Standardization of the Discrimination and Stigma Scale-Korean Version (DISC 12-K) in Patients with Depressive Disorders
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective The Discrimination and Stigma Scale (DISC 12), which assesses behavioral and experienced stigma, has not been translated into Korean. We developed and standardized the Korean version of the DISC 12 (DISC 12-K) in patients with depressive disorders.Methods The study included 230 patients with depressive disorders who were assessed on the four subscales of the DISC 12-K: Unfair Treatment, Stopping Self, Overcoming Stigma, and Positive Treatment. Additionally, stigma was assessed using the Internalized Stigma of Mental Illness scale, depressive symptoms using the Hamilton Depression Rating Scale and Beck Depression Inventory, level of functioning using the Social and Occupational Functioning Assessment Scale, self-esteem using the Rosenberg Self-Esteem Scale, and quality of life was assessed using the EuroQol-5D. The reliability of DISC 12 was assessed by internal consistency using Cronbach’s alpha coefficient and estimating the intercorrelation of items and corrected item-total correlations; interrater reliability and test–retest reliability were assessed using intraclass correlation coefficients at the item and subscale levels; and the concurrent validity of the DISC 12-K relative to the other assessment scales was assessed using Spearman’s correlation coefficient.Results All of the DISC 12-K subscales had high reliability. The validity was good for the Unfair Treatment and Stopping Self subscales, but only fair for the Overcoming Stigma and Positive Treatment subscales.Conclusion The Unfair Treatment and Stopping Self subscales of the new DISC 12-K are reliable and valid measures of stigma in patients with depressive disorders. Future studies are needed to test the validity of this scale in other mental disorders.
Abstract
Objective The Discrimination and Stigma Scale (DISC 12), which assesses behavioral and experienced stigma, has not been translated into Korean. We developed and standardized the Korean version of the DISC 12 (DISC 12-K) in patients with depressive disorders.Methods The study included 230 patients with depressive disorders who were assessed on the four subscales of the DISC 12-K: Unfair Treatment, Stopping Self, Overcoming Stigma, and Positive Treatment. Additionally, stigma was assessed using the Internalized Stigma of Mental Illness scale, depressive symptoms using the Hamilton Depression Rating Scale and Beck Depression Inventory, level of functioning using the Social and Occupational Functioning Assessment Scale, self-esteem using the Rosenberg Self-Esteem Scale, and quality of life was assessed using the EuroQol-5D. The reliability of DISC 12 was assessed by internal consistency using Cronbach’s alpha coefficient and estimating the intercorrelation of items and corrected item-total correlations; interrater reliability and test–retest reliability were assessed using intraclass correlation coefficients at the item and subscale levels; and the concurrent validity of the DISC 12-K relative to the other assessment scales was assessed using Spearman’s correlation coefficient.Results All of the DISC 12-K subscales had high reliability. The validity was good for the Unfair Treatment and Stopping Self subscales, but only fair for the Overcoming Stigma and Positive Treatment subscales.Conclusion The Unfair Treatment and Stopping Self subscales of the new DISC 12-K are reliable and valid measures of stigma in patients with depressive disorders. Future studies are needed to test the validity of this scale in other mental disorders.
참고문헌 (34)
- Goffman E, "Stigma: Notes on the Management of Spoiled Identity" (1963), Prentice-Hall
- Thornicroft G, "Stigma: ignorance, prejudice or discrimination?", Br J Psychiatry, 190, pp.192~193 (2007)
- Corrigan P, "On the Stigma of Mental Illness" (2005), American Psychological Association
- Griffi ths KM, "Does stigma predict a belief in dealing with depression alone", J Affect Disord, 132, pp.413~417 (2011)
- Aromaa E, "Personal stigma and use of mental health services among people with depression in a general population in Finland", BMC Psychiatry, 11, pp.52~ (2011)
- Brohan E, "Self-stigma, empowerment and perceived discrimination among people with bipolar disorder or depression in 13 European countries : the GAMIAN-Europe study", J Affect Disord, 129, pp.56~63 (2011)
- Lasalvia A, "Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey", Lancet, 381, pp.55~62 (2013)
- GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, "Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 392, pp.1789~1858 (2018)
- Brohan E, "Experiences of mental illness stigma, prejudice and discrimination : a review of measures", BMC Health Serv Res, 10, pp.80~ (2010)
- Link BG, "Understanding labeling effects in the area of mental disorders : an assessment of the effect of expectations of rejection", Am J Community Psychol, 11, pp.261~273 (1987)
- Corrigan PW, "The self-stigma of mental illness : implications for self-esteem and self-efficacy", J Soc Clin Psychol, 25, pp.875~884 (2006)
- Wahl OF, "Mental health consumers experience of stigma", Schizophr Bull, 25, pp.467~478 (1999)
- Bjorkman T, "Experiences of stigma among people with severe mental illness. Reliability, acceptability and construct validity of the Swedish versions of two stigma scales measuring devaluation", discrimination and rejection experiences, 2007, pp.61, 332~338
- Brohan E, "Development and psychometric evaluation of the Discrimination and Stigma Scale(DISC)", Psychiatry Res, 208, pp.33~40 (2013)
- Thornicroft G, "Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey", Lancet, 373, pp.408~415 (2009)
- Jeffery D, "Discrimination in relation to parenthood reported by community psychiatric service users in the UK : a framework analysis", BMC Psychiatry, 13, pp.120~ (2013)
- Corker EA, "Experience of stigma and discrimination reported by people experiencing the first episode of schizophrenia and those with a first episode of depression : the FEDORA project", Int J Soc Psychiatry, 61, pp.438~445 (2015)
- Hee-Ju Kang, "The MAKE Biomarker Discovery for Enhancing anTidepressant Treatment Effect and Response (MAKE BETTER) Study: Design and Methodology", PSYCHIATRY INVESTIGATION, 15(5), pp.538~545 (2018), 대한신경정신의학회
- Sheehan DV, "The mini-international neuropsychiatric interview(M. I. N. I) : the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (1994), American Psychiatric Press
- Ritsher JB, "Internalized stigma of mental illness : psychometric properties of a new measure", Psychiatry Res, 121, pp.31~49 (2003)
- 황태연, "한국판 정신질환의 내재화된 낙인 척도의 신뢰도 및 타당도 연구", 신경정신의학, 45(5), pp.418~426 (2006), 대한신경정신의학회
- Hamilton M, "A rating scale for depression", J Neurol Neurosurg Psychiatry, 23, pp.56~62 (1960)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Rosenberg M, "Conceiving the Self" (1979), Basic Books
- Rabin R, "EQ-5D: a measure of health status from the EuroQol Group", Ann Med, 33, pp.337~343 (2001)
- 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구", 신경정신의학, 44(4), pp.456~465 (2005), 대한신경정신의학회
- 임선영, "한국판 벡 우울 척도 2판의 타당화 연구", 대한불안의학회지, 7(1), pp.48~53 (2011), 대한불안의학회
- 이준영, "총괄기능평가척도(Global Assessment of Functioning Scale)와 사회적, 직업적 기능평가척도(Social and Occupational Functioning Scale)", 대한정신약물학회지, 17(2), pp.122~127 (2006), 대한정신약물학회
- 배하나, "성인에서의 한글판 로젠버그 자기존중감 척도의 신뢰도와 타당도 연구", Mood and Emotion, 12(1), pp.43~49 (2014), 대한우울조울병학회
- Kim SH, "The EQ-5D-5L valuation study in Korea", Qual Life Res, 25, pp.1845~1852 (2016)
- Reneses B, "Validation of the spanish version of the discrimination and stigma scale(DISC 12)", Actas Esp Psiquiatr, 47, pp.137~148 (2019)
- Thornicroft G, "Evidence for effective interventions to reduce mental-healthrelated stigma and discrimination", Lancet, 387, pp.1123~1132 (2016)
- Alonso J, "Perceived stigma among individuals with common mental disorders", J Affect Disord, 118, pp.180~186 (2009)