Stigma-discrimination complex associated with major depressive disorder
Complejo estigma-discriminación relacionado con el trastorno depresivo mayor
Palabras clave:
Depression, Social prejudice (en)Depresión, Prejuicio social (es)
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Dear Editor:
Throughout history, the stigma-discrimination complex (SDC) has been associated with serious mental disorders such as those on the spectrum of schizophrenia, where symptoms, side effects and impaired social functioning are difficult to conceal. (1) For its part, SDC related to major depressive disorder (MDD) is a growing phenomenon even though its clinical characteristics are easy to hide or are less evident in the social sphere (2,3); in these cases, said association may have more negative effects on people’s lives than the disorder itself. (4,5) Consequently, the Depression Stigma Scale (DSS) was designed to quantify the relationship between SDC and MDD (SDC-MDD). This is a Likert scale consisting of two subscales with nine items each. The first addresses the issue of attitude towards people who meet criteria for MDD, i.e. perceived stigma, and the second, the anticipated attitude for MDD, i.e. personal stigma or self-stigma. (6)
Sr. Editor:
A lo largo de la historia, el complejo estigma-discriminación (CED) se ha relacionado con trastornos mentales graves como los del espectro de la esquizofrenia, donde los síntomas, los efectos secundarios de la medicación y el deterioro en el funcionamiento social son difíciles de disimular (1). Por su parte, el CED relacionado con el trastorno depresivo mayor (TDM) es un fenómeno creciente a pesar de que sus características clínicas son fáciles de ocultar o menos evidentes en el ámbito social (2,3); en estos casos, es posible que esta asociación tenga efectos más negativos en la vida de las personas que el trastorno en sí (4,5). En este sentido, se diseñó el instrumento Depression Stigma Scale (DSS) para cuantificar la relación entre CED y TDM (CED-TDM). Esta es una escala tipo Likert que se compone de dos sub-escalas de nueve ítems cada una. La primera aborda la actitud hacia las personas que reúnen criterios para TDM, es decir estigma percibido, y la segunda, la actitud anticipada para TDM, o sea estigma personal o autoestigma (6).
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