Factor structure of an Italian adaptation of the Perceived Stigma Scale in Inflammatory Bowel Disease (PSS-IBD-Iv): A preliminary investigation

Author/s Luca Caricati, Beatrice Soli
Publishing Year 2022 Issue 2022/3 Language English
Pages 17 P. 119-135 File size 270 KB
DOI 10.3280/PDS2022-003010
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The article describes results of a study on the factor structure of a further Italian adaptation of the Perceived Stigma Scale in Inflammatory Bowel Disease (PSS-IBD). The scale consists of 10 items measuring general perceived stigmatization that can be declined in 5 domains of life. The translated scale was administered to a sample of 162 patients who were affected by ulcerative colitis or Crohn’s disease. Explorative and confirmatory bi-factor analysis revealed that the scale adequately measured one single dimension of stigma along with 5 domain-specific scores. Perceived stigma was generally low, albeit about 20% of the sample reported moderate to strong levels stigma, especially in the domain of friendship and workplace. Levels of general stigma were influenced neither by type of disease nor by gender, although women reported higher stigmatization in the household context than men. Moreover, stigma was negatively correlated with resilience and self-esteem, thus supporting the validity of the scale. In sum, the present results seem to confirm the hypothesis that the PSS-IBD Italian version (IV) is a reliable and valid instrument to measure perceived stigma in patients with IBD. By virtue of its reduced length, PSS-IBD also appears to be an instrument that can easily be administered in diverse contexts.

Keywords: perceived stigmatization, ulcerative colitis, crohn’s disease, measurement, instrument

  1. Brown T. (2006). Confirmatory factor analysis for applied research. New York: Guildford.
  2. Byrne G., Rosenfeld G., Leung Y., Qian H., Raudzus J., Nunez C. & Bressler B. (2017). Prevalence of Anxiety and Depression in Patients with Inflammatory Bowel Disease. Canadian Journal of Gastroenterology and Hepatology, 6496727. DOI: 10.1155/2017/649672
  3. Dibley L., Norton C. & Whitehead E. (2018). The experience of stigma in inflammatory bowel disease: An interpretive (hermeneutic) phenomenological study. Journal of Advanced Nursing, 74, 838-851.
  4. Dibley L., Williams E. & Young P. (2020). When Family Don’t Acknowledge: A Hermeneutic Study of the Experience of Kinship Stigma in Community-Dwelling People With Inflammatory Bowel Disease. Qualitative Health Research, 30(8), 1196-1211. DOI: 10.1177/1049732319831795
  5. Douglas S.P. & Craig C.S. (2001). Collaborative and Iterative Translation: An Alternative Approach to Back Translation. Journal of International Marketing, 15(1): 30-43.
  6. Fourie S., Jackson D. & Aveyard H. (2018). Living with Inflammatory Bowel Disease: A review of qualitative research studies. International Journal of Nursing Studies, 87, 149-156.
  7. Girtler N., Casari E.F., Brugnolo A., Cutolo M., Dessi B., Guasco S., Olmi C. & De Carli F. (2010). Italian validation of the Wagnild and Young Resilience Scale: a perspective to rheumatic diseases. Clinical and Experimental Rheumatology, 28(5), 669-78.
  8. Grimm K.J. & Widaman K.F. (2012). Construct validity. In Cooper H., Camic P.M., Long D.L., Panter A.T., Rindskopf D. & Sher K.J. (Eds.), APA handbook of research methods in psychology, Vol. 1. Foundations, planning, measures, and psychometrics (pp. 621-642). American Psychological Association.
  9. Guo L., Rohde J. & Farraye F.A. (2020). Stigma and Disclosure in Patients with Inflammatory Bowel Disease. Inflammatory Bowel Diseases, 26(7), 1010-1016.
  10. Harkness J.A., van de Vijver J.F.R. & Mohler P.Ph. (2003). Cross-Cultural Survey Methods. New York: Wiley.
  11. Haslam S.A., McMahon C., Cruwys T., Haslam C., Jetten J. & Steffens N.K. (2018). Social cure, what social cure? The propensity to underestimate the importance of social factors for health. Social Science & Medicine, 198, 14-21.
  12. Jones M.P., Keefer L., Bratten J., Taft T.H., Crowell M.D., Levy R. et al. (2009). Development and initial validation of a measure of perceived stigma in irritable bowel syndrome. Psychology Health and Medicine, 14(3), 367-374. DOI: 10.1080/1354850090286595
  13. Lenti M.V., Cococcia S., Ghorayeb J., Di Sabatino A. & Selinger C.P. (2020). Stigmatisation and resilience in inflammatory bowel disease. Internal and Emergency Medicine, 15(2), 211-223.
  14. Mantzouranis G., Fafliora E., Glanztounis G., Christodoulou D.K. & Katsanos K.H. (2015). Inflammatory Bowel Disease and Sexual Function in Male and Female Patients: An Update on Evidence in the Past Ten Years. Journal of Crohn’s & Colitis, 9(12): 1160-8.
  15. Marsh H.W. (2007). Application of confirmatory factor analysis and structural equation modeling in sport/exercise psychology. In Tenenbaum G. & Eklund R.C. (Eds.), Handbook of Sport Psychology (pp. 774-798). New York, NY: Wiley.
  16. Ministero della Salute (2016). Piano Nazionale delle Cronicità. -- Retrived from http://www.salute.gov.it/imgs/C_17_pubblicazioni_2584_allegato.pdf
  17. Moshagen M. & Erdfelder E. (2016). A new strategy for testing structural equation models. Structural Equation Modeling, 23, 54-60. DOI: 10.1080/10705511.2014.95089
  18. Muthén L.K. & Muthén B.O. (1998-2017). Mplus User’s Guide. 8th ed. Los Angeles, CA: Muthén & Muthén.
  19. Papi C., Moretti A., Festa V., Aratari A. (2005). Malattie infiammatorie croniche dell’intestino: diagnosi e terapia. Giornale Italiano di Endoscopia Digestiva, 28, 195-202.
  20. Parekh N.K., McMaster K., Nguyen D.L., Shah S., Speziale A., Miller J. & Melmed G. (2015). Coping Strategies Used by Adult Patients with Inflammatory Bowel Disease. Southern Medical Journal, 108(6), 337-342. DOI: 10.14423/SMJ.0000000000000292
  21. Perry J.L., Nicholls A.R., Clough P.J. & Crust L. (2015). Assessing model fit: caveats and recommendations for confirmatory factor analysis and exploratory structural equation modeling. Measurement in Physical Education and Exercise Science, 19, 12-21. DOI: 10.1080/1091367X.2014.95237
  22. Prezza M., Trombaccia F.R. & Armento L. (1997). La scala dell’autostima di Rosenberg. Traduzione e validazione italiana [Rosenberg Self-Esteem Scale. Italian Translation and Validation]. Bollettino di Psicologia Applicata, 223, 35-44.
  23. Rosenberg M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton. University Press.
  24. Stein E. (2005). Patologie anorettali e del colon. Atlante di proctologia. Fidenza: Mattioli 1885.
  25. Szigethy E., Murphy S.M., Ehrlich O.G., Engel-Nitz N.M., Heller C.A., Henrichsen K., Lawton R., Meadows P. & Allen J.I. (2021). Mental Health Costs of Inflammatory Bowel Diseases. Inflammatory Bowel Diseases, 27(1), 40-48.
  26. Taft T.H. & Keefer L. (2016). A systematic review of disease-related stigmatization in patients living with inflammatory bowel disease. Clinical and experimental gastroenterology, 9, 49-58. DOI: 10.2147/CEG.S8353
  27. Taft T.H., Keefer L., Artz C., Bratten J. & Jones M.P. (2011). Perceptions of illness stigma in patients with inflammatory bowel disease and irritable bowel syndrome. Quality of Life Research, 20(9), 1391-1399.
  28. Taft T.H., Keefer L., Leonhard C. & Nealon-Woods M. (2009). Impact of perceived stigma on inflammatory bowel disease patient outcomes. Inflammatory Bowel Diseases, 15(8), 1224-1232.
  29. Toomey D. & Waldron B. (2013). Family planning and inflammatory bowel disease: the patient and the practitioner. Family Practice, 30(1), 64-88.
  30. Valletta E. & Fornaro M. (2013). Malattie infiammatorie croniche intestinali. Quaderni ACP, 20(1), 3-15. -- https://acp.it/assets/media/Quaderni-acp-2013_201.pdf
  31. Wagnild G.M. & Young H.M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165-178.
  32. Walldorf J., Brunne S., Gittinger F.S. & Michl P. (2018). Family planning in inflammatory bowel disease: childlessness and disease-related concerns among female patients. European Journal of Gastroenterology & Hepatology, 30(3), 310-315. DOI: 10.1097/MEG.000000000000103
  33. Windle G., Bennett K.M. & Noyes J. (2011). A methodological review of resilience measurement scales. Health and Quality of Life Outcomes, 9, 8. DOI: 10.1186/1477-7525-9-

Luca Caricati, Beatrice Soli, Factor structure of an Italian adaptation of the Perceived Stigma Scale in Inflammatory Bowel Disease (PSS-IBD-Iv): A preliminary investigation in "PSICOLOGIA DELLA SALUTE" 3/2022, pp 119-135, DOI: 10.3280/PDS2022-003010