Paraskevoulakou Alexia, Vrettou Kassiani, Pikouli Katerina, Triantafillou Evgenia, Lykou Anastasia, Economou Marina
Université de Picardie Jules Verne, France.
University Mental Health Research Institute, Athens, Greece. First Department of Psychiatry, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Greece.
Mater Sociomed. 2017 Sep;29(3):211-215. doi: 10.5455/msm.2017.29.211-215.
Since evaluation regarding the impact of mental illness related internalized stigma is scarce, there is a great need for psychometric instruments which could contribute to understanding its adverse effects among Greek patients with severe mental illness. The Brief Internalized Stigma of Mental Illness (ISMI) scale is one of the most widely used measures designed to assess the subjective experience of stigma related to mental illness. The present study aimed to investigate the psychometric properties of the Greek version of the Brief ISMI scale. In addition to presenting psychometric findings, we explored the relationship of the Greek version of the Brief ISMI subscales with indicators of self-esteem and quality of life.
272 outpatients (108 males, 164 females) meeting the DSM-IV TR criteria for severe mental disorder (schizophrenia, bipolar disorder, major depression) completed the Brief ISMI, the RSES and the WHOQOL-BREF scales. Patients reported age and educational level. A retest was conducted with 124 patients.
The Chronbach's alpha coefficient was 0 0.83. The test-retest reliability coefficients varied from 0.81 to 0.91, indicating substantial agreement. The ICC was for the total score 0.83 and for the two factors, 0.69 and 0.77 respectively. Factor analysis provided strong evidence for a two factor model. Factors 1 and 2 were named respectively "how others view me" and "how I view myself". They were negatively correlated with both RSES and WHOQOL-BREF scales, as well as with educational level. Factor 2 was significantly associated with the type of diagnosis.
The Greek version of the Brief ISMI scale can be used as a reliable and valid tool for assessing mental illness related internalized stigma among Greek patients with severe mental illness.
由于关于精神疾病相关内化耻辱感影响的评估较少，因此迫切需要能够有助于理解其在希腊重症精神疾病患者中不良影响的心理测量工具。简明精神疾病内化耻辱感量表（ISMI）是用于评估与精神疾病相关耻辱感主观体验的最广泛使用的测量工具之一。本研究旨在调查简明ISMI量表希腊语版本的心理测量特性。除了呈现心理测量结果外，我们还探讨了简明ISMI量表希腊语版本各子量表与自尊指标和生活质量之间的关系。
272名符合DSM-IV TR重症精神障碍（精神分裂症、双相情感障碍、重度抑郁症）标准的门诊患者完成了简明ISMI量表、自尊量表（RSES）和世界卫生组织生活质量简表（WHOQOL-BREF）。患者报告了年龄和教育水平。对124名患者进行了重测。
克朗巴哈α系数为0.83。重测信度系数在0.81至0.91之间，表明一致性较高。组内相关系数（ICC）总分是0.83，两个因子分别是0.69和0.77。因子分析为双因子模型提供了有力证据。因子1和因子2分别命名为“他人如何看待我”和“我如何看待自己”。它们与自尊量表和世界卫生组织生活质量简表均呈负相关，也与教育水平呈负相关。因子2与诊断类型显著相关。
简明ISMI量表希腊语版本可作为评估希腊重症精神疾病患者精神疾病相关内化耻辱感的可靠有效工具。
