AccScience Publishing / JCBP / Volume 2 / Issue 4 / DOI: 10.36922/jcbp.2181
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ORIGINAL RESEARCH ARTICLE

Stigma in maintenance hemodialysis patients: A cross-sectional study

Lizhen Wang1 ,  Wei Ye1*
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1 Department of Nephrology, Jinshan Hospital, Fudan University, Shanghai, China
JCBP 2024, 2(4), 2181 https://doi.org/10.36922/jcbp.2181
Submitted: 6 November 2023 | Accepted: 13 March 2024 | Published: 16 July 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

This study aimed to explore stigma and its predictors among patients undergoing maintenance hemodialysis. We utilized corresponding scales to measure both stigma and quality of life, and examining their correlations. Clinical and laboratory data were obtained through self-reported scales and medical records, screening for possible predictors associated with stigma. We recruited 115 patients in this study, with an average age of 52.14 ± 11.84 years. The level of stigma indicated correlations with all modules of the SF-36 scale. Specifically, bodily pain, general health, vitality, social functioning, role-emotional, and mental health modules had significant relationships with stigma (P < 0.05). Internalized stigma was significantly related to uremic pruritus and the duration of hemodialysis (P < 0.05). Enacted stigma revealed a significant relationship with uremic pruritus, the Beck Depression Inventory score, and the Beck Anxiety Inventory score (P < 0.05). Overall, stigma appears to exert negative impacts on the quality of life of patients undergoing incident hemodialysis. The occurrence of internalized stigma may be related to uremic pruritus and the duration of hemodialysis, while enacted stigma may be associated with uremic pruritus, depression, and anxiety.

Keywords
Maintenance hemodialysis
Stigma
Quality of life
Internalized stigma
Enacted stigma
Funding
None.
Conflict of interest
The authors have no potential conflicts of interest to disclose.
References
  1. Goffman E. Stigma: Notes on the Management of Spoiled Identity. New York: Simon and Schuster; 1963.

 

  1. Major B, O’Brien LT. The social psychology of stigma. Ann Rev Psychol. 2005;56:393-421. doi: 10.1146/annurev.psych.56.091103.070137

 

  1. Jones EE, Farina A, Hastorf AH, Markus H, Miller DT, Scott RA. Social Stigma the Psychology of Marked Relationships. New York: W. H. Freeman and Company; 1984.

 

  1. Leventhal H, Ethan H, Horowitz C, Leventhal EA, Ozakinci G. Living with chronic illness: A contextualized, self-regulation approach. In: The SAGE Handbook of Health Psychology. London: SAGE; 2004.

 

  1. Kurzban R, Leary MR. Evolutionary origins of stigmatization: The functions of social exclusion. Psychol Bull. 2001;127:187-208. doi: 10.1037/0033-2909.127.2.187

 

  1. Van Sandwijk MS, Al Arashi D, van de Hare FM, et al. Fatigue, anxiety, depression and quality of life in kidney transplant recipients, haemodialysis patients, patients with a haematological malignancy and healthy controls. Nephrol Dial Transplant. 2018;34:833-838. doi: 10.1093/ndt/gfy103

 

  1. Guerra F, Di Giacomo D, Ranieri J, Tunno M, Piscitani L, Ferri C. Chronic kidney disease and its relationship with mental health: Allostatic load perspective for integrated care. J Pers Med. 2021;11:1367. doi: 10.3390/jpm11121367

 

  1. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987;40:373-383. doi: 10.1016/0021-9681(87)90171-8

 

  1. Rao D, Choi SW, Victorson D, et al. Measuring stigma across neurological conditions: The development of the stigma scale for chronic illness (SSCI). Qual Life Res. 2009;18:585-595. doi: 10.1007/s11136-009-9475-1

 

  1. Molina Y, Choi SW, Cella D, Rao D. The stigma scale for chronic illnesses 8-item version (SSCI-8): Development, validation and use across neurological conditions. Int J Behav Med. 2013;20:450-460. doi: 10.1007/s12529-012-9243-4

 

  1. Beck AT, Steer RA, Carbin MG. Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77-100. doi: 10.1016/0272-7358(88)90050-5

 

  1. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol. 1988;56:893-897. doi: 10.1037//0022-006x.56.6.893

 

  1. Beck AT, Steer RA. Beck Anxiety Inventory Manual. San Antonio, TX: The Psychological Corp Harcourt Brace and Company; 1993.

 

  1. Finkelstein FO, Finkelstein SH. Depression in chronic dialysis patients: Assessment and treatment. Nephrol Dial Transplant. 2000;15:1911-1913. doi: 10.1093/ndt/15.12.1911

 

  1. Clark JM, Marszalek JM, Bennett KK, et al. Comparison of factor structure models for the Beck Anxiety Inventory among cardiac rehabilitation patients. J Psychosom Res. 2016;89:91-97. doi: 10.1016/j.jpsychores.2016.08.007

 

  1. Lowrie EG, Curtin RB, LePain N, Schatell D. Medical outcomes study short form-36: A consistent and powerful predictor of morbidity and mortality in dialysis patients. Am J Kidney Dis. 2003;41:1286-1292. doi: 10.1016/s0272-6386(03)00361-5

 

  1. Jacoby A, Gorry J, Gamble C, Baker GA. Public knowledge, private grief: A study of public attitudes to epilepsy in the United Kingdom and implications for stigma. Epilepsia. 2004;45:1405-1415. doi: 10.1111/j.0013-9580.2004.02904.x

 

  1. Kaur H, Van Brakel W. Dehabilitation of leprosy-affected people--A study on leprosy-affected beggars. Lepr Rev. 2002;73:346-355.

 

  1. Nicholls PG, Wiens C, Smith WC. Delay in presentation in the context of local knowledge and attitude towards leprosy- -The results of qualitative fieldwork in Paraguay. Int J Lepr Other Mycobact Dis. 2003;71:198-209. doi: 10.1489/1544-581X(2003)71<198:DIPITC>2.0.CO;2

 

  1. Rüsch N, Angermeyer MC, Corrigan PW. Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry. 2005;20(8):529-539. doi: 10.1016/j.eurpsy.2005.04.004

 

  1. Jacoby A. Felt versus enacted stigma: A concept revisited. Evidence from a study of people with epilepsy in remission. Soc Sci Med. 1994;38(2):269-274. doi: 10.1016/0277-9536(94)90396-4

 

  1. Corrigan PW, Watson AC, Barr L. The self-stigma of mental illness: Implications for self-esteem and self-efficacy. J Soc Clin Psychol. 2006;25(9):875-884. doi: 10.1521/jscp.2006.25.8.875

 

  1. Van Brakel WH. Measuring health-related stigma--A literature review. Psychol Health Med. 2006;119(3):307-334. doi: 10.1080/13548500600595160

 

  1. Curtin RB, Bultman DC, Thomas-Hawkins C, Walters BAJ, Schatell D. Hemodialysis patients’ symptom experiences: Effects on physical and mental functioning. Nephrol Nurs J. 2002;29(6):567-574.

 

  1. Pisoni RL, Wikström B, Elder SJ, et al. Pruritus in haemodialysis patients: International results from the dialysis outcomes and practice patterns study (DOPPS). Nephrol Dial Transplant. 2006;21(12):3495-3505. doi: 10.1093/ndt/gfl461

 

  1. Narita I, Alchi B, Omori K, et al. Etiology and prognostic significance of severe uremic pruritus in chronic hemodialysis patients. Kidney Int. 2006;69(9):1626-1632. doi: 10.1038/sj.ki.5000251

 

  1. Silva ACSE, Miranda AS, Rocha NP, Teixeira AL. Neuropsychiatric disorders in chronic kidney disease. Front Pharmacol. 2019;10:932. doi: 10.3389/fphar.2019.00932

 

  1. Lu R, Kiernan MC, Murray A, Rosner MH, Ronco C. Kidney-brain crosstalk in the acute and chronic setting. Nat Rev Nephrol. 2015;11(12):707-719. doi: 10.1038/nrneph.2015.131

 

  1. Walters BAJ, Hays RD, Spritzer KL, Fridman M, Carter WB. Health-related quality of life, depressive symptoms, anemia, and malnutrition at hemodialysis initiation. Am J Kidney Dis. 2002;40:1185-1194. doi: 10.1053/ajkd.2002.36879

 

  1. Watnick S, Kirwin P, Mahnensmith R, Concato J. The prevalence and treatment of depression among patients starting dialysis. Am J Kidney Dis. 2003;41:105-110. doi: 10.1053/ajkd.2003.50029

 

  1. Rebollo Rubio A, Morales Asencio JM, Eugenia Pons Raventos M. Depression, anxiety and health-related quality of life amongst patients who are starting dialysis treatment. J Renal Care. 2017;43(2):73-82. doi: 10.1111/jorc.12195

 

  1. LaFrance WC Jr., Kanner AM, Hermann B. Psychiatric comorbidities in epilepsy. Int Rev Neurobiol. 2008;83:347-383. doi: 10.1016/S0074-7742(08)00020-2

 

  1. Alonso J, Buron A, Bruffaerts R, et al. Association of perceived stigma and mood and anxiety disorders: Results from the World Mental Health Surveys. Acta Psychiatr Scand. 2008;118(4):305-314. doi: 10.1111/j.1600-0447.2008.01241.x
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Journal of Clinical and Basic Psychosomatics, Electronic ISSN: 2972-4414 Print ISSN: 3060-8562, Published by AccScience Publishing
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