Sibitz Ingrid, Friedrich Michaela Elena, Unger Annemarie, Bachmann Anatol, Benesch Thomas, Amering Michaela
Medizinische Universität Wien, Universitätsklinik für Psychiatrie und Psychotherapie, KlinischeAbteilung für SozialpsychiatrieWähringer Gürtel 18–201090 Wien, Austria.
Psychiatr Prax. 2013 Mar;40(2):83-91. doi: 10.1055/s-0032-1332878. Epub 2013 Jan 25.
Schizophrenia is particularly associated with stigma. Especially internalized stigma, the inner subjective experience of stigma and its psychological effects resulting from applying negative stereotypes and stigmatising attitudes to oneself, is a barrier to recovery. The Internalized Stigma of Mental Illness-scale (ISMI) developed by Jennifer Boyd Ritsher and colleagues is a valid instrument for self-rated assessment of the subjective experience of stigma. The aim of the study was to examine the psychometric properties of the German Version of the ISMI among people with schizophrenia spectrum disorder.
The ISMI was translated into German. Reliability and validity of the instrument were tested and predictors of internalized stigma were explored. Data of 157 people were collected on the ISMI and demographic and clinical variables. Construct validity was tested by comparing results with already established constructs such as perceived devaluation and discrimination, depression, self-esteem, empowerment, control convictions and quality of life.
The German Version of the ISMI showed good psychometric properties with high internal consistency, good test-retest reliability and good construct validity among people with schizophrenia spectrum disorder. About one third had a mean above the midpoint of the scale indicating a high level of internalized stigma. Internalized stigma was predicted by insufficient social network, level of education less than high school and inpatient or day clinic treatment compared to outpatient treatment.
Results suggest that the German version of the ISMI is comparable to its original version. With the German version of the ISMI internalized stigma can be measured reliably and validly among people with schizophrenia spectrum disorder. Future studies may use the ISMI to record changes in internalized stigma pertinent to the achievement of therapeutic goals.
精神分裂症与耻辱感尤其相关。特别是内化耻辱感，即耻辱感的内在主观体验及其因对自己应用负面刻板印象和耻辱态度而产生的心理影响，是康复的障碍。珍妮弗·博伊德·里舍尔及其同事开发的精神疾病内化耻辱感量表（ISMI）是一种用于自我评估耻辱感主观体验的有效工具。本研究的目的是检验精神分裂症谱系障碍患者中ISMI德文版的心理测量特性。
将ISMI翻译成德文。对该工具的信度和效度进行测试，并探索内化耻辱感的预测因素。收集了157人的ISMI数据以及人口统计学和临床变量数据。通过将结果与已确立的结构（如感知到的贬值和歧视、抑郁、自尊、赋权、控制信念和生活质量）进行比较来检验结构效度。
ISMI德文版在精神分裂症谱系障碍患者中显示出良好的心理测量特性，具有高内部一致性、良好的重测信度和良好的结构效度。约三分之一的人的平均分高于量表中点，表明内化耻辱感水平较高。内化耻辱感的预测因素包括社交网络不足、高中以下教育水平以及与门诊治疗相比的住院或日间门诊治疗。
结果表明，ISMI德文版与其原版相当。使用ISMI德文版可以在精神分裂症谱系障碍患者中可靠且有效地测量内化耻辱感。未来的研究可以使用ISMI来记录与实现治疗目标相关的内化耻辱感的变化。
