Development, validity and reliability of the “Multiple sclerosis stigma scale”

IF 2.9 3区 医学 Q2 CLINICAL NEUROLOGY Multiple sclerosis and related disorders Pub Date : 2024-10-15 DOI:10.1016/j.msard.2024.105945
Hande Sariahmetoglu , Feray Gungor , Zeynep Ezgi Kurtpinar , Devrimsel Harika Ertem , Mesrure Koseoglu , Rabia Gokcen Gozubatik Celik , Burcu Yuksel , Aysun Soysal
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Abstract

Background

Stigma in multiple sclerosis (MS) refers to the negative attitudes, beliefs, and behaviors that patients may encounter as a result of their diagnosis. Patients who hold stigmatizing beliefs are more prone to experiencing anxiety and depression, social isolation, and poor treatment adherence. To mitigate the adverse effects of stigma, it is crucial to assess stigmatizing beliefs; however, there is currently no specific stigma scale available for MS.

Objective

The aim of this study was to develop and validate “Multiple Sclerosis Stigma Scale (MSSS)”.

Methods

This methodological study was conducted in three phases. In the first phase, the concept of stigma in MS was defined. In the second phase, an item pool was generated based on the findings from the first phase. In the third phase, psychometric properties of the scale were evaluated, including face and content validity, construct validity, convergent validity and reliability.

Results

After evaluating the validity (face, content, and construct validity) and reliability, the initial item pool of 276 items was reduced to 12 items. Factor analysis revealed two factors: discrimination and disclosure. The developed questionnaire had excellent reliability, with an internal consistency coefficient of 0.88 and a stability coefficient of 0.87.

Conclusion

The 12-item MSSS is valid and reliable for assessing the level of stigma in Turkish people with MS.
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多发性硬化症耻辱感量表 "的开发、有效性和可靠性。
背景:多发性硬化症(MS)的病耻感是指患者因其诊断结果而可能遭遇的负面态度、信念和行为。持有成见的患者更容易出现焦虑和抑郁、社会隔离以及治疗依从性差等问题。为了减轻鄙视的负面影响,评估鄙视信念至关重要;然而,目前还没有专门针对多发性硬化症的鄙视量表:本研究旨在开发并验证 "多发性硬化症病耻感量表(MSSS)":本方法研究分三个阶段进行。在第一阶段,定义了多发性硬化症耻辱化的概念。在第二阶段,根据第一阶段的研究结果生成项目库。在第三阶段,对量表的心理测量特性进行了评估,包括表面效度和内容效度、建构效度、收敛效度和信度:在对效度(表面效度、内容效度和建构效度)和信度进行评估后,最初的 276 个项目被缩减为 12 个项目。因子分析显示了两个因子:歧视和披露。所编制的问卷具有良好的可靠性,内部一致性系数为 0.88,稳定性系数为 0.87:12个项目的MSSS对于评估土耳其多发性硬化症患者的成见程度是有效和可靠的。
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来源期刊
CiteScore
5.80
自引率
20.00%
发文量
814
审稿时长
66 days
期刊介绍: Multiple Sclerosis is an area of ever expanding research and escalating publications. Multiple Sclerosis and Related Disorders is a wide ranging international journal supported by key researchers from all neuroscience domains that focus on MS and associated disease of the central nervous system. The primary aim of this new journal is the rapid publication of high quality original research in the field. Important secondary aims will be timely updates and editorials on important scientific and clinical care advances, controversies in the field, and invited opinion articles from current thought leaders on topical issues. One section of the journal will focus on teaching, written to enhance the practice of community and academic neurologists involved in the care of MS patients. Summaries of key articles written for a lay audience will be provided as an on-line resource. A team of four chief editors is supported by leading section editors who will commission and appraise original and review articles concerning: clinical neurology, neuroimaging, neuropathology, neuroepidemiology, therapeutics, genetics / transcriptomics, experimental models, neuroimmunology, biomarkers, neuropsychology, neurorehabilitation, measurement scales, teaching, neuroethics and lay communication.
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