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. 2022 Feb 7:13:796296.
doi: 10.3389/fneur.2022.796296. eCollection 2022.

Validation of the Chinese Version of the Stigma Scale of Epilepsy

Yuanxia Wu  1   2 , Kailing Huang  1   2 , Shirui Wen  1   2 , Bo Xiao  1   2 , Li Feng  1   2
Affiliations

Validation of the Chinese Version of the Stigma Scale of Epilepsy

Yuanxia Wu et al. Front Neurol. .

Abstract

Purpose: This study was carried out to test the validity and reliability of the Chinese version of the Stigma Scale of Epilepsy (SSE), with aim to better understand the public stigmatizing attitudes of epilepsy in China and help elucidate stigma determinants for interventions.

Methods: The SSE was translated into Simplified Chinese Mandarin. In this study, most of the participants were enrolled via convenience sampling by randomly distributing questionnaires on the streets and parts of the participants were recruited by an online platform named Wenjuanxing. We assessed the psychometric properties of the SSE in 310 Chinese native-speaker. Cronbach's alpha was tested for reliability. Index of Content Validity (CVI) was calculated. Exploratory and confirmatory analysis were used to explore the factor structure and verify the validity of SSE.

Results: The Cronbach's alpha is 0.936 for the overall scale, and the CVI value is greater than 0.78. The exploratory factor analysis (EFA) extracted SSE six factors: the fear of seizure attacks (factor 1), sympathy for patients with epilepsy (PWEs) (factor 2); difficulties faced by PWEs (factor 3); speculation on PWEs' feeling (factor 4); discrimination against PWEs (factor 5); and knowledge about epilepsy (factor 6). The item 13 was proven to be problematic and has been eliminated. The confirmatory factor analysis (CFA) ensured the great construct validity (χ2/SD = 1.725, goodness of fit index (GFI) = 0.916, and root mean square error of approximation (RMSEA) = 0.048), convergent validity (the factor loads of each item corresponding to each latent variable >0.6, average variance extracted (AVE) > 0.5, and composite reliability (CR) > 0.7), and discrimination validity (all of the absolute value of correlation coefficient are <0.5,and less than the square root of AVE) of the SSE.

Conclusions: The Chinese version of the SSE scale was a valid and reliable tool to measure epilepsy-associated stigma in the Chinese society.

Keywords: China; epilepsy; stigma; the stigma scale of epilepsy; validation.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The scree plot of the items related to stigma toward epilepsy in normal people. The scree plot was acquired by principal component analysis (PCA) with correlation matrix.
See this image and copyright information in PMC

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References

    1. Fisher RS, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, et al. . Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia. (2005) 46:470–2. 10.1111/j.0013-9580.2005.66104.x - DOI - PubMed
    1. Bozzi Y, Casarosa S, Caleo M. Epilepsy as a neurodevelopmental disorder. Front Psychiatry. (2012) 3:19. 10.3389/fpsyt.2012.00019 - DOI - PMC - PubMed
    1. Wei Z, Ren L, Yang L, Liu C, Cao M, Yang Q, et al. . The relationship between social anxiety and felt stigma in patients with epilepsy: a network analysis. Seizure. (2021) 92:76–81. 10.1016/j.seizure.2021.08.014 - DOI - PubMed
    1. Zhao Y, Liu X, Xiao Z. Effects of perceived stigma, unemployment and depression on suicidal risk in people with epilepsy. Seizure. (2021) 91:34–9. 10.1016/j.seizure.2021.04.021 - DOI - PubMed
    1. Liu Z, Yin R, Fan Z, Fan H, Wu H, Shen B, et al. . Gender differences in associated and predictive factors of anxiety and depression in people with epilepsy. Front Psychiatry. (2020) 11:670. 10.3389/fpsyt.2020.00670 - DOI - PMC - PubMed

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