Abstract:
PURPOSE:"Associative stigma" is the negative stereotyping of mental health service providers who treat people with serious mental illness. The Clinician Associative Stigma Scale (CASS) has been validated in a US sample but not in other nations, e.g., in China which has been found to have substantially higher levels of stigma towards people with mental illness than the US. METHODS:The 19-item CASS was translated into Chinese and administrated to 665 mental health professionals working in psychiatric hospitals in Southern China. Confirmatory factor analysis (CFA) was used to compare the factor structure with that found in the US sample. Socio-demographic correlates of CASS scores and comparison with US data were conducted using regression models and t test. RESULTS:CFA showed a good model fit (GFI = 0.911 and RMSEA = 0.068) for the four factors found in the US study: (1) discomfort with disclosing about working with serious mental illness, (2) stereotypes about professionals' own poor mental health, (3) stereotypes about unpleasantness of working with people with serious mental illness, and (4) stereotypes about lack of treatment effectiveness. Total CASS score and subscales concerning stereotypes about providers' mental health and about unpleasantness of working with such patients were significantly lower in China than in the US (both P < 0.001), but stereotypes concerning professional ineffectiveness were higher in China. CONCLUSION:Associative stigma was lower in China than in the US, possibly reflecting the cultural dominance of respect for educated professionals over stigma towards people with serious mental illness.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Lin X,Rosenheck R,Sun B,Xie G,Zhong G,Tan C,Li Z,Yu M,He Hdoi
10.1007/s00127-018-1643-6subject
Has Abstractpub_date
2019-06-01 00:00:00pages
745-753issue
6eissn
0933-7954issn
1433-9285pii
10.1007/s00127-018-1643-6journal_volume
54pub_type
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