Effects of temperature and PM2.5 on the incidence of hand, foot, and mouth in a heavily polluted area, Shijiazhuang, China
In: Environmental science and pollution research: ESPR, Band 29, Heft 8, S. 11801-11814
ISSN: 1614-7499
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In: Environmental science and pollution research: ESPR, Band 29, Heft 8, S. 11801-11814
ISSN: 1614-7499
In: Ecotoxicology and environmental safety: EES ; official journal of the International Society of Ecotoxicology and Environmental safety, Band 256, S. 114848
ISSN: 1090-2414
In: Journal of common market studies: JCMS, Band 48, Heft 1, S. 188-190
ISSN: 0021-9886
In: The international journal of social psychiatry
ISSN: 1741-2854
Background: Few studies have examined whether social support contributes to better consequences among chronic patients with severe mental illnesses (SMI) in their community recovery stage and whether self-stigma would be a mechanism through which social support impacts psychiatric symptoms and personal and social functioning. Aims: This study aimed to examine prospective associations of social support with long-term self-stigma, psychiatric symptoms, and personal and social functioning, and to investigate whether self-stigma would mediate the associations of social support with psychiatric symptoms and personal and social functioning among patients with SMI. Methods: A total of 312 persons with SMI (schizophrenia and bipolar disorder) in their community recovery stage participated in the study. Social support, self-stigma, psychiatric symptoms, and personal and social functioning were evaluated at baseline. The follow-up assessment was conducted at 6 months with the baseline measures except for social support. Hierarchical linear regression and mediation analysis were performed. Results: The results showed that baseline social support predicted decreases in stigma (β = −.115, p = .029) and psychiatric symptoms (β = −.193, p < .001), and increases in personal and social functioning (β = .134, p = .008) over 6 months, after adjusting for relevant covariates. Stigma at 6 months partially mediated the association between baseline social support and 6-month psychiatric symptoms (indirect effect: β = −.043, CI [−0.074, −0.018]). Stigma and psychiatric symptoms at 6 months together mediated the association between baseline social support and 6-month personal and social functioning (indirect effect: β = .084, 95% CI [0.029, 0.143]). Conclusion: It is necessary to provide comprehensive social support services and stigma reduction interventions at the community level to improve the prognosis of SMI.
In: Environmental science and pollution research: ESPR, Band 30, Heft 4, S. 10664-10682
ISSN: 1614-7499
In: SSM - Mental health, Band 4, S. 100253
ISSN: 2666-5603