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      Stigma experienced by family members of people with intellectual and developmental disabilities: multidimensional construct

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          Abstract

          Background

          There is a lack of good-quality instruments measuring stigma experienced by family members of stigmatised people.

          Aims

          To develop a self-report measure of stigma among families of people with intellectual and developmental disabilities and examine associations between family stigma and other variables.

          Method

          The new Family Stigma Instrument (FAMSI) was tested with 407 family carers, 53% of whose offspring had an autism spectrum disorder in addition to intellectual disability. They also completed measures of subjective well-being, caregiver burden, self-esteem and social support.

          Results

          The FAMSI yielded a five-factor structure and had good reliability. Perceived family stigma, caregiver burden and subjective well-being were the strongest predictors of family stigma.

          Conclusions

          This instrument can advance our understanding of the impact of stigma on family members. It can also help us understand sociodemographic, psychosocial and contextual variables of both the carer and cared for person that may influence family members' experiences.

          Declaration of interest

          None.

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          Most cited references15

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          Stigma: Advances in Theory and Research

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            Affiliate Stigma Among Caregivers of People with Intellectual Disability or Mental Illness

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              Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong.

              An attribution model was tested to explain the internalization of stigma among parents of children with Autism Spectrum Disorder (ASD). In the model, the internalization paths from courtesy stigma to affiliate stigma and the impact of three types of social support on affiliate stigma and psychological well-being were examined. The study was conducted in Hong Kong, China; one hundred and eighty-eight parents of children with ASD were recruited to complete the questionnaire. The model showed excellent fit to the data. Path analysis suggested three possible paths of internalizing courtesy stigma, including the direct path to affiliate stigma, through perceived controllability, or through perceived responsibility and self-blame. Support from family, significant others, friends, or professionals was found to be related to affiliate stigma and psychological well-being differentially. The internalization of stigma among parents of ASD children was severe. The path model sheds light on possible ways to reduce stigma in future services. Copyright 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                BJPsych Open
                BJPsych Open
                BJO
                BJPsych Open
                Cambridge University Press (Cambridge, UK )
                2056-4724
                September 2018
                15 August 2018
                : 4
                : 5
                : 332-338
                Affiliations
                [1]Clinical Psychologist, Division of Psychology and Language Sciences, University College London , UK
                [2]Senior Clinical Lecturer, Division of Psychiatry, University College London , UK
                [3]Senior Lecturer, Division of Psychology and Language Sciences, University College London , UK
                Author notes
                Correspondence: Katrina Scior, Division of Psychology and Language Sciences, University College London , London WC1E 6BT, UK. Email: k.scior@ 123456ucl.ac.uk
                Author information
                http://orcid.org/0000-0002-4679-0090
                Article
                S205647241800039X 00039
                10.1192/bjo.2018.39
                6094883
                30140444
                7bf1c4ee-87ab-440a-8f30-ff09d82f4463
                © The Royal College of Psychiatrists 2018

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

                History
                : 30 January 2018
                : 04 June 2018
                : 08 June 2018
                Page count
                Tables: 4, References: 26, Pages: 7
                Categories
                Papers

                stigma,attitudes,family,intellectual disability,developmental disability,autism

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