Measuring stigma in children receiving mental health treatment: Validation of the Paediatric Self-Stigmatization Scale (PaedS)

European Psychiatry - Tập 43 - Trang 1-8 - 2017
A. Kaushik1, E. Papachristou2, D. Dima3,4,5, S. Fewings1, E. Kostaki1, G.B. Ploubidis6, M. Kyriakopoulos1,5,7
1National and Specialist Acorn Lodge Inpatient Children Unit, South London and Maudsley NHS Foundation Trust, London, UK
2Department of Primary Care & Population Health, University College London, London, UK
3Department of Psychology, School of Arts and Social Sciences, City University London, London, UK
4Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
5Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, USA
6Centre for Longitudinal Studies, Department of Social Science, University College London, London, UK
7Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK

Tóm tắt

AbstractBackground:Research on the impact of stigma associated with mental illness in children is scarce. Considering the known negative effects of stigma associated with mental illness in adults, it is crucial to explore the stigma experienced by children who access mental health treatment. However, no scale measuring self-stigmatization in younger children is available to date. This study aimed to develop and validate such a scale, the Paediatric Self-Stigmatization Scale (PaedS).Methods:A total of 156 children (119 receiving outpatient and 37 receiving inpatient treatment), aged 8–12 years, completed the PaedS, the Self-Perception Profile for Children and the Pediatric Quality of Life Inventory (PedsQL – Child Report, ages 8–12). In addition, parents completed the PedsQL (Parent Report for Children, ages 8–12), the Strengths and Difficulties Questionnaire (SDQ) and a modified subscale of the PaedS measuring the children's rejection by others due to their mental health difficulties.Results:A confirmatory factor analysis showed that a four-factor structure, comprising Societal Devaluation, Personal Rejection, Self-Stigma and Secrecy scales, had excellent fit to the data (CFI = 0.95; TLI = 0.95; RMSEA = 0.05). Child-reported PaedS scores were positively correlated with parental-reported PaedS scores and negatively with PedsQL, the SDQ, and 5 out of 6 subscales of the Self-Perception Profile for Children, suggesting adequate convergent validity (all P-values < 0.05).Conclusions:The PaedS is a valid instrument, which is hoped to advance the understanding of self-stigmatization in children with mental health difficulties and contribute to its prevention.

Tài liệu tham khảo

10.1016/j.eurpsy.2005.04.004 Harter, 1985, Manual of the Self-Perception Profile for Children 10.1016/j.adolescence.2015.03.008 10.1016/S0140-6736(13)61611-6 10.1001/archpsyc.1983.01790100074010 2014, Achieving better access to mental health services by 2020 10.1016/j.psychres.2016.04.042 10.1002/9781118619179 10.1007/BF02294210 10.1186/1472-6963-7-97 Gleser, 1996, Comment on “Bootstrapping confidence intervals” by T.J. DiCiccio and B. Efron, Stat Sci, 11, 219 10.1111/j.1469-7610.1997.tb01545.x 10.1007/978-1-4899-4541-9 10.1177/002214650704800104 10.1016/0304-4076(83)90093-3 10.1111/j.1469-7610.2012.02580.x Brown, 2006, Confirmatory factor analysis for applied research 10.1016/S0140-6736(15)60692-4 10.1177/1094428107300343 StataCorp, 2015, Stata statistical software: Release 14 10.1207/s15327906mbr3901_4 Goffman, 1963, Stigma: notes on the management of spoiled identity 10.1080/10705519909540118 10.1111/j.1469-7610.2010.02351.x 10.1007/s11136-010-9606-8 10.1007/s10597-010-9325-1 Stengård, 2010, Mental health promotion in young people – an investment for the future 10.1111/camh.12088 Muthén, 1998–2011, Mplus User's Guide 10.1097/00005650-200108000-00006 10.1016/j.socscimed.2010.09.030 10.2307/1129640 10.1037/a0015696 10.1111/j.1475-3588.2005.00108.x 10.1207/s15327574ijt0502_4
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European Psychiatry

Tập 43

1-8

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