Self-Stigma among Outpatients with Mood Disordersat St. Paul’s Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Facility-Based Study

Tesfaye, Elias (2014) Self-Stigma among Outpatients with Mood Disordersat St. Paul’s Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Facility-Based Study. Other thesis, Addis Ababa University.

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Abstract

Background: There is little information on the degreeof self-stigma experienced by patients with mood disorder across Ethiopia. This study describes the levels of self-stigma, stigma resistance, self esteem and the level of disability reported in these groups who had follow up as outpatient in Psychiatry clinic at St. Paul’s Hospital, Addis Abeba, Ethiopia. Methods: Facility based cross-sectional study was conducted on 235 consecutive samples of people with mood disorder using interviewer administered (ISMI) scale. Data was entered and analysis was done using SPSS version 20. Bivariate and multivariate linear regressions were done to identify correlates of self stigma. Results:Almost one in three patients (31.5%) reported moderate or high levels of self-stigma, (54.9%) had moderate or high stigma resistance score, (67.2%) hadmoderate or high self esteem,(27.7%) had moderate to high level of discrimination experience and One fourth of them (26.4%) had moderate to severe or extreme disability. And also,Females had higher self stigma (std. β = .169 with P < 0.01) than males and good adherence to medication was significantly correlated with lower self stigma (std. β = -.212 with P < 0.01) when compared with non adherence. In a multivariate linear regression model (60%) of the variancein self-stigma scores, among people with a diagnosis of bipolar disorder or depression, wasaccounted for by levels of self esteem and stigma resistance. Conclusions: These findings suggested that self-stigma occurs among approximately 1 in 3 people with mood disorder in urban city of Ethiopiawhich was much higher than the findings in Europe. Female showed higher self stigma than male. So, Patient empowerment, psychosocial interventions and psychoeducation to increase compliance to medication can be helpful in reducing self stigma among people with mood disorder.

Item Type:	Thesis (Other)
Subjects:	R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	25 Oct 2018 06:50
Last Modified:	25 Oct 2018 06:50
URI:	http://thesisbank.jhia.ac.ke/id/eprint/7029

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