The Validity and Reliability of the Korean Version of the Stigma Scale for Chronic Illness 8-Items (SSCI-8) in Patients with Neurological Disorders

Yoo, Sung Hee; Kim, Sung Reul; So, Hyang Sook; Chung, Hyang In Cho; Chae, Duckhee; Kim, Myeong Kyu; Kim, Byeong C.; Park, Man‐Seok; Lee, Seung-Han; Nam, Tai‐Seung; Correia, Helena; Cella, David

doi:10.1007/s12529-016-9593-4

Cited by 7 publications

(9 citation statements)

References 20 publications

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“…In terms of reliability, the study results indicated that SSCI-7 has desirable internal consistency both in total scale and the subscales. For the total scale, it was consistent with the results of the original study (Molina et al, 2013) and the study on Korean patients with neurological disorders (Yoo et al, 2017). Moreover, the AVE index above 0.5 for the total scale and each subscale demonstrated that each item could contribute to a high amount of variances of the scale (Hair et al, 2010).…”

Section: Discussionsupporting

confidence: 83%

“…In contrary, the original study by Molina et al, using item response theory indicated unidimensionality of the scale among patients with different neurological disorders (Molina et al, 2013). A study from Korea aiming to validate the scale among patients with neurological disorders also yielded a unidimensional factor structure encompassing both enacted and internalized stigma (Yoo et al, 2017). This disparity suggests that the stigmatism of different conditions might entail dissimilar structures, as it contains differences in terms of impact (Else-Quest et al, 2009).…”

Section: Discussionmentioning

confidence: 95%

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Translation and Factor Analysis of the Stigma Scale for Chronic Illnesses 8-Item Version Among Iranian Women With Breast Cancer

Daryaafzoon

Amini-Tehrani

Zohrevandi

et al. 2020

Asian Pac J Cancer Prev

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Background: Cancer stigma is rarely addressed among Iranian population and patients. The current study aimed at translating and examining the construct validity of the stigma scale for chronic illnesses 8-item (SSCI-8) among Iranian women with breast cancer. Methods: In the current study, a total of 223 patients aged 19-75 years were recruited from three cancer centers in Tehran, Iran, from 2014 to 2015. Forward-backward translation method was used. The itemtotal correlation was evaluated. Exploratory factor analysis employing maximum likelihood method and direct Oblimin rotation was conducted. Reliability was assessed using composite reliability (CR). Average variance explained (AVE) was used for convergent/divergent validity. Results: The items mean was 1.47 (0.19), the scale mean 11.75 (5.57); the inter-item correlations were positive and significant (P <0.0001). A two-factor solution with seven eligible items (five for enacted and two for internalized stigma) showed the model fitness. The CR for the total scale, as well as enacted and internalized facets was 0.78, 0.89, and 0.79, respectively; the AVE was 0.66 for each latent variable. Conclusion: The Persian version of SSCI-7 was found as a reliable and valid abbreviated instrument to assess experiences of enacted and internalized stigma among Iranian women with breast cancer.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 95%

Translation and Factor Analysis of the Stigma Scale for Chronic Illnesses 8-Item Version Among Iranian Women With Breast Cancer

Daryaafzoon

Amini-Tehrani

Zohrevandi

et al. 2020

Asian Pac J Cancer Prev

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“…The overall Cronbach α reliability would not be improved by removing any item (change ies. 9,23 Combining the internal reliability found in the present and previous studies, the pooled Cronbach α is 0.89 (95% CIs, 0.88-0.90). Molina et al 9 and Yoo et al 23 do not provide factor loadings from CFA for comparison with ours.…”

Section: Internal Reliabilitysupporting

confidence: 66%

“…9,23 Combining the internal reliability found in the present and previous studies, the pooled Cronbach α is 0.89 (95% CIs, 0.88-0.90). Molina et al 9 and Yoo et al 23 do not provide factor loadings from CFA for comparison with ours. However, the results of the three studies converge on the existence of a unidimensional structure underlying the stigma construct as evaluated using the SSCI-8.…”

Section: Internal Reliabilitysupporting

confidence: 66%

Assessing Stigma in Multiple Sclerosis

Ballesteros¹,

Martínez-Ginés²,

García-Domínguez³

et al. 2019

International Journal of MS Care

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Background: The stigma associated with neurologic disorders plays a part in poor health-related quality of life. The eight-item Stigma Scale for Chronic Illness (SSCI-8) is a brief self-assessment tool for measuring perceived level of stigma. The psychometric performance of the SSCI-8 in people with multiple sclerosis (MS) was assessed. Methods: A multicenter, cross-sectional study in adults with relapsing-remitting or primary progressive MS was performed. A nonparametric item response theory procedure, Mokken analysis, was done to preliminarily study the dimensional structure of the SSCI-8. A confirmatory factor analysis (CFA) model was then fit, and the behavior and information covered by the eight items were assessed by parametric item response theory analysis. Results: A total of 201 patients (mean ± SD age, 43.9 ± 10.5 years; 60.2% female; 86.1% with relapsing-remitting MS) were studied. The Mokken analysis found that the SSCI-8 is a unidimensional strong scale (scalability index H = 0.56) with high reliability (Cronbach α = 0.88). The CFA model confirmed the unidimensionality (comparative fit index = 0.975, root mean square error of approximation = 0.077). The information covered by the SSCI-8 items ranges from 3.79 to 13.52, for a total of 66.56. More than half (66%) of the SSCI-8 overall information is conveyed by four items: 1 (“Some people avoided me”), 2 (“I felt left out of things”), 3 (“People avoided looking at me”), and 7 (“People were unkind to me”). Conclusions: The SSCI-8 shows appropriate psychometric characteristics and is, therefore, a useful instrument for assessing stigma in people with MS.

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“…Mindez szükségessé teszi a krónikus megbetegedések kapcsán a stigmatizáció felismerését és felmérését. Jelenleg két rövid stigmatizáció-kérdőív áll rendelkezésünkre, a Krónikus Betegségekben Anticipált Stigma Skála (Chronic Illness Anticipated Stigma Scale -CIASS; [3]), valamint a 8 tételes Stigmatizáció Krónikus Betegségekben Kérdőív (Stigma Scale for Chronic Illness -8, SSCI-8; [10][11][12]). A CIASS [3] a stigmatizáció felmérésének 12 tételes, megbízható mérőeszköze, azonban csupán az egyik stigmatizációfaktor, az ún.…”

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A szégyen mediációs szerepe a stigma és az életminőség kapcsolatában coeliakiában szenvedő betegek körében.

Szőcs

Horváth

Vizin

2021

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Összefoglaló. Bevezetés: A coeliakia és a kapcsolódó terhek befolyásolják az érintettek életminőségét. A krónikus betegségekkel járó stigmatizáció hozzájárul a fizikai tünetek és a lelki panaszok fokozódásához, valamint az egészségmagatartás csökkenéséhez. Mindez szükségessé teszi a krónikus megbetegedések kapcsán a stigmatizáció felismerését, felmérését és kezelését. Célkitűzések: Fő célunk a 8 tételes Stigmatizáció Krónikus Betegségekben Kérdőív (SSCI-8) magyar adaptációja és pszichometriai vizsgálata volt coeliakiások körében. További célunk volt megvizsgálni a szégyen közvetítő szerepét a stigmatizáció és a jóllét között. Módszerek: A kutatás önbeszámolós, online kérdőíves, keresztmetszeti vizsgálatként zajlott (n = 85, átlagéletkor: 37,64, 91,8% nő). Az SSCI-8 mellett felvételre kerültek a szégyenélményt, a coeliakiás életminőséget, a jóllétet mérő kérdőívek. A kutatási célok tesztelése megerősítő faktorelemzéssel, korrelációs és mediációs elemzésekkel történt. Eredmények: Az SSCI-8 faktorelemzése során az egydimenziós modell megfelelő illeszkedést mutatott magas belső konzisztenciaértékek mellett. A mediációs modellek szerint a magasabb stigmatizáció a magasabb szégyenélményen keresztül járulhat hozzá a pszichés jóllét (coeliakiás életminőség, jóllét) csökkenéséhez. Megbeszélés: Az SSCI-8 rövid, átfogó kérdőívként megbízhatóan és érvényesen mérte a krónikus betegségben tapasztalt stigmatizációt a jelen coeliakiás mintán. Eredményeink alátámasztják, hogy a stigmatizáció és a szégyen fontos szerepet tölt be a jóllét csökkenésében. Következtetés: A nemzetközileg széles körben alkalmazott SSCI-8 adaptálására került sor, mely hazai kutatásokban és az egészségügyi ellátásban is hasznos mérőeszköz lehet. Az eredmények rávilágítanak, hogy a stigmatizáció és a szégyenélmény további kutatása szükséges, különösen a hatékony pszichoszociális intervenciók kifejlesztését megcélozva. Hatékony pszichológiai segítség révén a szégyen és a stigmatizáltság mérséklésével javulhat a coeliakiával élők fizikai és lelki állapota, ami a gluténmentes diéta betartása révén hozzájárulhat a betegség okozta tünetek és szövődmények mérsékléséhez. Orv Hetil. 2021; 162(49): 1968–1976. Summary. Introduction: Coeliac disease can detrimentally affect well-being. Stigmatization related to a chronic disease can enhance physical and psychological symptoms and negatively influence health behaviour, hence, stigma in chronic diseases needs to be addressed. Objectives: Our main goal was to psychometrically evaluate the Hungarian adaptation of the Stigma Scale for Chronic Illness-8 (SSCI-8). Further aim was to examine the mediating role of shame on the relationship between stigmatization and well-being aspects among individuals with coeliac disease. Methods: This cross-sectional study collected data using online questionnaires based on self-reports (n = 85, mean age: 37.64 years, 91.8% women). Instruments assessed levels of stigmatization, shame experience, quality of life in coeliac disease and well-being. Confirmatory factor, correlation and mediation analyses were used. Results: Factor analysis showed adequate fit for a unidimensional model with high internal consistency. Mediation models showed that higher levels of stigmatization can contribute to decreased levels of quality of life in coeliac disease and well-being via increased levels of shame. Discussion: The SSCI-8 is a short, valid, reliable instrument measuring stigmatization in the current sample of people with coeliac disease. The results highlight the role of stigma and shame in the decrease of well-being. Conclusion: The adapted version of the SSCI-8 can be a useful tool in Hungarian research and healthcare. The results suggest that stigmatization and shame need further attention to develop effective intervention which can reduce their effect and enhance adherence to gluten-free diet and improve physical and psychological well-being. Orv Hetil. 2021; 162(49): 1968–1976.

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The Validity and Reliability of the Korean Version of the Stigma Scale for Chronic Illness 8-Items (SSCI-8) in Patients with Neurological Disorders

Abstract: This study shows that the Korean SSCI-8 is a unidimensional model, even though it includes items of both enacted and internalized stigma. It is both reliable and valid for assessing stigma among Korean patients with neurological disease.

Cited by 7 publications

References 20 publications

Translation and Factor Analysis of the Stigma Scale for Chronic Illnesses 8-Item Version Among Iranian Women With Breast Cancer

Translation and Factor Analysis of the Stigma Scale for Chronic Illnesses 8-Item Version Among Iranian Women With Breast Cancer

Assessing Stigma in Multiple Sclerosis

A szégyen mediációs szerepe a stigma és az életminőség kapcsolatában coeliakiában szenvedő betegek körében.

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