한국판 정신질환의 내재화된 낙인 척도의 신뢰도 및 타당도 연구 = A Study on the Reliability and Validity of the Korean Version of Internalized Stigma of Mental Illness Scale (K-ISMI)

다국어 초록 (Multilingual Abstract)

Objectives : The Internalized Stigma of Mental Illness (ISMI) scale designed to measure the subjective experience of stigma with sub-scales measuring Alienation, Stereotype Endorsement. Perceived Discrimination, Stigma Resistance, and Social Withdrawal. The purpose of this study was to examine the reliability and validity of the Korean version of ISMI.
Methods : The subjects were 194 schizophrenic patients and 205 peoples with depressive disorder. K-ISMI, CES-D (The Center for Epidemiologic Studies Depression Scale) and Self Esteem scale were performed.
Results : Results showed that the ISMI had high internal consistence and split-half reliabilities. The internal consistency coefficients (Cronbach alpha) of each subscale ranged from .83 to .93. The validity of the ISMI was investigated by principal axis factoring analysis, yielding 5 factors of alienation, Perceived discrimination, negative stereotype, stigma resistance, devaluation and social withdrawal. 5 subscales explained 60.67% of total variance. Concurrent validity was supported by comparisons against scales measuring related constructs. As expected, the ISMI had positive correlations with CES-D, and it had negative correlation with self-esteem scale. Subsidiary analysis showed that schizophrenic patients showed higher internalized stigma than depressed patients.
Conclusion : Overall, the findings support the utility of ISMl as a tool to evaluate internalized stigma of persons with mental illness. Interventions that can lessen internalized stigma may well hasten the recovery process in individuals with mental illness.

참고문헌 (Reference)

1 "The impact of stigma on severe mental illness" 5 : 201-222, 1998

2 "Social stigma" McGraw-Hill 504-553, 1998

3 "Opinion about mental illness:hospital differencesin attitude for eight occupation groups" 17 : 25-26, 1965

4 "Notes on the management of Spoiled Identity" Prentice Hall 123-133, 1963

5 "Modified Labeling TheoryApproach to Mental Disorder; An Empirical Assessment" 400-423, amsociolrev1989

6 "Mental heal consumers’ experience of stigma" 25 : 467-478, 1999

7 "Measuring perceived stigma and coping by psychiatricpatients" 1 : 145-158, 1994

8 "Knowledge and attitude toward mentalillness in a Korean rural community" 16 : 113-123, Assoc1977

9 "Internalized stigma predicts erosion ofamong psychiatric outpatients" 129 : 257-265, 2004

10 "Family views about social stigma of mental illness patients" 15 : 69-89, 1996

11 "Factors affecting stigma of schizophrenicPatient" 41 : 1185-1196, 2002

12 "Effect of psychiatric clerkship on the attitude towardmental illness" 25 : 167-180, 1986

13 "Diagnostic validity of the CES-D(Korean Version)in the assessment of DSM-Ⅲ-R major depression" 32 : 381-399, 1993

14 "Community leaders’ reactions to mental disorders" 11 : 281-297, 1986

15 "A study the cognition and attitude toward psychiatric disordersof the military leaders" 32 : 85-95, 1993

16 "A study on the Perceived Stigma and Coping Orientationsof Discharged Psychiatric Patients" SoongUniv 1996