精神疾病污名感受量表及其短版之心理計量特性

Psychometric Properties of the Perceived Psychiatric Stigma Scale and Its Short Version

韓德彥(Der-Yan Han) ； 陳淑惠(Sue-Huei Chen)

《中華心理衛生學刊》 21卷3期 (2008/09) Pp. 273-290

https://doi.org/10.30074/FJMH.200809_21(3).0003

摘要

研究目的：精神疾病污名影響華人患者的症狀表現與疾病行為甚鉅，但目前仍缺乏本土社會下所發展的精神疾病污名自填量表。研究方法：本研究透過文獻查證及訪談，針對華人社會特性，編製「精神疾病污名感受量表」共25題，並以精神科門診255名患者與住院患者34名為樣本，建立量表信、效度。研究結果：量表內部一致性為。94，隔週再測信度為。90；量表因素分為「他人排斥貶抑」、「婚配阻礙」及「自設負面標籤」三項，嚴重型精神病患的得分顯著高於輕型患者，且病患污名感受較強者，其隔週後的自尊得分較低。以項目因素負荷量之考量所擬定的短版量表共有12題，信、效度同樣表現良好。研究結論：整體而言，本量表適合用來評估華人社會中，個體所感受到的精神疾病污名，臨床服務與病理研究皆可適用。

關鍵字

精神疾病污名感受量表 ； 精神疾病 ； 污名 ； 生病行為

並列摘要

Purpose: The psychiatric stigma greatly affects symptom manifestation and illness behaviors of Chinese patients. However, there is still lacking a self-report scale that may be helpful for empirical research. Methods: Through literature review and case interviews, the present study aimed to embrace the Chinese characteristics into assessment tool and developed a 25-item Perceived Psychiatric Stigma Scale. Data of 255 psychiatric outpatients and 34 inpatients were used to establish reliability and validity of the scale. Results: The Cronbach's α was .94 and test-retest reliability with 1-week interval was. 90. Moreover, factor analysis yielded three factors, i.e., fear of social ostracism, concerns over marital preclusion, and self-deprecation. The averaged scale score was higher in the outpatients with severe psychiatric illnesses than those with mild psychiatric illnesses, and the perceived stigma of inpatients could predict low self-esteem assessed 1 week later. The 12-item short version of the scale formed based on factor loadings was also noted to have satisfactory reliability and validity. Conclusions: To sum up, this scale and its short version are applicable to assess the perceived psychiatric stigma in Chinese societies for both clinical service and psychopathological research.

並列關鍵字

perceived psychiatric stigma scale ； mental disease ； illness behavior ； stigma

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