Internal Stigmatization and Mental Health in Patients with Stroke/Inmeli Hastalarda Internal Stigmatizasyon ve Mental Durum
Objective: Patients with neurological disorders may experience emotional, cognitive and physical impairments.The previous survey studies showed stigmatization in stroke patients but unique to our study we have evaluated stigma in our stroke patient population according to their physical functional i...
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| description | Objective: Patients with neurological disorders may experience emotional, cognitive and physical impairments.The previous survey studies showed stigmatization in stroke patients but unique to our study we have evaluated stigma in our stroke patient population according to their physical functional impairments. Materials and Methods: This prospective cross sectional study was performed in the Outpatient Stroke Clinics of University of Health Sciences Turkey, Antalya Training and Research Hospital between 1 April 2020 and 1 September 2020. The patients were included if the patient experienced a stroke at least one year prior and a modified Rankin score (mRS) of 0 or 1. We applied the stigmatization scale and the general health questionnaire (GHQ) to our study population. Results: A total of 89 (70 males, 19 females) patients were included. The mean age was 58+/-9.45. Except the stigma resistance subscale (p=0.721), there was a statistically significant difference between the alienation (p=0.01), the stereotype endorsement (p=0.02), the discrimination experience (p=0.01), and the social withdrawal (p=0.04), in mRS1 patients. In the group of mRS score of 1, the alienation (with diabetes mellitus (DM) 13.0[+ or -]3.6, without DM 10.4[+ or -]3,.4, p=0.03) and the overall stigmatization (with DM 70.9[+ or -]15.7,without DM 60.6[+ or -]13.8, p=0.04) score was statistically significant in the diabetic population. There was a statistically significant correlation between GHQ and internalized stigma mean overall of score internalized stigma (r=0.435 p= 0.01). Conclusion: The strategies for correcting internalized stigma may be effective to improve the quality of life and negative health perception in stroke patients. Keywords: Alienation, internal stigmatization, stigmatization, stroke, quality of life Amaç: Nörolojik hastaliga sahip hastalarda emosyonel, bilissel ve fiziksel yetersizlik meydana gelir. Daha önceden inmeli hastalarda stigmatizasyon degerlendirilmis olmakla beraber bizim çalismamiza özgü olarak hastalarin fiziksel durumlarina göre bir degerlendirme yapilmistir. Gereç ve Yöntem: 1 Nisan-1 Eylül 2020 tarihleri arasinda Saglik Bilimleri Üniversitesi, Antalya Egitim Arastirma Hastanesi Inme Poliklinigi'ne basvuran hastalar çalismaya prospektif olarak alinmistir. En az 1 yil önce inme geçirmis olan modifiye Rankin skoru (mRS) 0 veya 1 olan hastalar çalismaya dahil edildi. Genel saglik anketi (GSA) ve stigmatizasyon testi hastalara verildi. Bulgular: Toplam |
| doi_str_mv | 10.4274/tnd.2021.72335 |
| format | Article |
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Materials and Methods: This prospective cross sectional study was performed in the Outpatient Stroke Clinics of University of Health Sciences Turkey, Antalya Training and Research Hospital between 1 April 2020 and 1 September 2020. The patients were included if the patient experienced a stroke at least one year prior and a modified Rankin score (mRS) of 0 or 1. We applied the stigmatization scale and the general health questionnaire (GHQ) to our study population. Results: A total of 89 (70 males, 19 females) patients were included. The mean age was 58+/-9.45. Except the stigma resistance subscale (p=0.721), there was a statistically significant difference between the alienation (p=0.01), the stereotype endorsement (p=0.02), the discrimination experience (p=0.01), and the social withdrawal (p=0.04), in mRS1 patients. In the group of mRS score of 1, the alienation (with diabetes mellitus (DM) 13.0[+ or -]3.6, without DM 10.4[+ or -]3,.4, p=0.03) and the overall stigmatization (with DM 70.9[+ or -]15.7,without DM 60.6[+ or -]13.8, p=0.04) score was statistically significant in the diabetic population. There was a statistically significant correlation between GHQ and internalized stigma mean overall of score internalized stigma (r=0.435 p= 0.01). Conclusion: The strategies for correcting internalized stigma may be effective to improve the quality of life and negative health perception in stroke patients. Keywords: Alienation, internal stigmatization, stigmatization, stroke, quality of life Amaç: Nörolojik hastaliga sahip hastalarda emosyonel, bilissel ve fiziksel yetersizlik meydana gelir. Daha önceden inmeli hastalarda stigmatizasyon degerlendirilmis olmakla beraber bizim çalismamiza özgü olarak hastalarin fiziksel durumlarina göre bir degerlendirme yapilmistir. Gereç ve Yöntem: 1 Nisan-1 Eylül 2020 tarihleri arasinda Saglik Bilimleri Üniversitesi, Antalya Egitim Arastirma Hastanesi Inme Poliklinigi'ne basvuran hastalar çalismaya prospektif olarak alinmistir. En az 1 yil önce inme geçirmis olan modifiye Rankin skoru (mRS) 0 veya 1 olan hastalar çalismaya dahil edildi. Genel saglik anketi (GSA) ve stigmatizasyon testi hastalara verildi. Bulgular: Toplam 89 hasta çalismaya alindi (70 erkek, 19 kadin). Ortalama yas 58+/-9.45 yildi. Stigma direnç alt skalasi hariç (p=0,721); yabancilasma (p=0,01), stereotip onay (p=0,02), ayrimcilik tecrübesi (p=0,01) ve sosyal çekilme (p=0,04) mRS 1 olan grupta anlamli olarak daha yüksekti. mRS 1 olan hastalarda yabancilasma skoru [diabetes mellitus (DM) olanlarda 13,0[+ or -]3,6, DM olmayanlarda 10,4[+ or -]3,4, p=0,03] ve toplam stigmatizasyon skoru (DM olanlarda 70,9[+ or -]15,7, DM olmayanlarda 60,6[+ or -]13,8, p=0,04) DM olan hastalarda anlamli olarak daha yüksekti. GSA ile internal stigmatizasyon ve toplam stigmatizasyon skorlari arasindaki iliski de istatistiksel olarak anlamliydi (r=0,435, p=0,01). Sonuç: Inme hastalarinda internal stigmatizasyonun iyilestirilmesi yasam kalitesini artirir ve olumsuz hastalik algisini önler. Anahtar Kelimeler: Yabancilasma, internal stigmatizasyon, stigmatizasyon, inme, yasam kalitesi</description><identifier>ISSN: 1301-062X</identifier><identifier>DOI: 10.4274/tnd.2021.72335</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Health aspects ; Psychological aspects ; Self-perception ; Stigma (Social psychology) ; Stroke patients ; Surveys</subject><ispartof>Türk nöroloji dergisi, 2021-12, Vol.27 (4), p.413</ispartof><rights>COPYRIGHT 2021 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Göksu, Eylem Özaydin</creatorcontrib><creatorcontrib>Kati, Sennur Delibas</creatorcontrib><title>Internal Stigmatization and Mental Health in Patients with Stroke/Inmeli Hastalarda Internal Stigmatizasyon ve Mental Durum</title><title>Türk nöroloji dergisi</title><description>Objective: Patients with neurological disorders may experience emotional, cognitive and physical impairments.The previous survey studies showed stigmatization in stroke patients but unique to our study we have evaluated stigma in our stroke patient population according to their physical functional impairments. Materials and Methods: This prospective cross sectional study was performed in the Outpatient Stroke Clinics of University of Health Sciences Turkey, Antalya Training and Research Hospital between 1 April 2020 and 1 September 2020. The patients were included if the patient experienced a stroke at least one year prior and a modified Rankin score (mRS) of 0 or 1. We applied the stigmatization scale and the general health questionnaire (GHQ) to our study population. Results: A total of 89 (70 males, 19 females) patients were included. The mean age was 58+/-9.45. Except the stigma resistance subscale (p=0.721), there was a statistically significant difference between the alienation (p=0.01), the stereotype endorsement (p=0.02), the discrimination experience (p=0.01), and the social withdrawal (p=0.04), in mRS1 patients. In the group of mRS score of 1, the alienation (with diabetes mellitus (DM) 13.0[+ or -]3.6, without DM 10.4[+ or -]3,.4, p=0.03) and the overall stigmatization (with DM 70.9[+ or -]15.7,without DM 60.6[+ or -]13.8, p=0.04) score was statistically significant in the diabetic population. There was a statistically significant correlation between GHQ and internalized stigma mean overall of score internalized stigma (r=0.435 p= 0.01). Conclusion: The strategies for correcting internalized stigma may be effective to improve the quality of life and negative health perception in stroke patients. Keywords: Alienation, internal stigmatization, stigmatization, stroke, quality of life Amaç: Nörolojik hastaliga sahip hastalarda emosyonel, bilissel ve fiziksel yetersizlik meydana gelir. Daha önceden inmeli hastalarda stigmatizasyon degerlendirilmis olmakla beraber bizim çalismamiza özgü olarak hastalarin fiziksel durumlarina göre bir degerlendirme yapilmistir. Gereç ve Yöntem: 1 Nisan-1 Eylül 2020 tarihleri arasinda Saglik Bilimleri Üniversitesi, Antalya Egitim Arastirma Hastanesi Inme Poliklinigi'ne basvuran hastalar çalismaya prospektif olarak alinmistir. En az 1 yil önce inme geçirmis olan modifiye Rankin skoru (mRS) 0 veya 1 olan hastalar çalismaya dahil edildi. Genel saglik anketi (GSA) ve stigmatizasyon testi hastalara verildi. Bulgular: Toplam 89 hasta çalismaya alindi (70 erkek, 19 kadin). Ortalama yas 58+/-9.45 yildi. Stigma direnç alt skalasi hariç (p=0,721); yabancilasma (p=0,01), stereotip onay (p=0,02), ayrimcilik tecrübesi (p=0,01) ve sosyal çekilme (p=0,04) mRS 1 olan grupta anlamli olarak daha yüksekti. mRS 1 olan hastalarda yabancilasma skoru [diabetes mellitus (DM) olanlarda 13,0[+ or -]3,6, DM olmayanlarda 10,4[+ or -]3,4, p=0,03] ve toplam stigmatizasyon skoru (DM olanlarda 70,9[+ or -]15,7, DM olmayanlarda 60,6[+ or -]13,8, p=0,04) DM olan hastalarda anlamli olarak daha yüksekti. GSA ile internal stigmatizasyon ve toplam stigmatizasyon skorlari arasindaki iliski de istatistiksel olarak anlamliydi (r=0,435, p=0,01). Sonuç: Inme hastalarinda internal stigmatizasyonun iyilestirilmesi yasam kalitesini artirir ve olumsuz hastalik algisini önler. Anahtar Kelimeler: Yabancilasma, internal stigmatizasyon, stigmatizasyon, inme, yasam kalitesi</description><subject>Health aspects</subject><subject>Psychological aspects</subject><subject>Self-perception</subject><subject>Stigma (Social psychology)</subject><subject>Stroke patients</subject><subject>Surveys</subject><issn>1301-062X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptjM9LwzAUx3NQcMxdPQc8t0temrQ9jvljg4nCdvA20vyo0TaFJlPUf34BFTzsPR4Pvj8-CF1RkhdQFvPodQ4EaF4CY_wMTSgjNCMCni_QLIRXkobVZS3YBH2vfTSjlx3eRtf2MrqvdIPH0mv8YHxMzsrILr5g5_FT8pIW8IdLwjaOw5uZr31vOodXMqSwHLXEJ5jhMzHfzR_y5jAe-kt0bmUXzOz3T9Hu7na3XGWbx_v1crHJWlGKzAqrq6axoEuuhKAVQFVoJYgBwQEM48mkulJcSUU0JdKUwGkjam5BNppN0fUPtpWd2TtvhzhK1bug9gtR1UXNgYqUyk-k0mrTOzV4Y13S_xWOePxwNQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Göksu, Eylem Özaydin</creator><creator>Kati, Sennur Delibas</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20211201</creationdate><title>Internal Stigmatization and Mental Health in Patients with Stroke/Inmeli Hastalarda Internal Stigmatizasyon ve Mental Durum</title><author>Göksu, Eylem Özaydin ; Kati, Sennur Delibas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g676-f6fd8bbf2d75c66182284dc60e26522e35bbf1d8c5cac0d10ae7251b695f2abd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Health aspects</topic><topic>Psychological aspects</topic><topic>Self-perception</topic><topic>Stigma (Social psychology)</topic><topic>Stroke patients</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Göksu, Eylem Özaydin</creatorcontrib><creatorcontrib>Kati, Sennur Delibas</creatorcontrib><jtitle>Türk nöroloji dergisi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Göksu, Eylem Özaydin</au><au>Kati, Sennur Delibas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internal Stigmatization and Mental Health in Patients with Stroke/Inmeli Hastalarda Internal Stigmatizasyon ve Mental Durum</atitle><jtitle>Türk nöroloji dergisi</jtitle><date>2021-12-01</date><risdate>2021</risdate><volume>27</volume><issue>4</issue><spage>413</spage><pages>413-</pages><issn>1301-062X</issn><abstract>Objective: Patients with neurological disorders may experience emotional, cognitive and physical impairments.The previous survey studies showed stigmatization in stroke patients but unique to our study we have evaluated stigma in our stroke patient population according to their physical functional impairments. Materials and Methods: This prospective cross sectional study was performed in the Outpatient Stroke Clinics of University of Health Sciences Turkey, Antalya Training and Research Hospital between 1 April 2020 and 1 September 2020. The patients were included if the patient experienced a stroke at least one year prior and a modified Rankin score (mRS) of 0 or 1. We applied the stigmatization scale and the general health questionnaire (GHQ) to our study population. Results: A total of 89 (70 males, 19 females) patients were included. The mean age was 58+/-9.45. Except the stigma resistance subscale (p=0.721), there was a statistically significant difference between the alienation (p=0.01), the stereotype endorsement (p=0.02), the discrimination experience (p=0.01), and the social withdrawal (p=0.04), in mRS1 patients. In the group of mRS score of 1, the alienation (with diabetes mellitus (DM) 13.0[+ or -]3.6, without DM 10.4[+ or -]3,.4, p=0.03) and the overall stigmatization (with DM 70.9[+ or -]15.7,without DM 60.6[+ or -]13.8, p=0.04) score was statistically significant in the diabetic population. There was a statistically significant correlation between GHQ and internalized stigma mean overall of score internalized stigma (r=0.435 p= 0.01). Conclusion: The strategies for correcting internalized stigma may be effective to improve the quality of life and negative health perception in stroke patients. Keywords: Alienation, internal stigmatization, stigmatization, stroke, quality of life Amaç: Nörolojik hastaliga sahip hastalarda emosyonel, bilissel ve fiziksel yetersizlik meydana gelir. Daha önceden inmeli hastalarda stigmatizasyon degerlendirilmis olmakla beraber bizim çalismamiza özgü olarak hastalarin fiziksel durumlarina göre bir degerlendirme yapilmistir. Gereç ve Yöntem: 1 Nisan-1 Eylül 2020 tarihleri arasinda Saglik Bilimleri Üniversitesi, Antalya Egitim Arastirma Hastanesi Inme Poliklinigi'ne basvuran hastalar çalismaya prospektif olarak alinmistir. En az 1 yil önce inme geçirmis olan modifiye Rankin skoru (mRS) 0 veya 1 olan hastalar çalismaya dahil edildi. Genel saglik anketi (GSA) ve stigmatizasyon testi hastalara verildi. Bulgular: Toplam 89 hasta çalismaya alindi (70 erkek, 19 kadin). Ortalama yas 58+/-9.45 yildi. Stigma direnç alt skalasi hariç (p=0,721); yabancilasma (p=0,01), stereotip onay (p=0,02), ayrimcilik tecrübesi (p=0,01) ve sosyal çekilme (p=0,04) mRS 1 olan grupta anlamli olarak daha yüksekti. mRS 1 olan hastalarda yabancilasma skoru [diabetes mellitus (DM) olanlarda 13,0[+ or -]3,6, DM olmayanlarda 10,4[+ or -]3,4, p=0,03] ve toplam stigmatizasyon skoru (DM olanlarda 70,9[+ or -]15,7, DM olmayanlarda 60,6[+ or -]13,8, p=0,04) DM olan hastalarda anlamli olarak daha yüksekti. GSA ile internal stigmatizasyon ve toplam stigmatizasyon skorlari arasindaki iliski de istatistiksel olarak anlamliydi (r=0,435, p=0,01). Sonuç: Inme hastalarinda internal stigmatizasyonun iyilestirilmesi yasam kalitesini artirir ve olumsuz hastalik algisini önler. Anahtar Kelimeler: Yabancilasma, internal stigmatizasyon, stigmatizasyon, inme, yasam kalitesi</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/tnd.2021.72335</doi></addata></record> |
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| subjects | Health aspects Psychological aspects Self-perception Stigma (Social psychology) Stroke patients Surveys |
| title | Internal Stigmatization and Mental Health in Patients with Stroke/Inmeli Hastalarda Internal Stigmatizasyon ve Mental Durum |
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