Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11230/23:10454613

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions

Popis výsledku v původním jazyce

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 &lt; 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p &lt; 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p &lt; 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p &lt; 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.

Název v anglickém jazyce

Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions

Popis výsledku anglicky

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 &lt; 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p &lt; 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p &lt; 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p &lt; 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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30215 - Psychiatry

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Psychological Medicine

ISSN

0033-2917

e-ISSN

1469-8978

Svazek periodika

53

Číslo periodika v rámci svazku

9

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

11

Strana od-do

3963-3973

Kód UT WoS článku

000776997600001

EID výsledku v databázi Scopus

2-s2.0-85128268421