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Negative Impacts of Self-Stigma on the Quality of Life of Patients in Methadone Maintenance Treatment: The Mediated Roles of Psychological Distress and Social Functioning

Author

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  • Ching-Ming Cheng

    (Jianan Psychiatric Center, Ministry of Health and Welfare, No. 80, Ln. 870, Zhongshan Rd., Rende Dist., Tainan 71742, Taiwan
    Department of Natural Biotechnology, College of Science and Technology, Nanhua University, Chiayi 62249, Taiwan)

  • Chih-Cheng Chang

    (Department of Psychiatry, Chi Mei Medical Center, Tainan 70246, Taiwan
    Department of Health Psychology, Chang Jung Christian University, Tainan 71101, Taiwan
    Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UK)

  • Jung-Der Wang

    (Departments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, 1 University Road, Tainan 70101, Taiwan)

  • Kun-Chia Chang

    (Jianan Psychiatric Center, Ministry of Health and Welfare, No. 80, Ln. 870, Zhongshan Rd., Rende Dist., Tainan 71742, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, 1 University Road, Tainan 70101, Taiwan)

  • Shuo-Yen Ting

    (Chang-Hua Hospital, Ministry of Health and Welfare, Puxin Township, Changhua County, Puhsin 51341, Taiwan)

  • Chung-Ying Lin

    (Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong)

Abstract

A sample of heroin users ( n = 250) in methadone maintenance treatment (MMT) was used in this cross-sectional study to clarify the mechanisms of the effects of stigma on quality of life (QoL) through psychological distress and social functioning. All the participants had their self-stigma, psychological distress, social functioning, and QoL measured. Psychological distress and social functioning were proposed to be mediators between self-stigma and QoL. Several linear models using structural equation modeling were conducted to examine the mediated effects. The negative effects of self-stigma on QoL were significantly mediated by psychological distress, as self-stigma directly and significantly influenced psychological distress, but not social functioning. This study demonstrated a linear model describing the effects of self-stigma on QoL for opioid-dependent individuals; psychological distress was also an important mediator between self-stigma and their QoL. Clinicians were able to notice the importance of reducing self-stigma for opioid-dependent individuals according to the following results: higher levels of self-stigma were associated with high psychological distress, decreased social functioning, and impaired QoL. Our mediation findings suggest that treating psychological distress is better than treating social functioning if we want to eliminate the effects of self-stigma on QoL for heroin users.

Suggested Citation

  • Ching-Ming Cheng & Chih-Cheng Chang & Jung-Der Wang & Kun-Chia Chang & Shuo-Yen Ting & Chung-Ying Lin, 2019. "Negative Impacts of Self-Stigma on the Quality of Life of Patients in Methadone Maintenance Treatment: The Mediated Roles of Psychological Distress and Social Functioning," IJERPH, MDPI, vol. 16(7), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:7:p:1299-:d:221865
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    References listed on IDEAS

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    1. Lucy Mersh & Fergal Jones & Joseph Oliver, 2015. "Mindfulness, self-stigma and social functioning in first episode psychosis: A brief report," Psychosis, Taylor & Francis Journals, vol. 7(3), pages 261-264, July.
    2. Chih-Cheng Chang & Tsung-Hsien Wu & Chih-Yin Chen & Jung-Der Wang & Chung-Ying Lin, 2014. "Psychometric Evaluation of the Internalized Stigma of Mental Illness Scale for Patients with Mental Illnesses: Measurement Invariance across Time," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-8, June.
    3. Kelvin M.T. Fung & Hector W.H. Tsang & Patrick W. Corrigan & Chow S. Lam & Wai-ming Cheng, 2007. "Measuring Self-Stigma of Mental Illness in China and Its Implications for Recovery," International Journal of Social Psychiatry, , vol. 53(5), pages 408-418, September.
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    1. Prado Silván-Ferrero & Patricia Recio & Fernando Molero & Encarnación Nouvilas-Pallejà, 2020. "Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience," IJERPH, MDPI, vol. 17(5), pages 1-15, March.
    2. Eunmi Lee & Yoo Mi Jeong & Su Jeong Yi, 2020. "Nurses’ Attitudes Toward Psychiatric Help for Depression: The Serial Mediation Effect of Self-Stigma and Depression on Public Stigma and Attitudes Toward Psychiatric Help," IJERPH, MDPI, vol. 17(14), pages 1-10, July.

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