Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F23%3A43920871" target="_blank" >RIV/00023752:_____/23:43920871 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11230/23:10454613
Result on the web
<a href="https://www.cambridge.org/core/journals/psychological-medicine/article/measuring-discrimination-experienced-by-people-with-a-mental-illness-replication-of-the-shortform-discus-in-six-world-regions/563387E20AA7B2A1D392E953E7D4C20B" target="_blank" >https://www.cambridge.org/core/journals/psychological-medicine/article/measuring-discrimination-experienced-by-people-with-a-mental-illness-replication-of-the-shortform-discus-in-six-world-regions/563387E20AA7B2A1D392E953E7D4C20B</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1017/S0033291722000630" target="_blank" >10.1017/S0033291722000630</a>
Alternative languages
Result language
angličtina
Original language name
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions
Original language description
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 (alpha = 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.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30215 - Psychiatry
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Psychological Medicine
ISSN
0033-2917
e-ISSN
1469-8978
Volume of the periodical
53
Issue of the periodical within the volume
9
Country of publishing house
US - UNITED STATES
Number of pages
11
Pages from-to
3963-3973
UT code for WoS article
000776997600001
EID of the result in the Scopus database
2-s2.0-85128268421