目的:本研究旨在开发文化适应的中文版基于价值的污名量表(VASI),并评估其心理测量特性,包括信度和效度,在一般中国人口中。
方法:本研究为横断面研究。采用便利抽样方式,从沈阳市招募普通市民708人,辽宁省,中国。VASI的内部一致性,半分割可靠性,测试重测信度,以评估翻译量表的信度。进行了几次有效性测试,包括专家咨询,探索性因素分析,和验证性因素分析。使用SPSS25.0(IBMCorp.,Armonk,NY,美国)和AMOS23.0(IBMCorp.,Armonk,NY,美国)。
结果:中文版的VASI显示出良好的可靠性,Cronbach的α值为0.808,尺寸范围为0.812至0.850。重测信度表现出良好的时间稳定性,值为0.855,分半信度值为0.845,表明高度的一致性。该量表还显示出良好的内容效度,内容效度指数为0.952。在进行探索性因素分析后,确定了一个五因素结构,包括自我实现的因素,个人致富,声誉,精英价值观,和安全。在验证性因素分析中,所有推荐的配合指标均在可接受范围内,其中χ2/DF=1.338,GFI=0.960,AGFI=0.940,RMSEA=0.031,TLI=0.985,CFI=0.989,FI=0.989,PGFI=0.640,PNFI=0.729。
结论:VASI的中文版在中国公众中有效可靠。五因素结构化量表有效评估了公众对精神疾病的污名,包括与个人污名相关的价值取向。鉴于公众对精神疾病的严重和广泛的污名,问卷的结果可能为未来公共卫生教育计划的发展提供信息。需要进行公共卫生教育以减少精神疾病的污名,提高公众对心理健康问题的认识,减轻对精神疾病的持续污名化。
OBJECTIVE: This study aimed to develop a culturally adapted Chinese version of the Value-based
Stigma Inventory (VASI) and to evaluate its psychometric properties, including reliability and validity, among the general Chinese population.
METHODS: This study is a cross-sectional study. Convenience sampling was used to recruit 708 general citizens from Shenyang City, Liaoning Province,
China. The VASI\'s internal consistency, split-half reliability, and test-retest reliability were tested to assess the translated scale\'s reliability. Several validity tests were performed, including expert consultation, exploratory factor analysis, and confirmatory factor analysis. Data were analyzed using SPSS 25.0 (IBM Corp., Armonk, NY, United States) and AMOS 23.0 (IBM Corp., Armonk, NY, United States).
RESULTS: The Chinese version of the VASI showed good reliability, with a Cronbach\'s α value of 0.808, and the dimensions ranged from 0.812 to 0.850. Test-retest reliability showed good temporal stability with a value of 0.855, and the split-half reliability value was 0.845, indicating a high degree of consistency. The scale also demonstrated good content validity with a content validity index of 0.952. After conducting exploratory factor analysis, a five-factor structure was identified, including factors of self-realization, personal enrichment, reputation, meritocratic values, and security. In the confirmatory factor analysis, all recommended fit indicators were found to be within the acceptable range, including χ2/DF = 1.338, GFI = 0.960, AGFI = 0.940, RMSEA = 0.031, TLI = 0.985, CFI = 0.989, IFI = 0.989, PGFI = 0.640, and PNFI = 0.729.
CONCLUSIONS: The Chinese version of the VASI is valid and reliable among the Chinese general public. The five-factor structured scale effectively assessed public
stigma against mental illness, including the value orientations associated with personal
stigma. Given the harsh and widespread public stigma against mental illness, the findings from the questionnaire may inform the development of future public health education programs. Public health education is needed to reduce the
stigma of mental illness, increase public awareness of mental health issues, and mitigate the continued stigmatization of mental illness.