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A longitudinal study on the effects of social support on self-stigma, psychiatric symptoms, and personal and social functioning in community patients with severe mental illnesses in China

Author

Listed:
  • Ning Ma
  • Runzi Chen
  • Yu Bai
  • Wufang Zhang
  • Zecong Chen
  • Jun Zhou
  • Yajie Cao
  • Liping Wen
  • Xiaobing Chen
  • Xuhui Zhan
  • Yunge Fan

Abstract

Background: Few studies have examined whether social support contributes to better consequences among chronic patients with severe mental illnesses (SMI) in their community recovery stage and whether self-stigma would be a mechanism through which social support impacts psychiatric symptoms and personal and social functioning. Aims: This study aimed to examine prospective associations of social support with long-term self-stigma, psychiatric symptoms, and personal and social functioning, and to investigate whether self-stigma would mediate the associations of social support with psychiatric symptoms and personal and social functioning among patients with SMI. Methods: A total of 312 persons with SMI (schizophrenia and bipolar disorder) in their community recovery stage participated in the study. Social support, self-stigma, psychiatric symptoms, and personal and social functioning were evaluated at baseline. The follow-up assessment was conducted at 6 months with the baseline measures except for social support. Hierarchical linear regression and mediation analysis were performed. Results: The results showed that baseline social support predicted decreases in stigma (β = −.115, p  = .029) and psychiatric symptoms (β = −.193, p  

Suggested Citation

  • Ning Ma & Runzi Chen & Yu Bai & Wufang Zhang & Zecong Chen & Jun Zhou & Yajie Cao & Liping Wen & Xiaobing Chen & Xuhui Zhan & Yunge Fan, 2024. "A longitudinal study on the effects of social support on self-stigma, psychiatric symptoms, and personal and social functioning in community patients with severe mental illnesses in China," International Journal of Social Psychiatry, , vol. 70(5), pages 957-966, August.
  • Handle: RePEc:sae:socpsy:v:70:y:2024:i:5:p:957-966
    DOI: 10.1177/00207640241245932
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