Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Rev Colomb Psiquiatr (Engl Ed). 2021 Apr-Jun;50(2):82-91. doi: 10.1016/j.rcp.2020.01.001. Epub 2020 Mar 27.
Validate the Self Stigma Of Seeking Help (SSOSH) scale in a population of students of a medical school for its use in Colombia.
We included 384 medical students from the city of Medellín. Initially, two direct translations were made, two back translation and one pilot test. The internal consistency, test-retest repeatability and structural, convergent, divergent and discriminative construct validity were then evaluated.
A easy-to-understand and to fill out Spanish version was obtained. The internal consistency of the scale was adequate (Cronbach's alpha=.80; 95%CI, .77-.83) as well as the test-retest repeatability (CCI=.77; 95%CI, .63-.86). The Confirmatory Factor Analysis showed a good fit with the one-dimensional structure (RMSEA=.073; IC90%, .056-.089; CFI=.968; TLI=.977; WRMR=.844). The convergent validity was supported by the correlation with the Public Stigma scales (ρ=.39) and Attitudes towards Seeking Help (ρ= -0.50) and the divergent validity with the Social Desirability scale (ρ=-0,05). When examining the discriminative validity, differences were found between the scores of those who would be willing to seek professional help when having a mental health problem and those who probably would not (Difference of means=4.9; 95%CI, 2.99-6.83).
The Colombian version of the SSOSH is valid, reliable and useful for the measurement of the Self-stigma associated with seeking professional help in the university population of the Colombian health sector. Its psychometric properties must be investigated in populations of other programs and outside universities.
验证寻求帮助的自我污名量表(SSOSH)在哥伦比亚一所医学院学生群体中的适用性。
我们纳入了来自麦德林市的 384 名医学生。最初进行了两次直接翻译、两次回译和一次预试验。然后评估了内部一致性、重测信度、结构、聚合、发散和区分性构念效度。
得到了一个易于理解和填写的西班牙语版本。该量表的内部一致性较好(Cronbach's alpha=.80;95%CI,.77-.83),重测信度也较好(CCI=.77;95%CI,.63-.86)。验证性因素分析显示,该量表具有良好的一维结构拟合度(RMSEA=.073;IC90%,.056-.089;CFI=.968;TLI=.977;WRMR=.844)。与公众污名量表(ρ=.39)和寻求帮助的态度(ρ= -0.50)的相关性支持了聚合效度,与社会期望量表(ρ=-0.05)的相关性支持了发散效度。在检验区分效度时,发现那些在出现心理健康问题时愿意寻求专业帮助的人与那些可能不会寻求帮助的人之间的得分存在差异(均值差异=4.9;95%CI,2.99-6.83)。
SSOSH 的哥伦比亚版本具有有效性、可靠性,并且在哥伦比亚卫生部门大学生群体中用于测量与寻求专业帮助相关的自我污名是有用的。其心理测量学特性必须在其他项目的人群和大学以外的人群中进行研究。