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Spanish adaptation of the Stillbirth Stigma Scale (SSS)
Manuel Fernández-Alcántara1, Ana Alejandra Esteban-Burgos2,3, Silvia Escribano4
1Department of Health Psychology, Faculty of Health Sciences, Institute for Health and Biomedical Research (ISABIAL), University of Alicante, Spain.
Death Studies
|February 8, 2024
Summary
Perinatal loss grief is often stigmatized, lacking assessment tools. This study validates the Spanish Stillbirth Stigma Scale (SSS), finding it reliable for measuring stigma in parents experiencing perinatal loss.
Area of Science:
- Perinatal mental health
- Psychometrics
- Grief studies
Background:
- Perinatal loss results in disenfranchised grief, often accompanied by guilt, shame, and stigma.
- Existing instruments for assessing stigma in perinatal grief are limited.
- Validated tools are crucial for understanding and addressing the psychological impact on parents.
Purpose of the Study:
- To evaluate the psychometric properties of the Spanish version of the Stillbirth Stigma Scale (SSS).
- To assess the factor structure, reliability, and validity of the SSS in parents experiencing perinatal loss.
- To provide a validated instrument for measuring stigma in this population.
Main Methods:
- A total of 291 participants, primarily mothers, completed an online survey.
- The survey included the Spanish version of the Stillbirth Stigma Scale (SSS) and other psychological measures.
- Psychometric analyses were conducted to determine the scale's properties.
Main Results:
- The Spanish SSS demonstrated a robust second-order factor structure with four dimensions.
- The scale exhibited adequate reliability.
- Significant correlations were found between SSS scores and measures of self-esteem, complicated grief, event centrality, depression, and anxiety, supporting its validity.
Conclusions:
- The Spanish adaptation of the Stillbirth Stigma Scale (SSS) possesses adequate psychometric properties.
- This validated scale can be used to assess stigma experienced by parents after perinatal loss.
- The findings contribute to a better understanding of the psychological impact of perinatal grief.
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