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Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people

PURPOSE: Self-identification of having a mental illness has been shown to be an important factor underpinning help-seeking behaviour and may mediate the relationship between personal stigma and mental health service use. This study validates a new scale for the self-identification of having a mental...

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Autores principales: Evans-Lacko, Sara, Stolzenburg, Susanne, Gronholm, Petra C., Ribeiro, Wagner, York-Smith, Marianna, Schomerus, Georg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336739/
https://www.ncbi.nlm.nih.gov/pubmed/30284599
http://dx.doi.org/10.1007/s00127-018-1602-2
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author Evans-Lacko, Sara
Stolzenburg, Susanne
Gronholm, Petra C.
Ribeiro, Wagner
York-Smith, Marianna
Schomerus, Georg
author_facet Evans-Lacko, Sara
Stolzenburg, Susanne
Gronholm, Petra C.
Ribeiro, Wagner
York-Smith, Marianna
Schomerus, Georg
author_sort Evans-Lacko, Sara
collection PubMed
description PURPOSE: Self-identification of having a mental illness has been shown to be an important factor underpinning help-seeking behaviour and may mediate the relationship between personal stigma and mental health service use. This study validates a new scale for the self-identification of having a mental illness among a non-clinical, community cohort of young people in the UK. METHODS: Following consultation with a group of young person experts with experience of mental health problems, we evaluated the psychometric properties of the self-identification of mental illness scale (SELF-I) among 423 young people aged 13–24 years who are part of an ongoing prospective community cohort. We performed test retest reliability among a subset of 53 participants. Psychometric validation for the scale used measures of Cronbach’s alpha and Pearson’s correlation coefficient. Item performance was assessed along and in relation with each covariate. RESULTS: The SELF-I demonstrated robust psychometric properties including high test–retest reliability (0.95) and good internal consistency (0.87 as determined by the Cronbach’s alpha). The inter-total correlations for each item, which ranged from 0.62 to 0.74, supported keeping all items in the scale. Reporting greater psychiatric symptomatology via the SDQ (β: 0.82 95% confidence interval 0.40, 1.23), psychotic-like experiences (β: 0.37 95% confidence interval 0.14, 0.59), and use of mental health services (β: 0.92 95% confidence interval 0.71, 1.13) were associated with a greater self-perception as having a mental illness (p < 0.05), providing evidence of convergent validity. As expected, we found that less intended stigmatising behaviour was associated with greater self-perceptions of having a mental illness (B: 0.18, 95% CI 0.07, 0.28). CONCLUSIONS: The SELF-I scale provides a method to gather insight into how young people, who may not identify as service users, perceive their own mental state and potential risk for developing a mental illness. This can be important for understanding perceived need for help and likelihood of using services among those with mental health problems.
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spelling pubmed-63367392019-02-01 Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people Evans-Lacko, Sara Stolzenburg, Susanne Gronholm, Petra C. Ribeiro, Wagner York-Smith, Marianna Schomerus, Georg Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: Self-identification of having a mental illness has been shown to be an important factor underpinning help-seeking behaviour and may mediate the relationship between personal stigma and mental health service use. This study validates a new scale for the self-identification of having a mental illness among a non-clinical, community cohort of young people in the UK. METHODS: Following consultation with a group of young person experts with experience of mental health problems, we evaluated the psychometric properties of the self-identification of mental illness scale (SELF-I) among 423 young people aged 13–24 years who are part of an ongoing prospective community cohort. We performed test retest reliability among a subset of 53 participants. Psychometric validation for the scale used measures of Cronbach’s alpha and Pearson’s correlation coefficient. Item performance was assessed along and in relation with each covariate. RESULTS: The SELF-I demonstrated robust psychometric properties including high test–retest reliability (0.95) and good internal consistency (0.87 as determined by the Cronbach’s alpha). The inter-total correlations for each item, which ranged from 0.62 to 0.74, supported keeping all items in the scale. Reporting greater psychiatric symptomatology via the SDQ (β: 0.82 95% confidence interval 0.40, 1.23), psychotic-like experiences (β: 0.37 95% confidence interval 0.14, 0.59), and use of mental health services (β: 0.92 95% confidence interval 0.71, 1.13) were associated with a greater self-perception as having a mental illness (p < 0.05), providing evidence of convergent validity. As expected, we found that less intended stigmatising behaviour was associated with greater self-perceptions of having a mental illness (B: 0.18, 95% CI 0.07, 0.28). CONCLUSIONS: The SELF-I scale provides a method to gather insight into how young people, who may not identify as service users, perceive their own mental state and potential risk for developing a mental illness. This can be important for understanding perceived need for help and likelihood of using services among those with mental health problems. Springer Berlin Heidelberg 2018-10-04 2019 /pmc/articles/PMC6336739/ /pubmed/30284599 http://dx.doi.org/10.1007/s00127-018-1602-2 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Evans-Lacko, Sara
Stolzenburg, Susanne
Gronholm, Petra C.
Ribeiro, Wagner
York-Smith, Marianna
Schomerus, Georg
Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title_full Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title_fullStr Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title_full_unstemmed Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title_short Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people
title_sort psychometric validation of the self-identification of having a mental illness (self-i) scale and the relationship with stigma and help-seeking among young people
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336739/
https://www.ncbi.nlm.nih.gov/pubmed/30284599
http://dx.doi.org/10.1007/s00127-018-1602-2
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