| Autor: |
Leung DKY; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Wong FHC; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.; Philip Merrill College of Journalism, University of Maryland, College Park, USA., Yau JH; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Zhang AY; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Au WSH; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Liu T; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Wong GHY; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Lum TYS; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.; Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong. |
| Abstrakt: |
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. |
