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Psychiatr Prax 2019; 46(08): 439-444
DOI: 10.1055/a-1002-0508
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Empowerment und Stigma als Mediatorvariablen zwischen Krankheitsschwere und Lebensqualität bei Patienten mit einer affektiven Erkrankung

Empowerment and Stigma as Mediator Variables Between Illness Severity and Quality of Life of Patients with Affective Disorders
Maria Panzirsch
1   Bezirkskrankenhaus Donauwörth, Fachklinik für Psychiatrie, Psychotherapie und Psychosomatik an der Donau-Ries Klinik
,
Karel Frasch
1   Bezirkskrankenhaus Donauwörth, Fachklinik für Psychiatrie, Psychotherapie und Psychosomatik an der Donau-Ries Klinik
2   Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Sektion Gesundheitsökonomie und Versorgungsforschung am Bezirkskrankenhaus Günzburg
,
Reinhold Kilian
2   Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Sektion Gesundheitsökonomie und Versorgungsforschung am Bezirkskrankenhaus Günzburg
› Author Affiliations
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Publication History

Publication Date:
04 November 2019 (online)

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Zusammenfassung

Ziel Die Analyse der Effekte von Empowerment und Stigma auf den Zusammenhang von Depressivität und subjektiver Lebensqualität bei Patienten mit affektiven Erkrankungen.

Methodik Messung von Depressivität (BDI-II), internalisiertem und wahrgenommenem Stigma (ISMI; PDDQ), Empowerment (EPAS) und subjektiver Lebensqualität (WHOQOL-BREF) bei 37 Patienten mit affektiver Erkrankung.

Ergebnisse Empowerment und in geringem Maße Stigmatisierung erwiesen sich als vermittelnde Variablen zwischen Depressivität und Lebensqualität.

Schlussfolgerung Empowerment hat einen bedeutenden Einfluss als Mediator zwischen Depressivität und Lebensqualität.

Abstract

Objective The investigation of mediating effects of empowerment and stigmatization on the association between depressive symptoms and subjective quality of life in patients with affective disorders.

Method Depressive Symptoms (BDI-II), internalized and perceived stigmatization (ISMI; PDDQ), empowerment (EPAS) and subjective quality of life (WHOQOL-BREF) were assessed in 37 patients with affective disorders (F31 – F33; ICD-10), age 18+ in inpatient, day hospital or outpatient psychiatric treatment. Data analyses were conducted by means of path-analysis.

Results Empowerment and in low proportion internalized and perceived stigma turned out to be mediating variables between the severity of depression and subjective quality of life. 57 % of the variance of the subjective quality of life could be explained by the path model.

Conclusion Empowerment has meaningful influence mediating between depression and subjective quality of life. In order to improve the quality of life of patients with an affective disorder, strategies for increasing empowerment are to be integrated into treatment.

Schlüsselwörter

Depression - Empowerment - Lebensqualität - Stigma

Keywords

depression - empowerment - quality of life - stigma
 

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