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Jun 4, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

IMPACT OF HEALTH-RELATED STIGMA ON PSYCHOSOCIAL FUNCTIONING IN CANCER PATIENTS: CONSTRUCT VALIDITY OF THE STIGMA-RELATED SOCIAL PROBLEMS SCALE

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stigma

validation

instrument

Abstract

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Abstract

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Keywords

stigma

validation

instrument

Abstract

Background Felt stigma is an internalized sense of shame about having an unwanted condition along with fear of discrimination due to imputed inferiority. Cancer is associated with health-related stigma and individuals may experience stigma that strongly affect their quality of life. The Stigma-related Social Problems scale (SSP) was developed for measuring the impact of health-related stigma on social functioning in people with different diseases and disorders. The use of SSP has never been validated in cancer patients. Method In 2017, SPP was sent to 1179 cancer patients with 28 different cancer diagnoses. Tests of internal consistency reliability, construct validity, item-scale convergent validity, ceiling and floor effects, and known-groups validity were conducted. The aim of the study was to evaluate the validity of SSP in cancer patients. Results The response rate was 62% and the final sample comprised of 728 patients. Reliability coefficients were high for both scales. Factor analyses confirmed the unidimensionality and homogeneity of the scales. Item-scale correlations for both scales indicated satisfactory item-scale convergent validity. The proportion of subjects scoring at the lowest possible score level was 26% for the Distress scale and 28% for the Avoidance scale, while ceiling effects were marginal (< 1 %). The proportion of missing items was generally low, ranging from 1.4-1.5%. Conclusion SSP is a feasible instrument with sound psychometric properties that we have validated in a study on 728 cancer patients. The instrument can identify individuals at risk for psychosocial disturbances and thus in need of cancer rehabilitation and support.

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© Copyright 2019 Morressier GmbH.
All rights reserved.