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物质使用者污名感知量表的心理测量学特性:因子结构、内部一致性以及与求助变量的关联。

Psychometric properties of the perceived stigma towards substance users scale: factor structure, internal consistency, and associations with help-seeking variables.

机构信息

Community, Family, and Addiction Sciences, Texas Tech University, Lubbock, USA.

出版信息

Am J Drug Alcohol Abuse. 2020;46(2):158-166. doi: 10.1080/00952990.2019.1658198. Epub 2019 Sep 6.

Abstract

: Stigma toward substance users is a barrier to seeking treatment.: The aim for this paper was to examine the psychometric properties of the Perceived Stigma Toward Substance Users (PSAS) and its relationship with help-seeking variables.: College students ( = 791; 557, 70%) responded to the PSAS and other help-seeking-related measures in an online study.: Confirmatory factor analysis supported a unidimensional factor structure and acceptable model fit after modifications (CFI = .961; TLI = .937; RMSEA = .067, 90% C.I. = .050 to .085; SRMR = .035). Results indicated good internal consistency estimates (α = .80; ω = .80). The PSAS was negatively associated with intent to seek treatment for substance issues and willingness to self-disclose negative emotions. The PSAS was also positively correlated with stigma associated with seeking help for mental health issues, attitudes concerning risk associated with help-seeking, self-concealment, anticipated risks associated with seeking treatment. When embedded within a larger path model that predicts intent to seek treatment for substance use issues (CFI = .925; TLI = .895; RMSEA = .061, 90%C.I. = .052 to .069; = .019; SRMR = .049), the PSAS had an incremental contribution to predicting the criterion variable even after accounting for frequency of alcohol use-related problems, and stigma and attitudes associated with seeking help for general mental health issues.: These findings provide further reliability and validity evidence for PSAS, especially in relation to help-seeking variables. Reducing stigma toward substance users can help increase treatment utilization.

摘要

对物质使用者的污名化是寻求治疗的障碍。本文旨在检验物质使用者感知污名量表(PSAS)的心理测量特性及其与寻求帮助变量的关系。在一项在线研究中,大学生(n = 791;557 名男性,70%)对 PSAS 及其他与寻求帮助相关的测量进行了回答。经修正后,验证性因素分析支持单维结构和可接受的模型拟合(CFI =.961;TLI =.937;RMSEA =.067,90% C.I. =.050 至.085;SRMR =.035)。结果表明,内部一致性估计值良好(α =.80;ω =.80)。PSAS 与寻求物质问题治疗的意愿和自我披露负面情绪的意愿呈负相关。PSAS 与寻求心理健康问题帮助的污名、与寻求帮助相关的风险态度、自我隐瞒、寻求治疗的预期风险呈正相关。当嵌入预测寻求物质使用问题治疗意愿的更大路径模型中时(CFI =.925;TLI =.895;RMSEA =.061,90% C.I. =.052 至.069;β =.019;SRMR =.049),即使考虑到酒精使用相关问题的频率以及与寻求一般心理健康问题帮助相关的污名和态度,PSAS 对预测标准变量仍有增量贡献。这些发现为 PSAS 提供了进一步的可靠性和有效性证据,特别是在与寻求帮助变量有关的方面。减少对物质使用者的污名化可以帮助提高治疗利用率。

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