Gallo Verónica Del Valle, Burrone María Soledad, Fernandez Alicia Ruth, Boyd Jennifer E, Abeldaño Roberto Ariel
Facultad de Ciencias Médicas. Universidad Nacional de Córdoba, Argentina.
Health Service, San Francisco VA Health Care System. Department of Psychiatry, University of California. San Francisco.USA.
Rev Fac Cien Med Univ Nac Cordoba. 2017;74(2):170-175.
People who consume psychoactive substances may experience situations of social stigma on the part of the society in general, and also situations of internalized-stigma derived from their own consumption of substances. The Internalized Stigma of Mental Illness (ISMI) scale has been shown to be valid and reliable to evaluate the internalized-stigma in people with severe mental disorders, but in Argentina there is no a Spanish version of this scale for use with people who use psychoactive substances. The objective of this work was to evaluate the psychometric properties of the Spanish version of the Internalized Stigma of Mental Illness instrument adapted for people who use psychoactive substances.
The work was carried out on a sample of 200 patients older than 18 years under treatment of rehabilitation by consumption of psychoactive substances in a public institution of the city of Córdoba (Argentina) between the years 2014 and 2016. The instrument used was the Internalized Stigma of Mental Illness (ISMI) previously adapted for use in these groups of patients. It was determined the reliability of the scale through Cronbach's coefficients α and factorial structure was analyzed through an exploratory factor analysis.
The obtained coefficients showed a high reliability, while in the factorial structure emerged the 4 theoretical dimensions described by Ritsher, namely: social isolation, perceived discrimination, alienation and stereotyping.
It is concluded that the scale adapted for people who use psychoactive substances is reliable and with an adequate factorial structure.
使用精神活性物质的人可能会受到来自社会大众的社会污名化，也会因自身使用物质而产生内化污名。精神疾病内化污名量表（ISMI）已被证明在评估严重精神障碍患者的内化污名方面是有效且可靠的，但在阿根廷，尚无该量表的西班牙语版本供使用精神活性物质的人使用。这项工作的目的是评估适用于使用精神活性物质者的西班牙语版精神疾病内化污名工具的心理测量特性。
该研究以200名年龄在18岁以上、于2014年至2016年期间在科尔多瓦市（阿根廷）一家公共机构接受精神活性物质消费康复治疗的患者为样本。所使用的工具是先前已适用于这些患者群体的精神疾病内化污名量表（ISMI）。通过克朗巴赫系数α确定量表的信度，并通过探索性因素分析来分析因子结构。
所得系数显示出高信度，同时在因子结构中出现了里舍尔所描述的4个理论维度，即：社会隔离、感知到的歧视、疏离和刻板印象。
得出的结论是，适用于使用精神活性物质者的该量表是可靠的，且具有适当的因子结构。
