Chang Chih-Cheng, Su Jian-An, Chang Kun-Chia, Lin Chung-Ying, Koschorke Mirja, Thornicroft Graham
Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan.
Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Int J Clin Health Psychol. 2018 May-Aug;18(2):170-178. doi: 10.1016/j.ijchp.2017.12.003. Epub 2018 Feb 7.
The Devaluation of Consumer Families Scale (DCFS) is commonly used to measure perceived stigma towards family members of people with mental illness. However, its factorial structure has never been confirmed using confirmatory factor analysis (CFA). This study aimed to test the psychometric properties of the DCFS Taiwan version (DCFS-TW). Family caregivers (=511) completed the DCFS-TW (97 completed the DCFS again after 2 to 4 weeks) and other instruments. CFA, test-retest reliability, internal consistency, concurrent validity, and known-group validity were analyzed. The three-factor structure of the DCFS-TW performed better than the one-factor structure. Test-retest reliability ( = .66) and internal consistency were satisfactory (α = .85); concurrent validity (absolute = .20 to .58) was acceptable; known-group validity was supported by the significantly different DCFS-TW scores in clinical characteristics (had been had not been hospitalized; had been had not been compulsorily admitted). The DCFS-TW has decent psychometric properties and is suitable for health professionals to measure perceived stigma towards family members of people with mental illness.
消费者家庭贬低量表(DCFS)通常用于衡量对患有精神疾病者家庭成员的感知污名。然而,其因子结构从未通过验证性因子分析(CFA)得到证实。本研究旨在测试DCFS台湾版(DCFS-TW)的心理测量特性。家庭照顾者(n = 511)完成了DCFS-TW(97人在2至4周后再次完成了DCFS)以及其他量表。分析了验证性因子分析、重测信度、内部一致性、同时效度和已知群体效度。DCFS-TW的三因子结构比单因子结构表现更好。重测信度(r = 0.66)和内部一致性令人满意(α = 0.85);同时效度(绝对r = 0.20至0.58)可以接受;已知群体效度得到临床特征(曾住院与未住院;曾被强制收治与未被强制收治)中DCFS-TW得分显著差异的支持。DCFS-TW具有良好的心理测量特性,适合卫生专业人员用于衡量对患有精神疾病者家庭成员的感知污名。