title: Perceived stigma and depression among caregivers of patients with bipolar disorder.
abstract: This study investigates the associations between perceived stigma, depressive symptoms and coping among caregivers of people with bipolar disorder. Caregivers of 500 people with DSM-IV bipolar disorder responded to measures of these constructs at study entry. Patients' clinical and functional status were evaluated within 30 days of the caregiver assessment. Perceived stigma was positively associated with caregiver depressive symptoms, controlling for patient status and socio-demographic factors. Social support and avoidance coping accounted for 63% of the relationship between caregiver stigma and depression. Results suggest that caregivers' perceptions of stigma may negatively affect their mental health by reducing their coping effectiveness.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. deborah.perlick@mssm.edu
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Perlick
authors.forename: David J
authors.initials: DJ
authors.lastname: Miklowitz
authors.forename: Bruce G
authors.initials: BG
authors.lastname: Link
authors.forename: Elmer
authors.initials: E
authors.lastname: Struening
authors.forename: Richard
authors.initials: R
authors.lastname: Kaczynski
authors.forename: Jodi
authors.initials: J
authors.lastname: Gonzalez
authors.forename: Lauren N
authors.initials: LN
authors.lastname: Manning
authors.forename: Nancy
authors.initials: N
authors.lastname: Wolff
authors.forename: Robert A
authors.initials: RA
authors.lastname: Rosenheck
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health; D001714:Bipolar Disorder / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D013240:Stereotyping