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

Dara Kiu Yi Leung, Frankie Ho Chun Wong, Jessie Ho Yin Yau, Anna Yan Zhang, Walker Siu Hong Au, Tianyin Liu, Gloria Hoi Yan Wong, Terry Yat Sang Lum

Research output: Journal article publicationJournal articleAcademic researchpeer-review

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)1644-1651
Number of pages8
JournalAging and Mental Health
Volume27
Issue number8
DOIs
Publication statusPublished - Feb 2023

Keywords

  • discrimination
  • prejudice
  • psychometrics
  • social-cognitive model
  • Stereotype

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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