Relationships Among Demographic Factors, Stigma, Social Support, and Self-Management in Individuals With Bipolar Disorder in Remission

Abstract

The current cross-sectional study aimed to investigate the extent to which demographic characteristics, stigma, and social support impact the self-management abilities of individuals with bipolar disorder in remission. Participants ( N = 114) completed a demographic questionnaire, Self-Stigma Scale–Short Form, Social Support Rating Scale, and Self-Management Scale for Patients With Bipolar Disorder. Mean scores were 60.65 ( SD = 10.42) for self-management, 35.76 ( SD = 7.14) for social support, and 21.38 ( SD = 5.06) for stigma. In the univariate analysis, age, educational level, method of payment for care, illness duration, and number of hospitalizations demonstrated significant associations with self-management ( p < 0.05). Correlation analysis revealed a positive correlation between self-management and social support ( r = 0.574, p < 0.01) and negative correlations between self-management and stigma ( r = −0.489, p < 0.01) and stigma and social support ( r = −0.476, p < 0.01). Multiple linear regression analysis included number of hospitalizations (β = −3.818), social support (β = 0.436), literacy (β = 2.132), and stigma (β = −0.397). Individuals in remission from bipolar disorder exhibit moderate levels of self-management. Follow-up interventions should prioritize enhancing social support and addressing stigma to promote improved self-management and overall well-being. [ Journal of Psychosocial Nursing and Mental Health Services, xx (xx), xx–xx.]