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Rasch Modeling and Differential Item Functioning of the Self-Stigma Scale-Short Version among People with Three Different Psychiatric Disorders
AdventHlth Univ, Dept Occupat Therapy, Orlando, FL 32803 USA..
Minist Hlth & Welf, Dept Gen Psychiat, Jianan Psychiat Ctr, Tainan 71742, Taiwan..
Minist Hlth & Welf, Dept Child & Adolescent Psychiat, Jianan Psychiat Ctr, Tainan 71742, Taiwan..
E DA Hosp, Dept Internal Med, Div Hematol & Med Oncol, Kaohsiung 82445, Taiwan.;I Shou Univ, Coll Med, Fac Sch Med, Kaohsiung 84001, Taiwan..
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2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 14, article id 8843Article in journal (Refereed) Published
Abstract [en]

Self-stigma is prevalent in individuals with psychiatric disorders and can profoundly affect people. A unified assessment with sound psychometric properties is needed for evaluating self-stigma across psychiatric conditions. The aim of this study was to examine the psychometric properties of the Self-Stigma Scale-Short version (SSS-S) using Rasch modeling. Six-hundred and twelve participants with substance use disorders (n = 319), attention-deficit/hyperactivity disorder (n = 100), and schizophrenia (n = 193) completed the SSS-S. Rasch results confirmed the unidimensionality of the nine items of the SSS-S. The four-point Likert scale of the SSS-S reflected monotonical increases along the self-stigma continuum. No ceiling or floor effects were detected. Among the three subdomains of the SSS-S, cognitive items appeared to be the most robustly endorsed, and behavioral items were the least endorsed. Two items in the SSS-S displayed differential item functioning across the three diagnoses. Additionally, SSS-S scores showed weak to moderate correlation with depression, anxiety, and stress scale scores. The SSS-S had overall satisfactory psychometric properties. Healthcare professionals may use this assessment to assess self-stigma in multiple psychiatric groups, and information gained may facilitate improved care.

Place, publisher, year, edition, pages
MDPI, 2022. Vol. 19, no 14, article id 8843
Keywords [en]
self-stigma, substance-related disorders, addictive behaviors, impulsivity, psychotic disorders, Rasch, psychometric testing, validity, differential item functioning
National Category
Psychiatry Nursing
Identifiers
URN: urn:nbn:se:hj:diva-58154DOI: 10.3390/ijerph19148843ISI: 000831418800001PubMedID: 35886695Scopus ID: 2-s2.0-85135127537Local ID: GOA;intsam;824517OAI: oai:DiVA.org:hj-58154DiVA, id: diva2:1686533
Available from: 2022-08-10 Created: 2022-08-10 Last updated: 2022-08-10Bibliographically approved

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Pakpour, Amir H.

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HHJ, Dept. of Nursing ScienceThe Jönköping Academy for Improvement of Health and Welfare
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