+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Assessment of perceived mental health-related stigma: The Stigma-9 Questionnaire (STIG-9)

Assessment of perceived mental health-related stigma: The Stigma-9 Questionnaire (STIG-9)

Psychiatry Research 270: 822-830

Mental health-related stigma is common and inhibits help-seeking. It triggers fears of devaluation and can add to the burden of a mental disorder. To counter the consequences of mental health-related stigma, its sound assessment is crucial. Therefore, we developed a new measure, the Stigma-9 Questionnaire (STIG-9), and evaluated its psychometric properties and applicability in patients with mental disorders. Item development was based on the modified labelling theory, psychometric reasoning, and discussion with focus groups including patients and clinicians. Data from 919 consecutive patients from an outpatient clinic for mental disorders (69% female, mean age 41 (SD = 14) years) was used to psychometrically evaluate the measure. The STIG-9 consists of nine items assessing cognitive, behavioural and affective aspects of perceived mental health-related stigma. Higher scores indicate stronger expectations of negative societal beliefs, feelings, and behaviours towards 'mentally ill' people. Confirmatory factor analysis revealed a single factor structure. The scale showed high internal consistency. Male gender, social impairment and higher levels of psychopathology corresponded with higher STIG-9 scores. The STIG-9 is a new, theory-grounded, patient-oriented and psychometrically promising self-report measure of perceived mental health-related stigma. It is brief, comprehensive, and appears to be well accepted by patients with mental disorders.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 066008355

Download citation: RISBibTeXText

PMID: 30551331

DOI: 10.1016/j.psychres.2018.10.026

Related references

Association between perceived social stigma against mental disorders and use of health services for psychological distress symptoms in the older adult population: validity of the STIG scale. Aging and Mental Health 19(5): 464-474, 2015

Perceived provider stigma as a predictor of mental health service users' internalized stigma and disempowerment. Psychiatry Research 259: 526-531, 2018

Comparing perceived public stigma and personal stigma of mental health treatment seeking in a young adult sample. Psychiatry Research 219(1): 143-150, 2014

The Role Of Stigma Coping And Social Support In Mediating The Effect Of Societal Stigma On Internalized Stigma, Mental Health Recovery, And Quality Of Life Among People With Serious Mental Illness. Journal of Community Psychology 41(5): 582-600, 2013

Age-related self-stigma of people over 65 years old: adaptation of the Internalized Stigma of Mental Illness scale (ISMI) for use in age-related self-stigma (IS65+) in a Spanish sample. Aging and Mental Health 22(2): 250-256, 2018

How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes. Aids and Behavior 21(1): 283-291, 2017

Mental Health Related Stigma as a 'Wicked Problem': The Need to Address Stigma and Consider the Consequences. International Journal of Environmental Research and Public Health 15(6):, 2018

T1060 Perceived Stigma in Ibd: Generalizability of the Ibs Perceived Stigma Scale (Pss-Ibs) and the Role of Stigma in Psychosocial Function. Gastroenterology 134(4): A-474, 2008

Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study. Psychiatry Research 210(3): 1136-1146, 2013

Aspects of perceived stigma: the Stigma Inventory for Mental Illness, its development, latent structure and psychometric properties. Comprehensive Psychiatry 55(7): 1620-1625, 2014

How are perceived stigma, self-stigma, and self-reliance related to treatment-seeking? A three-path model. Psychiatric Rehabilitation Journal 38(2): 109-116, 2015

Assessment of stigma associated with attention-deficit hyperactivity disorder: psychometric evaluation of the ADHD stigma questionnaire. Psychiatry Research 178(2): 363-369, 2010

The Relationship Between Stigma and Health-Related Quality of Life in People Living with HIV Who Have Full Access to Antiretroviral Treatment: An Assessment of Earnshaw and Chaudoir's HIV Stigma Framework Using Empirical Data. Aids and Behavior 22(12): 3795-3806, 2018

Perceived mental health related stigma, gender, and depressive symptom severity in a psychiatric facility in South India. Asian Journal of Psychiatry 9: 73-77, 2014

Stigma, mental health, and counseling service use: A person-centered approach to mental health stigma profiles. Psychological Services 14(4): 490-501, 2017