From: The Internalized Stigma of Mental Illness (ISMI) scale: validation of the Japanese version
Item | Mean | S.D. |
---|---|---|
Alienation | ||
I feel out of place in the world because I have a mental illness. | 2.3 | 0.84 |
I am embarrassed or ashamed that I have a mental illness. | 2.3 | 0.87 |
I feel inferior to others who don’t have a mental illness. | 2.4 | 0.88 |
I am disappointed in myself for having a mental illness. | 2.3 | 0.90 |
Having a mental illness has spoiled my life. | 2.3 | 0.93 |
People without mental illness could not possibly understand me. | 2.4 | 0.89 |
Subscale mean | 2.35 | 0.63 |
Proportion above the midpoint of 2.5 | 43.1 % | |
Stereotype Endorsement | ||
Mentally ill people tend to be violent. | 2.0 | 0.80 |
Mentally ill people shouldn’t get married. | 1.9 | 0.81 |
People with mental illness cannot live a good, rewarding life. | 2.1 | 0.85 |
People can tell that I have a mental illness by the way I look. | 2.1 | 0.83 |
Because I have a mental illness, I need others to make most decisions for me. | 2.0 | 0.75 |
I can’t contribute anything to society because I have a mental illness. | 2.2 | 0.78 |
Stereotypes about the mentally ill apply to me. | 2.4 | 0.83 |
Subscale mean | 2.10 | 0.4 |
Proportion above the midpoint of 2.5 | 29.7 % | |
Discrimination Experience | ||
People discriminate against me because I have a mental illness. | 2.2 | 0.82 |
People often patronize me, or treat me like a child, just because I have a mental illness. | 2.2 | 0.79 |
People ignore me or take me less seriously just because I have a mental illness. | 2.3 | 0.82 |
Nobody would be interested in getting close to me because I have a mental illness. | 2.2 | 0.76 |
Others think that I can’t achieve much in life because I have a mental illness. | 2.4 | 0.84 |
Subscale mean | 2.25 | 0.60 |
Proportion above the midpoint of 2.5 | 34.7 % | |
Social Withdrawal | ||
I avoid getting close to people who don’t have a mental illness to avoid rejection. | 1.9 | 0.73 |
I don’t socialize as much as I used to because my mental illness might make me look or behave “weird”. | 2.3 | 0.86 |
I don’t talk about myself much because I don’t want to burden others with my mental illness. | 2.5 | 0.85 |
Negative stereotypes about mental illness keep me isolated from the “normal” world. | 2.4 | 0.83 |
Being around people who don’t have a mental illness makes me feel out of place or inadequate. | 2.3 | 0.78 |
I stay away from social situations in order to protect my family or friends from embarrassment. | 2.2 | 0.78 |
Subscale mean | 2.27 | 0.56 |
Proportion above the midpoint of 2.5 | 37.8 % | |
Stigma Resistance (reverse-coded items) | ||
People with mental illness make important contributions to society. | 2.8 | 0.80 |
I feel comfortable being seen in public with an obviously mentally ill person. | 3.1 | 0.71 |
Living with mental illness has made me a tough survivor. | 2.5 | 0.80 |
In general, I am able to live my life the way I want to. | 2.7 | 0.82 |
I can have a good, fulfilling life, despite my mental illness. | 2.7 | 0.83 |
Subscale mean | 2.75 | 0.48 |
Proportion above the midpoint of 2.5 | 63.5 % | |
Total scale mean | 2.33 | 0.43 |
Proportion above the midpoint of 2.5 | 40.8 % |