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

Gyeong-Suk Jeon; Kyungwon Choi; Kwang-Sim Jang

doi:10.12934/jkpmhn.2017.26.4.344

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Jeon, Choi, and Jang: Influence of Stigma and Social Support on Depressive Symptoms in Hospitalized Patients with Pulmonary Tuberculosis

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2017; 26(4): 344-352.

Published online: 31 December 2017

DOI: https://doi.org/10.12934/jkpmhn.2017.26.4.344

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

Gyeong-Suk Jeon¹, Kyungwon Choi², Kwang-Sim Jang³

¹Department of Nursing, Mokpo National University, Muan, Korea.

²Department of Nursing, Korean National University of Transportation, Jeungpyeong, Korea.

³Department of Nursing, Donga College of Health, Youngam, Korea.

Corresponding author: Choi, Kyungwon. Department of Nursing, Korean National University of Transportation, 61 Daehak-ro, Jeungpyeong 27909, Korea. Tel: +82-43-820-5179, Fax: +82-43-820-5173, kwchoi@ut.ac.kr

Received 9 August 2017 Revised 19 October 2017 Accepted 31 October 2017

The Korean Academy of Psychiatric and Mental Health Nursing

(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

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.

Keywords: Pulmonary tuberculosis, Depression, Social support, Social stigma

Figures and Tables

Table 1

Sociodemographic and Health Related Characteristics and the Distribution of Depressive Symptoms according to Sociodemographic and Health Related Characteristics among Hospitalized TB Patients

Table 2

Stigma and Social Support and the Distribution of Depressive Symptoms according to Levels of Stigma and Social Support among Hospitalized TB Patients (N=259)

Table 3

Odds Ratio (and 95% Confidence Interval) for Depressive Symptoms of Hospitalized TB Patients (N=259)

^†Adjusted for age, sex, education, marital status, monthly income, comorbidity, type of treatment, disease duration, physical symptoms, and self-rated health.

Notes

^{Conflicts of Interest} The authors declared no conflict of interest.

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