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Determinants of stigma in a cohort of hellenic patients suffering from multiple sclerosis: a cross-sectional study

Overview of attention for article published in BMC Neurology, July 2016
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Title
Determinants of stigma in a cohort of hellenic patients suffering from multiple sclerosis: a cross-sectional study
Published in
BMC Neurology, July 2016
DOI 10.1186/s12883-016-0621-4
Pubmed ID
Authors

Maria Anagnostouli, Serafeim Katsavos, Artemios Artemiadis, Markos Zacharis, Paraskevi Argyrou, Ilia Theotoka, Fotini Christidi, Ioannis Zalonis, Ioannis Liappas

Abstract

Patients suffering from several neurologic disorders may bear the "stigma" of their disease, being disqualified from full social acceptance. Although stigma is considered to be present in Multiple Sclerosis (MS), the factors that influence its levels are ambiguous. Aim of our study was to examine, for the first time in the literature, the basic determinants of stigma in a Hellenic MS-patients cohort, as well as how stigma affects their Quality-of-Life (QoL) profiles. Three hundred forty two patients were recruited in this study. Data collected concerned sociodemographic and disease-related variables, mental illness assessment, Multiple-Sclerosis-QoL-54 (MSQoL-54) and Stigma-Scale-for-Chronic-Illness-24 (SSCI-24) questionnaires. Potential determinants were evaluated with univariate statistical analyses for their contribution to total, internalized (inner-self derived) and externalized (society derived) stigma. Important findings were further evaluated on hierarchical regression models. Disability levels were found to be the most powerful predictor in all stigma categories, followed by the presence of mental illness. Working and caregiving status were also ascertained as determinants of internalized stigma. Stigma levels displayed strong negative correlation with all composites of MSQoL-54. Stigma is present in the social environment of MS patients and was confirmed as a barrier (according to the International Classification of Functioning, Disability and Health), with detrimental effects on their QoL levels and functioning performances. Disability and mental illness were shown as the principal determinants of stigma, while financial characteristics were not as equally involved. Further validation of these results in other MS populations may provide safer conclusions, towards more efficacious patient-centered care outcomes.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 106 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 106 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 16 15%
Student > Bachelor 16 15%
Student > Master 11 10%
Researcher 10 9%
Student > Doctoral Student 7 7%
Other 17 16%
Unknown 29 27%
Readers by discipline Count As %
Psychology 23 22%
Medicine and Dentistry 15 14%
Nursing and Health Professions 13 12%
Social Sciences 10 9%
Unspecified 3 3%
Other 11 10%
Unknown 31 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 July 2016.
All research outputs
#20,335,770
of 22,880,691 outputs
Outputs from BMC Neurology
#2,143
of 2,440 outputs
Outputs of similar age
#308,685
of 354,681 outputs
Outputs of similar age from BMC Neurology
#54
of 57 outputs
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