The association between personal stigma and adherence to treatment in patients diagnosed with bipolar mood disorder, attention deficit/ hyperactivity disorder and schizophrenia

• Lucas H. Viscardi ^[1] ; Victoria Rosa ^[1] ; Felipe Vilanova ^[1] ; Eugenio H. Grevet ^[2] ; Claiton H. DottoBau ^[2] ; M. Inés Rodrígues Lobato ; Ives Cavalcante Passos ^[3] ; Angelo B. Costa ^[1]
  1. [1] Pontifícia Universidade Católica do Rio Grande do Sul

     Pontifícia Universidade Católica do Rio Grande do Sul

     Brasil

     
  2. [2] Universidade Federal do Rio Grande do Sul

     Universidade Federal do Rio Grande do Sul

     Brasil

     
  3. [3] Hospital de Clínicas de Porto Alegre

     Hospital de Clínicas de Porto Alegre

     Brasil

     

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• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 29, Nº. 1, 2024, págs. 71-81
• Idioma: inglés
• DOI: 10.5944/rppc.37815
• Títulos paralelos:
  • Asociación entre el estigma personal y la adherencia al tratamiento en pacientes diagnosticados de trastorno bipolar, trastorno por déficit de atención /hiperactividad y esquizofrenia
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  • Texto completo
• Resumen
  • español

    La investigación ha resaltado que algunos tipos de trastornos mentales se asocian a discriminación y estigmas generalizados, fenómenos que afectan negativamente a la adherencia. El objetivo del presente estudio fue examinar la asociación entre el estigma y la adherencia al tratamiento farmacológico en pacientes con diagnóstico de trastorno del estado de ánimo bipolar (BD), trastorno por déficit de atención e hiperactividad (TDAH) y esquizofrenia (SZ). Participaron 112 pacientes (rango de edad: 20-68 años, Medad = 42.08; DTedad = 12.02) de Brasil (38.4% TDAH, 34.8% SZ, y 26.8% TB). Se midió la adherencia al tratamiento utilizando el Medication Adherence Questionnaire, el estigma personal mediante las escalas Internalized Stigma of Mental Illness, Stigma Scale, y Perceived Devaluation and Discrimination Scale, y la autoestima con la Rosenberg’s Self-Esteem Scale. Los resultados mostraron una asociación entre el estigma personal y la adherencia al tratamiento para los tres tipos de trastorno. Cuanto menor era el estigma personal, mayor era la adherencia al tratamiento. El estudio pone de relieve el papel del estigma y la autoestima en relación con la adherencia al tratamiento, con posibles implicaciones sobre la futura psicoterapia de estos trastornos.

  • English

    Research has highlighted that some types of mental disorders are associated with widespread discrimination and stigma, phenomena that negatively affect adherence. The aim of the present study was to examine the association between stigma and adherence to pharmacological treatment in patients diagnosed with bipolar mood disorder (BD), attention deficit hyperactivity disorder (ADHD) and schizophrenia (SZ). A total of 112 patients (age range: 2068 years, Median age = 42.08; SD age = 12.02) from Brazil (38.4% ADHD, 34.8% SZ, and 26.8% TB) participated in the study. Treatment adherence was measured using the Medication Adherence Questionnaire, personal stigma by means of the Internalized Stigma of Mental Illness, Stigma Scale, and Perceived Devaluation and Discrimination Scale, and selfesteem with Rosenberg’s SelfEsteem Scale. Results showed an association between personal stigma and treatment adherence for all three types of disorder. The lower the personal stigma, the higher the adherence to treatment. The study highlights the role of stigma and selfesteem in relation to treatment adherence, with possible implications for future psychotherapy for these disorders

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