PMID- 31849519
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220411
IS  - 1179-1322 (Print)
IS  - 1179-1322 (Electronic)
IS  - 1179-1322 (Linking)
VI  - 11
DP  - 2019
TI  - Validation of the Chinese Version of the Shame and Stigma Scale in Patients with 
      Head and Neck Cancer.
PG  - 10297-10305
LID - 10.2147/CMAR.S228843 [doi]
AB  - PURPOSE: Head and neck cancer (HNC) patients suffer from perceived shame and 
      stigma due to the illness diagnosis, as well as disfigurement following surgery. 
      To measure HNC patients' perception of shame and stigma, the Shame and Stigma 
      Scale (SSS) was developed and preliminarily validated. In this study, we aimed to 
      translate, adapt, and validate the SSS in Chinese. METHODS: This study consisted 
      of a cross-sectional design with consecutive sampling and consisted of two 
      stages: (1) translation of the SSS into Chinese by two bilingual professionals 
      and (2) examination of the Chinese version of the SSS (C-SSS) for internal 
      consistency, inter-rater reliability, test-retest reliability, construct 
      validity, and concurrent validity. In total, 159 inpatients with HNC (mean age: 
      56.8 years, 95% males) were enrolled at a medical center in Southern Taiwan. 
      RESULTS: The Principal Component Analysis of the C-SSS revealed a five-factor 
      structure: 4 of the 5 factors were replicated in the original SSS, including 
      Shame with Appearance, Regret, Social/Speech Concern, and Sense of Stigma; only 
      factor 4, Self-discrimination, was newly identified in the current study. C-SSS 
      showed acceptable internal validity (Cronbach's alpha =0.85), test-retest 
      reliability, inter-rater reliability, and fair concurrent validity with the 
      Taiwanese Depression Questionnaire (TDQ), Hamilton Depression Rating Scale 
      (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), and Explanatory Model Interview 
      Catalogue (EMIC). CONCLUSION: The findings of this study indicate that C-SSS is a 
      reliable and valid instrument for evaluating HNC patients' perception of shame 
      and stigma in the Taiwanese population.
CI  - (c) 2019 Tseng et al.
FAU - Tseng, Wei-Ting
AU  - Tseng WT
AUID- ORCID: 0000-0002-5697-8871
AD  - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Lee, Yu
AU  - Lee Y
AD  - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Hung, Chi-Fa
AU  - Hung CF
AD  - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Lin, Pao-Yen
AU  - Lin PY
AUID- ORCID: 0000-0002-1394-4567
AD  - Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Kaohsiung, Taiwan.
FAU - Chien, Chih-Yen
AU  - Chien CY
AUID- ORCID: 0000-0002-6690-6038
AD  - Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang 
      Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Chuang, Hui-Ching
AU  - Chuang HC
AD  - Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang 
      Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Fang, Fu-Min
AU  - Fang FM
AD  - Department of Radiation Oncology, Kaohsiung Chang Gung Memorial Hospital, Chang 
      Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Li, Shau-Hsuan
AU  - Li SH
AD  - Department of Hematology-Oncology, Kaohsiung Chang Gung Memorial Hospital and 
      Chang Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Huang, Tai-Lin
AU  - Huang TL
AD  - Department of Hematology-Oncology, Kaohsiung Chang Gung Memorial Hospital and 
      Chang Gung University College of Medicine, Kaohsiung, Taiwan.
FAU - Chong, Mian-Yoon
AU  - Chong MY
AD  - Department of Psychiatry, Chiayi Chang Gung Memorial Hospital and Chang Gung 
      University College of Medicine, Chiayi, Taiwan.
FAU - Wang, Liang-Jen
AU  - Wang LJ
AUID- ORCID: 0000-0002-5320-1151
AD  - Department of Child and Adolescent Psychiatry, Kaohsiung Chang Gung Memorial 
      Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20191209
PL  - New Zealand
TA  - Cancer Manag Res
JT  - Cancer management and research
JID - 101512700
EIN - Cancer Manag Res. 2020 Jun 25;12:4957. PMID: 32617018
PMC - PMC6910087
OTO - NOTNLM
OT  - assessment
OT  - head and neck cancer
OT  - psychometric
OT  - shame
OT  - stigma
COIS- The authors report no conflicts of interest in this work.
EDAT- 2019/12/19 06:00
MHDA- 2019/12/19 06:01
PMCR- 2019/12/09
CRDT- 2019/12/19 06:00
PHST- 2019/08/27 00:00 [received]
PHST- 2019/11/15 00:00 [accepted]
PHST- 2019/12/19 06:00 [entrez]
PHST- 2019/12/19 06:00 [pubmed]
PHST- 2019/12/19 06:01 [medline]
PHST- 2019/12/09 00:00 [pmc-release]
AID - 228843 [pii]
AID - 10.2147/CMAR.S228843 [doi]
PST - epublish
SO  - Cancer Manag Res. 2019 Dec 9;11:10297-10305. doi: 10.2147/CMAR.S228843. 
      eCollection 2019.