{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:36:25Z","timestamp":1782282985372,"version":"3.54.5"},"reference-count":48,"publisher":"Akademiai Kiado Zrt.","issue":"49","license":[{"start":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T00:00:00Z","timestamp":1638662400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,12,5]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> A coeliakia \u00e9s a kapcsol\u00f3d\u00f3 terhek befoly\u00e1solj\u00e1k az\n                    \u00e9rintettek \u00e9letmin\u0151s\u00e9g\u00e9t. A kr\u00f3nikus betegs\u00e9gekkel j\u00e1r\u00f3 stigmatiz\u00e1ci\u00f3 hozz\u00e1j\u00e1rul\n                    a fizikai t\u00fcnetek \u00e9s a lelki panaszok fokoz\u00f3d\u00e1s\u00e1hoz, valamint az\n                    eg\u00e9szs\u00e9gmagatart\u00e1s cs\u00f6kken\u00e9s\u00e9hez. Mindez sz\u00fcks\u00e9gess\u00e9 teszi a kr\u00f3nikus\n                    megbeteged\u00e9sek kapcs\u00e1n a stigmatiz\u00e1ci\u00f3 felismer\u00e9s\u00e9t, felm\u00e9r\u00e9s\u00e9t \u00e9s kezel\u00e9s\u00e9t.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9sek:<\/jats:italic> F\u0151 c\u00e9lunk a 8 t\u00e9teles Stigmatiz\u00e1ci\u00f3 Kr\u00f3nikus\n                    Betegs\u00e9gekben K\u00e9rd\u0151\u00edv (SSCI-8) magyar adapt\u00e1ci\u00f3ja \u00e9s pszichometriai vizsg\u00e1lata\n                    volt coeliaki\u00e1sok k\u00f6r\u00e9ben. Tov\u00e1bbi c\u00e9lunk volt megvizsg\u00e1lni a sz\u00e9gyen k\u00f6zvet\u00edt\u0151\n                    szerep\u00e9t a stigmatiz\u00e1ci\u00f3 \u00e9s a j\u00f3ll\u00e9t k\u00f6z\u00f6tt. <jats:italic>M\u00f3dszerek:<\/jats:italic> A\n                    kutat\u00e1s \u00f6nbesz\u00e1mol\u00f3s, online k\u00e9rd\u0151\u00edves, keresztmetszeti vizsg\u00e1latk\u00e9nt zajlott (n\n                    = 85, \u00e1tlag\u00e9letkor: 37,64, 91,8% n\u0151). Az SSCI-8 mellett felv\u00e9telre ker\u00fcltek a\n                    sz\u00e9gyen\u00e9lm\u00e9nyt, a coeliaki\u00e1s \u00e9letmin\u0151s\u00e9get, a j\u00f3ll\u00e9tet m\u00e9r\u0151 k\u00e9rd\u0151\u00edvek. A\n                    kutat\u00e1si c\u00e9lok tesztel\u00e9se meger\u0151s\u00edt\u0151 faktorelemz\u00e9ssel, korrel\u00e1ci\u00f3s \u00e9s medi\u00e1ci\u00f3s\n                    elemz\u00e9sekkel t\u00f6rt\u00e9nt. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az SSCI-8 faktorelemz\u00e9se\n                    sor\u00e1n az egydimenzi\u00f3s modell megfelel\u0151 illeszked\u00e9st mutatott magas bels\u0151\n                    konzisztencia\u00e9rt\u00e9kek mellett. A medi\u00e1ci\u00f3s modellek szerint a magasabb\n                    stigmatiz\u00e1ci\u00f3 a magasabb sz\u00e9gyen\u00e9lm\u00e9nyen kereszt\u00fcl j\u00e1rulhat hozz\u00e1 a pszich\u00e9s\n                    j\u00f3ll\u00e9t (coeliaki\u00e1s \u00e9letmin\u0151s\u00e9g, j\u00f3ll\u00e9t) cs\u00f6kken\u00e9s\u00e9hez.\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az SSCI-8 r\u00f6vid, \u00e1tfog\u00f3 k\u00e9rd\u0151\u00edvk\u00e9nt\n                    megb\u00edzhat\u00f3an \u00e9s \u00e9rv\u00e9nyesen m\u00e9rte a kr\u00f3nikus betegs\u00e9gben tapasztalt\n                    stigmatiz\u00e1ci\u00f3t a jelen coeliaki\u00e1s mint\u00e1n. Eredm\u00e9nyeink al\u00e1t\u00e1masztj\u00e1k, hogy a\n                    stigmatiz\u00e1ci\u00f3 \u00e9s a sz\u00e9gyen fontos szerepet t\u00f6lt be a j\u00f3ll\u00e9t cs\u00f6kken\u00e9s\u00e9ben.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A nemzetk\u00f6zileg sz\u00e9les k\u00f6rben alkalmazott\n                    SSCI-8 adapt\u00e1l\u00e1s\u00e1ra ker\u00fclt sor, mely hazai kutat\u00e1sokban \u00e9s az eg\u00e9szs\u00e9g\u00fcgyi\n                    ell\u00e1t\u00e1sban is hasznos m\u00e9r\u0151eszk\u00f6z lehet. Az eredm\u00e9nyek r\u00e1vil\u00e1g\u00edtanak, hogy a\n                    stigmatiz\u00e1ci\u00f3 \u00e9s a sz\u00e9gyen\u00e9lm\u00e9ny tov\u00e1bbi kutat\u00e1sa sz\u00fcks\u00e9ges, k\u00fcl\u00f6n\u00f6sen a\n                    hat\u00e9kony pszichoszoci\u00e1lis intervenci\u00f3k kifejleszt\u00e9s\u00e9t megc\u00e9lozva. Hat\u00e9kony\n                    pszichol\u00f3giai seg\u00edts\u00e9g r\u00e9v\u00e9n a sz\u00e9gyen \u00e9s a stigmatiz\u00e1lts\u00e1g m\u00e9rs\u00e9kl\u00e9s\u00e9vel\n                    javulhat a coeliaki\u00e1val \u00e9l\u0151k fizikai \u00e9s lelki \u00e1llapota, ami a glut\u00e9nmentes di\u00e9ta\n                    betart\u00e1sa r\u00e9v\u00e9n hozz\u00e1j\u00e1rulhat a betegs\u00e9g okozta t\u00fcnetek \u00e9s sz\u00f6v\u0151dm\u00e9nyek\n                    m\u00e9rs\u00e9kl\u00e9s\u00e9hez. Orv Hetil. 2021; 162(49): 1968\u20131976.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> Coeliac disease can detrimentally affect\n                    well-being. Stigmatization related to a chronic disease can enhance physical and\n                    psychological symptoms and negatively influence health behaviour, hence, stigma\n                    in chronic diseases needs to be addressed. <jats:italic>Objectives:<\/jats:italic> Our main\n                    goal was to psychometrically evaluate the Hungarian adaptation of the Stigma\n                    Scale for Chronic Illness-8 (SSCI-8). Further aim was to examine the mediating\n                    role of shame on the relationship between stigmatization and well-being aspects\n                    among individuals with coeliac disease. <jats:italic>Methods:<\/jats:italic> This\n                    cross-sectional study collected data using online questionnaires based on\n                    self-reports (n = 85, mean age: 37.64 years, 91.8% women). Instruments assessed\n                    levels of stigmatization, shame experience, quality of life in coeliac disease\n                    and well-being. Confirmatory factor, correlation and mediation analyses were\n                    used. <jats:italic>Results:<\/jats:italic> Factor analysis showed adequate fit for a\n                    unidimensional model with high internal consistency. Mediation models showed\n                    that higher levels of stigmatization can contribute to decreased levels of\n                    quality of life in coeliac disease and well-being <jats:italic>via<\/jats:italic> increased\n                    levels of shame. <jats:italic>Discussion:<\/jats:italic> The SSCI-8 is a short, valid,\n                    reliable instrument measuring stigmatization in the current sample of people\n                    with coeliac disease. The results highlight the role of stigma and shame in the\n                    decrease of well-being. <jats:italic>Conclusion:<\/jats:italic> The adapted version of the\n                    SSCI-8 can be a useful tool in Hungarian research and healthcare. The results\n                    suggest that stigmatization and shame need further attention to develop\n                    effective intervention which can reduce their effect and enhance adherence to\n                    gluten-free diet and improve physical and psychological well-being. Orv Hetil.\n                    2021; 162(49): 1968\u20131976.<\/jats:p>","DOI":"10.1556\/650.2021.32258","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T13:25:03Z","timestamp":1639401903000},"page":"1968-1976","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":13,"title":["A sz\u00e9gyen medi\u00e1ci\u00f3s szerepe a stigma \u00e9s az \u00e9letmin\u0151s\u00e9g kapcsolat\u00e1ban coeliaki\u00e1ban szenved\u0151 betegek k\u00f6r\u00e9ben."],"prefix":"10.1556","volume":"162","author":[{"given":"Henrietta","family":"Sz\u0151cs","sequence":"first","affiliation":[{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pedag\u00f3giai \u00e9s Pszichol\u00f3giai Kar, Pszichol\u00f3giai Doktori Iskola, Budapest"},{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pedag\u00f3giai \u00e9s Pszichol\u00f3giai Kar, Pszichol\u00f3giai Int\u00e9zet, Budapest, Izabella u. 46., 1064"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pedag\u00f3giai \u00e9s Pszichol\u00f3giai Kar, Pszichol\u00f3giai Doktori Iskola, Budapest"},{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pedag\u00f3giai \u00e9s Pszichol\u00f3giai Kar, Pszichol\u00f3giai Int\u00e9zet, Budapest, Izabella u. 46., 1064"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Vizin","sequence":"additional","affiliation":[{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Pedag\u00f3giai \u00e9s Pszichol\u00f3giai Kar, Pszichol\u00f3giai Int\u00e9zet, Budapest, Izabella u. 46., 1064"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai Pszichol\u00f3gia Tansz\u00e9k, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1080\/13548500600595053","article-title":"Health-related stigma: rethinking concepts and interventions","volume":"11","author":"1 Weiss","year":"2006","unstructured":"1 Weiss MG, Ramakrishna J, Somma D. 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