Ociskova Marie, Prasko Jan, Kamaradova Dana, Marackova Marketa, Holubova Michaela
Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
Neuro Endocrinol Lett. 2016 Dec;37(7):511-517.
A significant number of psychiatric patients stigmatize themselves because of their mental struggles. Such self-stigmatization has an adverse impact on patients' well-being and effectiveness of the treatment of mental disorders. The goal of this study was to standardize the brief Internalized Stigma of Mental Illness Scale (ISMI-10), which could be used in studies targeting the self-stigma among the psychiatric patients.
354 psychiatric patients participated in the study between the years 2012 and 2014. All individuals were undergoing treatment in the outpatient care or the psychotherapeutic ward of the Department of Psychiatry, University Hospital Olomouc. The mean age of the participants was 41.5±13.3 years. The majority of them were women (n=195). The patients suffered from various mental disorders - neurotic disorders (n=166), mood disorders (n=65), substance use disorders (n=47), psychoses (n=40), personality disorders (n=32), and organic mental illness (n=4). Each patient completed a demographic questionnaire and the ISMI-10.
The ordinal alpha of the scale was 0.86, indicating its good internal consistency. The overall scores of the full and abbreviated version of the scale were almost perfectly correlated (r=0.95, p<0.001). The factor analysis confirmed a good internal structure of the scale. The created norms for the scale score were based on stens.
The ISMI-10 may be a useful method for measuring the self-stigma among adults with a mental disorder. The area of its use lies mainly in research.
相当一部分精神科患者因自身的精神困扰而自我污名化。这种自我污名化对患者的幸福感和精神障碍治疗效果产生不利影响。本研究的目的是对简明精神疾病内化污名量表（ISMI - 10）进行标准化，该量表可用于针对精神科患者自我污名的研究。
2012年至2014年间，354名精神科患者参与了本研究。所有个体均在奥洛穆茨大学医院精神科门诊或心理治疗病房接受治疗。参与者的平均年龄为41.5±13.3岁。其中大多数为女性（n = 195）。患者患有各种精神障碍——神经症性障碍（n = 166）、心境障碍（n = 65）、物质使用障碍（n = 47）、精神病性障碍（n = 40）、人格障碍（n = 32）和器质性精神障碍（n = 4）。每位患者完成一份人口统计学调查问卷和ISMI - 10量表。
该量表的有序α系数为0.86，表明其具有良好的内部一致性。量表完整版和简化版的总分几乎完全相关（r = 0.95，p < 0.001）。因子分析证实了该量表良好的内部结构。量表分数的制定规范基于sten分数。
ISMI - 10可能是测量患有精神障碍的成年人自我污名的一种有用方法。其主要应用领域在于研究。
