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International Journal of Social Psychiatry
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Measuring Self-Stigma of Mental Illness in China and Its Implications for Recovery

Kelvin M.T. Fung

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong

Hector W.H. Tsang

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hunghom, Hong Kong, rshtsang{at}inet.polyu.edu.hk

Patrick W. Corrigan

Institute of Psychology, Illinois Institute of Technology, Chicago, IL, USA

Chow S. Lam

Institute of Psychology, Illinois Institute of Technology, Chicago, IL, USA

Wai-ming Cheng

Faculty of Education, The University of Hong Kong, Hong Kong

This study translated and validated the Chinese Version of the Self-stigma of Mental Illness Scale (CSSMIS), which may be used to measure self-stigma of mental health consumers in China. We also examined its correlation with self-esteem, self-efficacy and psychosocial treatment compliance. A cross-sectional observational study was implemented. Some 51 males and 57 females who suffered from severe mental illness were recruited from psychiatric settings in Hong Kong. They were required to complete the Chinese Version of the Self-stigma of Mental Illness Scale, the Rosenberg Self-esteem Scale and the Self-efficacy Scale. Their level of compliance during psychosocial treatment and their demographic information were recorded by their case managers. Exploratory factor analysis revealed two homologous factors for the four subscales of the CSSMIS. Factor 1 was related to the negative beliefs and consequences of having mental disorders, whereas Factor 2 was related to positive beliefs. The perceived stigma subscale and the three self-stigma subscales were strongly inter-correlated. Significant correlations were also found between almost all subscales of the CSSMIS and the remaining scales. The psychometric properties of the CSSMIS are statistically acceptable. The results also suggest that stigma played a detrimental role in undermining self-esteem, self-efficacy and psychosocial treatment compliance. Implications for recovery of mental health consumers are discussed.

Key Words: measurement • psychosocial treatment compliance • self-efficacy • self-esteem • stigma

International Journal of Social Psychiatry, Vol. 53, No. 5, 408-418 (2007)
DOI: 10.1177/0020764007078342
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?