摘要
Abstract
Objective To translate the English version of Stigma Scale for Chronic Illness (SSCI)into Chinese and to test the reliability and validity of the Chinese version of SSCI in patients with stroke. Methods The Chinese version of SSCI was developed by translation,back translation combined with the review and cultural adjustment of panel of experts. From March to June 2016,we conducted a survey in 204 stroke patients recruited from 2 community health service centers by convenience sampling using questionnaires consisting of Demographic Questionnaire,Chinese version of SSCI,Chinese version of Self - rating Depression Scale (SDS),Chinese version of Barthel Index (BI),Chinese version of 12 - item Short Form Health Survey (SF - 12). Item analysis of the Chinese version of SSCI was performed with critical ratio method and Pearson correlation coefficient. Content validity and structural validity of the Chinese version of SSCI was assessed by content validity index (CVI), factor analysis,respectively. Construct validity of the Chinese version of SSCI was tested by correlations of Chinese version of SSCI scores with Chinese version of SDS,BI,SF - 12 scores. Cronbach′s α was applied to assess the test - retest reliability of the Chinese version of SSCI. Results Item analysis showed that the Chinese version of SSCI could discriminate the high - score group from the low - score group (P < 0. 01). The Chinese version of SSCI had linear positive correlation with self - stigma dimension (r = 0. 955,P < 0. 01 )and enacted stigma dimension (r = 0. 900,P < 0. 01)in scoring. Item - total correlations were linear and positive (r ranged from 0. 472 to 0. 806,P < 0. 01 ). Self - stigma dimension was linearly and positively correlated with each of its 13 items in scoring (r ranged from 0. 673 to 0. 807,P < 0. 01 ). Likewise,enacted stigma dimension was linearly and positively correlated with each of its 11 items in scoring (r ranged from 0. 519 to 0. 845,P < 0. 01 ). The I - CVI ranged from 0. 800 to 1. 000,and the S - CVI was 0. 932. From exploratory factor analysis,3 factors were generated,which explained 65. 586％ of the total variance. All the items had factor loadings ranged from 0. 463 to 0. 850 in their corresponding dimensions. The Chinese version of SSCI score demonstrated a linear and positive correlation with Chinese version of SDS score (r= 0. 609,P < 0. 01),whereas it was negatively and linearly correlated with Chinese version of BI score (r = - 0. 486,P <0. 01),score of mental component summary (MCS)and physical component summary (PCS),in Chinese version of SF - 12 (r = - 0. 524, - 0. 462,respectively,P < 0. 01). Internal consistency of Chinese version of SSCI was confirmed by Cronbach′s α of 0. 951,and the Cronbach′s α of self - stigma and enacted stigma were both 0. 927;the test - retest interclass correlation of total scale was 0. 881,and the test - retest interclass correlation of self - stigma and enacted stigma was 0. 927,0. 797 respectively. Conclusion The Chinese version of SSCI showed good reliability and validity,and could be used in the research of stigma of neurological disorders in China.关键词
神经系统疾病/病耻感/信度/效度Key words
Nervous system diseases/Stigma/Reliability/Validity分类
医药卫生
