摘要：Background: As per the existing literature (mostly Western),bipolar affective disorder or bipolar disorder (BD) is associated with low self-esteem,high stigma,and poor quality of life (QOL).Aims: The current study aimed to assess stigma,self-esteem,and QOL and to examine their interrelationships in euthymic patients of BD in the Indian settings.Settings and Design: This hospital-based,cross-sectional study was conducted in a tertiary care hospital in Delhi over a period of 12 months.Subjects and Methods: Sixty-two adults with BD (as per the International Classification of Diseases-10 criteria) in remission were selected.Stigma,self-esteem,and QOL were assessed using the Internalized Stigma of Mental Illness (ISMI) scale,Rosenberg Self-esteem Rating Scale,and World Health Organization (WHO) QOL-BREF,respectively.Statistical Analysis Used: Data were analyzed using Student's t-test,Pearson's correlation coefficients,and multiple regression model.Results: Thirty-two percent of patients did not experience stigma (ISMI total score < 2.00).Mean total ISMI score for patients was 2.33 (mild stigma).Compared to controls,patients were found to have lower self-esteem (mean: 12.63) and lower scores on WHOQOL-BREF.Self-esteem scores were associated with all domains of WHOQOL-BREF,whereas ISMI total scores were not.Further,self-esteem was not found to be associated with stigma scores.Conclusions: Patients of BD in remission have low self-esteem,experience mild stigma,and have a low QOL.Lower self-esteem was strongly related to lower QOL,whereas stigma was not.Measures to improve self-esteem may benefit patients of BD in the long run.
关键词：Bipolar affective disorder;euthymic;quality of life;self-esteem;stigma
