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Self-Stigma in Relatives of people with Mental Illness scale: development and validation

  • E. Morris (a1), C. Hippman (a2), G. Murray (a3), E.E. Michalak (a1), J.E. Boyd (a4), J. Livingston (a5), A. Inglis (a6), P. Carrion (a1) and J. Austin (a6)...

Abstract

Background

Serious mental illness (SMI) is profoundly stigmatised, such that there is even an impact on relatives of people with SMI.

Aims

To develop and validate a scale to comprehensively measure self-stigma among first-degree relatives of individuals with SMI.

Method

We conducted group interviews focusing on self-stigma with first-degree relatives (n = 20) of people with SMI, from which 74 representative quotations were reframed as Likert-type items. Cognitive interviews with relatives (n = 11) identified 30 items for the Self-Stigma in Relatives of people with Mental Illness (SSRMI) scale. Relatives (n = 195) completed the scale twice, a month apart, together with four external correlate scales.

Results

The 30-item SSRMI was reliable, with scores stable over time. Its single-factor structure allowed generation of a 10-item version. Construct validity of 30- and 10-item versions was supported by expected relationships with external correlates.

Conclusions

Both versions of the SSRMI scale are valid and reliable instruments appropriate for use in clinical and research contexts.

Declaration of interest

None.

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Copyright

Corresponding author

Correspondence: Jehannine C. Austin, Rm A3-112, University of British Columbia, 938 W 28th Ave, Vancouver, BC, Canada V5Z 4H4. Email: jehannine.austin@ubc.ca

References

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Self-Stigma in Relatives of people with Mental Illness scale: development and validation

  • E. Morris (a1), C. Hippman (a2), G. Murray (a3), E.E. Michalak (a1), J.E. Boyd (a4), J. Livingston (a5), A. Inglis (a6), P. Carrion (a1) and J. Austin (a6)...

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Self-Stigma in Relatives of people with Mental Illness scale: development and validation

  • E. Morris (a1), C. Hippman (a2), G. Murray (a3), E.E. Michalak (a1), J.E. Boyd (a4), J. Livingston (a5), A. Inglis (a6), P. Carrion (a1) and J. Austin (a6)...
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