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Which self-stigma of seeking help (SSOSH) version has adequate psychometric properties? An analysis of the SEM approach and network psychometrics in the Peruvian sample

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Abstract

Self-stigma for seeking help is a factor associated with various mental health problems. For its measurement, there are instruments such as SSOSH, SSOSH-7, and SSOSH-3. However, its psychometric properties have yet to be examined in the Latin American context. Faced with this, the study aimed to evaluate the factorial structure of the SSOSH, SSOSH-7, and SSOSH-3 in the Peruvian sample, identify evidence of validity based on the relationship with other variables, perform factorial invariance according to sex and determine the degree of reliability. The sample comprised 404 Peruvian citizens of both sexes (65.84% women and 34.16% men) whose ages ranged from 18 to 58 years (M = 24.27; SD = 7.9). In addition to applying the three versions of the SSOSH, the Patient Health Questionnaire (PHQ-9) and the Rosenberg Self-Esteem Scale-P (EAR-P) were applied. The present study evidenced that using the EGA and riEGA, a one-dimensional model was identified in the three versions of the SSOSH. It was shown that the SSOSH-7 and SSOSH-3 have adequate fit and reliability indices. In addition, it was shown that the factorial structure of the SSOH-3 is invariant in the group of men and women. Additionally, it was found that the self-stigma of seeking help predicts depression and self-esteem. It is concluded that the SSOSH-3 showed better psychometric performance than the other versions of the SSOSH. Therefore, SSOSH-3 proves to be a brief, valid and reliable instrument that allows the adequate measurement of self-stigma due to help-seeking in the Peruvian adult sample.

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Data availability

The datasets generated and/or analyzed during the current study are available in the OSF repository at https://osf.io/xy4du/.

References

  • Álvarez Bermúdez, J., & Meza Peña, C. (2022). Anxiety and adaptation to pandemic in Mexico: A cross-sectional study. Interacciones, 8, e242. https://doi.org/10.24016/2022.v8.242.

    Article  Google Scholar 

  • Association American Educational Research [AERA], Association American Psychological, [APA], & Education National Council on Measurement in education, [NCME]. (2014). Standards for educational and psychological testing. American Educational Research Association.

  • Brenner, R. E., Colvin, K. F., Hammer, J. H., & Vogel, D. L. (2021). Using item response theory to develop revised (SSOSH-7) and ultra-brief (SSOSH-3) self-stigma of seeking help scales. Assessment, 28(5), 1488–1499. https://doi.org/10.1177/1073191120958496.

    Article  PubMed  Google Scholar 

  • Broche-Pérez, Y., Fernández-Castillo, E., & Reye, D. (2020). Consecuencias psicológicas de la cuarentena y el aislamiento social durante la pandemia de COVID-19. Revista Cubana de Salud Pública, 46. https://orcid.org/0000-0002-0613-3459.

  • Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14(3), 464–504. https://doi.org/10.1080/10705510701301834.

    Article  Google Scholar 

  • Cheng, H. L., Mcdermott, R. C., & Lopez, F. G. (2015). Mental Health, Self-Stigma, and help-seeking intentions among emerging adults: An attachment perspective. The Counseling Psychologist, 43(3), 463–487. https://doi.org/10.1177/0011000014568203.

    Article  Google Scholar 

  • Damiano, R. F., Caruso, M. J. G., Cincoto, A. V., de Almeida Rocca, C. C., de Pádua Serafim, A., Bacchi, P., Guedes, B. F., Brunoni, A. R., Pan, P. M., Nitrini, R., Beach, S., Fricchione, G., Busatto, G., Miguel, E. C., & Forlenza, O. V. (2022). Post-COVID-19 psychiatric and cognitive morbidity: Preliminary findings from a Brazilian cohort study. General Hospital Psychiatry, 75(July 2021), 38–45. https://doi.org/10.1016/j.genhosppsych.2022.01.002.

    Article  PubMed  PubMed Central  Google Scholar 

  • DiStefano, C., & Motl, R. W. (2009). Self-esteem and method effects associated with negatively worded items: Investigating factorial invariance by sex. Structural Equation Modeling, 16(1), 134–146. https://doi.org/10.1080/10705510802565403.

    Article  Google Scholar 

  • Eagle, D. R., Iwanaga, K., Kaya, C., Muller, V., Lee, B., Rumrill, S., Chiu, C. Y., Tansey, T. N., & Chan, F. (2020). Assessing self-stigma of help-seeking in Student veterans: A psychometric validation study. Journal of College Student Psychotherapy. https://doi.org/10.1080/87568225.2020.1806163

    Article  Google Scholar 

  • Efstathiou, G., Kouvaraki, E., Ploubidis, G., & Kalantzi-Azizi, A. (2019). Self-Stigma, Public-Stigma and attitudes towards Professional Psychological Help: Psychometric properties of the Greek Version of three relevant questionnaires. International Journal for the Advancement of Counselling, 41(2), 175–186. https://doi.org/10.1007/s10447-018-9364-9.

    Article  Google Scholar 

  • Essau, C. A., Olaya, B., Anastassiou-hadjicharalambous, X., Pauli, G., Gilvarry, C., Bray, D., Callaghan, J. O., & Ollendick, T. H. (2012). Psychometric properties of the Strength and difficulties Questionnaire from five European countries. International Journal of Methods in Psychiatric Research. https://doi.org/10.1002/mpr.1364.

    Article  PubMed  PubMed Central  Google Scholar 

  • Finney, S. J., & DiStefano, C. (2006). Nonnormal and categorical data in structural equation modeling. Mueller (Hrsg.). Structural equation modeling: A second course (pp. 269–314). Information Age Publishing. InG. r. Hancock.

  • Friedman, J., Hastie, T., & Tibshirani, R. (2008). Sparse inverse covariance estimation with the graphical lasso. Biostatistics (Oxford England), 9(3), 432–441. https://doi.org/10.1093/BIOSTATISTICS/KXM045.

    Article  PubMed  Google Scholar 

  • Garcia-Pardina, A., Abad, F. J., Christensen, A. P., Golino, H., & Garrido, L. E. (2022). Dimensionality Assessment in the Presence of Wording Effects: A Network Psychometric and Factorial Approach. https://doi.org/10.31234/OSF.IO/7YQAU.

  • Golino, H., & Epskamp, S. (2017). Exploratory graph analysis: A new approach for estimating the number of dimensions in psychological research. PLOS ONE, 12(6), e0174035. https://doi.org/10.1371/JOURNAL.PONE.0174035.

    Article  PubMed  PubMed Central  Google Scholar 

  • Golino, H., Shi, D., Christensen, A. P., Garrido, L. E., Nieto, M. D., Sadana, R., Thiyagarajan, J. A., & Martínez-Molina, A. (2020). Investigating the performance of Exploratory Graph Analysis and traditional techniques to identify the number of latent factors: A simulation and tutorial. Psychological Methods, 25(3), 292–320. https://doi.org/10.1037/MET0000255.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hammer, J. H., Vogel, D. L., & Heimerdinger-Edwards, S. R. (2013). Men’s help seeking: Examination of differences across community size, education, and income. Psychology of Men and Masculinity, 14(1), 65–75. https://doi.org/10.1037/a0026813.

    Article  Google Scholar 

  • Heath, P. J., Brenner, R. E., Lannin, D. G., & Vogel, D. L. (2018). Self-compassion moderates the relationship of perceived public and anticipated self-stigma of seeking help. Stigma and Health, 3(1), 65–68. https://doi.org/10.1037/sah0000072.

    Article  Google Scholar 

  • Józsa, K., & Morgan, G. A. (2017). Reversed items in likert scales: Filtering out invalid responders. Journal of Psychological and Educational Research, 25(1), 7–25. https://faculty.ksu.edu.sa/sites/default/files/likert2_0.pdf.

    Google Scholar 

  • Kaya, C., Tansey, T., Chan, F., Bezyak, J., Melekoğlu, M. A., Çakıroğlu, O., & Köse, S. (2014). Dimensionality of the Turkish version of the self-stigma of seeking help scale: Results from exploratory and confirmatory factor analyses. International Journal for the Advancement of Counselling, 2014 37:2(2), 105–116. https://doi.org/10.1007/S10447-014-9230-3. 37.

    Article  Google Scholar 

  • Larrahondo, B. F., García, J., Martínez-Villalba, A. M., Zapata, J. P., & Aguirre-Acevedo, D. C. (2021). Validación de la escala de autoestigma por Búsqueda de ayuda (ABA) en una población de estudiantes de medicina de Colombia. Revista Colombiana De Psiquiatría, 50(2), 82–91. https://doi.org/10.1016/J.RCP.2020.01.001.

    Article  Google Scholar 

  • Latalova, K., Kamaradova, D., & Prasko, J. (2014). Perspectives on perceived stigma and self-stigma in adult male patients with depression. Neuropsychiatric disease and treatment (Vol. 10, pp. 1399–1405). Dove Medical Press Ltd. https://doi.org/10.2147/NDT.S54081.

  • Link, B. G., Cullen, F. T., Struening, E., Shrout, P. E., & Dohrenwend, B. P. (1989). A modified labeling theory Approach to Mental disorders: An empirical Assessment. American Sociological Review, 54(3), 400. https://doi.org/10.2307/2095613.

    Article  Google Scholar 

  • Lokhee, S., & Hogg, R. C. (2021). Depression, stress and self-stigma towards seeking psychological help in veterinary students. Australian Veterinary Journal, 99(7), 309–317. https://doi.org/10.1111/avj.13070.

    Article  PubMed  Google Scholar 

  • Medeiros, G. C., Senc, S. B., Lafer, B., & Almeida, K. M. (2016). Association between duration of untreated bipolar disorder and clinical outcome: Data from a Brazilian sample. 134, 6–10. https://doi.org/10.1590/1516-4446-2015-1680.

  • Minsalud, comprometido con la salud mental de los colombianos. Boletín de Ministerio de Salud y Protección Social, & Prensa (2021). https://www.minsalud.gov.co/Paginas/Minsalud-comprometido-con-la-salud-mental-de-los-colombianos.aspx#:~:text=Creciente prevalencia de depresión (aproximadamente,Déficit de Atención e Hiperactividad.

  • Möller-Leimkühler, A. M. (2002). Barriers to help-seeking by men: A review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71(1–3), 1–9. https://doi.org/10.1016/S0165-0327(01)00379-2.

    Article  PubMed  Google Scholar 

  • Morales-Chainé, S. (2021). The impact of the COVID-19 pandemic on mental health. Enfermería Universitaria, 18(2). https://www.scielo.org.mx/scielo.php?pid=S1665-70632021000200001&script=sci_arttext

  • Pons, P., & Latapy, M. (2005). Computing communities in large networks using random walks. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), 3733 LNCS, 284–293. https://doi.org/10.1007/11569596_31/COVER.

  • Schumacker, R. E., & Lomax, R. G. (2015). A beginner’s guide to structural equation modeling: Fourth Edition. Routledge.

  • Suárez-Alvarez, J., Pedrosa, I., Lozano, L. M., García-Cueto, E., Cuesta, M., & Muñiz, J. (2018). Using reversed items in Likert scales: A questionable practice. Psicothema, 30(2), 149–158. https://doi.org/10.7334/PSICOTHEMA2018.33.

    Article  PubMed  Google Scholar 

  • Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the Measurement Invariance Literature: Suggestions, practices, and recommendations for Organizational Research. Organizational Research Methods, 3(1), 4–69. https://doi.org/10.1177/109442810031002.

    Article  Google Scholar 

  • Vidales, C. A., Vogel, D. L., & Levant, R. F. (2023). The self-stigma of seeking help (SSOSH) scale: Measurement Invariance Across men from different backgrounds. Measurement and Evaluation in Counseling and Development, 0(0), 1–15. https://doi.org/10.1080/07481756.2022.2160356.

    Article  Google Scholar 

  • Viladrich, C., Angulo-Brunet, A., & Doval, E. (2017). Un viaje alrededor de alfa y omega para estimar la fiabilidad de consistencia interna. Anales De Psicologia, 33(3), 755–782. https://doi.org/10.6018/analesps.33.3.268401.

    Article  Google Scholar 

  • Vilca, L. W., Travezaño-Cabrera, A., & Santos-Garcia, S. (2022). Rosenberg Self-Esteem Scale (RSES): Analysis of the factorial structure and proposal of a new version of only positive items. Electronic Journal of Research in Educational Psychology, 20(56), 225–240.

    Article  Google Scholar 

  • Villar, O. A. E., Chavarría-gamiz, C. F., Cabral-sán, J. A., Sanz-gonzález, S., Lazalde, A. K., & C.-. (2021). Fatalismo y su relación con el autoestigma y la búsqueda de tratamiento de salud mental. https://www.revistacneip.org/index.php/cneip/article/view/195.

  • Villarreal-Zegarra, D., Copez-Lonzoy, A., Bernabé-Ortiz, A., Melendez-Torres, G. J., & Bazo-Alvarez, J. C. (2019). Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics. PLOS ONE, 14(9), e0221717. https://doi.org/10.1371/JOURNAL.PONE.0221717.

    Article  PubMed  PubMed Central  Google Scholar 

  • Villarreal-Zegarra, D., Reátegui-Rivera, M., Otazú-Alfaro, C., Yantas-Alcantara, S., & Soto-Becerra, G. (2023). · Percy, & Melendez-Torres, · G J. Estimated impact of the COVID-19 pandemic on the prevalence and treatment of depressive symptoms in Peru: an interrupted time series analysis in 2014–2021. Social Psychiatry and Psychiatric Epidemiology 2023, 1, 1–11. https://doi.org/10.1007/S00127-023-02446-8.

  • Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325–337. https://doi.org/10.1037/0022-0167.53.3.325.

    Article  Google Scholar 

  • Vogel, D. L., Armstrong, P. I., Tsai, P. C., Wade, N. G., Hammer, J. H., Efstathiou, G., Holtham, E., Kouvaraki, E., Liao, H. Y., Shechtman, Z., & Topkaya, N. (2013). Cross-cultural validity of the self-stigma of seeking help (SSOSH) scale: Examination across six nations. Journal of Counseling Psychology, 60(2), 303–310. https://doi.org/10.1037/A0032055.

    Article  PubMed  Google Scholar 

  • Vogel, D. L., Strass, H. A., Heath, P. J., Al-Darmaki, F. R., Armstrong, P. I., Baptista, M. N., Brenner, R. E., Gonçalves, M., Lannin, D. G., Liao, H. Y., Mackenzie, C. S., Mak, W. W. S., Rubin, M., Topkaya, N., Wade, N. G., Wang, Y. F., & Zlati, A. (2017). Stigma of seeking Psychological services: Examining College students across ten Countries/Regions. Counseling Psychologist, 45(2), 170–192. https://doi.org/10.1177/0011000016671411.

    Article  Google Scholar 

  • Waller, N. G. (2008). Commingled samples: A neglected source of bias in reliability analysis. Applied Psychological Measurement, 32(3), 211–223. https://doi.org/10.1177/0146621607300860.

    Article  Google Scholar 

  • Wallin, E., Maathz, P., Parling, T., & Hursti, T. (2018). Self-stigma and the intention to seek psychological help online compared to face-to-face. Journal of Clinical Psychology, 74(7), 1207–1218. https://doi.org/10.1002/jclp.22583.

    Article  PubMed  Google Scholar 

  • World Health Organization (2022, March 7). El Director General de la OMS manifiesta su profunda preocupación por la escalada de la crisis sanitaria en Ucrania. Departamento de Información Pública. https://news.un.org/es/story/2022/03/1505192.

  • World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for Medical Research Involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/JAMA.2013.281053.

    Article  Google Scholar 

  • Zinbarg, R. E., Revelle, W., Yovel, I., & Li, W. (2005). Cronbach’s, α Revelle’s β and McDonald’s ω H: Their relations with each other and two alternative conceptualizations of reliability. Psychometrika, 70(1), 123–133. https://doi.org/10.1007/s11336-003-0974-7.

    Article  Google Scholar 

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Authors and Affiliations

  1. Escuela Profesional de Psicología, Universidad Peruana Unión, Lima, Perú

    Aaron Travezaño-Cabrera, Samy L. Huerta & Rose Barbaran-Alvarado

  2. South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Perú

    Lindsey W. Vilca

  3. Center for Advanced Studies in Psychometrics, Lima, Perú

    Julisa Quiroz-Becerra, María Calizaya-Anahua, Estefany Rojas-Mendoza & Vaneryn Alania-Marin

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  1. Aaron Travezaño-Cabrera
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Contributions

AT-C, LWV, JQ-B, MC-A, ER-M, VA-M, RB-A and SLH provided initial conception, organization, and main writing of the text. LWV and AT-C analyzed the data and prepared all figures and tables. AT-C, LWV, JQ-B, MC-A, R-M, VA-M, RB-A and SLH were involved in data collection and acted as consultants and contributors to research design, data analysis, and text writing, read and approved the draft.

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Correspondence to Aaron Travezaño-Cabrera.

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The study obtained the approval of the ethics committee of the Center for Research and Innovation in Health of the Universidad Peruana Unión (2022-CE-FCS - UPeU-042), and the standards of the Helsinki declaration were met. The informed consent of the participants was obtained, where the study's objective and the anonymity of the responses were explained. 

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Travezaño-Cabrera, A., Vilca, L.W., Quiroz-Becerra, J. et al. Which self-stigma of seeking help (SSOSH) version has adequate psychometric properties? An analysis of the SEM approach and network psychometrics in the Peruvian sample. Curr Psychol (2024). https://doi.org/10.1007/s12144-024-06099-x

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