The Self-Stigma of Depression Scale (SSDS): development and psychometric evaluation of a new instrument

被引:73
作者
Barney, Lisa J. [1 ]
Griffiths, Kathleen M. [1 ]
Christensen, Helen [1 ]
Jorm, Anthony F. [2 ]
机构
[1] Australian Natl Univ, Mental Hlth Res Ctr, Canberra, ACT 0200, Australia
[2] Univ Melbourne, ORYGEN Res Ctr, Ctr Youth Mental Hlth, Melbourne, Vic, Australia
基金
英国医学研究理事会;
关键词
stigma; depression; scale development; beliefs; interventions; MENTAL-ILLNESS; INTERNALIZED STIGMA; BELIEFS; DISORDERS; AMERICANS; ATTITUDES; HELP; CARE;
D O I
10.1002/mpr.325
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
摘要
Self-stigma may feature strongly and be detrimental for people with depression, but the understanding of its nature and prevalence is limited by the lack of psychometrically-validated measures. This study aimed to develop and validate a measure of self-stigma about depression. Items assessing self-stigma were developed from focus group discussions, and were tested and refined over three studies using surveys of 408 university students, 330 members of a depression Internet network, and 1312 members of the general Australian public. Evaluation involved item-level and bivariate analyses, and factor analytic procedures. Items performed consistently across the three surveys. The resulting Self-Stigma of Depression Scale (SSDS) comprised 16 items representing subscales of Shame, Self-Blame, Social Inadequacy, and Help-Seeking Inhibition. Construct validity, internal consistency and test-retest reliability were satisfactory. The SSDS distinguishes self-stigma from perceptions of stigma by others, yields in-depth information about self-stigma of depression, and possesses good psychometric properties. It is a promising tool for the measurement of self-stigma and is likely to be useful in further understanding self-stigma and evaluating stigma interventions. Copyright (C) 2010 John Wiley & Sons, Ltd.
引用
收藏
页码:243 / 254
页数:12
相关论文
共 47 条
[1]
The stigma of mental illness: Patients' anticipations and experiences [J].
Angermeyer, MC ;
Beck, M ;
Dietrich, S ;
Holzinger, A .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2004, 50 (02) :153-162
[2]
[Anonymous], 2015, Society and the adolescent selfimage, DOI [DOI 10.1515/9781400876136, 10.1515/9781400876136]
[3]
Predicting intentions to seek help from professional mental health services [J].
Bayer, JK ;
Peay, MY .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 1997, 31 (04) :504-513
[4]
Blumenthal R, 1996, Depress Anxiety, V4, P273, DOI 10.1002/(SICI)1520-6394(1996)4:6<273::AID-DA3>3.0.CO
[5]
2-D
[6]
BOGARDUS ES, 1925, SOCIOL SOC RES, V17, P265
[7]
Browne M. W., 1993, TESTING STRUCTURAL E, P136, DOI DOI 10.1177/0049124192021002005
[8]
Chowdhury A N, 2001, J Indian Med Assoc, V99, P20
[9]
The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients [J].
Cooper, LA ;
Gonzales, JJ ;
Gallo, JJ ;
Rost, KM ;
Meredith, LS ;
Rubenstein, LV ;
Wang, NY ;
Ford, DE .
MEDICAL CARE, 2003, 41 (04) :479-489
[10]
Corrigan Patrick., 2001, DONT CALL ME NUTS CO