Cross-Cultural Validity of the Self-Stigma of Seeking Help (SSOSH) Scale: Examination Across Six Nations

Journal of Counseling Psychology (Impact Factor: 3.23). 03/2013; 60(2). DOI: 10.1037/a0032055
Source: PubMed


Researchers have found that the stigma associated with seeking therapy-particularly self-stigma-can inhibit the use of psychological services. Yet, most of the research on self-stigma has been conducted in the United States. This is a considerable limitation, as the role of self-stigma in the help-seeking process may vary across cultural groups. However, to examine cross-cultural variations, researchers must first develop culturally valid scales. Therefore, this study examined scale validity and reliability of the widely used Self-Stigma of Seeking Help scale (SSOSH; Vogel, Wade, & Haake, 2006) across samples from 6 different countries (England, Greece, Israel, Taiwan, Turkey, and the United States). Specifically, we used a confirmatory factor analysis framework to conduct measurement invariance analysis and latent mean comparisons of the SSOSH across the 6 sampled countries. Overall, the results suggested that the SSOSH has a similar univariate structure across countries and is sufficiently invariant across countries to be used to explore cultural differences in the way that self-stigma relates to help-seeking behavior. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

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    • "Research has explored distinctions between the public stigma of mental illness and the self-stigma of mental illness (Corrigan et al., 2006); the public stigma of seeking psychological help and the self-stigma of seeking psychological help (Vogel, Bitman, et al., 2013); and the self-stigma of mental illness and the self-stigma of seeking psychological help (Tucker et al., 2013). However, no "
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