Internalized Stigma and Stigma Resistance Among Patients with Mental Illness in Han Chinese Population

Internalized Stigma and Stigma Resistance Among Patients with Mental Illness in Han Chinese... Research suggests that accurate measurement is essential in evaluating internalized stigma and abilities to combat with stigma for treatment compliances and outcomes in individuals with mental illness. The purpose of this study was to assess the reliability and validity of the Chinese version of the Internalized Stigma of Mental Illness Scale (ISMIS-C), which is one of the few tools available to measure internalized stigma and stigma resistance (SR) simultaneously. A total of 160 outpatients with (n = 103) and without (n = 57) psychotic disorders were administrated with the ISMIS-C, and measures of self-esteem, self-efficacy, depression, and hopelessness. Overall, the 29-item ISMIS-C was presented to be internal reliable (Cronbach’s alpha = 0.90), and reliable over time (intraclass correlation coefficients = 0.36–0.73). The construct validity of the ISMIS-C derived from the factor analysis was nearly identical to the original version. ISMIS-C dimension scores were well correlated with each other and measures of self-esteem, self-efficacy, depression, and hopelessness. Our data also demonstrated that psychotic patients experienced higher internalized stigma scores than those without psychotic diagnoses, but endorsed indifferently on SR scores. This scale can be used as an informative device when investigating “internalized stigma” and “SR” among individuals with or without psychotic disorders. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Internalized Stigma and Stigma Resistance Among Patients with Mental Illness in Han Chinese Population

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Publisher
Springer Journals
Copyright
Copyright © 2014 by Springer Science+Business Media New York
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11126-014-9315-5
Publisher site
See Article on Publisher Site

Abstract

Research suggests that accurate measurement is essential in evaluating internalized stigma and abilities to combat with stigma for treatment compliances and outcomes in individuals with mental illness. The purpose of this study was to assess the reliability and validity of the Chinese version of the Internalized Stigma of Mental Illness Scale (ISMIS-C), which is one of the few tools available to measure internalized stigma and stigma resistance (SR) simultaneously. A total of 160 outpatients with (n = 103) and without (n = 57) psychotic disorders were administrated with the ISMIS-C, and measures of self-esteem, self-efficacy, depression, and hopelessness. Overall, the 29-item ISMIS-C was presented to be internal reliable (Cronbach’s alpha = 0.90), and reliable over time (intraclass correlation coefficients = 0.36–0.73). The construct validity of the ISMIS-C derived from the factor analysis was nearly identical to the original version. ISMIS-C dimension scores were well correlated with each other and measures of self-esteem, self-efficacy, depression, and hopelessness. Our data also demonstrated that psychotic patients experienced higher internalized stigma scores than those without psychotic diagnoses, but endorsed indifferently on SR scores. This scale can be used as an informative device when investigating “internalized stigma” and “SR” among individuals with or without psychotic disorders.

Journal

Psychiatric QuarterlySpringer Journals

Published: Aug 23, 2014

References

  • Internalized stigma of mental illness: psychometric properties of a new measure
    Ritsher, JB; Otilingam, PG; Grajales, M
  • Culture and stigma: Adding moral experience to stigma theory
    Yang, L; Kleinman, A; Link, B; Phelan, J; Lee, S; Good, B
  • Internalized stigma predicts erosion of morale among psychiatric outpatients
    Ritsher, JB; Phelan, JC
  • Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders
    Lysaker, PH; Roe, D; Yanos, PT
  • Stigma resistance in patients with schizophrenia
    Sibitz, I; Unger, A; Woppmann, A; Zidek, T; Amering, M
  • Self-efficacy and empowerment as outcome of self-stigmatizing and coping schizophrenia
    Vauth, R; Kleim, B; Wirtz, M; Corrigan, P
  • Internalized stigma in schizophrenia: Relations with dysfunctional attitudes, symptoms, and quality of life
    Park, SG; Bennett, ME; Couture, SM; Blanchard, JL
  • Experienced stigma and self-stigma in Chinese patients with schizophrenia
    Lv, Y; Wolf, A; Wang, X

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