Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/81183
PIRA download icon_1.1View/Download Full Text
Title: Negative impacts of self-stigma on the quality of life of patients in methadone maintenance treatment : the mediated roles of psychological distress and social functioning
Authors: Cheng, CM
Chang, CC
Wang, JD
Chang, KC
Ting, SY
Lin, CY 
Issue Date: 2019
Source: International journal of environmental research and public health, 2019, v. 16, no. 7, 1299
Abstract: A sample of heroin users (n = 250) in methadone maintenance treatment (MMT) was used in this cross-sectional study to clarify the mechanisms of the effects of stigma on quality of life (QoL) through psychological distress and social functioning. All the participants had their self-stigma, psychological distress, social functioning, and QoL measured. Psychological distress and social functioning were proposed to be mediators between self-stigma and QoL. Several linear models using structural equation modeling were conducted to examine the mediated effects. The negative effects of self-stigma on QoL were significantly mediated by psychological distress, as self-stigma directly and significantly influenced psychological distress, but not social functioning. This study demonstrated a linear model describing the effects of self-stigma on QoL for opioid-dependent individuals; psychological distress was also an important mediator between self-stigma and their QoL. Clinicians were able to notice the importance of reducing self-stigma for opioid-dependent individuals according to the following results: higher levels of self-stigma were associated with high psychological distress, decreased social functioning, and impaired QoL. Our mediation findings suggest that treating psychological distress is better than treating social functioning if we want to eliminate the effects of self-stigma on QoL for heroin users.
Keywords: Opioid
Quality of life
Self-stigma
Structural equation modeling
Publisher: Molecular Diversity Preservation International (MDPI)
Journal: International journal of environmental research and public health 
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph16071299
Rights: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
The following publication Cheng C-M, Chang C-C, Wang J-D, Chang K-C, Ting S-Y, Lin C-Y. Negative Impacts of Self-Stigma on the Quality of Life of Patients in Methadone Maintenance Treatment: The Mediated Roles of Psychological Distress and Social Functioning. International Journal of Environmental Research and Public Health. 2019; 16(7):1299 is available at https://doi.org/10.3390/ijerph16071299
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Cheng_Negative_Impacts_Self-Stigma.pdf497.96 kBAdobe PDFView/Open
Open Access Information
Status open access
File Version Version of Record
Access
View full-text via PolyU eLinks SFX Query
Show full item record

Page views

80
Last Week
1
Last month
Citations as of Mar 24, 2024

Downloads

68
Citations as of Mar 24, 2024

SCOPUSTM   
Citations

46
Citations as of Mar 28, 2024

WEB OF SCIENCETM
Citations

37
Citations as of Mar 28, 2024

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.