Stigma and Depression Treatment Utilization Among Latinos: Utility of Four Stigma Measures
Stigma and Depression Treatment Utilization Among Latinos: Utility of Four Stigma Measures
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DOI：
10.1176/ps.2010.61.4.373
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发表时间：
2010-04-01
影响因子：
3.8
通讯作者：
Vega, William A.
中科院分区：
文献类型：
--
作者：
Interian, Alejandro;Ang, Alfonso;Vega, William A.
目标：与精神疾病相关的耻辱是拉丁裔中一个重要但尚未得到充分研究的问题。这项研究以讲西班牙语的拉丁裔初级保健患者为样本，研究了四种耻辱测量的心理测量特性。该研究评估了感知歧视贬值量表（PDD）、心理健康保健耻辱感担忧量表（SCMHC）、拉丁裔抗抑郁药物耻辱量表（LSAS）和社交距离（SD）量表。 Methods: Participants (N=200) were low-income Latinos who were screened for depression with the Patient Health Questionnaire (PHQ-2) and asked about their depression treatment history, and they completed the four stigma measures at two time points (25 and 30 months from baseline).检查了四种污名测量的内部一致性、收敛效度、结构效度和标准相关效度。结果：因素分析结果总体上为措施的结构效度提供了支持。四个耻辱度量还证明了两个时间点之间的内部一致性。 Patients who reported greater social distance from individuals with depression were more likely to have been receiving treatment for emotional care in the past three months (odds ratio [OR]=.70, p
Objectives: Stigma associated with mental illness is an important yet understudied issue among Latinos. This study examined the psychometric properties of four stigma measures with a sample of Spanish-speaking Latino primary care patients. The study evaluated the scale for Perceived Discrimination Devaluation (PDD), the Stigma Concerns About Mental Health Care (SCMHC) scale, the Latino Scale for Antidepressant Stigma (LSAS), and the Social Distance (SD) scale. Methods: Participants (N=200) were low-income Latinos who were screened for depression with the Patient Health Questionnaire (PHQ-2) and asked about their depression treatment history, and they completed the four stigma measures at two time points (25 and 30 months from baseline). The four stigma measures were examined for internal consistency, convergent validity, construct validity, and criterion-related validity. Results: The factor-analytic results generally provided support for the construct validity of the measures. The four stigma measures also demonstrated internal consistency between two time points. Patients who reported greater social distance from individuals with depression were more likely to have been receiving treatment for emotional care in the past three months (odds ratio [OR]=.70, p