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Br J Psychiatry. 2007 Mar;190:248-54.

The Stigma Scale: development of a standardised measure of the stigma of mental illness.

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1
Department of Mental Health Sciences, Royal Free and University College Medical School, Rowland Hill Street, London NW3 4QP, UK. m.king@medsch.ucl.ac.uk

Abstract

BACKGROUND:

There is concern about the stigma of mental illness, but it is difficult to measure stigma consistently.

AIMS:

To develop a standardised instrument to measure the stigma of mental illness.

METHOD:

We used qualitative data from interviews with mental health service users to develop a pilot scale with 42 items. We recruited 193 service users in order to standardise the scale. Of these, 93 were asked to complete the questionnaire twice, 2 weeks apart, of whom 60 (65%) did so. Items with a test-retest reliability kappa coefficient of 0.4 or greater were retained and subjected to common factor analysis.

RESULTS:

The final 28-item stigma scale has a three-factor structure: the first concerns discrimination, the second disclosure and the third potential positive aspects of mental illness. Stigma scale scores were negatively correlated with global self-esteem.

CONCLUSIONS:

This self-report questionnaire, which can be completed in 5-10 min, may help us understand more about the role of stigma of psychiatric illness in research and clinical settings.

Comment in

PMID:
17329746
DOI:
10.1192/bjp.bp.106.024638
[Indexed for MEDLINE]
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