Wainberg Milton, Pala Andrea Norcini, Cournos Francine, McKinnon Karen
Columbia University Medical Center, New York State Psychiatric Institute.
HIV Center for Clinical and Behavioral Studies New York State Psychiatric Institute and Columbia University.
J Bras Psiquiatr. 2017 Jul-Sep;66(3):131-138. doi: 10.1590/0047-2085000000162.
We evaluated the psychometric properties of a new instrument "Mental Illness Sexual Stigma Questionnaire" (MISS-Q).
We interviewed 641 sexually active adults (ages 18-80) attending public outpatient psychiatric clinics in Rio de Janeiro about their stigma experiences.
Nine factors were extracted through exploratory factor analysis (EFA) and labeled: 'individual discrimination by others'; 'staff willingness to talk about sexuality'; 'staff and family prohibitions'; 'sexual devaluation of self'; 'perceived attractiveness'; 'mental illness concealment'; 'perceived sexual role competence'; 'withdrawal'; and 'locus of social-sexual control'. 'Withdrawal' and 'locus of social-sexual control' showed poor psychometric properties and were excluded from further analysis. The remaining seven factors had high factorial loadings (.39 to .86), varying from sufficient to optimal reliability (Ordinal α ranged from .57 to .88), and good convergent and discriminant validity.
The resulting MISS-Q is the first instrument assessing mental illness sexual stigma with demonstrated psychometric properties. It may prove useful in reducing stigma, protecting sexual health, and promoting recovery.
我们评估了一种新工具“精神疾病性污名问卷”（MISS-Q）的心理测量特性。
我们采访了641名年龄在18至80岁之间、在里约热内卢公立门诊精神科诊所就诊的性活跃成年人，了解他们的污名经历。
通过探索性因素分析（EFA）提取了九个因素，并进行了标注：“他人的个体歧视”；“工作人员谈论性话题的意愿”；“工作人员和家人的禁令”；“自我性价值贬低”；“感知吸引力”；“精神疾病隐瞒”；“感知性角色能力”；“回避”；以及“社会-性控制源”。“回避”和“社会-性控制源”显示出较差的心理测量特性，被排除在进一步分析之外。其余七个因素具有较高的因子载荷（0.39至0.86），可靠性从足够到最佳不等（有序α范围为0.57至0.88），并具有良好的收敛效度和区分效度。
最终形成的MISS-Q是首个具有已证实心理测量特性的评估精神疾病性污名的工具。它可能在减少污名、保护性健康和促进康复方面证明有用。
