Stigma and self-esteem in patients of bronchial asthma

Submitted: July 12, 2023
Accepted: September 20, 2023
Published: October 9, 2023
Abstract Views: 1101
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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 centre of semi urban area of north India during 2021-2022. Three hundred 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 28 item self-stigma scale, Rosenberg self-esteem scale, and stigma-related social problem scale (SPSS). 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% being females; 49.3% of patients were well controlled and 36.3% were partly controlled. Positive subscales of 28 item self-stigma scale, Rosenberg self-esteem scale and SSPS showed statistically significant differences between cases and controls (p<0.001). ACT significantly correlated with 28 item self-stigma scale, Rosenberg self-esteem scale and SSPS, and all three stigma and self-esteem scales correlated significantly with each other.

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Citations

Global Initiative for Asthma. Global strategy for asthma management and prevention, 2020 update. Accessed 26 January 2021. Available from: www.ginasthma.com
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. DOI: https://doi.org/10.1183/13993003.congress-2018.PA679
Goffman E. Stigma: Notes on the management of spoiled identity. New York, Simon and Schuster: 2009; 168 pp.
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. DOI: https://doi.org/10.1016/j.jaci.2003.09.008
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. DOI: https://doi.org/10.1192/bjp.bp.106.024638
[Internet]. Rosenberg’s Self-Esteem Scale. Accessed 26 January 2021. Available from: https://wwnorton.com/college/psych/psychsci/media/rosenberg.htm
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. DOI: https://doi.org/10.1002/nur.21924
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. DOI: https://doi.org/10.3389/fpubh.2019.00420
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. DOI: https://doi.org/10.1111/hex.13360
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. DOI: https://doi.org/10.1111/hex.13352
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. DOI: https://doi.org/10.1016/j.arbr.2012.02.007
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. DOI: https://doi.org/10.4081/monaldi.2007.484
Vortmann M, Eisner MD. BMI and health status among adults with asthma. Obesity (Silver Spring) 2008;16:146-52. DOI: https://doi.org/10.1038/oby.2007.7
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. DOI: https://doi.org/10.3390/ijerph16071299
Thomson CC, Clark S, Camargo CA. Body mass index and asthma severity among adults presenting to the emergency department. Chest 2003;124:795-802. DOI: https://doi.org/10.1378/chest.124.3.795
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. DOI: https://doi.org/10.1016/j.jaci.2008.06.024
Mishra V. Effect of obesity on asthma among adult Indian women. International J Obesity 2004;28:1048-58. DOI: https://doi.org/10.1038/sj.ijo.0802700
Ubong P, Dixon AE, Forno E. Obesity and asthma. J. Allergy Clin Immunol 2018;141:1169-79. DOI: https://doi.org/10.1016/j.jaci.2018.02.004
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 (1985) 2010;108:1605-12. DOI: https://doi.org/10.1152/japplphysiol.01267.2009
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. Clinical Pediatrics 2017;56:341-7. DOI: https://doi.org/10.1177/0009922816675013
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. DOI: https://doi.org/10.1111/cea.12971
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. DOI: https://doi.org/10.1186/s12890-020-01246-z
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. DOI: https://doi.org/10.4103/picr.PICR_63_18
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. DOI: https://doi.org/10.1590/S1806-37132011000600004
Dennis SM, Sharp SJ, Vickers MR, et al. Regular inhaled salbutamol and asthma control: The TRUST randomised trial. Lancet 2000;355:1675-9. DOI: https://doi.org/10.1016/S0140-6736(00)02238-8
Guyton S, Jackson T. Asthma control and medication reliance among asthmatics in a general practice setting-a questionnaire based study. Cureus 2022;14:e25465. DOI: https://doi.org/10.7759/cureus.25465
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. DOI: https://doi.org/10.1186/1710-1492-9-8
Win PH, Hussain I. Asthma triggers: what really matters? In: Castro M, Kraft M, Editors. Clinical Asthma. St. Louis, Mosby: 2008; p. 149-156. DOI: https://doi.org/10.1016/B978-032304289-5.10017-7
Lieshout RJ Van, MacQueen G. Psychological factors in asthma. Allergy Asthma Clin Immunol 2008;4:12. DOI: https://doi.org/10.1186/1710-1492-4-1-12
Kelleher KJ, Horwitz SMC. Quality of mental health care for children: A familiar storyline. Med Care 2006;44:1061-3. DOI: https://doi.org/10.1097/01.mlr.0000250626.81967.62
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. DOI: https://doi.org/10.1097/01.mlr.0000237421.17555.8f
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. DOI: https://doi.org/10.1017/S2045796016000664
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. DOI: https://doi.org/10.1016/0197-0070(90)90110-N
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. DOI: https://doi.org/10.1136/bmjopen-2012-002247
Rubin BK. Asthma myths, controversies, and dogma. Paediatr Respir Rev 2015;16:83-7. DOI: https://doi.org/10.1016/j.prrv.2014.09.001
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. DOI: https://doi.org/10.1177/1479972316680847
Andrews KL, Jones SC, Mullan J. Stigma: still an important issue for adults with asthma. J Asthma Allergy Educ 2013;4:165-71. DOI: https://doi.org/10.1177/2150129713481229
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. DOI: https://doi.org/10.1080/09581599908402932
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. DOI: https://doi.org/10.1515/ijamh-2013-0507
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. DOI: https://doi.org/10.1016/j.rmed.2022.106916

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 of Bronchial Asthma”. Monaldi Archives for Chest Disease, October. https://doi.org/10.4081/monaldi.2023.2711.

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