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

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 ter...

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Veröffentlicht in:Japan journal of nursing science : JJNS 2024-10, Vol.21 (4), p.e12616-n/a
Hauptverfasser: Zhang, Yi, Shen, Biyu, Meng, Weifen, Gao, Bo, Wang, Tiantian, Geng, Yaqin
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container_title Japan journal of nursing science : JJNS
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creator Zhang, Yi
Shen, Biyu
Meng, Weifen
Gao, Bo
Wang, Tiantian
Geng, Yaqin
description 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 
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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 &lt; .01) and acceptance (r = .560, p &lt; .01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = −.479, p &lt; .01), social support (r = −.570, p &lt; .01), and self‐esteem(r = −.512, p &lt; .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.</description><identifier>ISSN: 1742-7932</identifier><identifier>ISSN: 1742-7924</identifier><identifier>EISSN: 1742-7924</identifier><identifier>DOI: 10.1111/jjns.12616</identifier><identifier>PMID: 39136343</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Coping ; coping style ; internalized stigma ; Rheumatoid arthritis ; self‐concept ; Social support ; Stigma</subject><ispartof>Japan journal of nursing science : JJNS, 2024-10, Vol.21 (4), p.e12616-n/a</ispartof><rights>2024 Japan Academy of Nursing Science.</rights><rights>2024 Japan Academy of Nursing Science</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2826-d9c612435654574329a4c7a0be6b4d0a1d797d684167822d84bf438850124bf23</cites><orcidid>0009-0005-8930-1284 ; 0009-0003-9260-3254 ; 0009-0002-9822-731X ; 0000-0002-1991-8968 ; 0009-0005-8229-240X ; 0000-0002-0106-4722</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjjns.12616$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjjns.12616$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39136343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Yi</creatorcontrib><creatorcontrib>Shen, Biyu</creatorcontrib><creatorcontrib>Meng, Weifen</creatorcontrib><creatorcontrib>Gao, Bo</creatorcontrib><creatorcontrib>Wang, Tiantian</creatorcontrib><creatorcontrib>Geng, Yaqin</creatorcontrib><title>Correlation of internalized stigma with self‐esteem, social support and coping styles in patients with rheumatoid arthritis: A cross‐sectional study</title><title>Japan journal of nursing science : JJNS</title><addtitle>Jpn J Nurs Sci</addtitle><description>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 &lt; .01) and acceptance (r = .560, p &lt; .01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = −.479, p &lt; .01), social support (r = −.570, p &lt; .01), and self‐esteem(r = −.512, p &lt; .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.</description><subject>Coping</subject><subject>coping style</subject><subject>internalized stigma</subject><subject>Rheumatoid arthritis</subject><subject>self‐concept</subject><subject>Social support</subject><subject>Stigma</subject><issn>1742-7932</issn><issn>1742-7924</issn><issn>1742-7924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1O3DAQxy1UBJT2wgMgS71UVZf6a-2EG1r1A4TgAD1HTjxhvXLi1HaEtqc-Qo99vj5JHQIcONSX8eE3P83MH6EjSk5ofp82mz6eUCap3EEHVAm2UCUTr57_nO2j1zFuCOGUF3wP7fOScskFP0B_Vj4EcDpZ32PfYtsnCL129icYHJO96zS-t2mNI7j276_fEBNA9xFH31jtcByHwYeEdW9w4wfb3-WmrYOYRXjIVuhTnAVhDWOnk7cG65DWwSYbT_EZboKPMZsjNNMQkzSNZvsG7bbaRXj7WA_R9y-fb1ffFpfXX89XZ5eLhhVMLkzZSMoEX8qlWCrBWalFozSpQdbCEE2NKpWRhaBSFYyZQtSt4EWxJLmrbhk_RO9n7xD8jzGvV3U2NuCc7sGPseKkZFxKSWRG371AN36cjpWpnIOiVKhJ-GGmHhYL0FZDsJ0O24qSasqrmvKqHvLK8PGjcqw7MM_oU0AZoDNwbx1s_6OqLi6ubmbpP3dJo-0</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Zhang, Yi</creator><creator>Shen, Biyu</creator><creator>Meng, Weifen</creator><creator>Gao, Bo</creator><creator>Wang, Tiantian</creator><creator>Geng, Yaqin</creator><general>John Wiley &amp; Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0005-8930-1284</orcidid><orcidid>https://orcid.org/0009-0003-9260-3254</orcidid><orcidid>https://orcid.org/0009-0002-9822-731X</orcidid><orcidid>https://orcid.org/0000-0002-1991-8968</orcidid><orcidid>https://orcid.org/0009-0005-8229-240X</orcidid><orcidid>https://orcid.org/0000-0002-0106-4722</orcidid></search><sort><creationdate>202410</creationdate><title>Correlation of internalized stigma with self‐esteem, social support and coping styles in patients with rheumatoid arthritis: A cross‐sectional study</title><author>Zhang, Yi ; Shen, Biyu ; Meng, Weifen ; Gao, Bo ; Wang, Tiantian ; Geng, Yaqin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2826-d9c612435654574329a4c7a0be6b4d0a1d797d684167822d84bf438850124bf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Coping</topic><topic>coping style</topic><topic>internalized stigma</topic><topic>Rheumatoid arthritis</topic><topic>self‐concept</topic><topic>Social support</topic><topic>Stigma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Yi</creatorcontrib><creatorcontrib>Shen, Biyu</creatorcontrib><creatorcontrib>Meng, Weifen</creatorcontrib><creatorcontrib>Gao, Bo</creatorcontrib><creatorcontrib>Wang, Tiantian</creatorcontrib><creatorcontrib>Geng, Yaqin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Japan journal of nursing science : JJNS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Yi</au><au>Shen, Biyu</au><au>Meng, Weifen</au><au>Gao, Bo</au><au>Wang, Tiantian</au><au>Geng, Yaqin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of internalized stigma with self‐esteem, social support and coping styles in patients with rheumatoid arthritis: A cross‐sectional study</atitle><jtitle>Japan journal of nursing science : JJNS</jtitle><addtitle>Jpn J Nurs Sci</addtitle><date>2024-10</date><risdate>2024</risdate><volume>21</volume><issue>4</issue><spage>e12616</spage><epage>n/a</epage><pages>e12616-n/a</pages><issn>1742-7932</issn><issn>1742-7924</issn><eissn>1742-7924</eissn><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 &lt; .01) and acceptance (r = .560, p &lt; .01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = −.479, p &lt; .01), social support (r = −.570, p &lt; .01), and self‐esteem(r = −.512, p &lt; .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.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>39136343</pmid><doi>10.1111/jjns.12616</doi><tpages>10</tpages><orcidid>https://orcid.org/0009-0005-8930-1284</orcidid><orcidid>https://orcid.org/0009-0003-9260-3254</orcidid><orcidid>https://orcid.org/0009-0002-9822-731X</orcidid><orcidid>https://orcid.org/0000-0002-1991-8968</orcidid><orcidid>https://orcid.org/0009-0005-8229-240X</orcidid><orcidid>https://orcid.org/0000-0002-0106-4722</orcidid><oa>free_for_read</oa></addata></record>
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subjects Coping
coping style
internalized stigma
Rheumatoid arthritis
self‐concept
Social support
Stigma
title Correlation of internalized stigma with self‐esteem, social support and coping styles in patients with rheumatoid arthritis: A cross‐sectional study
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