- Title
- Measuring discrimination experienced by people with a mental illness
- Creator
- 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, Leonadis, 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, Sarah
- Subject
- To be catalogued
- Date
- 2022
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/10962/302498
- Identifier
- vital:58202
- Identifier
- xlink:href="https://doi.org/10.1017/S0033291722000630"
- 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 (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 more than 0.001], lower mental wellbeing [Warwick-Edinburgh Well-being Scale (WEMWBS): p is less than 0.001], higher suicidal ideation [Beck Hopelessness Scale (BHS)-4: p is less than 0.001] and higher risk of suicidal behaviour [Suicidal Ideation Attributes Scale (SIDAS): p is less than 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.
- Format
- computer, online resource, application/pdf, 1 online resource (11 pages), pdf
- Publisher
- Cambridge University of Press
- Language
- English
- Relation
- Psychological Medicine, Brohan, E., Thornicroft, G., Rüsch, N., Lasalvia, A., Campbell, M.M., Yalçınkaya-Alkar, Ö., Lanfredi, M., Ochoa, S., Üçok, A., Tomás, C. and Fadipe, B., 2022. Measuring discrimination experienced by people with a mental illness: replication of the short-form DISCUS in six world regions. Psychological Medicine, pp.1-11, Psychological Medicine p. 1 2022 1469-8978
- Rights
- Publisher
- Rights
- Use of this resource is governed by the terms and conditions Cambridge University Press Rights and Permissions Statement (https://www.cambridge.org/za/about-us/rights-permissions)
- Rights
- Open Access
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Collections
Campbell, Megan M (Prof)
RU Department of Psychology
SDG 10. Reduced Inequalities
SDG 03. Good Health and Well-Being
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