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2 results

  • 13 - Unpacking Cultural Influences on Stigma of People with Mental Illness between Group-Oriented and Individual-Oriented Cultures

  • from Part III - Stigma and Mental Health in Specific Contexts
  • Edited by David L. Vogel, Iowa State University, Nathaniel G. Wade, Iowa State University
  • Book:
    The Cambridge Handbook of Stigma and Mental Health
    Published online:
    28 July 2022
    Print publication:
    11 August 2022, pp 263-281

  • Summary

    Although the phenomenon of stigma is global, its manifestation and impact are culturally bound. This chapter examines some of the culturally salient factors that have been investigated empirically in understanding cross-cultural differences between relatively group-oriented cultures situated in East Asia (e.g., Hong Kong, Taiwan, Japan) with cultures that are relatively more individual-oriented such as countries in Europe and North America (e.g., United States, Canada, United Kingdom). These factors include supernatural beliefs, face concern, and conformity. The internalization process of stigma is also discussed within the cultural context in order to account for possible nuances in the experience of stigma. Recent directions in stigma research such as affiliate stigma and self-stigma process are introduced to highlight the importance of emic approach in the understanding of stigma within specific cultural context.

  • Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder

  • Angelos Papadopoulos, Dionysios Tafiadis, Angeliki Tsapara, Petros Skapinakis, Meropi Tzoufi, Vassiliki Siafaka
  • Journal:
    BJPsych Open / Volume 8 / Issue 1 / January 2022
    Published online by Cambridge University Press:
    20 January 2022, e30
    • Article
      • You have access
      • Open access
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  • Background

    Caregivers of children with autism spectrum disorder (ASD) are sensitive to the internalisation of the stigma, known as affiliate stigma, resulting in reduced self-esteem, isolation and poor psychological well-being.

    Aims

    This study aims to validate the Greek version of the Affiliate Stigma Scale (ASS) among mothers of children with ASD.

    Method

    The translated version of ASS in Greek was administered to 53 mothers of children newly diagnosed with ASD in two time periods: 1–6 months from diagnosis (time point 1) and 12 months from the initial assessment (time point 2). The control group consisted of 62 mothers of typically developing children.

    Results

    The ASS total mean score revealed a moderate level of stigma to the ASD group in both assessments. The reliability measures by item showed a satisfactory composite reliability (affective 0.828, cognitive 0.833, behaviour 0.857). Cronbach's alpha revealed that the estimated internal consistency was excellent (α = 0.888), and it found a high positive item-total correlation. Receiver operating characteristic analysis results indicated a statistically significant positive discrimination (area under the curve 0.849, P = 0.000) between the groups. The cut-off point was 31.00, with a sensitivity of 0.849 and a 1 – sensitivity of 0.258.

    Conclusions

    The proposed version of the ASS has good psychometric properties and is valid and reliable for measuring affiliate stigma among caregivers of children with ASD in Greece. Health professionals can use it to assess and understand the stigma experienced by caregivers of children with ASD, and design appropriate interventions to reduce their affiliate stigma.