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Abdellah Sabri1, Majdouline Obtel2, Ahmed Kharbach3

  • 1Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco.

Revue D'Epidemiologie Et De Sante Publique
|May 27, 2022
PubMed
Summary

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This study successfully adapted the Explanatory Model Interview Catalogue (EMIC) stigma scale into Moroccan Darija. The resulting tool is culturally acceptable for assessing schizophrenia stigma in Morocco.

Area of Science:

  • Psychiatry
  • Cross-cultural Psychology
  • Public Health

Background:

  • Stigma significantly impacts the rights and care access for schizophrenia patients.
  • Measuring stigma is complex, necessitating culturally relevant tools.
  • Existing stigma measurement tools require adaptation for diverse populations.

Purpose of the Study:

  • To perform a cross-cultural adaptation of the Explanatory Model Interview Catalogue (EMIC) stigma scale.
  • To translate and validate the EMIC scale into Moroccan Arabic (Darija).
  • To provide a reliable instrument for assessing stigma in the Moroccan context.

Main Methods:

  • The study involved psychiatric departments in Morocco's Souss-Massa region.
  • Schizophrenia diagnosis was based on treating psychiatrists' decisions.
Keywords:
Adaptation transculturelleCOVID-19EMICSchizophreniaSchizophrénieStigmaStigmatisationTranscultural adaptation

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  • A six-step scientific method was employed for the cross-cultural adaptation of the EMIC scale.

    • Main Results:

    • The Darija version of the EMIC scale demonstrated high internal consistency (Cronbach's alpha = 0.845).
    • Convergent validity was confirmed through significant inter-item correlations (Pearson's coefficient).
    • Excellent test-retest reliability was observed (Intra-class correlation coefficient = 0.975).

    Conclusions:

    • The Darija version of the EMIC scale is a culturally acceptable instrument.
    • This validated tool can be effectively used to study stigmatization in Morocco.
    • The adaptation facilitates better understanding and addressing of schizophrenia stigma within the Moroccan population.