The Stigma Resistance Scale: A multi-sample validation of a new instrument to assess mental illness stigma resistance

PSYCHIATRY RESEARCH

卷:258

Article

Firmin, Ruth L.¹  Lysaker, Paul H.^3,4  McGrew, John H.²  Minor, Kyle S.²  Luther, Lauren²  Salyers, Michelle P.² 

[1] Univ Calif Los Angeles, 760 Westwood Plaza, Los Angeles, CA 90024 USA

[2] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46205 USA

[3] Richard L Roudebush VA Med Ctr, Indianapolis, IN USA

[4] Indiana Univ Sch Med, Dept Psychiat, Indianapolis, IN 46202 USA

关键词: Mental illness;    Internalized stigma;    Self-stigma;    Outcomes;    Psychometric validation;   

DOI  :  10.1016/j.psychres.2017.09.063

来源: Elsevier

【 摘 要 】

Although associated with key recovery outcomes, stigma resistance remains under-studied largely due to limitations of existing measures. This study developed and validated a new measure of stigma resistance. Preliminary items, derived from qualitative interviews of people with lived experience, were pilot tested online with people self-reporting a mental illness diagnosis (n = 489). Best performing items were selected, and the refined measure was administered to an independent sample of people with mental illness at two state mental health consumer recovery conferences (n = 202). Confirmatory factor analyses (CFA) guided by theory were used to test item fit, correlations between the refined stigma resistance measure and theoretically relevant measures were examined for validity, and test-retest correlations of a subsample were examined for stability. CFA demonstrated strong fit for a 5-factor model. The final 20-item measure demonstrated good internal consistency for each of the 5 subscales, adequate test-retest reliability at 3 weeks, and strong construct validity (i.e., positive associations with quality of life, recovery, and self-efficacy, and negative associations with overall symptoms, defeatist beliefs, and self-stigma). The new measure offers a more reliable and nuanced assessment of stigma resistance. It may afford greater personalization of interventions targeting stigma resistance.

【 授权许可】

Free