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Article: Dimensionality and risk factors of the personal stigma of depression in adults aged 50 years and older at risk of depression

TitleDimensionality and risk factors of the personal stigma of depression in adults aged 50 years and older at risk of depression
Authors
Keywordsdiscrimination
prejudice
psychometrics
social-cognitive model
Stereotype
Issue Date21-Feb-2023
PublisherTaylor and Francis Group
Citation
Aging and Mental Health, 2023 How to Cite?
Abstract

Objectives: Knowledge about the mechanism of the personal stigma of depression may inform strategies to reduce stigma and promote help-seeking. We examined the dimensionality and risk factors of the personal stigma of depression in older adults at risk of depression.

Methods: Seven-hundred and one Hong Kong adults aged 50 years and older at risk of depression completed the personal stigma subscale of the depression Stigma Scale (DSS-personal) at two-time points. We used exploratory factor analysis (EFA) to explore the factor structure of DSS personal and confirmatory factor analysis to examine the model fit of the EFA-informed factor structure and structures proposed in previous studies. Regression analyses examined the relationships between risk factors and personal stigma dimensions.

Results: Factor analyses identified a 3-factor structure of DSS-personal resembling the social-cognitive model consistent over time and included stereotype, prejudice, and discrimination (CFI = 0.95, TLI = 0.92, RMSEA = 0.05). Regression analyses indicated all stigma dimensions were associated with older age, less education, and no personal history of depression (B = –0.44 to 0.06); discrimination was also associated with more depressive symptoms (B = 0.10 to 0.12).

Conclusion: Findings illustrated the potential theoretical underpinning of DSS-personal. Stigma reduction interventions could target and tailor to older adults with risk factors to enhance effectiveness and promote help-seeking.


Persistent Identifierhttp://hdl.handle.net/10722/329221
ISSN
2023 Impact Factor: 2.8
2023 SCImago Journal Rankings: 1.403
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLeung, Dara Kiu Yi-
dc.contributor.authorWong, Frankie Ho Chun-
dc.contributor.authorYau, Jessie Ho Yin-
dc.contributor.authorZhang, Anna Yan-
dc.contributor.authorAu, Walker Siu Hong-
dc.contributor.authorLiu, Tianyin-
dc.contributor.authorWong, Gloria Hoi Yan-
dc.contributor.authorLum, Terry Yat Sang-
dc.date.accessioned2023-08-05T07:56:13Z-
dc.date.available2023-08-05T07:56:13Z-
dc.date.issued2023-02-21-
dc.identifier.citationAging and Mental Health, 2023-
dc.identifier.issn1360-7863-
dc.identifier.urihttp://hdl.handle.net/10722/329221-
dc.description.abstract<p><strong>Objectives:</strong> Knowledge about the mechanism of the personal stigma of depression may inform strategies to reduce stigma and promote help-seeking. We examined the dimensionality and risk factors of the personal stigma of depression in older adults at risk of depression.</p><p><strong>Methods:</strong> Seven-hundred and one Hong Kong adults aged 50 years and older at risk of depression completed the personal stigma subscale of the depression Stigma Scale (DSS-personal) at two-time points. We used exploratory factor analysis (EFA) to explore the factor structure of DSS personal and confirmatory factor analysis to examine the model fit of the EFA-informed factor structure and structures proposed in previous studies. Regression analyses examined the relationships between risk factors and personal stigma dimensions.</p><p><strong>Results:</strong> Factor analyses identified a 3-factor structure of DSS-personal resembling the social-cognitive model consistent over time and included stereotype, prejudice, and discrimination (CFI = 0.95, TLI = 0.92, RMSEA = 0.05). Regression analyses indicated all stigma dimensions were associated with older age, less education, and no personal history of depression (<em>B</em> = –0.44 to 0.06); discrimination was also associated with more depressive symptoms (<em>B</em> = 0.10 to 0.12).</p><p><strong>Conclusion:</strong> Findings illustrated the potential theoretical underpinning of DSS-personal. Stigma reduction interventions could target and tailor to older adults with risk factors to enhance effectiveness and promote help-seeking.</p>-
dc.languageeng-
dc.publisherTaylor and Francis Group-
dc.relation.ispartofAging and Mental Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectdiscrimination-
dc.subjectprejudice-
dc.subjectpsychometrics-
dc.subjectsocial-cognitive model-
dc.subjectStereotype-
dc.titleDimensionality and risk factors of the personal stigma of depression in adults aged 50 years and older at risk of depression-
dc.typeArticle-
dc.identifier.doi10.1080/13607863.2023.2179973-
dc.identifier.scopuseid_2-s2.0-85148521082-
dc.identifier.eissn1364-6915-
dc.identifier.isiWOS:000936114400001-
dc.identifier.issnl1360-7863-

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