ArticleFrontiers in psychiatry2026
Affiliate stigma and health-related quality of life among caregivers of people with severe mental illness in a collectivist context: a cross-sectional study.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Caregivers of individuals with severe mental disorders often face a dual burden of affiliate stigma and reduced health-related quality of life (HRQoL). However, local evidence regarding the current status of these challenges and their interrelationship remains limited. Methods: This cross - sectional study examined the level of affiliate stigma and its association with HRQoL among primary caregivers of individuals with severe mental disorders. In 2024, a total of 297 primary caregivers from Sichuan Province, China, were surveyed using the Chinese version of the Affiliate Stigma Scale and the EuroQol Five-Dimensional Questionnaire - Three-Level version (EQ-5D-3L) questionnaire. Additionally, sociodemographic data were collected. Univariate analysis and Tobit regression were utilized for statistical analysis. Results: The mean affiliate stigma score among caregivers was 48.67 ± 15.63. The mean EQ-5D utility index was 0.95 ± 0.07, and the mean Visual Analog Scale self-rated health score was 70.48 ± 17.22. Univariate analyses revealed that HRQoL was significantly associated with age, income, gender, educational level, and occupational status. Multivariable Tobit regression analysis indicated that affiliate stigma was a significant negative predictor of caregiver HRQoL (EQ-5D-3L: Conclusion: This study demonstrated a significant negative association between affiliate stigma and HRQoL among primary caregivers of individuals with severe mental disorders. These findings highlight the need for targeted interventions to reduce affiliate stigma and improve the health - related quality of life and overall physical and psychological well-being of caregivers.
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