Relationships between stigma, social support, and distress in caregivers of Chinese children with imperforate anus: A multicenter cross-sectional study

Journal of Pediatric Nursing
Dan WangHongzhen Xu

Abstract

This study was conducted to explore the relationships between stigma, social support, and distress in caregivers of children with imperforate anus (IA) and determine whether social support mediates the relationship between stigma and distress. This cross-sectional study was conducted in three tertiary children's hospitals in Eastern China. Primary caregivers completed the Social Support Scale and the Chinese versions of the Parent Stigma Scale and Kessler Psychological Distress Scale, and provided their demographic information. The children's demographic and clinical data were also collected. The hypothesized relations were explored using structural equation modeling via the bootstrap method. A total of 229 caregivers were enrolled. Distress was positively associated with stigma (r = 0.396, P < 0.01) and negatively associated with social support (r = -0.413, P < 0.01) in all dimensions (r = 0.314-0.346, P < 0.01). Stigma was also negatively correlated with social support (r = 0.280, P < 0.01). Furthermore, social support could partially mediate the relationship between stigma and distress (b = 0.135; 95% confidence interval: 0.072, 0.233). Stigma can increase caregivers' distress, while social support can reduce it. Stigma can ...Continue Reading

Citations

Sep 24, 2021·Pediatric Surgery International·Marina L ReppucciAndrea Bischoff

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