An evaluation of communication barriers and facilitators at the time of a mental health diagnosis: a survey of health professional practices

Milton, Alyssa; Mullan, Barbara; MacCann, Carolyn; Hunt, Caroline

doi:10.1017/s2045796016001153

Cited by 4 publications

(2 citation statements)

References 53 publications

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“…Specifically, as a harmful negative emotion, stigma could activate the autonomic nervous system, neuroendocrine, metabolic, and immune systems while reducing the activities of the parasympathetic nervous system, leading to adverse physical and psychological conditions [ 61 , 62 ]. In addition, long-term exposure to high levels of stigma and low levels of PR can lead to chronic disease patients losing the ability to live independently and in social contact [ 63 ]. Numerous longitudinal study has also shown that negative emotion was associated with a greater level of physical frailty and an increased risk of cardiovascular disease [ 64 ], which accelerated the development of depression.…”

Section: Discussionmentioning

confidence: 99%

The impact of psychological resilience on chronic patients’ depression during the dynamic Zero-COVID policy: the mediating role of stigma and the moderating role of sleep quality

et al. 2023

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Objective Chronic patients are experiencing depression caused by themselves or the surrounding environment, how to cope with the change of mentality and adjust the psychological stress response, especially under the background of the current dynamic Zero-COVID policy in China, is a problem worth further discussion. The researchers constructed a mediating regulation model to test the influence of psychological resilience on depression of chronic patients during dynamic Zero-COVID, as well as the mediating role of stigma and the moderating role of sleep. Method From October 2021 to February 2022, this study used a multi-stage sampling method and random number table method to collect data in the Shang Cheng District of Hangzhou City, Zhejiang Province. Firstly, the Second Affiliated Hospital of the Zhejiang University School of Medicine, a third-class hospital was randomly selected from the Shang Cheng District. Secondly, three departments were strategically selected from this hospital: endocrinology, dermatology, and traditional Chinese medicine. Thirdly, survey points were set up in each department, and chronic patients were strategically selected for questionnaire surveys. Finally, a face-to-face survey was conducted on 398 chronic patients who met the criteria for inclusion. In addition, chronic medical illness burden was assessed using the Cumulative Illness Rating Scale-Geriatrics (CIRS-G), psychological resilience was measured by the Conner-Davidson Resilience Scale (CD-RISC), stigma was measured by the Stigma Scale for Chronic Illness (SSCI), sleep was measured by the Pittsburgh Sleep Quality Index(PSQI) and depression was estimated by the Patient Health Questionaire-9(PHQ-9). SPSS (version 25.0) and PROCESS (version 4.0) were used for correlation analysis, mediation analysis, and mediated moderation analysis. Results Psychological resilience was negatively correlated with depression, stigma, and sleep. Depression was positively correlated with stigma and sleep. Stigma and sleep were positively correlated; Stigma played a mediating role in the relationship between psychological resilience and depression; Sleep moderated the first half of the pathway “psychological resilience $$\to$$ stigma $$\to$$ depression”. Conclusion Psychological resilience affected depression directly and indirectly through stigma. At the same time, sleep played a moderating role between psychological resilience and depression. The correlation between psychological resilience and stigma was stronger when levels of sleep levels were higher.

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Section: Discussionmentioning

confidence: 99%

The impact of psychological resilience on chronic patients’ depression during the dynamic Zero-COVID policy: the mediating role of stigma and the moderating role of sleep quality

et al. 2023

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show abstract

“…Speci cally, as a harmful negative emotion, stigma could activate the autonomic nervous system, neuroendocrine, metabolic, and immune systems while reducing the activities of the parasympathetic nervous system, leading to adverse physical and psychological conditions [57,58] . In addition, long-term exposure to high levels of stigma and low levels of PR can lead to chronic disease patients losing the ability to live independently and in social contact [59] . Numerous longitudinal study has also shown that negative emotion was associated with a greater level of physical frailty and an increased risk of cardiovascular disease [60] , which accelerated the development of depression.…”

Section: Mediating Role Stigmamentioning

confidence: 99%

The Impact of Psychological Resilience on Chronic Patients’ Depression During the dynamic Zero-COVID policy: The Mediating Effect of Stigma and the Moderating Role of Sleep

Mei

Yang

Liu

et al. 2022

Preprint

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Objective Chronic patients are experiencing depression caused by themselves or the surrounding environment, how to cope with the change of mentality and adjust the psychological stress response, especially under the background of the current dynamic Zero-COVID policy in China, is a problem worth further discussion. The researchers constructed a mediating regulation model to test the influence of psychological resilience on depression of chronic patients during dynamic Zero-COVID, as well as the mediating role of stigma and the regulating role of and the moderating role sleep. Method From October 2021 to February 2022, a multi-stage stratified sampling method was used to collect data in Shangcheng District of Hangzhou City, Zhejiang Province. We used the random number table method. Firstly, a third-class hospital was randomly selected from Shangcheng District. Secondly, departments were randomly selected from the hospital. Thirdly, survey points were set up in each department, and chronic patients were randomly selected from each survey point. In addition, chronic medical illness burden was assessed using the Cumulative Illness Rating Scale-Geriatrics (CIRS-G), psychological resilience was measured by the Conner-Davidson Resilience Scale (CD-RISC), stigma was measured by the Stigma Scale for Chronic Illness (SSCI), sleep was measured by the Pittsburgh Sleep Quality Index(PSQI) and depressive symptoms were estimated by the Patient Health Questionaire-9(PHQ-9). SPSS (version 21) and PROCESS (version 4.0) were used for correlation analysis, mediation analysis, and mediated moderation analysis. Results Psychological resilience was negatively correlated with depression, stigma and sleep. Depression was positively correlated with stigma and sleep. Stigma and sleep were positively correlated; Stigma played a mediating role in the relationship between psychological resilience and depression; Sleep moderated the first half of the pathway " psychological resilience → stigma → depression" . Conclusion Psychological resilience affected depression directly and also indirectly through stigma. At the same time, sleep played a moderating role between psychological resilience and depression. The correlation between psychological resilience and stigma was stronger when levels of sleep levels were higher.

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Gambling and the Role of Resilience in an International Online Sample of Current and Ex-serving Military Personnel as Compared to the General Population

et al. 2019

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An evaluation of communication barriers and facilitators at the time of a mental health diagnosis: a survey of health professional practices

Cited by 4 publications

References 53 publications

The impact of psychological resilience on chronic patients’ depression during the dynamic Zero-COVID policy: the mediating role of stigma and the moderating role of sleep quality

The impact of psychological resilience on chronic patients’ depression during the dynamic Zero-COVID policy: the mediating role of stigma and the moderating role of sleep quality

The Impact of Psychological Resilience on Chronic Patients’ Depression During the dynamic Zero-COVID policy: The Mediating Effect of Stigma and the Moderating Role of Sleep

Gambling and the Role of Resilience in an International Online Sample of Current and Ex-serving Military Personnel as Compared to the General Population

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