-
Something wrong with this record ?
Psychometric properties of the Opening Minds Stigma Scale for Health Care Providers in 32 European countries - A bifactor ESEM representation
D. Őri, P. Szocsics, T. Molnár, L. Bankovska Motlova, O. Kazakova, S. Mörkl, M. Wallies, M. Abdulhakim, S. Boivin, K. Bruna, C. Cabacos, EA. Carbone, E. Dashi, G. Grech, S. Greguras, I. Ivanovic, K. Guevara, S. Kakar, K. Kotsis, IMI. Klinkby, J....
Language English Country Switzerland
Document type Multicenter Study, Journal Article, Research Support, Non-U.S. Gov't
NLK
Directory of Open Access Journals
from 2013
Free Medical Journals
from 2013
PubMed Central
from 2013
Europe PubMed Central
from 2013
Open Access Digital Library
from 2013-01-01
Open Access Digital Library
from 2013-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2013
- MeSH
- Child MeSH
- Adult MeSH
- Humans MeSH
- Attitude of Health Personnel * MeSH
- Psychometrics MeSH
- Reproducibility of Results MeSH
- Social Stigma * MeSH
- Health Personnel MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
AIMS: To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. MATERIALS AND METHODS: The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. RESULTS: A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. CONCLUSION: This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
Acute Psychiatric Department 1 Psychiatric Hospital Michalovce Michalovce Slovakia
Admission Ward State Psychiatric Hospital Gintermuiza Jelgava Latvia
Centre for Clinical Psychiatry University Psychiatric Clinic Ljubljana Ljubljana Slovenia
Centro de Investigacion Biomedica en Red de Salud Mental Instituto de Salud Carlos 3 Barcelona Spain
Child and Adolescent Psychiatry Sultanbeyli State Hospital Istanbul Türkiye
Coimbra Institute for Biomedical Imaging and Translational Research Coimbra Portugal
Department of Child and Adolescent Psychiatry Capital Region of Denmark Copenhagen Denmark
Department of Child and Adolescent Psychiatry EPSM du Finistère Sud Quimper France
Department of Clinical Psychology Ukrainian Catholic University Lviv Ukraine
Department of General Adult Psychiatry South Meath Mental Health Service Meath Ireland
Department of Medical and Surgical Sciences University Magna Græcia of Catanzaro Catanzaro Italy
Department of Mental Health Heim Pál National Pediatric Institute Budapest Hungary
Department of Neuroscience University Hospital Center Mother Theresa Tirana Albania
Department of Psychiatry Aladar Petz County Teaching Hospital Győr Hungary
Department of Psychiatry and Psychotherapy Semmelweis University Budapest Hungary
Department of Psychiatry Erasmus University Medical Center Rotterdam Netherlands
Department of Psychiatry United City Hospital N15 Baku Azerbaijan
Department of Psychiatry University of Ioannina Ioannina Greece
Department of Psychiatry Vrije Universiteit Brussel Brussels Belgium
Department of Psychology Illinois Institute of Technology Chicago IL United States
Department of Urgent and Post Urgent Psychiatry CHU Montpellier Montpellier France
Division of Medical Psychology 3rd Faculty of Medicine Charles University Prague Czechia
FIDMAG Germanes Hospitalàries Research Foundation Barcelona Spain
Hospital Benito Menni Complex Assistencial Salut Mental Sant Boi de Llobregat Spain
Inpatient Psychiatric Department 2 Psychiatric Clinic of Minsk City Minsk Belarus
Institute of Behavioural Sciences Semmelweis University Budapest Hungary
Institute of Functional Genomics University of Montpellier CNRS INSERM Montpellier France
Institute of Mental Health Belgrade Serbia
Institute of Psychological Medicine Faculty of Medicine University of Coimbra Coimbra Portugal
Mental Health Services Mount Carmel Hospital Attard Malta
Pennine Care NHS Foundation Trust Oldham United Kingdom
Psychiatric Hospital Littenheid Sirnach Switzerland
Psychiatry Department Centro Hospitalar e Universitário de Coimbra Coimbra Portugal
The Serbsky State Scientific Center for Social and Forensic Psychiatry Moscow Russia
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc23011496
- 003
- CZ-PrNML
- 005
- 20230801133104.0
- 007
- ta
- 008
- 230718s2023 sz f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.3389/fpubh.2023.1168929 $2 doi
- 035 __
- $a (PubMed)37361150
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a sz
- 100 1_
- $a Őri, Dorottya $u Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary $u Department of Mental Health, Heim Pál National Pediatric Institute, Budapest, Hungary $u Department of Psychology, Illinois Institute of Technology, Chicago, IL, United States
- 245 10
- $a Psychometric properties of the Opening Minds Stigma Scale for Health Care Providers in 32 European countries - A bifactor ESEM representation / $c D. Őri, P. Szocsics, T. Molnár, L. Bankovska Motlova, O. Kazakova, S. Mörkl, M. Wallies, M. Abdulhakim, S. Boivin, K. Bruna, C. Cabacos, EA. Carbone, E. Dashi, G. Grech, S. Greguras, I. Ivanovic, K. Guevara, S. Kakar, K. Kotsis, IMI. Klinkby, J. Maslak, S. Matheiken, A. Mirkovic, N. Nechepurenko, A. Panayi, AT. Pereira, E. Pomarol-Clotet, S. Raaj, P. Rus Prelog, J. Soler-Vidal, R. Strumila, F. Schuster, H. Kisand, A. Hargi, G. Ahmadova, M. Vircik, H. Yilmaz Kafali, N. Grinko, Z. Győrffy, S. Rózsa
- 520 9_
- $a AIMS: To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. MATERIALS AND METHODS: The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. RESULTS: A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. CONCLUSION: This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
- 650 _2
- $a dospělí $7 D000328
- 650 _2
- $a dítě $7 D002648
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a psychometrie $7 D011594
- 650 _2
- $a reprodukovatelnost výsledků $7 D015203
- 650 12
- $a postoj zdravotnického personálu $7 D001291
- 650 12
- $a společenské stigma $7 D057545
- 650 _2
- $a zdravotnický personál $7 D006282
- 655 _2
- $a multicentrická studie $7 D016448
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Szocsics, Péter $u Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
- 700 1_
- $a Molnár, Tamás $u Department of Psychiatry, Aladar Petz County Teaching Hospital, Győr, Hungary
- 700 1_
- $a Bankovska Motlova, Lucie $u Division of Medical Psychology, 3rd Faculty of Medicine, Charles University, Prague, Czechia
- 700 1_
- $a Kazakova, Olga $u Inpatient Psychiatric Department #2, Psychiatric Clinic of Minsk City, Minsk, Belarus
- 700 1_
- $a Mörkl, Sabrina $u Division of Medical Psychology, Psychosomatics and Psychotherapy, Medical University of Graz, Graz, Austria
- 700 1_
- $a Wallies, Michael $u Psychiatric Hospital Littenheid, Sirnach, Switzerland
- 700 1_
- $a Abdulhakim, Mohamed $u Department of Psychiatry, Vrije Universiteit Brussel, Brussels, Belgium
- 700 1_
- $a Boivin, Sylvie $u Department of Child and Adolescent Psychiatry, EPSM du Finistère Sud, Quimper, France
- 700 1_
- $a Bruna, Krista $u Admission Ward, State Psychiatric Hospital Gintermuiza, Jelgava, Latvia
- 700 1_
- $a Cabacos, Carolina $u Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
- 700 1_
- $a Carbone, Elvira Anna $u Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Catanzaro, Italy
- 700 1_
- $a Dashi, Elona $u Department of Neuroscience, University Hospital Center "Mother Theresa", Tirana, Albania
- 700 1_
- $a Grech, Giovanni $u Mental Health Services, Mount Carmel Hospital, Attard, Malta
- 700 1_
- $a Greguras, Stjepan $u Department of Psychiatry and Psychological Medicine, Division of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Centre Zagreb, Zagreb, Croatia
- 700 1_
- $a Ivanovic, Iva $u Department for Child Psychiatry, Clinical Centre of Montenegro, Institute for Children's Diseases, Podgorica, Montenegro
- 700 1_
- $a Guevara, Kaloyan $u Acute Detoxification Ward, State Psychiatric Hospital for Treatment of Drug Addiction and Alcoholism, Sofia, Bulgaria
- 700 1_
- $a Kakar, Selay $u Department of Psychiatry, Erasmus University Medical Center, Rotterdam, Netherlands
- 700 1_
- $a Kotsis, Konstantinos $u Department of Psychiatry, University of Ioannina, Ioannina, Greece
- 700 1_
- $a Klinkby, Ida Maria Ingeholm $u Department of Child and Adolescent Psychiatry, Capital Region of Denmark, Copenhagen, Denmark
- 700 1_
- $a Maslak, Jovana $u Institute of Mental Health, Belgrade, Serbia
- 700 1_
- $a Matheiken, Shevonne $u Pennine Care NHS Foundation Trust, Oldham, United Kingdom
- 700 1_
- $a Mirkovic, Ana $u Child Psychiatry Unit, University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
- 700 1_
- $a Nechepurenko, Nikita $u The Serbsky State Scientific Center for Social and Forensic Psychiatry, Moscow, Russia
- 700 1_
- $a Panayi, Angelis $u Freelancer, Larnaca, Cyprus
- 700 1_
- $a Pereira, Ana Telma $u Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal $u Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
- 700 1_
- $a Pomarol-Clotet, Edith $u FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain $u Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- 700 1_
- $a Raaj, Shaeraine $u Department of General Adult Psychiatry, South Meath Mental Health Service, Meath, Ireland
- 700 1_
- $a Rus Prelog, Polona $u Centre for Clinical Psychiatry, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia
- 700 1_
- $a Soler-Vidal, Joan $u FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain $u Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain $u Hospital Benito Menni, Complex Assistencial Salut Mental, Sant Boi de Llobregat, Spain
- 700 1_
- $a Strumila, Robertas $u Department of Urgent and Post Urgent Psychiatry, CHU Montpellier, Montpellier, France $u Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France $u Psychiatric Clinic, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
- 700 1_
- $a Schuster, Florian $u Klinikum rechts der Isar der Technischen Universität München: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, Munich, Germany
- 700 1_
- $a Kisand, Helena $u University of Tartu, Tartu, Estonia
- 700 1_
- $a Hargi, Ann $u University of Tartu, Tartu, Estonia
- 700 1_
- $a Ahmadova, Gumru $u Department of Psychiatry, United City Hospital N15, Baku, Azerbaijan
- 700 1_
- $a Vircik, Matus $u Acute Psychiatric Department 1, Psychiatric Hospital Michalovce, Michalovce, Slovakia
- 700 1_
- $a Yilmaz Kafali, Helin $u Child and Adolescent Psychiatry, Sultanbeyli State Hospital, Istanbul, Türkiye
- 700 1_
- $a Grinko, Natalia $u Department of Clinical Psychology, Ukrainian Catholic University, Lviv, Ukraine
- 700 1_
- $a Győrffy, Zsuzsa $u Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
- 700 1_
- $a Rózsa, Sandor $u Department of Personality and Health Psychology, Károli Gáspár University of the Reformed Church, Budapest, Hungary
- 773 0_
- $w MED00186211 $t Frontiers in public health $x 2296-2565 $g Roč. 11, č. - (2023), s. 1168929
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/37361150 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230718 $b ABA008
- 991 __
- $a 20230801133100 $b ABA008
- 999 __
- $a ok $b bmc $g 1963732 $s 1197761
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2023 $b 11 $c - $d 1168929 $e 20230503 $i 2296-2565 $m Frontiers in public health $n Front Public Health $x MED00186211
- LZP __
- $a Pubmed-20230718
