Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis
Marie Ociskova,1 Jan Prasko,1 Kristyna Vrbova,1 Petra Kasalova,1 Michaela Holubova,1 Ales Grambal,1 Klara Machu2 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University, University Hospital, Olomouc, 2Department of Psychology, Faculty of Arts, University of Ostrava, Ostrava...
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Dove Medical Press
2018
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oai:doaj.org-article:826e9f341a2c471298a73f7db43c386a2021-12-02T04:08:01ZSelf-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis1178-2021https://doaj.org/article/826e9f341a2c471298a73f7db43c386a2018-01-01T00:00:00Zhttps://www.dovepress.com/self-stigma-and-treatment-effectiveness-in-patients-with-anxiety-disor-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Marie Ociskova,1 Jan Prasko,1 Kristyna Vrbova,1 Petra Kasalova,1 Michaela Holubova,1 Ales Grambal,1 Klara Machu2 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University, University Hospital, Olomouc, 2Department of Psychology, Faculty of Arts, University of Ostrava, Ostrava, The Czech Republic Goal: The goal of this study was to explore the impact of self-stigma on the treatment outcomes in patients with anxiety disorders and to find possible mediators of this relationship. Method: Two hundred and nine patients with anxiety disorders, who were hospitalized in a psychotherapeutic department, attended the study. The average age was 39.2±12.4 years; two-thirds were women. Most of the patients used a long-term medication. The participants underwent either cognitive behavioral therapy (CBT) or short psychodynamic therapy. The selection to the psychotherapy was not randomized. All individuals completed several scales – Beck Depression Inventory, the second edition (BDI-II), Beck Anxiety Inventory (BAI), Dissociative Experience Scale (DES), Sheehan Disability Scale (SDS), subjective Clinical Global Impression (subjCGI), and The Internalized Stigma of Mental Illness Scale (ISMI). A senior psychiatrist filled out the objective CGI (objCGI). Results: The patients significantly improved in the severity of anxiety (BAI), depression (BDI-II), and overall severity of the mental disorder (objCGI). The self-stigma predicted a lower change of the objCGI, but not a change of the anxiety and depressive symptoms severity. Anxiety, depressive symptoms, dissociation, and disability were assessed as possible mediators of the relationship between the self-stigma and the treatment change. None of them were significant. Conclusion: Self-stigma lowers the effectiveness of the combined treatment of anxiety disorders. Future research should explore other possible mediators influencing this relationship. Keywords: self-stigma, anxiety disorders, treatment effectiveness, medicationOciskova MPrasko JVrbova KKasalova PHolubova MGrambal AMachu KDove Medical Pressarticleself-stigma / anxiety disorders / treatment effectiveness / medicationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 383-392 (2018) |
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DOAJ |
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DOAJ |
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EN |
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self-stigma / anxiety disorders / treatment effectiveness / medication Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
| spellingShingle |
self-stigma / anxiety disorders / treatment effectiveness / medication Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ociskova M Prasko J Vrbova K Kasalova P Holubova M Grambal A Machu K Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| description |
Marie Ociskova,1 Jan Prasko,1 Kristyna Vrbova,1 Petra Kasalova,1 Michaela Holubova,1 Ales Grambal,1 Klara Machu2 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University, University Hospital, Olomouc, 2Department of Psychology, Faculty of Arts, University of Ostrava, Ostrava, The Czech Republic Goal: The goal of this study was to explore the impact of self-stigma on the treatment outcomes in patients with anxiety disorders and to find possible mediators of this relationship. Method: Two hundred and nine patients with anxiety disorders, who were hospitalized in a psychotherapeutic department, attended the study. The average age was 39.2±12.4 years; two-thirds were women. Most of the patients used a long-term medication. The participants underwent either cognitive behavioral therapy (CBT) or short psychodynamic therapy. The selection to the psychotherapy was not randomized. All individuals completed several scales – Beck Depression Inventory, the second edition (BDI-II), Beck Anxiety Inventory (BAI), Dissociative Experience Scale (DES), Sheehan Disability Scale (SDS), subjective Clinical Global Impression (subjCGI), and The Internalized Stigma of Mental Illness Scale (ISMI). A senior psychiatrist filled out the objective CGI (objCGI). Results: The patients significantly improved in the severity of anxiety (BAI), depression (BDI-II), and overall severity of the mental disorder (objCGI). The self-stigma predicted a lower change of the objCGI, but not a change of the anxiety and depressive symptoms severity. Anxiety, depressive symptoms, dissociation, and disability were assessed as possible mediators of the relationship between the self-stigma and the treatment change. None of them were significant. Conclusion: Self-stigma lowers the effectiveness of the combined treatment of anxiety disorders. Future research should explore other possible mediators influencing this relationship. Keywords: self-stigma, anxiety disorders, treatment effectiveness, medication |
| format |
article |
| author |
Ociskova M Prasko J Vrbova K Kasalova P Holubova M Grambal A Machu K |
| author_facet |
Ociskova M Prasko J Vrbova K Kasalova P Holubova M Grambal A Machu K |
| author_sort |
Ociskova M |
| title |
Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| title_short |
Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| title_full |
Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| title_fullStr |
Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| title_full_unstemmed |
Self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| title_sort |
self-stigma and treatment effectiveness in patients with anxiety disorders – a mediation analysis |
| publisher |
Dove Medical Press |
| publishDate |
2018 |
| url |
https://doaj.org/article/826e9f341a2c471298a73f7db43c386a |
| work_keys_str_mv |
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| _version_ |
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