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Further psychometric evaluation of the Self-Stigma Scale-Short: Measurement invariance across mental illness and gender

Research output: Contribution to journalArticlepeer-review

Tsung-Hsien Wu, Chih-Cheng Chang, Chen Chih-Yin, Jung-Der Wang, Chung-Ying Lin

Original languageEnglish
Article numbere0117592
Number of pages12
JournalPLoS ONE
Issue number2
Early online date6 Feb 2015
Accepted/In press28 Dec 2014
E-pub ahead of print6 Feb 2015


King's Authors


Background: This study cross-validated the factor structure of the Self-Stigma Scale-Short (SSS-S) in a cohort of patients with mental illness in southern Taiwan. The measurement invariance of the SSS-S factor structure across mental illness and gender was also examined.

Methods: The sample consisted of 161 patients with schizophrenia (51.6% males; mean age ± SD = 40.53 ± 10.38 years) and 189 patients with other mental illnesses (34.9% males; mean age = 46.52 ± 11.29 years).

Results: The internal reliability (total score: α = 0.948) and concurrent validity (r = 0.335 to 0.457 with Depression and Somatic Symptoms Scale; r = −0.447 to −0.556 with WHOQOL-BREF) of the SSS-S were both satisfactory, and the results verified that the factor structure in our Taiwan sample (RMSEA = 0.0796, CFA = 0.992) was the same as that of the Hong Kong population. In addition, the results supported the measurement invariance of the SSS-S across mental illness (ΔRMSEAs = −0.0082 to −0.0037, ΔCFAs = 0.000) and gender (ΔRMSEAs = −0.0054 to −0.0008, ΔCFAs = −0.001 to 0.000).

Conclusion: Future studies can use the SSS-S to compare self-stigma between genders and between patients with different kinds of mental illnesses.

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