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Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions
E. Brohan, G. Thornicroft, N. Rüsch, A. Lasalvia, MM. Campbell, Ö. Yalçınkaya-Alkar, M. Lanfredi, S. Ochoa, A. Üçok, C. Tomás, B. Fadipe, J. Sebes, A. Fiorillo, G. Sampogna, CS. Paula, L. Valverde, G. Schomerus, P. Klemm, U. Ouali, S. Castelein,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
Department of Health - United Kingdom
R01 MH100470
NIMH NIH HHS - United States
MR/S001255/1
Medical Research Council - United Kingdom
MR/R023697/1
Medical Research Council - United Kingdom
NLK
ProQuest Central
od 2001-01-01
Nursing & Allied Health Database (ProQuest)
od 2001-01-01
Health & Medicine (ProQuest)
od 2001-01-01
Psychology Database (ProQuest)
od 2001-01-01
- MeSH
- duševní poruchy * diagnóza MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- psychometrie MeSH
- reprodukovatelnost výsledků MeSH
- sebevražedné myšlenky MeSH
- společenské stigma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: The Discrimination and Stigma Scale (DISC) is a patient-reported outcome measure which assesses experiences of discrimination among persons with a mental illness globally. METHODS: This study evaluated whether the psychometric properties of a short-form version, DISC-Ultra Short (DISCUS) (11-item), could be replicated in a sample of people with a wide range of mental disorders from 21 sites in 15 countries/territories, across six global regions. The frequency of experienced discrimination was reported. Scaling assumptions (confirmatory factor analysis, inter-item and item-total correlations), reliability (internal consistency) and validity (convergent validity, known groups method) were investigated in each region, and by diagnosis group. RESULTS: 1195 people participated. The most frequently reported experiences of discrimination were being shunned or avoided at work (48.7%) and discrimination in making or keeping friends (47.2%). Confirmatory factor analysis supported a unidimensional model across all six regions and five diagnosis groups. Convergent validity was confirmed in the total sample and within all regions [ Internalised Stigma of Mental Illness (ISMI-10): 0.28-0.67, stopping self: 0.54-0.72, stigma consciousness: -0.32-0.57], as was internal consistency reliability (α = 0.74-0.84). Known groups validity was established in the global sample with levels of experienced discrimination significantly higher for those experiencing higher depression [Patient Health Questionnaire (PHQ)-2: p < 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p < 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p < 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p < 0.001]. CONCLUSIONS: The DISCUS is a reliable and valid unidimensional measure of experienced discrimination for use in global settings with similar properties to the longer DISC. It offers a brief assessment of experienced discrimination for use in clinical and research settings.
Center for Health Technology and Services Research University of Porto Porto Portugal
Center for Innovative Care and Health Technology Polytechnic Institute of Leiria Leiria Portugal
Department of Health Psychology Chang Jung Christian University Tainan Taiwan
Department of Psychiatry 2 Ulm University and BKH Günzburg Günzburg Germany
Department of Psychiatry Chi Mei Medical Center Tainan Taiwan
Department of Psychiatry Government Medical College Nizamabad Telangana State India
Department of Psychiatry Istanbul Faculty of Medicine Istanbul Turkey
Department of Psychiatry Lagos University Teaching Hospital Lagos Nigeria
Department of Psychiatry Medical Faculty Greifswald University Greifswald Germany
Department of Psychiatry University of Campania L Vanvitelli Naples Italy
Department of Psychiatry University of Leipzig Medical Center Leipzig Germany
Department of Psychology Ankara Yıldırım Beyazıt University Ankara Turkey
Department of Psychology Rhodes University Makhanda South Africa
Department of Psychotic Disorders GGZ Drenthe Mental Health Institute Assen The Netherlands
Department of Public Mental Health National Institute of Mental Health Klecany Czech Republic
Department Psychiatry A Razi Hospital La Manouba Tunisia
Developmental Disorder Program Mackenzie Presbyterian University São Paulo Brazil
Faculty of Behavioural and Social Sciences University of Groningen Groningen The Netherlands
Faculty of Medicine of Tunis University Tunis El Manar Tunisia
Faculty of Social Sciences Charles University Prague Czech Republic
Lentis Research Lentis Psychiatric Institute Groningen The Netherlands
Parc Sanitari Sant Joan de Déu CIBERSAM Barcelona Spain
Personal Social Services Research Unit London School of Economics and Political Science London UK
The Affiliated Brain Hospital of Guangzhou Medical University Guangzhou China
Unit of Psychiatry IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli Brescia Italy
Citace poskytuje Crossref.org
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