Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10400.8/9478 |
Resumo: | Financial support: IB is supported by the NIHR Biomedical Research Centre (BRC) at South London and Maudsley NHS Foundation Trust and by the NIHR Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. GT is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South London at King’s College London NHS Foundation Trust, and by the NIHR Asset Global Health Unit award. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. GT also receives support from the National Institute of Mental Health of the National Institutes of Health under award number R01MH100470 (Cobalt study). GT is supported by the UK Medical Research Council in relation to the Emilia (MR/S001255/1) and Indigo Partnership (MR/R023697/1) awards. JL is supported by the programme of community mental health service model in Guangzhou (20161A031002), which was supported by the Health and Family Planning Commission of Guangzhou Municipality. |
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Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regionsDISCUSDiscriminationGlobal mental healthPsychometricsStigmaFinancial support: IB is supported by the NIHR Biomedical Research Centre (BRC) at South London and Maudsley NHS Foundation Trust and by the NIHR Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. GT is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South London at King’s College London NHS Foundation Trust, and by the NIHR Asset Global Health Unit award. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. GT also receives support from the National Institute of Mental Health of the National Institutes of Health under award number R01MH100470 (Cobalt study). GT is supported by the UK Medical Research Council in relation to the Emilia (MR/S001255/1) and Indigo Partnership (MR/R023697/1) awards. JL is supported by the programme of community mental health service model in Guangzhou (20161A031002), which was supported by the Health and Family Planning Commission of Guangzhou Municipality.Background The Discrimination and Stigma Scale (DISC) is a patient-reported outcome measure which assesses experiences of discrimination among persons with a mental illness globally. Methods This study evaluated whether the psychometric properties of a short-form version, DISC-Ultra Short (DISCUS) (11-item), could be replicated in a sample of people with a wide range of mental disorders from 21 sites in 15 countries/territories, across six global regions. The frequency of experienced discrimination was reported. Scaling assumptions (confirmatory factor analysis, inter-item and item-total correlations), reliability (internal consistency) and validity (convergent validity, known groups method) were investigated in each region, and by diagnosis group. Results 1195 people participated. The most frequently reported experiences of discrimination were being shunned or avoided at work (48.7%) and discrimination in making or keeping friends (47.2%). Confirmatory factor analysis supported a unidimensional model across all six regions and five diagnosis groups. Convergent validity was confirmed in the total sample and within all regions [ Internalised Stigma of Mental Illness (ISMI-10): 0.28-0.67, stopping self: 0.54-0.72, stigma consciousness: -0.32-0.57], as was internal consistency reliability (α = 0.74-0.84). Known groups validity was established in the global sample with levels of experienced discrimination significantly higher for those experiencing higher depression [Patient Health Questionnaire (PHQ)-2: p < 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p < 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p < 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p < 0.001]. Conclusions The DISCUS is a reliable and valid unidimensional measure of experienced discrimination for use in global settings with similar properties to the longer DISC. It offers a brief assessment of experienced discrimination for use in clinical and research settings. Copyright © The Author(s), 2022. Published by Cambridge University Press.King's College London NHS Foundation Trust; NIHR ARC; NIHR Applied Research Collaboration South London; National Institutes of Health; National Institute of Mental Health; South London and Maudsley NHS Foundation Trust; King's College Hospital NHS Foundation Trust; Manchester Biomedical Research Centre; Medical Research Council; National Institute for Health Research; Guangzhou Municipal Health and Family Planning Commission; NIHR Imperial Biomedical Research CentreCambridge University PressIC-OnlineBrohan, ElaineThornicroft, GrahamRüsch, NicolasLasalvia, AntonioCampbell, Megan M.Yalçınkaya-Alkar, ÖzdenLanfredi, MariangelaOchoa, SusanaÜçok, AlpTomás, CatarinaFadipe, BabatundeSebes, JuliaFiorillo, AndreaSampogna, GaiaPaula, Cristiane SilvestreValverde, LeonidasSchomerus, GeorgKlemm, PiaOuali, UtaCastelein, StynkeAlexová, AnetaOexle, NathalieGuimarães, Patrícia NevesSportel, Bouwina EstherChang, Chih-ChengLi, JieShanthi, ChilasagaramReneses, BlancaBakolis, IoannisEvans-Lacko, Sara2024-02-23T14:29:41Z2023-072023-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/9478engBrohan E. et al (2023). Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions. Psychological Medicine, 53, 3963–3973. https:// doi.org/10.1017/S003329172200063000332917https://doi.org/10.1017/S00332917220006301031780135351228info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-25T02:30:58Zoai:iconline.ipleiria.pt:10400.8/9478Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:11:30.524611Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| title |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| spellingShingle |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions Brohan, Elaine DISCUS Discrimination Global mental health Psychometrics Stigma |
| title_short |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| title_full |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| title_fullStr |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| title_full_unstemmed |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| title_sort |
Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions |
| author |
Brohan, Elaine |
| author_facet |
Brohan, Elaine Thornicroft, Graham Rüsch, Nicolas Lasalvia, Antonio Campbell, Megan M. Yalçınkaya-Alkar, Özden Lanfredi, Mariangela Ochoa, Susana Üçok, Alp Tomás, Catarina Fadipe, Babatunde Sebes, Julia Fiorillo, Andrea Sampogna, Gaia Paula, Cristiane Silvestre Valverde, Leonidas Schomerus, Georg Klemm, Pia Ouali, Uta Castelein, Stynke Alexová, Aneta Oexle, Nathalie Guimarães, Patrícia Neves Sportel, Bouwina Esther Chang, Chih-Cheng Li, Jie Shanthi, Chilasagaram Reneses, Blanca Bakolis, Ioannis Evans-Lacko, Sara |
| author_role |
author |
| author2 |
Thornicroft, Graham Rüsch, Nicolas Lasalvia, Antonio Campbell, Megan M. Yalçınkaya-Alkar, Özden Lanfredi, Mariangela Ochoa, Susana Üçok, Alp Tomás, Catarina Fadipe, Babatunde Sebes, Julia Fiorillo, Andrea Sampogna, Gaia Paula, Cristiane Silvestre Valverde, Leonidas Schomerus, Georg Klemm, Pia Ouali, Uta Castelein, Stynke Alexová, Aneta Oexle, Nathalie Guimarães, Patrícia Neves Sportel, Bouwina Esther Chang, Chih-Cheng Li, Jie Shanthi, Chilasagaram Reneses, Blanca Bakolis, Ioannis Evans-Lacko, Sara |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
IC-Online |
| dc.contributor.author.fl_str_mv |
Brohan, Elaine Thornicroft, Graham Rüsch, Nicolas Lasalvia, Antonio Campbell, Megan M. Yalçınkaya-Alkar, Özden Lanfredi, Mariangela Ochoa, Susana Üçok, Alp Tomás, Catarina Fadipe, Babatunde Sebes, Julia Fiorillo, Andrea Sampogna, Gaia Paula, Cristiane Silvestre Valverde, Leonidas Schomerus, Georg Klemm, Pia Ouali, Uta Castelein, Stynke Alexová, Aneta Oexle, Nathalie Guimarães, Patrícia Neves Sportel, Bouwina Esther Chang, Chih-Cheng Li, Jie Shanthi, Chilasagaram Reneses, Blanca Bakolis, Ioannis Evans-Lacko, Sara |
| dc.subject.por.fl_str_mv |
DISCUS Discrimination Global mental health Psychometrics Stigma |
| topic |
DISCUS Discrimination Global mental health Psychometrics Stigma |
| description |
Financial support: IB is supported by the NIHR Biomedical Research Centre (BRC) at South London and Maudsley NHS Foundation Trust and by the NIHR Applied Research Collaboration South London (NIHR ARC South London) at King’s College Hospital NHS Foundation Trust. GT is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South London at King’s College London NHS Foundation Trust, and by the NIHR Asset Global Health Unit award. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. GT also receives support from the National Institute of Mental Health of the National Institutes of Health under award number R01MH100470 (Cobalt study). GT is supported by the UK Medical Research Council in relation to the Emilia (MR/S001255/1) and Indigo Partnership (MR/R023697/1) awards. JL is supported by the programme of community mental health service model in Guangzhou (20161A031002), which was supported by the Health and Family Planning Commission of Guangzhou Municipality. |
| publishDate |
2023 |
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2023-07 2023-07-01T00:00:00Z 2024-02-23T14:29:41Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/10400.8/9478 |
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http://hdl.handle.net/10400.8/9478 |
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eng |
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eng |
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Brohan E. et al (2023). Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions. Psychological Medicine, 53, 3963–3973. https:// doi.org/10.1017/S0033291722000630 00332917 https://doi.org/10.1017/S0033291722000630 10317801 35351228 |
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openAccess |
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application/pdf |
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Cambridge University Press |
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Cambridge University Press |
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