How do stigma and acceptance shape life after a stoma?
Among 259 Chinese stoma patients, stigma was severe and psychosocial adaptation poor; disability acceptance improved adaptation and statistically mediated stigma’s harmful association.
Source
The influence of stigma and disability acceptance on psychosocial adaptation in patients with stoma: A multicenter cross-sectional study
Study at a glance
- Design
- Cross-sectional — Multicenter SEM of stigma, disability acceptance, and psychosocial adaptation in stoma patients (STROBE; SPSS/AMOS path model)
- N
- N=259 · 259 patients with stoma from 6 hospitals in southeast China
- Population
- Adults with stoma recruited from six hospitals in southeast China
- Outcome
- Social Impact Scale stigma, Acceptance of Disability Scale, Ostomy Adjustment Inventory-20 psychosocial adaptation
Structured fields used in claim comparison tables when every cited study has a complete layer.
What they did
Enrolled 259 patients from 6 southeast China hospitals (STROBE; hospital ethics). Measured stigma (Social Impact Scale), disability acceptance, and ostomy adjustment (OAI-20), then tested a path model in SPSS 22 and AMOS 26.
What they found
Mean stigma 72.76, medium acceptance 179.24, poor adaptation 38.06. The model fit (AGFI = 0.967; χ²/df = 1.723, p = 0.08). Acceptance positively, and stigma negatively, predicted psychosocial adaptation; acceptance mediated the stigma–adaptation path (p < 0.01).
The limits
What it doesn't show
A cross-sectional SEM cannot prove that reducing stigma will causally raise adaptation, and the sample is limited to six hospitals in one region.
Key terms
- Stoma
- Surgically created opening for bowel or urinary diversion, often after colorectal cancer.
- Stigma
- Social Impact Scale score; severe here (72.76 ± 12.73).
- Disability acceptance
- Coping with permanent bodily change; medium scores (179.24 ± 32.29).
- Psychosocial adaptation
- Ostomy Adjustment Inventory-20; poor here (38.06 ± 8.76).
- Mediation
- Disability acceptance sat on the path from stigma to adaptation.
- SEM
- Structural equation / path model tested in AMOS 26.
Flashcards
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Sample size was:
Common questions
How many patients?
259 from 6 hospitals.
Was stigma high?
Yes—severe mean 72.76 ± 12.73.
What mediated stigma’s effect?
Disability acceptance (p < 0.01).
Did the path model fit?
Yes (AGFI = 0.967; χ²/df = 1.723, p = 0.08).
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