Linguistic validation of stigmatisation degree, self-esteem and knowledge questionnaire among asthma patients using Rasch analysis

Ahmad, Sohail; Ismail, Ahmad Izuanuddin; Khan, Tahir Mehmood; Akram, Waqas; Zim, Mohd Arif Mohd; Ismail, Nahlah Elkudssiah

doi:10.1080/02770903.2016.1208222

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…In a previous study, stigma was associated with asthma control and asthma morbidity 10 . BMI was also found to be associated with stigma, obesity with higher degree of stigma 35 , however, in this study, the association was not signi cant in present study.…”

Section: Discussioncontrasting

confidence: 85%

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Assessment of Depression and Internalized Stigma among Adult Asthma Patients

Ahmed-Chowdhury¹,

Ahmad

Sarkar

et al. 2023

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Objective: Suboptimal asthma control among significant number patients are linked with various psycho-social factors, such as depression and stigma. These factors play an obstructive role for better asthma management. The aim of this study is to assess depressive symptoms and internalized stigma collectively among adult asthma patients, and investigate how these two factors are related with other sociodemographic and asthma related medical factors. Methods: In this cross-sectional study, 325 adult asthma patients (aged > 18 years old) were recruited from National Asthma Centre, Dhaka, Bangladesh. Researcher-administered questionnaire was used to enroll participants by convenience sampling method. The questionnaire consisted of four sections: socio-demographic characteristics, medical data, 9-item patient health (PHQ-9) to assess depressive symptoms, and 22 items stigma scale to assess internalized stigma. The extracted data were analyzed using descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS®), version 22. Results: Most of the participants in this study (n=325), were between 18 to 40 years old n(%) 176(54.2), male 174(53.5), from rural areas 165(50.8), had monthly family income (<US$250) 179(55.1), years of asthma diagnosed > 5years 151(46.5). The mean±SD PHQ-9 score was 7.36(±6), reflected mild depressive symptoms, while internalized stigma score was 62.2(±10.26), moderate internalized stigma. Depression was significantly different across age, education, ED visit, hospitalized for asthma, number of asthma medicine, home nebulizer use, PEF rate, BMI, comorbidity, and asthma symptom control (p<0.05). Stigma was significantly different across age, education, occupation, years of asthma diagnosed, home nebulizer, type of inhaler, PEF rate, BMI, comorbidity and asthma symptom control (p<0.05). Stigma was significantly correlated with depression and negatively correlated with age and years of asthma diagnosed (p<0.01). Conclusion: This study showed various factors are associated with depressive symptoms and internalized stigma among enrolled asthma patients. Stigma was higher among younger adults and recent asthma diagnosed. Intervention is needed to reduce stigma and depression.

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Section: Discussioncontrasting

confidence: 85%

“…In the last section, the 22-item of the Stigma Scale (SS) that was used to assess stigmatization degree among asthmatics was adopted for this study 19 and translated into Bangla language. Each item was scored on a 5 point Likert scale, and responses for each item were strongly disagee to strongly agree.…”

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confidence: 99%

Assessment of Depression and Internalized Stigma among Adult Asthma Patients

Ahmed-Chowdhury¹,

Ahmad

Sarkar

et al. 2023

Preprint

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“…High prevalence and poor control of asthma make asthma management a major public health issue worldwide (1). There is no cure of asthma; therefore, the focus of asthma self-management strategies and programs, is to help the asthma patients by controlling the disease, preventing the worsening symptoms and minimizing the severity of asthma (2,3). Despite the availability of regularly updated asthma management guidelines and effective asthma treatment, control of asthma in the majority of patients is still in suboptimal situation (4).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Self-Stigma, Self-Esteem, and Asthma Control: A Preliminary Cross-Sectional Study Among Adult Asthmatic Patients in Selangor, Malaysia

Ahmad

Ismail

Zim

et al. 2020

Front. Public Health

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Purpose: The elusive goal of asthma management guidelines is to achieve and maintain good asthma control in asthmatic patients. Against a background of long-term respiratory limitations when living with asthma, stigma and low self-esteem have also been identified as the social phenomenon among adult asthmatics. This study aimed to assess the levels of self-stigma, self-esteem, and asthma control, and to investigate the impact of self-stigma and self-esteem as psychosocial factors on asthma control in Malaysian adults living with asthma. Materials and Methods: In this multicenter cross-sectional study, post-ethics approval and patients' consents, 152 stable asthmatic patients (aged > 18 years old; nil cognitive disability; not diagnosed with other respiratory diseases) were recruited from four respiratory clinics in Selangor, Malaysia. The patients' socio-demographic, medical, and psychosocial (self-stigma and self-esteem) data were recorded in a pre-validated, self-designed questionnaire. All data were analyzed descriptively and inferentially (independent t-test/one-way ANOVA, and multiple linear regression) using the Statistical Package for Social Sciences (SPSS ®). Results: The enrolled patients showed moderate levels of self-stigma (62.12 ± 6.44) and self-esteem (29.31 ± 3.29), and not well-controlled asthma (17.58 ± 3.99). The number of patients' visits to emergency rooms because of asthma [CI (−1.199, 0.317), p < 0.001] was the significant predictor to asthma control among all selected study variables from socio-demographic and medical data. Moreover, from psychosocial factors both selfstigma [CI (−0.367, 0.190), p < 0.001], and self-esteem [CI (−0.007, 0.033), p = 0.041] found to be the significant predictors of asthma control. Conclusion: The preliminary evidences presented in this study found that frequent emergency room visits, high self-stigma and low self-esteem in asthma patients becomes more apparent with poor asthma control. Educational interventions to reduce patients' self-stigma and improve self-esteem are needed to achieve optimal control of asthma.

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“…In the last section, the 22-item of the Stigma Scale (SS) that was used to assess the degree of stigmatization among asthmatics. The scale was adopted for this study from a past study (18) and translated into Bangla language. Each item was scored on a 5 point Likert scale, and responses for each item were strongly disagree to strongly agree.…”

Section: Questionnaire (Study Instrument)mentioning

confidence: 99%

Assessment of Depression and Internalized-Stigma among Adult Asthma Patients in Bangladesh

Ahmed-Chowdhury,

Ahmad,

Sarker

et al. 2023

Preprint

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Objective: Suboptimal asthma control among patients is associated with psychosocial factors, including depression and stigma, hindering effective asthma management. This study aims to assess depressive symptoms and internalized stigma among adult asthma patients while investigating their relationships with sociodemographic and asthma-related medical factors. Methods: In this cross-sectional study, 325 adult asthma patients (aged > 18 years old) were recruited from the National Asthma Centre in Dhaka, Bangladesh, using a researcher-administered questionnaire and convenience sampling. The questionnaire included sections on sociodemographic characteristics, medical data, the 9-item Patient Health Questionnaire (PHQ-9) to assess depressive symptoms, and a 22-item stigma scale to assess internalized stigma. Data were analyzed using descriptive and inferential statistics. Results: The majority of participants were aged 18-40 years (54.2%), male (53.5%), from rural areas (50.8%), with a monthly family income of <US$250 (55.1%), and diagnosed with asthma for >5 years (46.5%). The mean PHQ-9 score was 7.36 (±6), indicating mild depressive symptoms, and the internalized stigma score was 62.2 (±10.26), indicating moderate internalized stigma. Depression and stigma varied significantly across several factors, including age, education, ED visits, hospitalizations for asthma, number of asthma medicines, home nebulizer use, PEF rate, BMI, comorbidities, and asthma symptom control (p<0.05). Stigma was correlated with depression and negatively correlated with age and years since asthma diagnosis (p<0.01). Conclusion: This study highlights associations between depressive symptoms, internalized stigma, and various sociodemographic and medical factors among asthma patients. Notably, stigma was higher among younger adults and recently diagnosed patients. Effective interventions are needed to mitigate stigma and depression in this patient population.

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Linguistic validation of stigmatisation degree, self-esteem and knowledge questionnaire among asthma patients using Rasch analysis

Cited by 7 publications

References 13 publications

Assessment of Depression and Internalized Stigma among Adult Asthma Patients

Assessment of Depression and Internalized Stigma among Adult Asthma Patients

Assessment of Self-Stigma, Self-Esteem, and Asthma Control: A Preliminary Cross-Sectional Study Among Adult Asthmatic Patients in Selangor, Malaysia

Assessment of Depression and Internalized-Stigma among Adult Asthma Patients in Bangladesh

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