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Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare

Little is known about factors contributing to perceived stigma in parents of children and adolescents with behavioral and emotional problems in outpatient mental healthcare. We aimed to identify the most relevant factors related to perceived parental stigma using least absolute shrinkage and selecti...

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Autores principales: Drent, Halewijn M., van den Hoofdakker, Barbara, Buitelaar, Jan K., Hoekstra, Pieter J., Dietrich, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566109/
https://www.ncbi.nlm.nih.gov/pubmed/36232067
http://dx.doi.org/10.3390/ijerph191912767
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author Drent, Halewijn M.
van den Hoofdakker, Barbara
Buitelaar, Jan K.
Hoekstra, Pieter J.
Dietrich, Andrea
author_facet Drent, Halewijn M.
van den Hoofdakker, Barbara
Buitelaar, Jan K.
Hoekstra, Pieter J.
Dietrich, Andrea
author_sort Drent, Halewijn M.
collection PubMed
description Little is known about factors contributing to perceived stigma in parents of children and adolescents with behavioral and emotional problems in outpatient mental healthcare. We aimed to identify the most relevant factors related to perceived parental stigma using least absolute shrinkage and selection operator (LASSO) regression including a broad range of factors across six domains: (1) child characteristics, (2) characteristics of the primary parent, (3) parenting and family characteristics, (4) treatment-related characteristics, (5) sociodemographic characteristics, and (6) social–environmental characteristics. We adapted the Parents’ Perceived Stigma of Service Seeking scale to measure perceived public stigma and affiliate stigma in 312 parents (87.8% mothers) during the first treatment year after referral to an outpatient child and adolescent clinic. We found that the six domains, including 45 individual factors, explained 34.0% of perceived public stigma and 19.7% of affiliate stigma. Child and social–environmental characteristics (social relations) explained the most deviance in public stigma, followed by parental factors. The strongest factors were more severe problems of the child (especially callous–unemotional traits and internalizing problems), mental healthcare use of the parent, and lower perceived parenting competence. The only relevant factor for affiliate stigma was lower perceived parenting competence. Our study points to the multifactorial nature of perceived stigma and supports that parents’ perceived public stigma is susceptible to social influences, while affiliate stigma relates to parents’ self-evaluation. Increasing parents’ perceived parenting competence may help mitigate perceived stigma. Future studies should explore how stigma relates to treatment outcomes.
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spelling pubmed-95661092022-10-15 Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare Drent, Halewijn M. van den Hoofdakker, Barbara Buitelaar, Jan K. Hoekstra, Pieter J. Dietrich, Andrea Int J Environ Res Public Health Article Little is known about factors contributing to perceived stigma in parents of children and adolescents with behavioral and emotional problems in outpatient mental healthcare. We aimed to identify the most relevant factors related to perceived parental stigma using least absolute shrinkage and selection operator (LASSO) regression including a broad range of factors across six domains: (1) child characteristics, (2) characteristics of the primary parent, (3) parenting and family characteristics, (4) treatment-related characteristics, (5) sociodemographic characteristics, and (6) social–environmental characteristics. We adapted the Parents’ Perceived Stigma of Service Seeking scale to measure perceived public stigma and affiliate stigma in 312 parents (87.8% mothers) during the first treatment year after referral to an outpatient child and adolescent clinic. We found that the six domains, including 45 individual factors, explained 34.0% of perceived public stigma and 19.7% of affiliate stigma. Child and social–environmental characteristics (social relations) explained the most deviance in public stigma, followed by parental factors. The strongest factors were more severe problems of the child (especially callous–unemotional traits and internalizing problems), mental healthcare use of the parent, and lower perceived parenting competence. The only relevant factor for affiliate stigma was lower perceived parenting competence. Our study points to the multifactorial nature of perceived stigma and supports that parents’ perceived public stigma is susceptible to social influences, while affiliate stigma relates to parents’ self-evaluation. Increasing parents’ perceived parenting competence may help mitigate perceived stigma. Future studies should explore how stigma relates to treatment outcomes. MDPI 2022-10-06 /pmc/articles/PMC9566109/ /pubmed/36232067 http://dx.doi.org/10.3390/ijerph191912767 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Drent, Halewijn M.
van den Hoofdakker, Barbara
Buitelaar, Jan K.
Hoekstra, Pieter J.
Dietrich, Andrea
Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title_full Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title_fullStr Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title_full_unstemmed Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title_short Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
title_sort factors related to perceived stigma in parents of children and adolescents in outpatient mental healthcare
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566109/
https://www.ncbi.nlm.nih.gov/pubmed/36232067
http://dx.doi.org/10.3390/ijerph191912767
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