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Comprehensive Assessment of Mental Health Stigma
Beatrice-Alice Ciulin1, Alicia Pérez-Albéniz1, Adriana Díez-Gómez1
1University of La Rioja (Spain).
Psicothema
|April 29, 2026
Summary
Mental health stigma significantly impacts young adults
Area of Science:
- Psychiatry
- Psychology
- Sociology
Background:
- Mental health stigma is a major obstacle preventing young individuals from seeking necessary support.
- Understanding and quantifying stigma is crucial for developing effective interventions.
Purpose of the Study:
- To analyze mental health stigma in young people using the Stigma and Self-Stigma Scales (SASS).
- To examine gender differences in mental health stigma from psychometric and statistical perspectives.
Main Methods:
- A representative sample of 378 university students (mean age 20.78 years, 61.6% women) was surveyed.
- The Stigma and Self-Stigma Scales (SASS) internal structure and measurement invariance between genders were assessed.
- Stratified random cluster sampling ensured sample representativeness.
Main Results:
- The five-factor model of the SASS demonstrated good fit.
- Scalar invariance between genders was confirmed, indicating the scale measures stigma similarly across genders.
- Boys reported higher levels of stigma in several dimensions compared to girls.
- Reliability analyses showed acceptable internal consistency (Cronbach's α: .62–.80; McDonald's ω: .60–.79).
Conclusions:
- The Stigma and Self-Stigma Scales (SASS) is a reliable and valid instrument for assessing mental health stigma.
- The SASS is suitable for use in university settings, providing a brief and simple measurement tool.
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