Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder

Background Caregivers of children with autism spectrum disorder (ASD) are sensitive to the internalisation of the stigma, known as affiliate stigma, resulting in reduced self-esteem, isolation and poor psychological well-being. Aims This study aims to validate the Greek version of the Affiliate Sti...

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Main Authors: Angelos Papadopoulos, Dionysios Tafiadis, Angeliki Tsapara, Petros Skapinakis, Meropi Tzoufi, Vassiliki Siafaka
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472421010838/type/journal_article
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author Angelos Papadopoulos
Dionysios Tafiadis
Angeliki Tsapara
Petros Skapinakis
Meropi Tzoufi
Vassiliki Siafaka
author_facet Angelos Papadopoulos
Dionysios Tafiadis
Angeliki Tsapara
Petros Skapinakis
Meropi Tzoufi
Vassiliki Siafaka
author_sort Angelos Papadopoulos
collection DOAJ
description Background Caregivers of children with autism spectrum disorder (ASD) are sensitive to the internalisation of the stigma, known as affiliate stigma, resulting in reduced self-esteem, isolation and poor psychological well-being. Aims This study aims to validate the Greek version of the Affiliate Stigma Scale (ASS) among mothers of children with ASD. Method The translated version of ASS in Greek was administered to 53 mothers of children newly diagnosed with ASD in two time periods: 1–6 months from diagnosis (time point 1) and 12 months from the initial assessment (time point 2). The control group consisted of 62 mothers of typically developing children. Results The ASS total mean score revealed a moderate level of stigma to the ASD group in both assessments. The reliability measures by item showed a satisfactory composite reliability (affective 0.828, cognitive 0.833, behaviour 0.857). Cronbach's alpha revealed that the estimated internal consistency was excellent (α = 0.888), and it found a high positive item-total correlation. Receiver operating characteristic analysis results indicated a statistically significant positive discrimination (area under the curve 0.849, P = 0.000) between the groups. The cut-off point was 31.00, with a sensitivity of 0.849 and a 1 – sensitivity of 0.258. Conclusions The proposed version of the ASS has good psychometric properties and is valid and reliable for measuring affiliate stigma among caregivers of children with ASD in Greece. Health professionals can use it to assess and understand the stigma experienced by caregivers of children with ASD, and design appropriate interventions to reduce their affiliate stigma.
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spelling doaj.art-c9282d87e04f4e058f392e99f6c3b68f2023-03-09T12:29:18ZengCambridge University PressBJPsych Open2056-47242022-01-01810.1192/bjo.2021.1083Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorderAngelos Papadopoulos0Dionysios Tafiadis1https://orcid.org/0000-0001-7317-4106Angeliki Tsapara2https://orcid.org/0000-0002-2925-2709Petros Skapinakis3Meropi Tzoufi4Vassiliki Siafaka5Faculty of Medicine, School of Health Sciences, University of Ioannina, GreeceDepartment of Speech and Language Therapy, School of Health Sciences, University of Ioannina, GreeceFaculty of Medicine, School of Health Sciences, University of Patras, GreeceFaculty of Medicine, School of Health Sciences, University of Ioannina, GreeceFaculty of Medicine, School of Health Sciences, University of Ioannina, GreeceDepartment of Speech and Language Therapy, School of Health Sciences, University of Ioannina, GreeceBackground Caregivers of children with autism spectrum disorder (ASD) are sensitive to the internalisation of the stigma, known as affiliate stigma, resulting in reduced self-esteem, isolation and poor psychological well-being. Aims This study aims to validate the Greek version of the Affiliate Stigma Scale (ASS) among mothers of children with ASD. Method The translated version of ASS in Greek was administered to 53 mothers of children newly diagnosed with ASD in two time periods: 1–6 months from diagnosis (time point 1) and 12 months from the initial assessment (time point 2). The control group consisted of 62 mothers of typically developing children. Results The ASS total mean score revealed a moderate level of stigma to the ASD group in both assessments. The reliability measures by item showed a satisfactory composite reliability (affective 0.828, cognitive 0.833, behaviour 0.857). Cronbach's alpha revealed that the estimated internal consistency was excellent (α = 0.888), and it found a high positive item-total correlation. Receiver operating characteristic analysis results indicated a statistically significant positive discrimination (area under the curve 0.849, P = 0.000) between the groups. The cut-off point was 31.00, with a sensitivity of 0.849 and a 1 – sensitivity of 0.258. Conclusions The proposed version of the ASS has good psychometric properties and is valid and reliable for measuring affiliate stigma among caregivers of children with ASD in Greece. Health professionals can use it to assess and understand the stigma experienced by caregivers of children with ASD, and design appropriate interventions to reduce their affiliate stigma. https://www.cambridge.org/core/product/identifier/S2056472421010838/type/journal_articleAffiliate stigmavalidationGreek versionfamily caregiversautism spectrum disorders
spellingShingle Angelos Papadopoulos
Dionysios Tafiadis
Angeliki Tsapara
Petros Skapinakis
Meropi Tzoufi
Vassiliki Siafaka
Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
BJPsych Open
Affiliate stigma
validation
Greek version
family caregivers
autism spectrum disorders
title Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
title_full Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
title_fullStr Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
title_full_unstemmed Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
title_short Validation of the Greek version of the Affiliate Stigma Scale among mothers of children with autism spectrum disorder
title_sort validation of the greek version of the affiliate stigma scale among mothers of children with autism spectrum disorder
topic Affiliate stigma
validation
Greek version
family caregivers
autism spectrum disorders
url https://www.cambridge.org/core/product/identifier/S2056472421010838/type/journal_article
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