Correspondence to Michael P. Boyle, who is now at Oklahoma State University, Stillwater:
J Speech Lang Hear Res. 2013 Oct;56(5):1517-29. doi: 10.1044/1092-4388(2013/12-0280). Epub 2013 Jul 9.
To create a psychometrically sound scale that measures different levels of internalized stigma (i.e., self-stigma) among adults who stutter and to analyze factor structure, reliability, and initial construct validity of the scale.
Two-hundred ninety-one adults who stutter were recruited from Board Recognized Specialists in Fluency Disorders and the National Stuttering Association. Participants completed a web-based survey including an experimental scale called the Self-Stigma of Stuttering Scale (4S), designed to measure different levels of self-stigma in people who stutter, along with a series of established measures of self-esteem, self-efficacy, and life satisfaction.
The experimental scale demonstrated adequate reliability in internal consistency and temporal stability. Factor analysis revealed underlying components supportive of a multidimensional model of stigma. Stigma self-concurrence and, to a lesser extent, stereotype agreement and stigma awareness were negatively correlated with self-esteem, self-efficacy, and life satisfaction, supporting initial construct validity of the scale.
Speech-language pathologists can identify the presence of self-stigma in their adult clients who stutter and help them to alter these beliefs. The 4S can be a means for researchers and clinicians to achieve these goals.
创建一个具有良好心理测量学性能的量表，用于测量成年口吃者不同程度的内化污名（即自我污名），并分析该量表的结构、信度和初步结构效度。
从口吃障碍委员会认可的专家和全国口吃协会招募了 291 名成年口吃者。参与者完成了一项基于网络的调查，包括一个名为口吃自我污名量表（4S）的实验量表，旨在测量口吃者不同程度的自我污名，以及一系列已确立的自尊、自我效能和生活满意度的测量工具。
实验量表在内部一致性和时间稳定性方面具有足够的信度。因子分析显示，污名的潜在成分支持一个多维模型。自我污名认同，以及在较小程度上的刻板印象认同和污名意识，与自尊、自我效能和生活满意度呈负相关，支持了该量表的初步结构效度。
言语语言病理学家可以识别其成年口吃患者的自我污名，并帮助他们改变这些信念。4S 可以成为研究人员和临床医生实现这些目标的一种手段。
