Department of Psychology, School of Education, Guangzhou University, Guangzhou 510006, China.
Department of Psychological Science, Gustavus Adolphus College, Saint Peter, MN 56082, USA.
Int J Environ Res Public Health. 2022 Feb 18;19(4):2344. doi: 10.3390/ijerph19042344.
The current study assessed the measurement invariance of the Self-stigma of Mental Illness scale (SSOMI) across Chinese and US samples and assessed whether the SSOMI differentially relates to distress levels across Chinese and US participants. We included 487 participants in China and 550 in the US (mean age was 19.52 in China and 19.29 in the US). The results indicated that partial measurement invariance of the SSOMI scale across China and the United States participants was established. Furthermore, we observed validity evidence for the SSOMI scale through its correlations with a well-established self-stigma measure and measures of depression, anxiety, and stress. Finally, we found that the SSOMI scale is more strongly linked to symptoms of depression, anxiety, and stress in China than it is in the United States, supporting previous research. These findings enable researchers to utilize the scale cross-culturally (i.e., with participants of Chinese and US origin), and to develop and implement interventions targeting mental illness stigma in both China and the United States.
本研究评估了自我污名化精神疾病量表（SSOMI）在中国和美国样本中的测量不变性，并评估了 SSOMI 是否与中美参与者的困扰水平存在差异。我们纳入了 487 名中国参与者和 550 名美国参与者（中国组的平均年龄为 19.52 岁，美国组为 19.29 岁）。结果表明，SSOMI 量表在中国和美国参与者之间具有部分测量不变性。此外，我们通过 SSOMI 量表与一项成熟的自我污名量表以及抑郁、焦虑和压力测量指标的相关性，为该量表提供了有效性证据。最后，我们发现 SSOMI 量表与中国参与者的抑郁、焦虑和压力症状的关联比美国参与者更强，这支持了先前的研究。这些发现使研究人员能够跨文化地（即，来自中国和美国的参与者）使用该量表，并在中国和美国制定和实施针对精神疾病污名的干预措施。
