Browse > Article
http://dx.doi.org/10.14370/jewnr.2018.24.1.70

The Mediating Effect of Internalized Stigma on the Relationship between Hospitalization Stress and Quality of Life among Patients with Mental Illness in a Closed Ward  

Joung, Jaewon (College of Nursing, Seoul National University)
Jang, Mi Young (Department of Nursing, Graduate School, Kyung Hee University)
Shin, Sung Hee (College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University)
Publication Information
Journal of East-West Nursing Research / v.24, no.1, 2018 , pp. 70-80 More about this Journal
Abstract
Purpose: This study was conducted to explore the mediating effects of internalized stigma on the relationship between hospitalization stress and quality of life among patients with mental illness in closed wards. Methods: A cross-sectional study design was employed. The participants were 141 hospitalized patients with mental illness in the closed wards of K university hospital and Y psychiatric hospital in Korea. Data were collected using self-report questionnaires including hospitalization stress, internalized stigma and quality of life. Data were analyzed using SPSS 21.0 and AMOS 21.0 programs and the mediating effects were examined by the method suggested by Baron and Kenny. Results: There was a significant correlation between hospitalization stress, internalized stigma and quality of life of psychiatric patients. In addition, internalized stigma was found to have a partial mediating effect on the relationship between hospitalization stress and quality of life. Conclusion: The results suggest that the internalized stigma plays an important role in improving the quality of life of the people with mental illness in a closed unit. Therefore, it is necessary to develop a program focusing on internalized stigma for improving the quality of life in hospitalized patients in a closed unit.
Keywords
Mental disorders; Hospitalization; Stress; Quality of life; Stigma;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Ministry of Health and Welfare. 2015 National mental health statistics pilot study. Seoul: National Center for Mental Health. Seoul: National Center for Mental Health; 2015. p. 1-434.
2 Rusch N, Muller M, Lay B, Corrigan PW, Zahn R, Schonenberger T, et al. Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness. European Archives of Psychiatry and Clinical Neuroscience. 2014;264(1):35-43. http://doi.org/10.1007/s00406-013-0412-5   DOI
3 Park SA, Sung KM. Development of a measurement of stress for hospitalized schizophrenic patient. Journal of Korean Academy of Nursing. 2014;44(3):339-49. https://doi.org/10.4040/jkan.2014.44.3.339   DOI
4 Robins CS, Sauvageot JA, Cusack KJ, Suffoletta-Maierle S, Frueh BC. Special section on seclusion and restraint: consumers' perceptions of negative experiences and "sanctuary harm" in psychiatric settings. Psychiatric Services. 2005;56(9):1134-8. http://doi.org/10.1176/appi.ps.56.9.1134   DOI
5 Yoo SY. Analysis of research trends about hospitalization stress-focused on patients. The Korean Journal of Stress Research. 2015;23(2):49-61. https://doi.org/10.17547/kjsr.2015.23.2.49   DOI
6 Park SA, Sung KM. Effects on stress, problem solving ability and quality of life of as a stress management program for hospitalized schizophrenic patients : based on the stress, appraisal-coping model of Lazarus & Folkman. Journal of Korean Academy of Nursing. 2016;46(4):583-97. https://doi.org/10.4040/jkan.2016.46.4.583   DOI
7 Ministry of Health and Welfare. 2016 The epidemiological survey of mental disorders in Korea.[Internet]. Seoul: Ministry of Health and Welfare; 2017 [cited 2017 April 13]. Available from: http://www.jbmhc.or.kr/sub.php?menukey=40&idx=21
8 Jaeger S, Pfiffner C, Weiser P, Langle G, Croissant D, Schepp W, et al. Long-term effects of involuntary hospitalization on medication adherence, treatment engagement and perception of coercion. Social Psychiatry and Psychiatric Epidemiology. 2013;48(11):1787-96. https://doi.org/10.1007/s00127-013-0687-x   DOI
9 Kim HG. The impact of social support and prejudice experienced by the mentally ill on quality of their life. Journal of Institute for Social Sciences. 2010;21(2):63-84. https://doi.org/10.16881/jss.2010.04.21.2.63
10 Kim JH, Yim SJ, Min SK, Kim SE, Son SJ, Diane JW, et al. The Korean version of 4th revision of schizophrenia quality of life scale: validation study and relationship with PANSS. Journal of the Korean Neuropsychiatric Association. 2006;45(5):401-10.
11 Zubi Y, Connolly P. Recollected experiences of first hospitalization for acute psychosis among persons diagnosed with schizophrenia in South Africa. South African Journal of Psychiatry. 2013;19(3):81-2. https://doi.org/10.7196/sajp.399   DOI
12 Link B, Castille DM, Stuber J. Stigma and coercion in the context of outpatient treatment for people with mental illnesses. Social Science & Medicine. 2008;67(3):409-19. https://doi.org/10.1016/j.socscimed.2008.03.015   DOI
13 Priebe S, Roeder-Wanner UU, Kaiser W. Quality of life in first-admitted schizophrenia patients: a follow-up study. Psychological Medicine. 2000;30(1):225-30. https://doi.org/10.1017/s0033291798008253   DOI
14 Ahn BT, Han SH, Lee CK. The quality of life and perception on ward atmosphere in chronic schizophrenic patients. Journal of the Korean Neuropsychiatric Association. 1997;36(6):1055-65.
15 Ham JH, Sung KM. A Study on stress, coping skill, suicide risk and suicidal ideation according to treatment phases of hospitalized patients with schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016;25(4):338-46. https://doi.org/10.12934/jkpmhn.2016.25.4.338   DOI
16 Postrado LT, Lehman AF. Quality of life and clinical predictors of rehospitalization of persons with severe mental illness. Psychiatric Services. 1995;46(11):1161-5.   DOI
17 Byun EK, Jun SS. Factors influencing quality of life in people with mental disabilities using mental health centers. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(2):157-66. https://doi.org/10.12934/jkpmhn.2011.20.2.157   DOI
18 Seo MK, Kim JN. Effects of perceived stigma on life satisfaction and self-esteem of the mental illness. Korean Journal of Social Welfare. 2004;56(4):179-94.
19 Kim CK, Lee JY, Song YS, Kim GH Kim GR, Kim JW, et al. Development of the service satisfaction scale for psychiatric inpatients. Journal of the Korean Neuropsychiatric Association. 2006;45(3):238-51.
20 Han KL, Kim SW, Lee MS. Factors affecting stigma of schizophrenic patient. Journal of the Korean Neuropsychiatric Association. 2002;41(6):1185-96.
21 Kim JH, Na HJ. Mediating effect of self-efficacy in the relationship between internalized stigma and treatment adherence of community dwelling patients with mental illness. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2016;25(1):11-20. https://doi.org/10.12934/jkpmhn.2016.25.1.11   DOI
22 Kim MY, Jun SS. Factors affecting internalized stigma of patient with schizophrenia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(2):108-17. https://doi.org/10.12934/jkpmhn.2012.21.2.108   DOI
23 Wilkinson G, Hesdon B, Wild D, Cookson R, Farina C, Sharma V, et al. Self-report quality of life measure for people with schizophrenia: the SQLS. The British Journal of Psychiatry: The Journal of Mental Science. 2000;177:42-6.   DOI
24 Link BG, Cullen FT, Struening E, Shrout PE, Dohrenwend BP. A modified labeling theory approach to mental disorders: an empirical assessment. American Sociological Review. 1989:400-23.
25 Livingston JD, Boyd JE. Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Social Science & Medicine. 2010;71(12):2150-61. https://doi.org/10.1016/j.socscimed.2010.09.030   DOI
26 Kim MY, Jun SS. Development and effects of a cognitive-behavioral therapy based program in reducing internalized stigma in patients with schizophrenia. Journal of Korean Academy of Nursing. 2016;46(3):349-63. https://doi.org/10.4040/jkan.2016.46.3.349   DOI
27 Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research. 2003;121(1):31-49. http://doi.org/10.1016/j.psychres.2003.08.008   DOI
28 Hwang TY, Lee WK, Han ES, Kwon EJ. A study on the reliability and validity of the Korean version of internalized stigma of mental illness scale (K-ISMI). Journal of the Korean Neuropsychiatric Association. 2006;45(5):418-26.
29 Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-82.   DOI
30 Corrigan PW, Watson AC. The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice. 2002;9(1):35-53. https://doi.org/10.1093/clipsy/9.1.35   DOI