Unidad de Gestión Clínica de Salud Mental, Hospital Universitario de Puerto Real, Cádiz, Spain.
Unidad de Gestión Clínica de Salud Mental, Hospital Universitario de Puerto Real, Cádiz, Spain.
Rev Psiquiatr Salud Ment (Engl Ed). 2022 Jul-Sep;15(3):176-184. doi: 10.1016/j.rpsmen.2022.09.001. Epub 2022 Sep 24.
There is currently a growing interest in interventions aimed at the reduction of stigma towards people with emotional difficulties in adolescents. Unfortunately, the number of scales available in Spanish to assess stigma at these ages is limited. This paper aims to adapt and validate the scale of stigmatizing attitudes towards mental health among peers (Peer Mental Health Stigmatization Scale PMHSS-24).
A total of 443 adolescents (46.6% female and 53.7% male) between 13 and 17 years of age participated (M = 14.64; SD = 0.83) in the 3rd and 4th grades of Obligatory Secondary Education. The internal consistency of the test was calculated, an exploratory factorial analysis (EFA) was performed with half of the sample and a confirmatory one (CFA) with the other half, and the invariance of measurement of the scale through sex was found.
The EFA showed a two-factor structure for the negative scale (53% of the variance explained) and another 2 for the positive scale (62% of the variance explained). The CFA corroborated the factor structure with appropriate goodness-of-fit indicators (CFI > 0.95; NNFI > 0.95, SRMR < 0.08, RMSEA < 0.08). Factor loads ranged from 0.49 to 0.89, with α factor correlation between r = 0.53 and 0.45. Both subscales exhibited optimal alpha values (negative 0.94 and positive 0.81). The scale was invariant between the sexes.
The data suggest that PMHSS-24 may be a useful scale for the initial screening of the stereotypes exhibited by adolescents toward people with mental illness.
目前，人们对旨在减少青少年对情绪困难人群的污名化干预措施越来越感兴趣。不幸的是，目前可用的评估这些年龄段污名的西班牙语量表数量有限。本文旨在对同龄人对心理健康的污名化态度量表（Peer Mental Health Stigmatization Scale PMHSS-24）进行改编和验证。
共有 443 名 13 至 17 岁的青少年（46.6%为女性，53.7%为男性）（M=14.64；SD=0.83）参与了义务教育 3 年级和 4 年级的学习。计算了测试的内部一致性，对一半的样本进行了探索性因素分析（EFA），对另一半进行了验证性因素分析（CFA），并发现了通过性别的测量的不变性。
EFA 显示，负量表有两个因素结构（解释了 53%的方差），正量表有另外两个因素结构（解释了 62%的方差）。CFA 以适当的拟合度指标（CFI>0.95；NNFI>0.95，SRMR<0.08，RMSEA<0.08）验证了因素结构。因子负荷范围从 0.49 到 0.89，α因子相关系数为 r=0.53 和 0.45。两个分量表都表现出最佳的α值（负量表为 0.94，正量表为 0.81）。该量表在性别间具有不变性。
数据表明，PMHSS-24 可能是一种有用的量表，可以初步筛选青少年对精神疾病患者表现出的刻板印象。
