Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/28659
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    標題: Psychometric Evaluation of the Internalized Stigma of Mental Illness Scale for Patients with Mental Illnesses: Measurement Invariance across Time
    作者: Chang, Chih-Cheng
    Wu, Tsung-Hsien
    Chen, Chih-Yin
    Wang, Jung-Der
    Lin, Chung-Ying
    貢獻者: 休閒保健管理系
    關鍵字: SELF-ESTEEM
    SCHIZOPHRENIA
    CONSEQUENCES
    PEOPLE
    DISCRIMINATION
    RELIABILITY
    VERSION
    日期: 2014-06
    上傳時間: 2015-05-06 21:24:12 (UTC+8)
    出版者: Public Library Science
    摘要: Background: The current investigation examined the psychometric properties of the Internalized Stigma of Mental Illness (ISMI) scale in a sample of patients with mental illness. In addition to the internal consistency, test-retest reliability, and concurrent validity that previous studies have tested for the ISMI, we extended the evaluation to its construct validity and measurement invariance using confirmatory factor analysis (CFA). Methods: Three hundred forty-seven participants completed two questionnaires (i.e., the ISMI and the Depression and Somatic Symptoms Scale [DSSS]), and 162 filled out the ISMI again after 50.23 +/- 31.18 days. Results: The results of this study confirmed the frame structure of the ISMI; however, the Stigma Resistance subscale in the ISMI seemed weak. In addition, internal consistency, test-retest reliability, and concurrent validity were all satisfactory for all subscales and the total score of the ISMI, except for Stigma Resistance (alpha = 0.66; ICC = 0.52, and r = 0.02 to 0.06 with DSSS). Therefore, we hypothesize that Stigma Resistance is a new concept rather than a concept in internalized stigma. The acceptable fit indices supported the measurement invariance of the ISMI across time, and suggested that people with mental illness interpret the ISMI items the same at different times. Conclusion: The clinical implication of our finding is that clinicians, when they design interventions, may want to use the valid and reliable ISMI without the Stigma Resistance subscale to evaluate the internalized stigma of people with mental illness.
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