Hayat Fozia, Brown Laura J E, Rafique Rafia
Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Institute of Applied Psychology, University of the Punjab, Lahore, Pakistan.
Aging Ment Health. 2025 Apr;29(4):696-703. doi: 10.1080/13607863.2025.2450283. Epub 2025 Jan 13.
Disease-related stigma is associated with poor mental health and wellbeing in people with Parkinson's disease. Urdu language tools for measuring stigma are not yet available. The aim of this study was therefore to develop and validate an Urdu version of the Stigma Scale for Chronic Illness-8 (SSCI-8).
The Urdu SSCI-8 was developed following the 'Functional Assessment of Chronic Illness Therapy' translation procedure. To assess its reliability and validity, 250 people diagnosed with Parkinson's disease, aged 50-65 years, completed the Urdu SSCI-8, along with Urdu versions of depression and quality of measures.
Confirmatory Factor Analysis revealed that a single factor solution provided a good fit to the data, with high internal consistency (Cronbach Alpha = 0.95), and good fit indices (RMSEA = 0.05, CFI = 0.99, TLI = 0.98, GFI = 0.96). Composite Reliability Co-efficient (0.95) and Average Variance Extracted (0.71) values indicated strong convergent reliability and validity. Scores on the Urdu SSCI-8 correlated positively with depression ( = 0.53, < 0.001), and negatively with quality of life ( = -0.61, < 0.001), indicating high levels of convergent and discriminant validity.
The Urdu SSCI-8 is a reliable, valid, and culturally appropriate tool for measuring stigma among patients with Parkinson's disease.
疾病相关的耻辱感与帕金森病患者的心理健康和幸福感不佳有关。目前尚无用于测量耻辱感的乌尔都语工具。因此，本研究的目的是开发并验证乌尔都语版的慢性病耻辱感量表-8（SSCI-8）。
乌尔都语版SSCI-8是按照“慢性病治疗功能评估”的翻译程序开发的。为了评估其信度和效度，250名年龄在50-65岁之间被诊断为帕金森病的患者完成了乌尔都语版SSCI-8，以及抑郁和生活质量测量的乌尔都语版本。
验证性因素分析表明，单因素解决方案与数据拟合良好，具有高内部一致性（克朗巴哈α系数=0.95）和良好的拟合指数（RMSEA=0.05，CFI=0.99，TLI=0.98，GFI=0.96）。组合信度系数（0.95）和平均提取方差（0.71）值表明具有很强的收敛效度和信度。乌尔都语版SSCI-8的得分与抑郁呈正相关（r=0.53，p<0.001），与生活质量呈负相关（r=-0.61，p<0.001），表明具有较高水平的收敛效度和区分效度。
乌尔都语版SSCI-8是一种可靠、有效且符合文化背景的工具，可用于测量帕金森病患者的耻辱感。
