Path analysis of influence of coping style and self-consistency on stigma among bipolar disorder depression patients

Abstract

Objective To explore the correlations among coping style, self-consistency and stigma in bipolar disorder depression patients. Methods From June 2017 to December 2018, this study selected 217 bipolar disorder depression inpatients of Department of Mental Health at a Class Ⅲ Grade A hospital in Taiyuan by convenience sampling. All of them were investigated with the general information questionnaire, Perceived Devaluation-Discrimination Scale (PDD) , Self-Consistency and Congruence Scale (SCCS) and the Simplified Coping Style Questionnaire (SCSQ) . Amos 22.0 was used to path analysis. Results The scores of PDD, SCSQ and positive coping style and negative coping style were (30.92±6.41) , (101.54±16.99) , (21.63±6.46) and (13.36±5.03) respectively. Pearson correlation analysis showed that positive coping style of patients had negative correlations with the self-consistency and stigma (r=-0.748, -0.655; P<0.01) ; negative coping style had positive correlations with the self-consistency and stigma (r=0.553, 0.742; P<0.01) ; self-consistency had a positive correlation with the stigma (r=0.763, P<0.01) . Mediating effect test showed that self-consistency only had partial mediating role between the negative coping style and stigma and the mediating effect accounted for 40.54% of the total effect. Conclusions The negative coping style not only has a direct impact on the stigma in bipolar disorder depression patients, but also has an indirect impact on stigma by self-consistency. Medical staff can carry out intervention based on this path to reduce the stigma of bipolar disorder depression patients. Key words: Depression; Bipolar disorder; Stigma; Self-consistency; Coping style; Path analysis