https://doi.org/10.4081/monaldi.2023.2711
Stigma and self-esteem in patients with bronchial asthma
Submitted: July 12, 2023
Accepted: September 20, 2023
Published: October 9, 2023
Accepted: September 20, 2023
Abstract Views: 1280
PDF: 30
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Asthma is a debilitating chronic disease that renders individuals physically as well as mentally sick. The perception of stigmatization further leads to inappropriate control of asthma, resulting in a bidirectional relationship. A prospective, cross-sectional study was conducted in a tertiary care center of a semi-urban area of north India during 2021-2022. A total of 300 cases of bronchial asthma and 50 healthy controls were enrolled. The asthma control test (ACT) was used to evaluate the control of asthma. Stigma and self-esteem were measured with the use of a 28-item self-stigma scale, the Rosenberg’s self-esteem scale, and the stigma-related social problem scale (SSPS). The impact of sociodemographic and clinical profiles on stigma and self-esteem was evaluated. Correlation of different scales with each other was done along with. The mean age of asthmatic patients was 47.41±15.507 years, with 56% of patients being females; 49.3% of patients were well-controlled, and 36.3% were partly controlled. Positive subscales of the 28-item self-stigma scale, Rosenberg’s self-esteem scale, and SSPS showed statistically significant differences between cases and controls (p<0.001). ACT significantly correlated with the 28-item self-stigma scale, Rosenberg’s self-esteem scale, and SSPS, and all three stigma and self-esteem scales correlated significantly with each other. Stigma and low self-esteem were found to be significantly higher in asthmatic patients than healthy controls. This needs to be addressed as a priority, as it can contribute to poor mental health and poor asthma outcomes.
Global Initiative for Asthma. Global strategy for asthma management and prevention, 2020 update. Available from: https://ginasthma.org/wp-content/uploads/2020/04/GINA-2020-full-report_-final-_wms.pdf.
Moscovciuc A, Yavorsky K, Sincarenco I, et al. Modern approaches to assessment of disability in asthma in adults using the DALY indicator. Eur Respir J 2018;52:PA679.
Goffman E. Stigma: Notes on the management of spoiled identity. New York, NY, USA: Simon and Schuster; 2009.
Ahmad S, Ismail NE. Stigma in the lives of asthma patients: a review from the literature. Int J Pharm Pharmac Sci 2015;7:40-6.
Nathan RA, Sorkness CA, Kosinski M, et al. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol 2004;113:59-65.
King M, Dinos S, Shaw J, et al. The stigma scale: development of a standardised measure of the stigma of mental illness. Br J Psychiatry 2007;190:248-54.
Norton. Rosenberg’s Self-Esteem Scale. Available from: https://wwnorton.com/college/psych/psychsci/media/rosenberg.htm. Accessed on: 26/01/2021.
Ohlsson-Nevo E, Karlsson J. Impact of health-related stigma on psychosocial functioning in the general population: construct validity and Swedish reference data for the stigma-related social problems scale (SSP). Res Nurs Health 2019;42:72-81.
Peltzer K, Pengpid S. Anticipated stigma in chronic illness patients in Cambodia, Myanmar and Vietnam. Nagoya J Med Sci 2016;78:423-35.
Ahmad S, Ismail AI, Zim MAM, et al. Assessment of self-stigma, self-esteem, and asthma control: a preliminary cross-sectional study among adult asthmatic patients in Selangor, Malaysia. Front Public Health 2020;7:420.
Salim H, Young I, Lee PY, et al. Insights into how Malaysian adults with limited health literacy self-manage and live with asthma: a photovoice qualitative study. Health Expect 2022;25:163-76.
Koh WM, Abu Bakar AI, Hussein N, et al. Sociocultural influences on asthma self-management in a multicultural society: a qualitative study amongst Malaysian adults. Health Expect 2021;24:2078-86.
Melero Moreno C, López-Viña A, García-Salmones Martín M, et al. Factors related with the higher percentage of hospitalizations due to asthma amongst women: the FRIAM study. Arch Bronconeumol 2012;48:234-9.
Balzano G, Fuschillo S, De Angelis E, et al. Persistent airway inflammation and high exacerbation rate in asthma that starts at menopause. Monaldi Arch Chest Dis 2007;67:135-41.
Vortmann M, Eisner MD. BMI and health status among adults with asthma. Obesity 2008;16:146-52.
Cheng CM, Chang CC, Wang J Der, et al. Negative impacts of self-stigma on the quality of life of patients in methadone maintenance treatment: the mediated roles of psychological distress and social functioning. Int J Environ Res Public Health 2019;16:1299.
Thomson CC, Clark S, Camargo CA. Body mass index and asthma severity among adults presenting to the emergency department. Chest 2003;124:795-802.
Mosen DM, Schatz M, Magid DJ, et al. The relationship between obesity and asthma severity and control in adults. J Allergy Clin Immunol 2008;122:507-11-e6.
Mishra V. Effect of obesity on asthma among adult Indian women. Int J Obesity 2004;28:1048-58.
Ubong P, Dixon AE, Forno E. Obesity and asthma. J. Allergy Clin Immunol 2018;141:1169-79.
Watson RA, Pride NB, Thomas EL, et al. Reduction of total lung capacity in obese men: comparison of total intrathoracic and gas volumes. J Appl Physiol 2010;108:1605-12.
duRivage N, Ross M, Mayne SL et al. Asthma control test: comparing parent proxy with parent and child report for children 6 to 12 years. Clin Pediatrics 2017;56:341-7.
Weatherburn CJ, Guthrie B, Mercer SW, et al. Comorbidities in adults with asthma: population-based cross-sectional analysis of 1.4 million adults in Scotland. Clin Exp Allergy 2017;47:1246-52.
Schreiber J, Sonnenburg T, Luecke E. Inhaler devices in asthma and COPD patients–a prospective cross-sectional study on inhaler preferences and error rates. BMC Pulm Med 2020;20:222.
Gogtay J, Laouar L, Gaur V. Preference of diagnostic tools, medications, and devices for asthma management: a survey of doctors in Algeria. Perspect Clin Res 2019;10:67-72.
Coelho ACC, Souza-Machado A, Leite M, et al. Use of inhaler devices and asthma control in severe asthma patients at a referral center in the city of Salvador, Brazil. J Bras Pneumol 2011;37:720-8.
Dennis SM, Sharp SJ, Vickers MR, et al. Regular inhaled salbutamol and asthma control: the TRUST randomised trial. Lancet 2000;355:1675-9.
Guyton S, Jackson T. Asthma control and medication reliance among asthmatics in a general practice setting-a questionnaire based study. Cureus 2022;14:e25465.
Al-Jahdali H, Ahmed A, AL-Harbi A, et al. Improper inhaler technique is associated with poor asthma control and frequent emergency department visits. Allergy Asthma Clin Immunol 2013;9:8.
Win PH, Hussain I. Asthma triggers: what really matters? Clinical Asthma 2008;149-56.
Lieshout RJ Van, MacQueen G. Psychological factors in asthma. Allergy Asthma Clin Immunol 2008;4:12-28.
Kelleher KJ, Horwitz SMC. Quality of mental health care for children: a familiar storyline. Med Care 2006;44:1061-3.
Katon WJ, Richardson L, Russo J, et al. Quality of mental health care for youth with asthma and comorbid anxiety and depression. Med Care 2006;44:1064-72.
Shen TC, Lin CL, Liao CH, et al. Major depressive disorder is associated with subsequent adult-onset asthma: a population-based cohort study. Epidemiol Psychiatr Sci 2017;26:664-71.
Seigel WM, Golden NH, Gough JW, et al. Depression, self-esteem, and life events in adolescents with chronic diseases. J Adolesc Health Care 1990;11:501-4.
Cole S, Seale C, Griffiths C. ‘The blue one takes a battering’ why do young adults with asthma overuse bronchodilator inhalers? A qualitative study. BMJ Open 2013;3:e002247.
Rubin BK. Asthma myths, controversies, and dogma. Paediatr Respir Rev 2015;16:83-7.
Rose S, Paul C, Boyes A, et al. Stigma-related experiences in non-communicable respiratory diseases: a systematic review. Chron Respir Dis 2017;14:199-216.
Andrews KL, Jones SC, Mullan J. Stigma: still an important issue for adults with asthma. J Asthma Allergy Educ 2013;4:165-71.
Kozyrskyj AL, O’neil JD. The social construction of childhood asthma: changing explanations of the relationship between socioeconomic status and asthma. Crit Public Health 1999;9:197-210.
Zashikhina A, Hagglof B. Self-esteem in adolescents with chronic physical illness vs. controls in Northern Russia. Int J Adolesc Med Health 2014;26:275-81.
Patella V, Pelaia C, Zunno R, et al. Biologicals decrease psychological distress, anxiety and depression in severe asthma, despite Covid-19 pandemic. Respir Med 2022;200:106996.
Ethics Approval
The study was approved by the Patiala Government Medical College’ Ethics Committee.How to Cite
Sidhu, Gunbirpal Singh, Kranti Garg, and Vishal Chopra. 2023. “Stigma and Self-Esteem in Patients With Bronchial Asthma”. Monaldi Archives for Chest Disease 94 (3). https://doi.org/10.4081/monaldi.2023.2711.
Copyright (c) 2023 The Author(s)
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