Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions
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) (...
| Authors: | ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; |
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2023 |
| Country: | España |
| Institution: | Fundació Sant Joan de Déu |
| Repository: | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| OAI Identifier: | oai:fsjd.fundanetsuite.com:p21331 |
| Online Access: | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21331 |
| Access Level: | Open access |
| Keyword: | Discrimination DISCUS Global mental health Psychometrics Stigma |
| _version_ | 1878741542265421824 |
|---|---|
| author | Brohan E |
| author2 | Thornicroft G Rüsch N Lasalvia A Campbell MM Yalçinkaya-Alkar Ö Lanfredi M Ochoa S Üçok A Tomás C Fadipe B Sebes J Fiorillo A Sampogna G Paula CS Valverde L Schomerus G Klemm P Ouali U Castelein S Alexová A Oexle N Guimarães PN Sportel BE Chang CC Li J Shanthi C Reneses B Bakolis I Evans-Lacko S |
| 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 |
| author_browse | Alexová A Bakolis I Brohan E Campbell MM Castelein S Chang CC Evans-Lacko S Fadipe B Fiorillo A Guimarães PN Klemm P Lanfredi M Lasalvia A Li J Ochoa S Oexle N Ouali U Paula CS Reneses B Rüsch N Sampogna G Schomerus G Sebes J Shanthi C Sportel BE Thornicroft G Tomás C Valverde L Yalçinkaya-Alkar Ö Üçok A |
| author_facet | Brohan E Thornicroft G Rüsch N Lasalvia A Campbell MM Yalçinkaya-Alkar Ö Lanfredi M Ochoa S Üçok A Tomás C Fadipe B Sebes J Fiorillo A Sampogna G Paula CS Valverde L Schomerus G Klemm P Ouali U Castelein S Alexová A Oexle N Guimarães PN Sportel BE Chang CC Li J Shanthi C Reneses B Bakolis I Evans-Lacko S |
| author_role | author |
| collection | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| description | 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 (alpha = 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. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_e70cea228ff7cc04f0d685ecdfd3811f |
| institution | Fundació Sant Joan de Déu |
| instname_str | Fundació Sant Joan de Déu |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:fsjd.fundanetsuite.com:p21331 |
| publishDate | 2023 |
| publishDateSort | 2023 |
| publisher | CAMBRIDGE UNIV PRESS |
| publisherStr | CAMBRIDGE UNIV PRESS |
| reponame_str | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| spelling | Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions Brohan E Thornicroft G Rüsch N Lasalvia A Campbell MM Yalçinkaya-Alkar Ö Lanfredi M Ochoa S Üçok A Tomás C Fadipe B Sebes J Fiorillo A Sampogna G Paula CS Valverde L Schomerus G Klemm P Ouali U Castelein S Alexová A Oexle N Guimarães PN Sportel BE Chang CC Li J Shanthi C Reneses B Bakolis I Evans-Lacko S Discrimination DISCUS Global mental health Psychometrics Stigma 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 (alpha = 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. CAMBRIDGE UNIV PRESS https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21331 |
| spellingShingle | Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions Brohan E Discrimination DISCUS Global mental health Psychometrics Stigma |
| status_str | publishedVersion |
| title | 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_short | 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 |
| topic | Discrimination DISCUS Global mental health Psychometrics Stigma |
| topic_facet | Discrimination DISCUS Global mental health Psychometrics Stigma |
| url | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21331 |