Self-stigma, loneliness and culture among older adults with mental illness residing in nursing homes

5.00
Hdl Handle:
http://hdl.handle.net/10547/601099
Title:
Self-stigma, loneliness and culture among older adults with mental illness residing in nursing homes
Authors:
Tzouvara, Vasiliki
Abstract:
This study aimed to investigate the inter-relationships between self-stigma, loneliness, and culture among older adults with mental illness residing in nursing homes. This study also explored how this population experiences self-stigma and loneliness within the context of their cultural backgrounds. A mixed-methods approach was utilised. The first phase involved a quantitative face-to-face questionnaire survey (n=16). More than half of the study participants reported low levels of self-stigma (56.3%), yet a substantial number of them scored high on the self-stigma scale (43.8%). The analysis identified a statistical relationship between stereotype endorsement and marital status (sig. =.010). No relationship was identified between Internalised Stigma of Mental illness constructs (ISMI) and age, gender, religiousness, and educational level. Loneliness was identified to be prevalent among more than half of the sample (68.8%). There was also a positive correlation between loneliness, age (sig.=.062) and religiosity (sig.=.044). The second phase involved a qualitative hermeneutic phenomenological approach involving one-to-one semi-structured interviews (n=10). Seven themes emerged: ‘social loneliness’, ‘emotional loneliness’, ‘emotional reactions’, ‘coping mechanisms’, ‘insight into illness’, ‘understanding and view towards mental illness’, and ‘behavioural reactions’. Overall, the qualitative findings supported the quantitative results but also revealed additional theoretical and conceptual insight. Most participants were collectivistic-oriented, and most experienced both social and emotional loneliness. The degree of insight into mental illness played a key role in how self-stigma was experienced, while gender and culture were found to influence how loneliness was experienced. Based on the results of both phases, a new theoretical framework is posited that explains the relationships between the concepts of loneliness and self-stigma among this population. The study also evidences and discusses a wide range of methodological issues associated with the successful recruitment of nursing homes in older adult research.
Citation:
Tzouvara, T. (2015) 'Self-stigma, loneliness and culture among older adults with mental illness residing in nursing homes'. PhD thesis. University of Bedfordshire.
Publisher:
University of Bedfordshire
Issue Date:
Aug-2015
URI:
http://hdl.handle.net/10547/601099
Type:
Thesis or dissertation
Language:
en
Description:
A thesis submitted to the University of Bedfordshire in partial fulfilment of the requirements for the degree of Doctor of Philosophy
Appears in Collections:
PhD e-theses

Full metadata record

DC FieldValue Language
dc.contributor.authorTzouvara, Vasilikien
dc.date.accessioned2016-03-10T10:25:33Zen
dc.date.available2016-03-10T10:25:33Zen
dc.date.issued2015-08en
dc.identifier.citationTzouvara, T. (2015) 'Self-stigma, loneliness and culture among older adults with mental illness residing in nursing homes'. PhD thesis. University of Bedfordshire.en
dc.identifier.urihttp://hdl.handle.net/10547/601099en
dc.descriptionA thesis submitted to the University of Bedfordshire in partial fulfilment of the requirements for the degree of Doctor of Philosophyen
dc.description.abstractThis study aimed to investigate the inter-relationships between self-stigma, loneliness, and culture among older adults with mental illness residing in nursing homes. This study also explored how this population experiences self-stigma and loneliness within the context of their cultural backgrounds. A mixed-methods approach was utilised. The first phase involved a quantitative face-to-face questionnaire survey (n=16). More than half of the study participants reported low levels of self-stigma (56.3%), yet a substantial number of them scored high on the self-stigma scale (43.8%). The analysis identified a statistical relationship between stereotype endorsement and marital status (sig. =.010). No relationship was identified between Internalised Stigma of Mental illness constructs (ISMI) and age, gender, religiousness, and educational level. Loneliness was identified to be prevalent among more than half of the sample (68.8%). There was also a positive correlation between loneliness, age (sig.=.062) and religiosity (sig.=.044). The second phase involved a qualitative hermeneutic phenomenological approach involving one-to-one semi-structured interviews (n=10). Seven themes emerged: ‘social loneliness’, ‘emotional loneliness’, ‘emotional reactions’, ‘coping mechanisms’, ‘insight into illness’, ‘understanding and view towards mental illness’, and ‘behavioural reactions’. Overall, the qualitative findings supported the quantitative results but also revealed additional theoretical and conceptual insight. Most participants were collectivistic-oriented, and most experienced both social and emotional loneliness. The degree of insight into mental illness played a key role in how self-stigma was experienced, while gender and culture were found to influence how loneliness was experienced. Based on the results of both phases, a new theoretical framework is posited that explains the relationships between the concepts of loneliness and self-stigma among this population. The study also evidences and discusses a wide range of methodological issues associated with the successful recruitment of nursing homes in older adult research.en
dc.language.isoenen
dc.publisherUniversity of Bedfordshireen
dc.subjectself-stigmaen
dc.subjectlonelinessen
dc.subjectcultureen
dc.subjectmental illnessen
dc.subjectnursing homesen
dc.subjectstigmaen
dc.subjectolder peopleen
dc.subjectolder adultsen
dc.subjectold ageen
dc.subjectelderlyen
dc.subjectB741 Geriatric Nursingen
dc.titleSelf-stigma, loneliness and culture among older adults with mental illness residing in nursing homesen
dc.typeThesis or dissertationen
dc.type.qualificationnamePhDen_GB
dc.type.qualificationlevelPhDen
dc.publisher.institutionUniversity of Bedfordshireen
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