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Titolo:
Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder
Autore:
Perlick, DA; Rosenheck, RA; Clarkin, JF; Sirey, JA; Salahi, J; Struening, EL; Link, BG;
Indirizzi:
VA Connecticut Healthcare Syst, Dept Vet Affairs, NE Program Evaluat Ctr, Vet Affairs Med Ctr W Haven, West Haven, CT 06516 USA VA Connecticut Healthcare Syst West Haven CT USA 06516 aven, CT 06516 USA New York State Psychiat Inst & Hosp, New York, NY 10032 USA New York StatePsychiat Inst & Hosp New York NY USA 10032 k, NY 10032 USA Columbia Univ, Epidemiol Mental Disorders Program, New York, NY 10027 USA Columbia Univ New York NY USA 10027 rders Program, New York, NY 10027 USA Univ Connecticut, Masters Program, Sch Social Work, Hartford, CT 06112 USAUniv Connecticut Hartford CT USA 06112 ocial Work, Hartford, CT 06112 USA Cornell Univ, Joan & Sanford I Weill Med Coll, Westchester Div, New York Presbyterian Hosp,Dept Psychiat, White Plains, NY USA Cornell Univ White Plains NY USA osp,Dept Psychiat, White Plains, NY USA Yale Univ, Sch Med, New Haven, CT USA Yale Univ New Haven CT USAYale Univ, Sch Med, New Haven, CT USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 12, volume: 52, anno: 2001,
pagine: 1627 - 1632
SICI:
1075-2730(200112)52:12<1627:AEOPSO>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEPRESSED-PATIENTS; MENTAL-DISORDERS; SCHIZOPHRENIA; INTERVIEW; HEALTH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Perlick, DA VA Connecticut Healthcare Syst, Dept Vet Affairs, NE Program Evaluat Ctr, Vet Affairs Med Ctr W Haven, 950 Campbell Ave, West Haven, CT 06516 USA VA Connecticut Healthcare Syst 950 Campbell Ave West Haven CT USA 06516
Citazione:
D.A. Perlick et al., "Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder", PSYCH SERV, 52(12), 2001, pp. 1627-1632

Abstract

Objective: The purpose of this study was to evaluate the effect of concerns about stigma on social adaptation among persons with a diagnosis of bipolar affective disorder. Methods: The sample comprised 264 persons who were consecutively admitted to a psychiatric inpatient or outpatient service at auniversity-affiliated hospital and who met research diagnostic criteria for bipolar I disorder, bipolar Il disorder, or schizoaffective disorder, manic type. Patients were evaluated with use of the Schedule for Affective Disorders and Schizophrenia, Lifetime Version (SADS-L), the Brief Psychiatric Rating Scale (BPRS), and a measure of perceived stigma. Social adjustment was measured at baseline and seven months later with the Social Adjustment Scale (SAS). Results: As predicted, patients who had concerns about stigma showed significantly more impairment at seven months on the social leisure subscale but not on the SAS extended family, subscale, after baseline SAS score and symptom level had been controlled for. More refined models using SAS-derived factors as dependent variables indicated that concerns about stigma predicted higher avoidance of social interactions with persons outside the family and psychological isolation at seven-month follow-up, after baseline SAS and BPRS scores had been controlled for. Conclusions: Concerns about the stigma associated with mental illness reported by patients during an acute phase of bipolar illness predicted poorer social adjustment seven months later with individuals outside the patient's family. Greater attention to patients' concerns about stigma is needed from both researchers and clinicians.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 14:36:03