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Am J Psychiatry. 2001 Mar;158(3):479-81.

Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression.

Author information

  • 1Outpatient Department, Westchester Division, New York Presbyterian Hospital, White Plains, NY, USA. jsirey@med.cornell.edu

Abstract

OBJECTIVE:

The authors' goal was to examine the extent to which perceived stigma affected treatment discontinuation in young and older adults with major depression.

METHOD:

A two-stage sampling design identified 92 new admissions of outpatients with major depression. Perceived stigma was assessed at admission. Discontinuation of treatment was recorded at 3-month follow-up.

RESULTS:

Although younger patients reported perceiving more stigma than older patients, stigma predicted treatment discontinuation only among the older patients.

CONCLUSIONS:

Patients' perceptions of stigma at the start of treatment influence their subsequent treatment behavior. Stigma is an appropriate target for intervention aimed at improving treatment adherence and outcomes.

PMID:
11229992
[PubMed - indexed for MEDLINE]
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