Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness

Jin Hee Kim; Hyunjoo Na

doi:10.12934/jkpmhn.2016.25.1.11

Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(1) > 1058067

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Kim and Na: Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2016; 25(1): 11-20.

Published online: 31 March 2016

DOI: https://doi.org/10.12934/jkpmhn.2016.25.1.11

Mediating Effect of Self-Efficacy in the Relationship between Internalized Stigma and Treatment Adherence of Community Dwelling Patients with Mental Illness

Jin Hee Kim, Hyunjoo Na

Department of Nursing, Dogn-A University, Busan, Korea.

Corresponding author: Na, Hyunjoo. Department of Nursing, Dong-A University, Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2744, Fax: +82-51-240-2920, hjna21@donga.ac.kr

Received 7 December 2015 Revised 28 January 2016 Accepted 13 March 2016

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was conducted to explore the mediating effect of self-efficacy in the relationship between internalized stigma and treatment adherence among community dwelling patient with mental illness.

Methods

A cross-sectional study design was employed. Participants were 145 people with mental illness who were enrolled at one of 11 community mental health institutions in Busan, South Korea. Internalized stigma of mental illness, self-efficacy, treatment adherence, and socio-demographic data were examined. Data were collected using self-report questionnaires and analyzed using Baron and Kenny method.

Results

Internalized stigma had a significant negative correlation with self-efficacy and treatment adherence. Self-efficacy had a significant positive correlation with treatment adherence. In addition, self-efficacy had a full mediating effect in the relationship between internalized stigma and treatment adherence.

Conclusion

The results suggest that self-efficacy plays an important role in promoting treatment adherence among patients with mental illness who have high levels of internalized stigma. Therefore, mental health professionals should focus on reducing internalized stigma and also enhancing self-efficacy to increase treatment adherence for persons with mental illness living in the community.

Keywords: Mentally ill persons, Patient adherence, Self-efficacy, Stigma

Figures and Tables

Figure 1

Mediating effect of self-efficacy in the relationship between internalized stigma and treatment adherence.

Table 1

General Characteristics of the Subjects (N=145)

Table 2

Level of Internalized Stigma, Self-efficacy, and Treatment Adherence (N=145)

Table 3

Relationships among Internalized Stigma, Self-efficacy, and Treatment Adherence (N=145)

Table 4

Mediating Effect of Self-efficacy in the Relationship between Internalized Stigma and Treatment Adherence (N=145)

IS=Internalized stigma; SE=Self-efficacy; TA=Treatment adherence.

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