Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness

Kim, Jin Hee; Na, Hyunjoo

doi:10.12934/jkpmhn.2016.25.1.11

Cited by 6 publications

(1 citation statement)

References 27 publications

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“…In previous research on patients with mental disorders in the community, mental health confidence, a concept similar to self-efficacy, was reported to be an important factor that directly or indirectly influences treatment adherence among people with mental disorders [ 17 , 18 ]. Mental health confidence refers to patients’ sense of conviction or efficacy regarding their own behavior or decision-making in specific situations during the treatment or recovery process of mental disorders [ 19 , 20 ].…”

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confidence: 99%

The Influence of Body Image, Insight, and Mental Health Confidence on Medication Adherence in Young Adult Women with Mental Disorders

Lee

Jang

2021

IJERPH

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The aim of this descriptive study was to investigate the impact of body image, insight, and mental health confidence on medication adherence among young adult women with mental disorders. Data collection occurred from August to September 2018. The study participants were 147 young adult women aged 19 to 45 with mental disorders who were psychiatry outpatients either getting treatment in general hospitals located in Seoul and Gyeonggi Province or receiving rehabilitation therapy through local mental health welfare centers in Korea, and agreed to participate in the study. The measurement tools used were the Body Image Scale; the Scale to Assess Unawareness of Mental Disorder, Korean short-form version; the Korean version of the Mental Health Confidence Scale; and the Korean version of the Medication Compliance Scale. The collected data were analyzed using descriptive statistics, t-test, analysis of variance, Pearson correlation analysis, and multiple regression analysis in SPSS/WIN 25.0 (IBM Corp., Armonk, NY, USA). Medication adherence among the study participants differed by age (F = 2.95, p = 0.042), religion (t = −2.06, p = 0.042), level of trust in psychiatrists (F = 5.40, p = 0.006), treatment duration (F = 4.48, p = 0.005), and noncompliance to medication regimens due to weight gain (t = −2.61, p = 0.010). Multiple regression analysis demonstrated that body image (β = −0.32, p < 0.001), insight (β = −0.24, p = 0.002), and mental health confidence (β = 0.24, p = 0.004) had a significant impact on the medication adherence of the participants. Body image, in particular, had the greatest influence on the medication adherence of the participants. This study found that body image, insight, and mental health confidence were important in improving medication adherence among young adult women with mental disorders. Practical, patient-centered, and individualized approaches that can improve medication adherence by seeking to understand negative perceptions regarding body image should be considered.

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Section: Introductionmentioning

confidence: 99%

The Influence of Body Image, Insight, and Mental Health Confidence on Medication Adherence in Young Adult Women with Mental Disorders

Lee

Jang

2021

IJERPH

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The Interplay between Stigma, Collective Efficacy, and Advocacy Communication among Men Who Have Sex with Men and Transgender Females

Thaker

Dutta

Nair

et al. 2018

Journal of Health Communication

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Stigma and discrimination are primary drivers of health disparities among marginalized communities. Drawing on stigma management, minority stress model, and social cognitive theories, this article tests the interplay between dimensions of stigma, collective efficacy, and advocacy communication among men who have sex with men (MSM) and transgender females. Using data from a cross-sectional survey conducted in south India (N = 225), five distinct dimensions of stigma were identified using factor analysis: experienced stigma, self-stigma, felt normative stigma, and two new dimensions-HIV-related vicarious stigma and media stigma. Respondents reported highest levels of media stigma. While most of the dimensions of stigma were negatively associated with both collective efficacy and advocacy communication, collective efficacy mediated the relationship between stigma and advocacy. Implications for public health campaigns among MSM groups are discussed.

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Public Attitudes toward Mental Illness: Q-Methodological Approach

Kim

2017

J Korean Acad Psychiatr Ment Health Nurs

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Purpose: This study was done to identify public attitudes toward mental illness, and to use Q methodology to build understanding of the differences among these attitude types. Methods: Q Methodology was used to examine the public's attitude on mental illness. Thirty participants classified 33 selected Q-statements on a seven-point scale to create a normal distribution. The collected data were analyzed by using the PC QUANL program. Results: Four types of attitudes toward mental illness were identified. Type I was named 'Pursuing positive attention and patience regarding serious human rights'; type II, 'Demanding the abolishing of prejudice through various media', type III, 'Emphasizing social responsibility at a distance from mental illness', and type IV, 'Focusing on reversible treatment of the disease'. Conclusion: In this study, the general public has presented a nursing intervention strategy that can provide support that allows for a positive recognition of mental disorders in accordance with the characteristics of each type.

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Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness

Cited by 6 publications

References 27 publications

The Influence of Body Image, Insight, and Mental Health Confidence on Medication Adherence in Young Adult Women with Mental Disorders

The Influence of Body Image, Insight, and Mental Health Confidence on Medication Adherence in Young Adult Women with Mental Disorders

The Interplay between Stigma, Collective Efficacy, and Advocacy Communication among Men Who Have Sex with Men and Transgender Females

Public Attitudes toward Mental Illness: Q-Methodological Approach

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