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Objectives: Living in a care home is a source of stigma in Thai culture, although there is currently no measurement tool in the Thai language specifically designed to assess internalized stigma in care home residents. The Thai Version of Internalized Stigma of Living in a Care Home (TIS-LCH) scale was developed and tested for its psychometric properties among Thai older residents.
Methods: The Thai version of Internalized Stigma of Mental Health Illness (ISMI) Scale was revised into the TIS-LCH by replacing the word of "mental health illness" to "living in a care home." Content validity of the TIS-LCH was determined through expert review (n = 6), and reliability testing was undertaken with older care home residents (n = 128).
Results: The TIS-LCH showed good internal consistency, with a Cronbach's alpha of .87. Test-retest reliability coefficient of TIS-LCH was excellent for the full scale (ICC = .90).
Conclusions: The Thai version of IS-LCH (TIS-LCH) is a valid and reliable measurement tool for assessing internalized stigma in Thai care home residents.
Clinical Implications: The IS-LCH will be a useful research tool to assess internalized stigma in older adults living in care settings. Understanding stigma will help health and social care professionals to plan interventions aimed at reducing or preventing negative emotional reactions and negative behavioural responses toward stigma, which are known to be associated with mental illness and particularly depression among this population.
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http://dx.doi.org/10.1080/07317115.2017.1347595 | DOI Listing |
Arch Psychiatr Nurs
October 2025
Center for Innovation and Medical Education Research, Buddhist Tzu Chi Medical Foundation Hualien Tzu Chi Hospital, Hualien, Taiwan.
Background: Internalized sexual stigma is a significant psychological stressor contributing to depression among gay men. While resilience and positive sexual identity are known protective factors, their combined roles remain understudied in non-Western contexts, particularly in East Asian societies like Taiwan.
Purpose: This study investigated whether resilience mediates and positive sexual identity moderates the association between internalized stigma and depressive severity among Taiwanese gay men.
Gastroenterol Hepatol
September 2025
Balearic Health Service, Mallorca, Spain; ADEMA-Health Group of IUNICS, Balearic Islands, Spain. Electronic address:
Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing global health concern, particularly among individuals with obesity. While metabolic and behavioral risk factors have been well described, the role of psychosocial determinants, such as weight stigma, remains underexplored.
Objectives: To assess the association between sociodemographic variables, healthy lifestyle behaviors, and internalized weight stigma with MASLD risk in a large cohort of obese workers across Spain.
Diabetes Ther
September 2025
HaaPACS GmbH, Schriesheim, Germany.
Introduction: Weight and diabetes stigma among healthcare professionals (HCPs) may negatively impact treatment decisions, patient outcomes, and physician-patient interactions. We assessed the relationship between weight stigma, diabetes stigma, perceptions of healthcare quality, and avoidance of healthcare among adults with type 2 diabetes (T2D).
Methods: This observational, online survey-based study included 857 US adults with T2D.
HIV Med
September 2025
Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
Introduction: Human immunodeficiency virus (HIV) remains a significant global health problem, and the number of new cases is increasing in Central Asia, including Kazakhstan. This study aimed to examine the association of a range of demographic, physical health and psychosocial factors with the mental health of people living with HIV in Kazakhstan, applying the two-continua model of mental health, which holds that mental wellbeing and mental illness are two distinct continua that are interrelated in their contributions to overall mental health. The study findings can inform future interventions aimed to prevent mental illness and promote the mental wellbeing of people living with HIV.
View Article and Find Full Text PDFJ Homosex
September 2025
Department of Basic Psychological Processes and their Development, Euskal Herriko Unibertsitatea (UPV/EHU), Donostia, Spain.
Loneliness is a subjective experience characterized by a perceived deficiency in social relationships, often accompanied by feelings of emptiness and exclusion. Various demographic and situational factors can influence loneliness levels. Prolonged social disconnection is associated with chronic stress, which can harm mental and physical health.
View Article and Find Full Text PDF