OBJECTIVE: The goal of this study was to explore reliability and validity of the Czech revised Beck Depression Inventory (BDI-II) and to identify the best cut-off for a correct identification of a potentially depressed individual. METHOD: Two groups of adult participants entered the study. The first group consisted of 177 patients with depression (F32x or F33x according to the ICD-10). Furthermore, there were 767 healthy controls. Each participant filled in BDI-II. A part of the patients also completed the Beck Anxiety Inventory (BAI), the Dissociative Experiences Scale (DES), and the subjective Clinical Global Impression scale (CGI). A part of the controls filled in the Adult Dispositional Hope Scale (ADHS) and the Satisfaction with Life Scale (SWLS). RESULT: The average patients' BDI-II score was 30.8±10.3, the mean controls' score was 7.2±6.8. The internal consistency of the inventory was excellent (the ordinal alpha coefficient was 0.90 for the patients and 0.93 for the controls). The stability in time, measured two weeks apart, was also good (intra-class correlation coefficient r=0.83 for the patients and 0.77 for the controls). The exploratory factor analysis of the patients showed a three-factor solution, while the analysis of the controls' data identified two factors. As expected, BDI-II significantly positively correlated with BAI, DES, and CGI and was negatively connected to ADHS and SWLS. The cut-off score with the best sensitivity and specificity was 17. CONCLUSION: The Czech BDI-II shows adequate psychometric characteristics.
- MeSH
- deprese diagnóza MeSH
- depresivní poruchy diagnóza MeSH
- dospělí MeSH
- faktorová analýza statistická MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- osobní uspokojení * MeSH
- překlady MeSH
- psychiatrické posuzovací škály * MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- validační studie MeSH
- Geografické názvy
- Česká republika MeSH
INTRODUCTION: Treatment adherence is one of the main factors affecting the success of treatment and, secondarily, the quality of life and social adaptation of the patients. The aim of this study was to investigate the association between self-stigmatization, treatment adherence and history of discontinuation of drug treatment. METHODS: The cross-sectional study was conducted on 120 (98 completed all the questionnaires) neurotic outpatients treated in the University Hospital Olomouc. The following variables were evaluated: the objective and subjective Clinical Global Impression (CGI) scale, Drug Attitude Inventory (DAI-10) questionnaire measuring adherence, Internalized Stigma of Mental Illness (ISMI) scale measuring self-stigma, and a demographic data questionnaire. RESULTS: Data analysis showed no correlation between self-stigmatization and age, age of onset or length of the post-hospitalization phase. However, there were significant correlations between self-stigmatization and the severity of the disorder (assessed by both objective and subjective CGI), number of previous hospitalizations, total number of psychiatrists visited by the patient, the arbitrary discontinuation of medication in the past, and the dose of an antidepressant. Furthermore, self-stigma was significantly negatively correlated with the current treatment adherence. The rate of adherence was negatively correlated with both objective and subjective CGI only. CONCLUSIONS: Self-stigma significantly affects the current adherence to the treatment of neurotic spectrum disorders.
- MeSH
- adherence k farmakoterapii psychologie MeSH
- antidepresiva terapeutické užití MeSH
- anxiolytika terapeutické užití MeSH
- dospělí MeSH
- kvalita života psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- sebepojetí * MeSH
- společenské stigma * MeSH
- úzkostné poruchy farmakoterapie psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: Self-stigma plays a role in many areas of the patient's life. Furthermore, it also discourages therapy. The aim of our study was to examine associations between self-stigma and adherence to treatment and discontinuation of medication in patients from various diagnostic groups. METHODS: This cross-sectional study involved outpatients attending the Department of Psychiatry, University Hospital Olomouc, Czech Republic. The level of self-stigma was measured with the Internalized Stigma of Mental Illness and adherence with the Drug Attitude Inventory. The patients also anonymously filled out a demographic questionnaire which included a question asking whether they had discontinued their medication in the past. RESULTS: We examined data from 332 patients from six basic diagnostic categories (substance abuse disorders, schizophrenia, bipolar disorders, depressive disorders, anxiety disorders, and personality disorders). The study showed a statistically significant negative correlation between self-stigma and adherence to treatment in all diagnostic groups. Self-stigma correlated positively and adherence negatively with the severity of disorders. Another important factor affecting both variables was partnership. Self-stigma positively correlated with doses of antidepressants and adherence with doses of anxiolytics. Self-stigma also negatively correlated with education, and positively with a number of hospitalizations and number of psychiatrists visited. Adherence was further positively correlated with age and age of onset of disorders. Regression analysis showed that self-stigma was an important factor negatively influencing adherence to treatment and significantly contributing to voluntary discontinuation of drugs. The level of self-stigma did not differ between diagnostic categories. Patients suffering from schizophrenia had the lowest adherence to treatment. CONCLUSION: The study showed a significant correlation between self-stigma and adherence to treatment. High levels of self-stigma are associated with discontinuation of medications without a psychiatrist's recommendation. This connection was present in all diagnostic groups.
- Publikační typ
- časopisecké články MeSH
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH
Úvod: Sebestigmatizace je postupný proces, během něhož člověk nekriticky přijímá za své negativní hodnocení společnosti, jenž se týká rysů, které jsou druhými znevažovány. Podobně jako strach ze stigmatizace, i sebestigmatizace je spojována s nižším dodržováním léčebných postupů. Metoda: U 33 ambulantních pacientů s bipolární poruchou v klinické remisi byla zkoumána míra adherence pomocí dotazníku DAI-10, míra sebestigmatizace pomocí dotazníku ISMI a hodnocena aktuální závažnost z vlastní vůle poruchy pomocí celkového klinického dojmu (CGI-závažnost). Zjištěná data byla korelována s demografickými a klinickými daty. Výsledky: Vyšší míra současné adherence k léčbě statisticky významně koreluje s vyšším věkem, vyšším věkem počátku nemoci a negativně se závažností aktuální symptomatologie a mírou sebe-stigmatizace. Devatenáct (57,6 %) pacientů přiznalo, že v minulosti medikaci nejméně jednou vysadili. Porovnání pacientů, kteří v minulosti léky vysadili, s těmi, co uváděli, že léky trvale užívali, ukázalo, že pacienti, kteří v minulosti léky svévolně vysazovali, jsou pouze statisticky významně mladší a méně často žijí v partnerském vztahu. V žádném z dalších demografických ani klinických dat se skupiny od sebe nelišily. Nelišily se ani v míře současné adherence k léčbě. Závěry: Více než polovina pacientů s bipolární poruchou přiznává svévolné vysazování medikace v minulosti, přičemž pacienti, kteří léky vysazují, jsou v průměru mladší a žijí bez partnera. Míra současné adherence významně koreluje s mírou sebe-stigmatizace.
Introduction: Self-stigmatization is a gradual process during of them a person accepts uncritically for their a negative evaluation of the society, which refers to features that are trivialized by the others. Like the fear of the stigmatization, and self-stigmatization is associated with lower adherence to medical procedures. Method: Adherence rate was investigated in 33 outpatients with bipolar disorder using a questionnaire DAI-10, the rate of the selfstigmatization using a questionnaire ISMI and assessed current severity of their own volition disorders using the Clinical Global Impression (CGI-severity). The demographic and clinical data were correlated with observed data. Results: Increasing age was significantly correlated with higher levels of current treatment adherence, higher age of onset of illness and negatively with the severity of current symptomatology and level of self-stigmatization. Nineteen (57.6 %) patients admitted in the past that medication at least once dropped off. Comparing patients who discontinuated drugs in the past with those who stated that they were taking medication consistently showed that patients who in the past discontinuated arbitrarily medicaments are only statistically significantly younger and they live in a relationship less often. The groups did not differ in any way from other demographic or clinical data. Groups did not differ in the degree of adherence to current treatment. Conclusions: More than half of patients with bipolar disorder admits planting medications in the past willfully, with patients who planted drugs are on average younger and living without a partner. The rate of current adherence significantly correlated with the degree of self-stigmatization.
- MeSH
- adherence k farmakoterapii MeSH
- bipolární porucha * psychologie terapie MeSH
- dospělí MeSH
- interpretace statistických dat MeSH
- lidé středního věku MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- sběr dat MeSH
- stereotypizace MeSH
- výběr pacientů MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- MeSH
- anamnéza MeSH
- diferenciální diagnóza MeSH
- duševně nemocní MeSH
- duševní poruchy * diagnóza MeSH
- lidé MeSH
- pacienti hospitalizovaní psychologie MeSH
- záznam o duševním stavu MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
OBJECTIVE: A wide range of variables may influence the rate of adherence to treatment. These variables can be associated with the disease itself, method of treatment, patient's personality, environmental factors and therapeutic relationship. Self-stigma is one of the possible factors related to poor adherence. The aim of the study was to find out the relationship between current adherence, discontinuation of medication in the past and self-stigma in stable psychiatric outpatients diagnosed with depressive disorder. METHODS: The study included 72 stable outpatients diagnosed with depressive disorder with a mean age of 49.00 ± 12.56. Disorder severity was assessed using the Clinical Global Impression scale. Adherence was measured by the Drug Attitude Inventory - 10 items (DAI-10) scale and self-stigma by the Internalized Stigma of Mental Illness (ISMI) scale. The data were evaluated in 66 patients. Six patients were excluded because of incompletely filled in questionnaires. RESULTS: The rate of adherence was not associated with gender, education, employment, family burden (family history) or partner status. Current adherence did not differ between patients who arbitrarily discontinued their medication in the past and those who did not. Adherence was significantly positively correlated with patient's age, age at disease onset and the level of self-stigma. CONCLUSIONS: The study results suggest that the level of self-stigma and age of the patient can be very important factors associated with adherence in patients with depressive disorder.
- MeSH
- adherence k farmakoterapii psychologie statistika a číselné údaje MeSH
- depresivní poruchy farmakoterapie psychologie MeSH
- dospělí MeSH
- indukce remise MeSH
- lidé středního věku MeSH
- lidé MeSH
- průřezové studie MeSH
- senioři MeSH
- společenské stigma * MeSH
- stupeň závažnosti nemoci MeSH
- věk při počátku nemoci MeSH
- věkové faktory MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
