Development of the Family Stigma Stress Scale (FSSS) for Detecting Stigma Stress in Caregivers of People With Mental Illness

被引:23
作者
Chang, Chih-Cheng [1 ,2 ,3 ]
Su, Jian-An [4 ,5 ,6 ]
Chang, Kun-Chia [7 ,8 ]
Lin, Chung-Ying [9 ]
Koschorke, Mirja [2 ]
Ruesch, Nicolas [10 ,11 ]
Thornicroft, Graham [2 ]
机构
[1] Chi Mei Med Ctr, Dept Psychiat, Tainan, Taiwan
[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, Hlth Serv & Populat Res Dept, London, England
[3] Chang Jung Christian Univ, Dept Hlth Psychol, Tainan, Taiwan
[4] Chiayi Chang Gung Mem Hosp, Chang Gung Med Fdn, Dept Psychiat, Chiayi, Taiwan
[5] Chang Gung Univ, Sch Med, Taoyuan, Taiwan
[6] Chang Gung Inst Technol, Dept Nursing, Taoyuan, Taiwan
[7] Minist Hlth & Welf, Jianan Psychiat Ctr, Tainan, Taiwan
[8] Natl Cheng Kung Univ, Coll Med, Dept Publ Hlth, Tainan, Taiwan
[9] Hong Kong Polytech Univ, Dept Rehabil Sci, Fac Hlth & Social Sci, Hong Kong, Peoples R China
[10] Univ Ulm, Dept Psychiat 2, Ulm, Germany
[11] BKH Gunzburg, Gunzburg, Germany
关键词
caregiver; Chinese culture; family member; severe mental illness; stigma stress; SELF-STIGMA; MULTIDIMENSIONAL SCALE; AFFILIATE STIGMA; YOUNG-PEOPLE; SOCIAL SUPPORT; COPING MODEL; ESTEEM; HEALTH; RISK; INTERVENTION;
D O I
10.1177/0163278717745658
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
People with mental illness and their family caregivers often perceive public stigma, which may lead to stigma-related stress (or stigma stress). However, no instruments have been developed to measure this stress for family caregivers of people with mental illness. We modified an instrument that measures the stigma stress of people with mental illness (i.e., the cognitive appraisal of stigma as a stressor) and examined the psychometric properties of the scores of the newly developed instrument: the Family Stigma Stress Scale (FSSS). Primary family caregivers of people with mental illness in Southern Taiwan (n = 300; mean age = 53.08 +/- 13.80; 136 males) completed the FSSS. An exploratory factor analysis showed that the FSSS score had two factors; both factor scores had excellent internal consistency (alpha = .913 and .814) and adequate test-retest reliability (r = .627 and .533; n = 197). Significant correlations between FSSS factor scores and other instruments supported its concurrent validity and the ability of the FSSS to differentiate between clinical characteristics, for example, having been previously hospitalized or not. The FSSS is a brief and effective measure of the stigma stress of family caregivers of people with mental illness.
引用
收藏
页码:148 / 168
页数:21
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