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Advisor(s)
Abstract(s)
O estigma nas doenças é reconhecido desde sempre. Com o envelhecimento da população e a evolução da investigação em fisiologia e medicina, tal como das condições de vida da população, aumentaram a expetativa de vida e reduziram a mortalidade por doenças agudas, o que teve como efeito o aumento do numero de pessoas com doenças crónicas, e o aumento do estigma que lhe está associado. O objetivo do presente estudo é construir uma escala de avaliação do estigma em situação de doença ou equivalente, que seja genérica e breve para ser útil no sistema de saúde em geral. A escala foi desenvolvida a partir dos itens de escalas existentes em diversos idiomas, usadas com doenças específicas ou em condições específicas. Participaram no estudo 259 indivíduos, 30,1% do sexo masculino, com idade média de 49,49, anos com diferentes doenças ou condições a seguir tratamento e/ou vigilância continuada. A versão final da escala, após análises com rede nomológica, inclui cinco itens. A exploração das propriedades psicométricas, nomeadamente, consistência interna (α=0,82), estrutura fatorial (unidimensional), convergência e divergência, sensibilidade, mostra uma escala unidimensional e com propriedades métricas adequadas.
ABSTRACT - Stigma is recognized as an important issue in chronic diseases. With the aging population, evolving research in physiology and medicine, and better living conditions have contributed to boosting life expectancy, and reducing death from acute diseases, with a consequent increase of people living with chronic diseases and associated stigma. The objective of the present study is to build a scale to assess stigma in conditions of disease or equivalent, that is generic and short so as to be useful and easy to use within the health system. The scale was developed with items from existing stigma scales in diverse languages, used with specific diseases or conditions. Participants are 259 individuals, 30.1% male, mean age of 49.49 years, with various diseases or conditions, undergoing treatment and/or continued vigilance. The final version, after nomologic network analysis, includes five items. Inspection of psychometric properties, namely, internal consistency (α=0.82), factorial structure (unidimensional), convergence and divergence, sensibility, shows that the final scale reaches the objectives of a short scale with adequate metric properties.
ABSTRACT - Stigma is recognized as an important issue in chronic diseases. With the aging population, evolving research in physiology and medicine, and better living conditions have contributed to boosting life expectancy, and reducing death from acute diseases, with a consequent increase of people living with chronic diseases and associated stigma. The objective of the present study is to build a scale to assess stigma in conditions of disease or equivalent, that is generic and short so as to be useful and easy to use within the health system. The scale was developed with items from existing stigma scales in diverse languages, used with specific diseases or conditions. Participants are 259 individuals, 30.1% male, mean age of 49.49 years, with various diseases or conditions, undergoing treatment and/or continued vigilance. The final version, after nomologic network analysis, includes five items. Inspection of psychometric properties, namely, internal consistency (α=0.82), factorial structure (unidimensional), convergence and divergence, sensibility, shows that the final scale reaches the objectives of a short scale with adequate metric properties.
Description
Keywords
Estigma Doença crónica Sociologia da saúde Avaliação Stigma Chronic disease Sociology of health Assessment
Citation
Pais-Ribeiro JL, Costa N, Vazão MJ, Abreu M, Pedro L, Silva I. O estigma e as doenças crónicas: como o avaliar. Psicol Saúde Doenç. 2017;18(3):625-39.
Publisher
Sociedade Portuguesa de Psicologia da Saúde