J Korean Acad Psychiatr Ment Health Nurs.  2017 Dec;26(4):344-352. 10.12934/jkpmhn.2017.26.4.344.

Influence of Stigma and Social Support on Depressive Symptoms in Hospitalized Patients with Pulmonary Tuberculosis

• Jeon GS
• Choi K
• Jang KS

• KMID: 2401221
• DOI: http://doi.org/10.12934/jkpmhn.2017.26.4.344

Abstract

PURPOSE
The aim of this study was to examine the relationships between depressive symptoms, stigma and social support in hospitalized PTB (pulmonary tuberculosis) patients.
METHODS
Participants were 256 patients with PTB who were admitted in two national tuberculosis hospitals.
RESULTS
Higher levels of stigma were significantly related to depressive symptoms in patients with PTB. Self-reports of social support by medical staff were negatively associated with depressive symptoms in patients with PTB. Stigma and social support by medical staff were found to be significant predictors of depressive symptoms after controlling for potential confounders.
CONCLUSION
Findings suggest that intervention for depressive symptoms be incorporated into treatment for patients with PTB, and strategies to decrease TB-related stigma and increase social support by medical staff be provided to prevent depressive symptoms.

Keyword

Pulmonary tuberculosis; Depression; Social support; Social stigma

MeSH Terms

Depression*
Hospitals, Chronic Disease
Humans
Medical Staff
Social Stigma
Tuberculosis, Pulmonary*

Reference

1. Sweetland A, Oquendo M, Wickeramaratne P, Weissman M, Wainberg M. Depression: a silent driver of the global tuberculosis epidemic. World Psychiatry. 2014; 13(3):325–326. DOI: 10.1002/wps.20134.

2. Yoo HS, Kang HY, Park WS, Sohn HJ, Ko YY. Global Tuberculosis Status in 2013. Korean Centers for Disease Control and Prevention. Cheongju: CDC;2013.

3. Peltzer K, Naidoo P, Matseke G, Louw J, McHunu G, Tutshana B. Prevalence of psychological distress and associated factors in tuberculosis patients in public primary care clinics in South Africa. BMC Psychiatry. 2012; 27(12):89–98. DOI: 10.1186/1471-244X-12-89.

4. Long NH, Johansson E, Diwan Vk, Winkvist A. Fear and social isolation as consequences of tuberculosis in Vietnam: a gender analysis. Health Policy. 2001; 58:69–81. DOI: 10.1016/S0168-8510(01)00143-9.

5. Ugarte-Gil C, Ruiz P, Zamudio C, Canaza L, Otero L, Kruger H, Seas C. Association of major depressive episode with negative outcomes of tuberculosis treatment. PLoS One. 2013; 8(7):e69514.

6. Ambaw F, Mayston R, Hanlon C, Alem A. Depression among patients with tuberculosis; determinants, course and impact on pathway to care and treatment outcomes in a primary care setting in southern Ethiopia-a study protocol. BMJ Open. 2015; 5(7):e007653.

7. Masumoto S, Yamamoto T, Ohkado A, Yoshimatsu S, Querri AG, Kamiy Y. Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manilla, The Philippines. Int J Tuberc Lung Dis. 2014; 18(2):174–179. DOI: 10.5588/ijtld.13.0335.

8. Kang CR. Factors associated with depression in some inpatients with tuberculosis [master's thesis]. [Gwangju]: Chosun University;2012. 14 p.

9. Suh HS, Kim JK, Hong JR, Suh JE, Cho YS, Kwon OW, et al. Prevalence and risk factors of tuberculosis patients' depression. In : The Korean Academy of Tuberculosis and Respiratory Diseases conference; 2012 September 8–9; Lotte Hotel World. Seoul. The Korean Academy of Tuberculosis and Respiratory Diseases;2012. 160 p.

10. Courtwright A, Turner AN. Tuberculosis and stigmatization; pathways and interventions. Public Health Rep. 2010; 4(125):34–42. DOI: 10.1177/00333549101250S407.

11. Ryu SA. Is it possible that people with mental disorders are reintegrated into our communities? the effect of social distance. Korean J Psychol Gen. 2013; 29(1):49–69.

12. Baral SC, Karki DK, Newell JN. Causes of stigma and discrimination associated with tuberculosis in Nepal: a qualitative study. BMC Public Health. 2007; 7:211–221. DOI: 10.1186/1471-2458-7-211.

13. Rao D, Chen WT, Pearson CR, Simoni JM, Fredriksen-Goldsen K, Nelson K, et al. Social support mediates the relationship between HIV stigma and depression/quality of life among people living with HIV in Beijing, China. Int J STD AIDS. 2012; 23(7):481–484. DOI: 10.1258/ijsa.2009.009428.

14. Tanney MR, Naar-King S, MacDonnel K. Depression and stigma in high-risk youth living with HIV (YLH): a multi-site study. J Pediatr Health Care. 2012; 26(4):300–305. DOI: 10.1016/j.pedhc.2011.02.014.

15. Kim MY, Jun SS. Factors affecting internalized stigma of patient with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21(2):108–117. DOI: 10.12934/jkpmhn.2012.21.2.108.

16. Yoo SW, Shin HC, Roh HS, Jo SG. A study on the stigma and the intention of disclosure of tuberculosis. J Advert Res. 2014; 14(4):214–262.

17. Park SJ. A study on stigma, family support and quality of life among ambulatory patients with tuberculosis. [master's thesis]. [Gwangju]: Chonnam University;2014. 15 p.

18. Norbeck JS. The use of social support in clinical practice. J Psychosoc Nurs Ment Health Serv. 1982; 20(12):22–29. DOI: 10.3928/0279-3695-19821201-05.

19. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1996; 32(3):381–399.

20. Van Rie A, Sengupta S, Pungrassami P, Balthip Q, Choonuan S, Kasetjaroen Y, et al. Measuring stigma associated with tuberculosis and HIV/AIDS in southern Thailand: exploratory and confirmatory factor analyses of two new scales. Trop Med Int Health. 2008; 13(1):21–30. DOI: 10.1111/j.1365-3156.2007.01971.x.

21. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1):30–41. DOI: 10.1207/s15327752jpa5201_2.

22. Park SJ. Symptom experience and quality of life in patients with chronic lung disease: with a special reference to bronchial asthma and bronchiectasis. J Korean Acad Adult Nurs. 2002; 14(3):470–478.

23. Lee MA, Huh HJ, Min JA, Lee CU, Lee C, Kim TS. Point prevalence of anxiety and depression among cancer inpatients in a general hospital: a preliminary study for the development of distress management strategies in cancer patients. Korean J Psychosom Med. 2013; 21(2):122–131.

24. Song YM, Lee JH. Factors in post stroke depression of stroke patients hospitalized in university medical centers. J Korean Gerontol Nurs. 2013; 15(2):85–94.

25. Sulehri MA, Dogar IA, Sohail H, Mehdi Z, Azam M, Niaz O, et al. Prevalence of depression among tuberculosis patients. Ann Punjab Med Coll. 2010; 4(2):133–137.

26. Parker G, Hadzi-pavlovic D. Is the female preponderance in major depression secondary to a gender difference in specific anxiety disorders. Psychol Med. 2004; 34(3):461–470. DOI: 10.1017/S0033291703001181.

27. Liu RT, Hemandez EM, Trout ZM, Kleiman EM, Bozzay ML. Depression, social support, and long-term risk for coronary heart disease in a 13-year longitudinal epidemiological study. Psychiatry Res. 2017; 251:36–40. DOI: 10.1016/j.psychres.2017.02.010.

28. Kim OS, Choi KS. Influence of family and medical staff support and hope on organ transplant recipient' psychosocial adjustment. J Korean Clin Nurs Res. 2016; 22(1):78–87.

29. Chang MK, Kim KH, Chung YK. A study of the relationship between perceived social support and quality of life of cancer patients receiving gene therapy. J Korean Community Nurs. 1997; 8(1):74–88.

30. Paz-Soldán VA, Alban RE, Jones CD, Oberhelman RA. The provision of and need for social support among adult and pediatric patients with tuberculosis in Lima, Peru; a qualitative study. BMC Health Serv Res. 2013; 13:290. DOI: 10.1186/1472-6963-13-290.