The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

The complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychologica...

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Autores principales: Chen, Xu, Xu, Jia, Chen, Yunting, Wu, Ruiheng, Ji, Haoqiang, Pan, Yuanping, Duan, Yuxin, Sun, Meng, Du, Liang, Gao, Mingcheng, Wang, Jiawei, Zhou, Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8688519/
https://www.ncbi.nlm.nih.gov/pubmed/34931006
http://dx.doi.org/10.1038/s41598-021-03811-w
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author Chen, Xu
Xu, Jia
Chen, Yunting
Wu, Ruiheng
Ji, Haoqiang
Pan, Yuanping
Duan, Yuxin
Sun, Meng
Du, Liang
Gao, Mingcheng
Wang, Jiawei
Zhou, Ling
author_facet Chen, Xu
Xu, Jia
Chen, Yunting
Wu, Ruiheng
Ji, Haoqiang
Pan, Yuanping
Duan, Yuxin
Sun, Meng
Du, Liang
Gao, Mingcheng
Wang, Jiawei
Zhou, Ling
author_sort Chen, Xu
collection PubMed
description The complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychological distress, and QOL and to examine whether experienced stigma and psychological distress play a mediating role. A cross-sectional survey was conducted between November 2020 and March 2021 in Dalian, Liaoning Province, Northeast China. Data were obtained from 473 TB patients using a structured questionnaire. Structural equation modelling was used to examine the hypothetical model. The research model provided a good fit to the measured data. All research hypotheses were supported: (1) social support, experienced stigma and psychological distress were associated with QOL; (2) experienced stigma fully mediated the effect of social support on psychological distress; (3) psychological distress fully mediated the effect of experienced stigma on QOL; and (4) experienced stigma and psychological distress were sequential mediators between social support and QOL. This study elucidated the pathways linking social support, experienced stigma, and psychological distress to QOL and provides an empirical basis for improving the QOL of TB patients.
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spelling pubmed-86885192021-12-22 The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China Chen, Xu Xu, Jia Chen, Yunting Wu, Ruiheng Ji, Haoqiang Pan, Yuanping Duan, Yuxin Sun, Meng Du, Liang Gao, Mingcheng Wang, Jiawei Zhou, Ling Sci Rep Article The complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychological distress, and QOL and to examine whether experienced stigma and psychological distress play a mediating role. A cross-sectional survey was conducted between November 2020 and March 2021 in Dalian, Liaoning Province, Northeast China. Data were obtained from 473 TB patients using a structured questionnaire. Structural equation modelling was used to examine the hypothetical model. The research model provided a good fit to the measured data. All research hypotheses were supported: (1) social support, experienced stigma and psychological distress were associated with QOL; (2) experienced stigma fully mediated the effect of social support on psychological distress; (3) psychological distress fully mediated the effect of experienced stigma on QOL; and (4) experienced stigma and psychological distress were sequential mediators between social support and QOL. This study elucidated the pathways linking social support, experienced stigma, and psychological distress to QOL and provides an empirical basis for improving the QOL of TB patients. Nature Publishing Group UK 2021-12-20 /pmc/articles/PMC8688519/ /pubmed/34931006 http://dx.doi.org/10.1038/s41598-021-03811-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Chen, Xu
Xu, Jia
Chen, Yunting
Wu, Ruiheng
Ji, Haoqiang
Pan, Yuanping
Duan, Yuxin
Sun, Meng
Du, Liang
Gao, Mingcheng
Wang, Jiawei
Zhou, Ling
The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title_full The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title_fullStr The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title_full_unstemmed The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title_short The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
title_sort relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8688519/
https://www.ncbi.nlm.nih.gov/pubmed/34931006
http://dx.doi.org/10.1038/s41598-021-03811-w
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