Stigma experience and coping strategies in stroke survivors: a qualitative study

AimTo investigate the true experiences of stigma and changes in stroke survivors and explore how they manage their symptoms.BackgroundStroke is a serious disease that threatens human health with increasing mortality and disability rates. Declining self-care ability and excessive external dependence...

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Main Authors: Lina Song, Xinbo Sun, Chengxia Li, Bing Li, Lijie Jing, Xuebing Jing
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1581639/full
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author Lina Song
Xinbo Sun
Chengxia Li
Bing Li
Lijie Jing
Xuebing Jing
author_facet Lina Song
Xinbo Sun
Chengxia Li
Bing Li
Lijie Jing
Xuebing Jing
author_sort Lina Song
collection DOAJ
description AimTo investigate the true experiences of stigma and changes in stroke survivors and explore how they manage their symptoms.BackgroundStroke is a serious disease that threatens human health with increasing mortality and disability rates. Declining self-care ability and excessive external dependence can easily lead to stigma. However, there is a lack of studies on real stigma experiences and coping styles among stroke survivors.DesignA descriptive qualitative study.MethodsFourteen participants were recruited across inpatient stroke settings in China. Semi-structured face-to-face interviews were conducted with participants to collect data. Audio-recorded data were transcribed. The data were analyzed using the seven-step Colaizzi method for phenomenological analysis, adhering to the principles of Phenomenological research methodology. The study adheres to SRQR EQUATOR checklist.FindingsFourteen semi-structured interviews were conducted, revealing three main themes and ten sub-themes: (1) Non-adaptive emotion regulation in response to stigma, including sub-themes of remorse, shame, sadness, perceived disaster, depression, and reduced self-worth; (2) Adaptive emotion regulation in response to stigma, including positive reappraisal, positive adjustment, acceptance, and support systems; (3) Origins of stigma, including sources such as relatives, friends, oneself, and medical staff.ConclusionThe findings have the potential to inform the development and implementation of strategies to reduce the experience of stigma in early-stage clinical settings. Medical professionals must prioritize the comprehensive examination of genuine instances of stigma encountered by stroke survivors. Timely identification of stigma is imperative to mitigate the risk of patients adopting inaccurate beliefs and maladaptive coping mechanisms post-stroke. Strategies aimed at diminishing stigma should consider personal, familial, policy-related, societal, institutional, and environmental dimensions.
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spelling doaj-art-03073d3d1bc544e6932c5e18eb764f2d2025-08-20T03:22:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-06-011610.3389/fpsyg.2025.15816391581639Stigma experience and coping strategies in stroke survivors: a qualitative studyLina SongXinbo SunChengxia LiBing LiLijie JingXuebing JingAimTo investigate the true experiences of stigma and changes in stroke survivors and explore how they manage their symptoms.BackgroundStroke is a serious disease that threatens human health with increasing mortality and disability rates. Declining self-care ability and excessive external dependence can easily lead to stigma. However, there is a lack of studies on real stigma experiences and coping styles among stroke survivors.DesignA descriptive qualitative study.MethodsFourteen participants were recruited across inpatient stroke settings in China. Semi-structured face-to-face interviews were conducted with participants to collect data. Audio-recorded data were transcribed. The data were analyzed using the seven-step Colaizzi method for phenomenological analysis, adhering to the principles of Phenomenological research methodology. The study adheres to SRQR EQUATOR checklist.FindingsFourteen semi-structured interviews were conducted, revealing three main themes and ten sub-themes: (1) Non-adaptive emotion regulation in response to stigma, including sub-themes of remorse, shame, sadness, perceived disaster, depression, and reduced self-worth; (2) Adaptive emotion regulation in response to stigma, including positive reappraisal, positive adjustment, acceptance, and support systems; (3) Origins of stigma, including sources such as relatives, friends, oneself, and medical staff.ConclusionThe findings have the potential to inform the development and implementation of strategies to reduce the experience of stigma in early-stage clinical settings. Medical professionals must prioritize the comprehensive examination of genuine instances of stigma encountered by stroke survivors. Timely identification of stigma is imperative to mitigate the risk of patients adopting inaccurate beliefs and maladaptive coping mechanisms post-stroke. Strategies aimed at diminishing stigma should consider personal, familial, policy-related, societal, institutional, and environmental dimensions.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1581639/fullstrokestigmacognitive regulationnursingqualitative study
spellingShingle Lina Song
Xinbo Sun
Chengxia Li
Bing Li
Lijie Jing
Xuebing Jing
Stigma experience and coping strategies in stroke survivors: a qualitative study
Frontiers in Psychology
stroke
stigma
cognitive regulation
nursing
qualitative study
title Stigma experience and coping strategies in stroke survivors: a qualitative study
title_full Stigma experience and coping strategies in stroke survivors: a qualitative study
title_fullStr Stigma experience and coping strategies in stroke survivors: a qualitative study
title_full_unstemmed Stigma experience and coping strategies in stroke survivors: a qualitative study
title_short Stigma experience and coping strategies in stroke survivors: a qualitative study
title_sort stigma experience and coping strategies in stroke survivors a qualitative study
topic stroke
stigma
cognitive regulation
nursing
qualitative study
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1581639/full
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AT chengxiali stigmaexperienceandcopingstrategiesinstrokesurvivorsaqualitativestudy
AT bingli stigmaexperienceandcopingstrategiesinstrokesurvivorsaqualitativestudy
AT lijiejing stigmaexperienceandcopingstrategiesinstrokesurvivorsaqualitativestudy
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