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对精神疾病的污名化:《医疗服务提供者开放心态污名量表》(OMS-HC)在葡萄牙的验证

The stigma towards mental illness: Portuguese validation of the Opening Minds Stigma Scale for Healthcare Providers (OMS-HC).

作者信息

Moreira Maria Beatriz P, Pereira Helena P, Torres Inês N, Marina Sílvia, Ricou Miguel

机构信息

Faculty of Medicine, University of Porto, Porto, Portugal.

Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal.

出版信息

Front Psychol. 2024 Mar 7;15:1359483. doi: 10.3389/fpsyg.2024.1359483. eCollection 2024.

DOI:10.3389/fpsyg.2024.1359483
PMID:38515965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10955081/
Abstract

BACKGROUND

Stigma toward mental illness significantly contributes to a lower quality of healthcare that can be provided. There are few studies on this topic in Portugal, so validating a scale that can evaluate and study the stigma is paramount. The aim of this study was to validate the Opening Minds Stigma Scale for Portuguese healthcare professionals.

METHODS

A total of 503 participants were included in this study, and the majority was female (81.1%). The sample consisted mainly of psychologists (39.4%) and physicians (30.8%). Reliability and validity analyses were conducted and included exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).

RESULTS

Our results suggest that a 12-item model was the most appropriate (RMSEA = 0.026, SRMR = 0.057, CFI = 0.979, TLI = 0.973, GFI = 0.955) compared to our 15-item model and the original model. Items 8, 9 and 10 were removed. The 12-item scale's internal consistency was adequate (α = 0.71; ω = 0.72).

CONCLUSION

The 12-item model of the scale showed good reliability and validity and is appropriate for use with Portuguese healthcare professionals.

摘要

背景

对精神疾病的污名化显著导致可提供的医疗保健质量降低。葡萄牙关于这一主题的研究很少,因此验证一个能够评估和研究污名化的量表至关重要。本研究的目的是验证葡萄牙医疗保健专业人员的“开放思维污名化量表”。

方法

本研究共纳入503名参与者,大多数为女性(81.1%)。样本主要由心理学家(39.4%)和医生(30.8%)组成。进行了信效度分析,包括探索性因子分析(EFA)和验证性因子分析(CFA)。

结果

我们的结果表明,与我们的15项模型和原始模型相比,一个12项模型最为合适(RMSEA = 0.026,SRMR = 0.057,CFI = 0.979,TLI = 0.973, GFI = 0.955)。删除了第8项、第9项和第10项。该12项量表的内部一致性良好(α = 0.71;ω = 0.72)。

结论

该量表的12项模型显示出良好信效度且适用于葡萄牙医疗保健专业人员使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0b/10955081/c6fb76459718/fpsyg-15-1359483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0b/10955081/6f41da6c9ae3/fpsyg-15-1359483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0b/10955081/c6fb76459718/fpsyg-15-1359483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0b/10955081/6f41da6c9ae3/fpsyg-15-1359483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0b/10955081/c6fb76459718/fpsyg-15-1359483-g002.jpg

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Healthcare (Basel). 2023 Apr 6;11(7):1049. doi: 10.3390/healthcare11071049.
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Attitude of Iranian medical specialty trainees toward providing health care services to patients with mental disorders.
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Mental-Illness-Related Stigma in Health Care in South India: Mixed-Methods Study.印度南部医疗保健中与精神疾病相关的耻辱感:混合方法研究。
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