Clinical trial NCT04415437: Self-Stigma of Mental and Physical Health
Official title: Self-Stigma of Mental and Physical Health: Developing and Validation of a Universal Self-Stigma Scale (USSS)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Mental Disorder
Organic Disease
Keywords: Self-Stigma
Mental Health
Physical Health
Questionnaire
Lead sponsor: Philipps University Marburg
Sponsor class: OTHER
First posted: 2020-06-04
Enrollment: 823
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Random sample including students, outpatients, inpatients

Brief summary: People with mental disorders often suffer from self-stigmatization. Self-stigma is associated with several negative outcomes such as low quality of life, lower rates of help-seeking as well as poorer treatment adherence. However, a lot of questionnaires only focus on specific mental disorders. There is no valid measurement which can be used for all kinds of mental disorders.

Furthermore, much less is known about self-stigma in people with organic diseases. Only little attention has been given to those who may experience self-stigma because of their physical condition. A main reason for this may be the lack of a valid measurement of self-stigma among people with physical health issues.

Therefore, the aim of this study is to develop and validate a self-report scale which is capable to do both - measuring self-stigma among people with all mental disorders and among people with physical health issues.

Detailed description: Items are derived from the Stereotype Content Model (SCM) and the Behaviors from Intergroup Affect and Stereotypes (BIAS) Map. Psychometric evaluation includes testing the reliability (intern consistency, test-retest reliability) and validity (exploratory and confirmatory factor analysis, construct validity incl. convergent and discriminant validity, criterion-related validity).

Participants take part in an online survey. They answer general questions about their mental and physical health condition and complete measurements of quality of life, mental health, depression, public stigma, expected stigma, self-stigma, intention to seek help and actual help seeking (behavior).

Eligibility criteria: Inclusion Criteria:

* Minimum Age: 18
* Fluent in German Language

Exclusion Criteria:

* Acute psychosis
* Suicidal ideation

Primary outcomes:
measure: Development of the Universal Self-Stigma Scale (USSS)
timeFrame: Baseline
measure: Universal Self-Stigma Scale (USSS): Validity
timeFrame: Baseline
measure: Universal Self-Stigma Scale (USSS): Internal consistency
timeFrame: Baseline
measure: Change on Universal Self-Stigma Scale (USSS): Test-Retest Reliability
timeFrame: Baseline and 4 weeks
Secondary outcomes:
measure: Intention to Seek Help
timeFrame: Baseline
measure: Actual Help Seeking Behavior
timeFrame: Baseline and 4 weeks
measure: 12-Item Short-Form Health Survey (SF-12)
timeFrame: Baseline
measure: Patient Health Questionnaire (PHQ)
timeFrame: Baseline
measure: Beck Depression Inventory-II (BDI-II)
timeFrame: Baseline
measure: Public Stigma
timeFrame: Baseline
measure: Expected Stigma
timeFrame: Baseline and 4 weeks
Other outcomes:
Locations:
city: Marburg
country: Germany
facility: Department of Clinical Psychology and Psychotherapy, Philipps-University Marburg
Study officials:
References: