alem A. Depression among patients with tuberculosis; determinants, course and impact on pathway to care and treatment outcomes in a primary care setting in southern Ethiopia-a study protocol. BMJ Open. 2015; 5(7):e007653. https://doi.org/10.1136/bmjopen-2015-007653
  7. Masumoto S, Yamamoto T, Ohkado A, Yoshimatsu S, Querri AG, Kamiy Y. Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manilla, The Philippines. The International Journal of Tuberculosis and Lung Disease. 2014;18(2):174-179. https://doi.org/10.5588/ijtld.13.0335.
  8. Kang CR. Factors associated with depression in some inpatients with tuberculosis [master's thesis]. [Gwangju]: Chosun University; 2012. 14 p.
  9. Suh HS, Kim JK, Hong JR, Suh JE, Cho YS, Kwon OW, et al. Prevalence and risk factors of tuberculosis patients' depression. The Korean Academy of Tuberculosis and Respiratory Diseases conference; 2012 September 8-9; Lotte Hotel World. Seoul: The Korean Academy of Tuberculosis and Respiratory Diseases; 2012. 160 p.
  10. Courtwight A, Turner AN. Tuberculosis and stigmatization; pathways and interventions. Public Health Reports. 2010;4(125):34-42. https://doi.org/10.1177/00333549101250S407
  11. Ryu SA. Is it possible that people with mental disorders are reintegrated into our communities? the effect of social distance. Korean Journal of Psychology: General. 2013;29(1):49-69.
  12. Baral SC, Karki DK, Newell JN. Causes of stigma and discrimination associated with tuberculosis in Nepal: a qualitative study. BMC Public Health. 2007;7:211-221. https://doi.org/10.1186/1471-2458-7-211
  13. Rao D, Chen WT, Pearson CR, Simoni JM, Fredriksen-Goldsen K, Nelson K, et al. Social support mediates the relationship between HIV stigma and depression/quality of life among people living with HIV in Beijing, China. International Journal of STD & AIDS. 2012;23(7):481-484. https://doi.org/10.1258/ijsa.2009.009428.
  14. Tanney MR, Naar-King S, MacDonnel K. Depression and stigma in high-risk youth living with HIV (YLH): a multi-site study. Journal of Pediatric Health Care. 2012;26(4):300-305. https://doi.org/10.1016/j.pedhc.2011.02.014
  15. Kim MY, Jeon SS. Factors affecting internalized stigma of patient with schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(2):108-117. https://doi.org/10.12934/jkpmhn.2012.21.2.108
  16. Yoo SW, Shin HC, Roh HS, Jo SG. A study on the stigma and the intention of disclosure of tuberculosis. Journal of Advertising Research. 2014;14(4):214-262.
  17. Park SJ. A study on stigma, family support and quality of life among ambulatory patients with tuberculosis. [master's thesis]. [Gwangju]: Chonnam University; 2014. 15 p.
  18. Norbeck JS. The use of social support in clinical practice. Journal of Psychosocial Nursing and Mental Health Services. 1982;20(12):22-29. https://doi.org/10.3928/0279-3695-19821201-05
  19. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1996;32(3):381-399.
  20. Van Rie A, Sengupta S, Pungrassami P, Balthip Q, Choonuan S, Kasetjaroen Y, et al. Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales. Tropical Medicine and International Health. 2008;13(1):21-30. https://doi.org/10.1111/j.1365-3156.2007.01971.x
  21. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. https://doi.org/10.1207/s15327752jpa5201_2
  22. Park SJ. Symptom experience and quality of life in patients with chronic lung disease: with a special reference to bronchial asthma and bronchiectasis. Journal of Korean Academy of Adult Nursing. 2002;14(3):470-478.
  23. Lee MA, Huh HJ, Min JA, Lee CU, Lee C, Kim TS. Point prevalence of anxiety and depression among cancer inpatients in a general hospital: a preliminary study for the development of distress management strategies in cancer patients. Korean Journal of Psychosomatic Medicine. 2013;21(2):122-131.
  24. Song YM, Lee JH. Factors in post stroke depression of stroke patients hospitalized in university medical centers. Journal of Korean Gerontological Nursing. 2013;15(2):85-94.
  25. Sulehri MA, Dogar IA, Sohail H, Mehdi Z, Azam M, Niaz O, et al. Prevalence of depression among tuberculosis patients. Annals of Punjab Medical College. 2010;4(2):133-137.
  26. Parker G, Hadzi-pavlovic D. Is the female preponderance in major depression secondary to a gender difference in specific anxiety disorders? Psychological Medicine. 2004;34(3):461-470. https://doi.org/10.1017/S0033291703001181
  27. Liu RT, Hemandez EM, Trout ZM, Kleiman EM, Bozzay ML. Depression, social support, and long-term risk for coronary heart disease in a 13-year longitudinal epidemiological study. Psychiatry Research. 2017;251:36-40. https://doi.org/10.1016/j.psychres.2017.02.010.
  28. Kim OS, Choi KS. Influence of family and medical staff support and hope on organ transplant recipient' psychosocial adjustment. Journal of Korean Clinical Nursing Research. 2016;22(1):78-87.
  29. Chang MK, Kim KH, Chung YK. A study of the relationship between perceived social support and quality of life of cancer patients receiving gene therapy. Journal of Korean Academy of Community Health Nursing. 1997;8(1):74-88.
  30. Paz-Soldan VA, Alban RE, Jones CD, Oberhelman RA. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru; a qualitative study. BMC Health Services Research. 2013;13:290. https://doi.org/10.1186/1472-6963-13-290.

Cited by

  1. 학업을 중단한 경험이 있는 청소년의 성별 우울 관련요인 vol.34, pp.2, 2017, https://doi.org/10.15434/kssh.2021.34.2.123