The Association Between Medication Adherence, Internalized Stigma and Social Support Among Outpatients with Major Depressive Disorder in a Malaysian Hospital: A Cross-Sectional Study

Psychology Research and Behavior Management, Год журнала: 2025, Номер Volume 18, С. 209 - 223

Опубликована: Фев. 1, 2025

Background: Internalized stigma and medication non-adherence pose significant challenges for treating major depressive disorder (MDD), leading to disability, increased suicide risk, morbidity. Limited data exists on modifiable factors associated with adherence in lower-resourced settings like Malaysia. This study aimed investigate poor prevalence the demographic clinical among patients MDD. Methods: cross-sectional survey recruited participants using universal sampling from a hospital Selangor, Participants answered questionnaires consisting of information (medical history, duration anti-depressant treatment MDD, psychiatric ward admission any side effects experienced), Stigma Mental Illness Scale (comprising alienation, stereotype, perceived discrimination, social withdrawal), Multidimensional Perceived Social Support family, friend, other support), Malaysia Medication Adherence Assessment Tool. Simple multiple logistic regression mediation analyses were conducted. Results: Of 268 (69% female), 57.1% suboptimally or moderately adherent their medication. Buddhists (adjusted odds ratio [a OR ] = 0.280, 95% CI [0.115, 0.679], p 0.005), higher family support (a 0.753, [0.591, 0.960], 0.022), history admissions 3.523, [1.537, 8.072], 0.003), internalized 2.828, [1.497, 5.344], 0.001) significantly low/moderate adherence. The effect subdomains (alienation, withdrawal) partially mediated by support. Conclusion: More than half demonstrated low moderate Those adherence, but this was attenuated Therefore, are important points consideration when assessing MDD Keywords: stigma, support,

Язык: Английский

Psychological resilience and related factors among primary care workers in Wuhan, China: A cross-sectional study

Heliyon, Год журнала: 2024, Номер 10(11), С. e31918 - e31918

Опубликована: Май 24, 2024

Primary medical workers constitute a high-risk group for mental health problems, and psychological resilience might protect them from the negative impacts of their work. Therefore, this study aimed to investigate current situation among primary care in Wuhan, China, as well related factors.

Язык: Английский