School of Nursing, Peking Union Medical College, Beijing, China.
Res Nurs Health. 2022 Aug;45(4):456-465. doi: 10.1002/nur.22233. Epub 2022 May 22.
The understanding of stigma resistance and its prevalence is limited due to the limitation of existing measures. This study aims to modify the Stigma Resistance Scale (SRS) and assess the psychometric properties of Chinese patients with mental illness. Seven experts were invited to assess the content validity of the Chinese version of the SRS (C-SRS), which has been translated and adapted into Chinese. Convenience samples were included from two psychiatric hospitals and three community healthcare centers in Beijing, China. A total of 484 patients completed the survey from November 2020 to July 2021. Samples were randomized into two parts exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA (n = 242) yielded three factors with Cronbach's α of 0.932 for the total scale, and 0.835, 0.877, and 0.858 for the subscales. CFA (n = 242) revealed good model fit (χ /df = 2.190, RMSEA = 0.070). The domain-total correlation scores were 0.834-0.939. The correlation coefficient of test-retest ranged from 0.726 to 0.887. The correlation coefficient between the C-SRS and Stigma Resistance subscale of the Internalized Stigma of Mental Illness scale was 0.399. This study found that the C-SRS has evidence of excellent reliability and validity for assessing stigma resistance. It could be used in Chinese people with mental illness to identify and address stigma resistance.
由于现有测量方法的局限性，对耻辱感抵抗力及其普遍性的认识有限。本研究旨在修改耻辱感抵抗力量表（SRS），并评估中国精神疾病患者的心理测量特性。邀请了 7 名专家评估 SRS 中文版本（C-SRS）的内容效度，该版本已被翻译成中文并进行了改编。便利抽样来自中国北京的两家精神病院和三家社区医疗中心。共有 484 名患者于 2020 年 11 月至 2021 年 7 月完成了调查。样本被随机分为两部分进行探索性因素分析（EFA）和验证性因素分析（CFA）。EFA（n=242）得出了三个因素，总量表的克朗巴赫α为 0.932，分量表分别为 0.835、0.877 和 0.858。CFA（n=242）显示出良好的模型拟合（χ/df=2.190，RMSEA=0.070）。领域总分相关系数为 0.834-0.939。测试-重测的相关系数范围为 0.726-0.887。C-SRS 与内化精神疾病耻辱感量表耻辱感抵抗分量表的相关系数为 0.399。本研究发现，C-SRS 在评估耻辱感抵抗力方面具有良好的信度和效度证据。它可用于评估中国精神疾病患者的耻辱感抵抗力。
