Skip to main content
Top
Published in: BMC Neurology 1/2024

Open Access 01-12-2024 | Multiple Sclerosis | Research

Validity and reliability of the Persian version of Recce stigma scale in people with multiple sclerosis and its impact on quality of life

Authors: Mohammad Amin Habibi, Mohammad Yazdan Panah, Saeed Vaheb, Meysam Olfatifar, Aysa Shaygannejad, Yousef Mokary, Majid Ghasemi, Sangharsha Thapa, Vahid Shaygannejad, Omid Mirmosayyeb

Published in: BMC Neurology | Issue 1/2024

Login to get access

Abstract

Background

There is often a fear of social stigma experienced by people with multiple sclerosis (pwMS), which negatively impacts the quality of their lives (QoL). Currently, no Persian-validated questionnaire is available to assess this issue in pwMS. This study aimed to assess the validaty and reliability of the Persian version of Reece Stigma Scale Multiple Sclerosis (RSS-MS) questionnaire for pwMS.

Method

This cross-sectional was conducted between January and February 2023 in Isfahan, Iran. The demographic and clinical information and the RSS-MS and Multiple Sclerosis Impact Scale-29 (MSIS-29) questionnaires were recorded from pwMS. The content validity index (CVI) and content validity ratio (CVR) have been used to evaluate validity. To identify the factors supporting the MS-related stigma, an exploratory factor analysis (EFA) was conducted.

Results

The present study recruited 194 pwMS. Based on factor analysis, only two factors had eigenvalues ≥ 1.0 and exhibited high internal consistency. The Cronbach’s α coefficient for internal consistency of the RSS-MS scale was 0.822. More evidence for the construct validity suggested that having higher levels of stigma is significantly correlated with psychological (r = 0.468, p-value < 0.001) and physical dimensions (r = 0.585, p-value < 0.001) of MSIS-29. Expanded Disability Status Scale, disease duration, and treatment duration did not show a significant correlation with stigma (p-value > 0.05).

Conclusion

This study indicated that the modified version of the RSS-MS scale in the Persian language showed acceptable validity and reliability for evaluating the stigma among Persian pwMS. Furthermore, this study emphasizes the cruciality of monitoring and addressing stigma among pwMS, as it can potentially enhance medical, psychological, physical, and QoL outcomes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Katsavos S, Anagnostouli M. Biomarkers in multiple sclerosis: an up-to-date overview. Multiple sclerosis international. 2013;2013. Katsavos S, Anagnostouli M. Biomarkers in multiple sclerosis: an up-to-date overview. Multiple sclerosis international. 2013;2013.
2.
go back to reference Global regional. National burden of multiple sclerosis 1990–2016: a systematic analysis for the global burden of Disease Study 2016. Lancet Neurol. 2019;18(3):269–85.CrossRef Global regional. National burden of multiple sclerosis 1990–2016: a systematic analysis for the global burden of Disease Study 2016. Lancet Neurol. 2019;18(3):269–85.CrossRef
3.
go back to reference Yoo SH, Kim SR, So HS, Chung HC, Chae DH, Kim MK, et al. The validity and reliability of the Korean Version of the Stigma Scale for Chronic illness 8-Items (SSCI-8) in patients with neurological disorders. Int J Behav Med. 2017;24(2):288–93.PubMedCrossRef Yoo SH, Kim SR, So HS, Chung HC, Chae DH, Kim MK, et al. The validity and reliability of the Korean Version of the Stigma Scale for Chronic illness 8-Items (SSCI-8) in patients with neurological disorders. Int J Behav Med. 2017;24(2):288–93.PubMedCrossRef
4.
go back to reference Earnshaw VA, Quinn DM. The impact of stigma in healthcare on people living with chronic illnesses. J Health Psychol. 2012;17(2):157–68.PubMedCrossRef Earnshaw VA, Quinn DM. The impact of stigma in healthcare on people living with chronic illnesses. J Health Psychol. 2012;17(2):157–68.PubMedCrossRef
5.
go back to reference Maurino J, Martínez-Ginés ML, García-Domínguez JM, Solar MD, Carcelén-Gadea M, Ares-Luque A, et al. Workplace difficulties, health-related quality of life, and perception of stigma from the perspective of patients with multiple sclerosis. Multiple Scler Relat Disorders. 2020;41:102046.CrossRef Maurino J, Martínez-Ginés ML, García-Domínguez JM, Solar MD, Carcelén-Gadea M, Ares-Luque A, et al. Workplace difficulties, health-related quality of life, and perception of stigma from the perspective of patients with multiple sclerosis. Multiple Scler Relat Disorders. 2020;41:102046.CrossRef
6.
go back to reference Dennison L, Yardley L, Devereux A, Moss-Morris R. Experiences of adjusting to early stage multiple sclerosis. J Health Psychol. 2011;16(3):478–88.PubMedCrossRef Dennison L, Yardley L, Devereux A, Moss-Morris R. Experiences of adjusting to early stage multiple sclerosis. J Health Psychol. 2011;16(3):478–88.PubMedCrossRef
7.
go back to reference Meca-Lallana JE, Prefasi D, Pérez-Miralles F, Forero L, Sepúlveda M, Calles C, et al. Perception of stigma in patients with neuromyelitis optica spectrum disorder. Patient Prefer Adherence. 2021;15:713.PubMedPubMedCentralCrossRef Meca-Lallana JE, Prefasi D, Pérez-Miralles F, Forero L, Sepúlveda M, Calles C, et al. Perception of stigma in patients with neuromyelitis optica spectrum disorder. Patient Prefer Adherence. 2021;15:713.PubMedPubMedCentralCrossRef
8.
go back to reference Pérez-Miralles F, Prefasi D, García-Merino A, Ara JR, Izquierdo G, Meca-Lallana V, et al. Perception of stigma in patients with primary progressive multiple sclerosis. Multiple Scler Journal–Experimental Translational Clin. 2019;5(2):2055217319852717. Pérez-Miralles F, Prefasi D, García-Merino A, Ara JR, Izquierdo G, Meca-Lallana V, et al. Perception of stigma in patients with primary progressive multiple sclerosis. Multiple Scler Journal–Experimental Translational Clin. 2019;5(2):2055217319852717.
9.
go back to reference Shi Z, Chen H, Lian Z, Liu J, Feng H, Zhou H. Factors that impact health-related quality of life in neuromyelitis optica spectrum disorder: anxiety, disability, fatigue and depression. J Neuroimmunol. 2016;293:54–8.PubMedCrossRef Shi Z, Chen H, Lian Z, Liu J, Feng H, Zhou H. Factors that impact health-related quality of life in neuromyelitis optica spectrum disorder: anxiety, disability, fatigue and depression. J Neuroimmunol. 2016;293:54–8.PubMedCrossRef
10.
go back to reference Tritos NA, Miller KK. Diagnosis and management of Pituitary adenomas: a review. JAMA. 2023;329(16):1386–98.PubMedCrossRef Tritos NA, Miller KK. Diagnosis and management of Pituitary adenomas: a review. JAMA. 2023;329(16):1386–98.PubMedCrossRef
11.
go back to reference Rao D, Choi SW, Victorson D, Bode R, Peterman A, Heinemann A, Cella D. Measuring stigma across neurological conditions: the development of the stigma scale for chronic illness (SSCI). Qual Life Res. 2009;18(5):585–95.PubMedPubMedCentralCrossRef Rao D, Choi SW, Victorson D, Bode R, Peterman A, Heinemann A, Cella D. Measuring stigma across neurological conditions: the development of the stigma scale for chronic illness (SSCI). Qual Life Res. 2009;18(5):585–95.PubMedPubMedCentralCrossRef
12.
go back to reference Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res. 2003;121(1):31–49.PubMedCrossRef Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res. 2003;121(1):31–49.PubMedCrossRef
13.
go back to reference Eldridge-Smith ED, Loew M, Stepleman LM. The adaptation and validation of a stigma measure for individuals with multiple sclerosis. Disabil Rehabil. 2021;43(2):262–9.PubMedCrossRef Eldridge-Smith ED, Loew M, Stepleman LM. The adaptation and validation of a stigma measure for individuals with multiple sclerosis. Disabil Rehabil. 2021;43(2):262–9.PubMedCrossRef
14.
go back to reference Karşıdağ S, Çınar N, Şahin Ş, Kotevoğlu N, Ateş MF. Validation and reliability study of the Turkish version of the neuroquality of life (Neuro-QoL)-Stigma Scale for neurological disorders. Turk J Med Sci. 2019;49(3):789–94.PubMedPubMedCentral Karşıdağ S, Çınar N, Şahin Ş, Kotevoğlu N, Ateş MF. Validation and reliability study of the Turkish version of the neuroquality of life (Neuro-QoL)-Stigma Scale for neurological disorders. Turk J Med Sci. 2019;49(3):789–94.PubMedPubMedCentral
15.
go back to reference Vasile TM, Dumitru RI, Caloianu I, Manole AM, Plesa FC, Sirbu CA, ARE MULTIPLE SCLEROSIS PATIENTS PROTECTED AGAINST SOME TYPES OF CANCER?. Archives of the Balkan Medical Union. 2022;57(3):268–76.CrossRef Vasile TM, Dumitru RI, Caloianu I, Manole AM, Plesa FC, Sirbu CA, ARE MULTIPLE SCLEROSIS PATIENTS PROTECTED AGAINST SOME TYPES OF CANCER?. Archives of the Balkan Medical Union. 2022;57(3):268–76.CrossRef
16.
go back to reference Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444–52.PubMedCrossRef Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444–52.PubMedCrossRef
17.
go back to reference Ayatollahi P, Nafissi S, Eshraghian M, Tarazi A. Cross-cultural adaptation of the multiple sclerosis impact scale (msis-29) for Iranian ms patients, evaluation of reliability and validity. Tehran Univ Med Sci J. 2006;64(1):62–8. Ayatollahi P, Nafissi S, Eshraghian M, Tarazi A. Cross-cultural adaptation of the multiple sclerosis impact scale (msis-29) for Iranian ms patients, evaluation of reliability and validity. Tehran Univ Med Sci J. 2006;64(1):62–8.
18.
go back to reference Hobart J, Lamping D, Fitzpatrick R, Riazi A, Thompson A. The multiple sclerosis impact scale (MSIS-29): a new patient-based outcome measure. Brain. 2001;124(Pt 5):962–73.PubMedCrossRef Hobart J, Lamping D, Fitzpatrick R, Riazi A, Thompson A. The multiple sclerosis impact scale (MSIS-29): a new patient-based outcome measure. Brain. 2001;124(Pt 5):962–73.PubMedCrossRef
19.
go back to reference Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Pearson new international edition. Multivariate data analysis. Essex: Seventh Edition Pearson Education Limited Harlow; 2014. Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Pearson new international edition. Multivariate data analysis. Essex: Seventh Edition Pearson Education Limited Harlow; 2014.
20.
go back to reference Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics: Pearson Boston. MA; 2013. Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics: Pearson Boston. MA; 2013.
21.
go back to reference Kennedy I. Sample size determination in test-retest and Cronbach alpha reliability estimates. Br J Contemp Educ. 2022;2(1):17–29.CrossRef Kennedy I. Sample size determination in test-retest and Cronbach alpha reliability estimates. Br J Contemp Educ. 2022;2(1):17–29.CrossRef
22.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. Academic press; 2013. Cohen J. Statistical power analysis for the behavioral sciences. Academic press; 2013.
23.
go back to reference Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci. 2018;25(6):85–99.PubMedPubMedCentral Bujang MA, Omar ED, Baharum NA. A review on sample size determination for Cronbach’s alpha test: a simple guide for researchers. Malays J Med Sci. 2018;25(6):85–99.PubMedPubMedCentral
24.
25.
go back to reference Maurino J, Martínez-Ginés ML, García-Domínguez JM, Solar MD, Carcelén-Gadea M, Ares-Luque A, et al. Workplace difficulties, health-related quality of life, and perception of stigma from the perspective of patients with multiple sclerosis. Mult Scler Relat Disord. 2020;41:102046.PubMedCrossRef Maurino J, Martínez-Ginés ML, García-Domínguez JM, Solar MD, Carcelén-Gadea M, Ares-Luque A, et al. Workplace difficulties, health-related quality of life, and perception of stigma from the perspective of patients with multiple sclerosis. Mult Scler Relat Disord. 2020;41:102046.PubMedCrossRef
26.
go back to reference Kalantari S, Karbakhsh M, Kamiab Z, Kalantari Z, Sahraian MA. Perceived Social Stigma in patients with multiple sclerosis: a study from Iran. Acta Neurol Taiwan. 2018;27(1):1–8.PubMed Kalantari S, Karbakhsh M, Kamiab Z, Kalantari Z, Sahraian MA. Perceived Social Stigma in patients with multiple sclerosis: a study from Iran. Acta Neurol Taiwan. 2018;27(1):1–8.PubMed
27.
go back to reference Grothe L, Grothe M, Wingert J, Schomerus G, Speerforck S. Stigma in multiple sclerosis: the important role of sense of coherence and its relation to quality of life. Int J Behav Med. 2022;29(4):517–23.PubMedCrossRef Grothe L, Grothe M, Wingert J, Schomerus G, Speerforck S. Stigma in multiple sclerosis: the important role of sense of coherence and its relation to quality of life. Int J Behav Med. 2022;29(4):517–23.PubMedCrossRef
28.
go back to reference Pérez-Miralles F, Prefasi D, García-Merino A, Ara JR, Izquierdo G, Meca-Lallana V, et al. Short-term data on disease activity, cognition, mood, stigma and employment outcomes in a cohort of patients with primary progressive multiple sclerosis (UPPMS study). Mult Scler Relat Disord. 2021;50:102860.PubMedCrossRef Pérez-Miralles F, Prefasi D, García-Merino A, Ara JR, Izquierdo G, Meca-Lallana V, et al. Short-term data on disease activity, cognition, mood, stigma and employment outcomes in a cohort of patients with primary progressive multiple sclerosis (UPPMS study). Mult Scler Relat Disord. 2021;50:102860.PubMedCrossRef
29.
go back to reference Tworek G, Thompson NR, Kane A, Sullivan AB. The impact of stigma on perceived quality of life and experience of anxiety and depression in individuals diagnosed with MS. Mult Scler Relat Disord. 2023;72:104591.PubMedCrossRef Tworek G, Thompson NR, Kane A, Sullivan AB. The impact of stigma on perceived quality of life and experience of anxiety and depression in individuals diagnosed with MS. Mult Scler Relat Disord. 2023;72:104591.PubMedCrossRef
30.
go back to reference Sharifi N, Kohpeima Jahromi V, Zahedi R, Aram S, Ahmadi M. Social stigma and its relationship with quality of life in multiple sclerosis patients. BMC Neurol. 2023;23(1):408.PubMedPubMedCentralCrossRef Sharifi N, Kohpeima Jahromi V, Zahedi R, Aram S, Ahmadi M. Social stigma and its relationship with quality of life in multiple sclerosis patients. BMC Neurol. 2023;23(1):408.PubMedPubMedCentralCrossRef
31.
go back to reference Barta T, Kiropoulos L. The Mediating Role of Stigma, internalized shame, and Autonomous Motivation in the relationship between Depression, anxiety, and psychological help-seeking attitudes in multiple sclerosis. Int J Behav Med. 2023;30(1):133–45.PubMedCrossRef Barta T, Kiropoulos L. The Mediating Role of Stigma, internalized shame, and Autonomous Motivation in the relationship between Depression, anxiety, and psychological help-seeking attitudes in multiple sclerosis. Int J Behav Med. 2023;30(1):133–45.PubMedCrossRef
33.
go back to reference Hategeka C, Traboulsee AL, McMullen K, Lynd LD. Association of Unemployment and Informal Care with Stigma in multiple sclerosis: evidence from the Survey on living with neurological conditions in Canada. Int J MS Care. 2019;21(5):214–25.PubMedPubMedCentralCrossRef Hategeka C, Traboulsee AL, McMullen K, Lynd LD. Association of Unemployment and Informal Care with Stigma in multiple sclerosis: evidence from the Survey on living with neurological conditions in Canada. Int J MS Care. 2019;21(5):214–25.PubMedPubMedCentralCrossRef
34.
go back to reference Glanz BI, Zurawski J, Gonzalez CT, Shamah R, Ratajska A, Chitnis T, et al. Comparison of health-related quality of life across treatment groups in individuals with multiple sclerosis. Mult Scler Relat Disord. 2020;40:101944.PubMedCrossRef Glanz BI, Zurawski J, Gonzalez CT, Shamah R, Ratajska A, Chitnis T, et al. Comparison of health-related quality of life across treatment groups in individuals with multiple sclerosis. Mult Scler Relat Disord. 2020;40:101944.PubMedCrossRef
35.
go back to reference Schiess N, Huether K, Holroyd KB, Aziz F, Emam E, Shahrour T, et al. Multiple sclerosis, anxiety, and Depression in the United Arab Emirates: does Social Stigma prevent treatment? Int J MS Care. 2019;21(1):29–34.PubMedPubMedCentralCrossRef Schiess N, Huether K, Holroyd KB, Aziz F, Emam E, Shahrour T, et al. Multiple sclerosis, anxiety, and Depression in the United Arab Emirates: does Social Stigma prevent treatment? Int J MS Care. 2019;21(1):29–34.PubMedPubMedCentralCrossRef
36.
go back to reference Yu E, Adams-Clark A, Riehm A, Franke C, Susukida R, Pinto M, et al. Perspectives on illness-related stigma and electronically sharing psychiatric health information by people with multiple sclerosis. J Affect Disord. 2021;282:840–5.PubMedCrossRef Yu E, Adams-Clark A, Riehm A, Franke C, Susukida R, Pinto M, et al. Perspectives on illness-related stigma and electronically sharing psychiatric health information by people with multiple sclerosis. J Affect Disord. 2021;282:840–5.PubMedCrossRef
37.
go back to reference Yanos PT, Lysaker PH, Roe D. Internalized stigma as a barrier to improvement in vocational functioning among people with schizophrenia-spectrum disorders. Psychiatry Res. 2010;178(1):211–3.PubMedPubMedCentralCrossRef Yanos PT, Lysaker PH, Roe D. Internalized stigma as a barrier to improvement in vocational functioning among people with schizophrenia-spectrum disorders. Psychiatry Res. 2010;178(1):211–3.PubMedPubMedCentralCrossRef
38.
go back to reference Vitturi BK, Rahmani A, Dini G, Montecucco A, Debarbieri N, Bandiera P et al. Stigma, discrimination and Disclosure of the diagnosis of multiple sclerosis in the workplace: a systematic review. Int J Environ Res Public Health. 2022;19(15). Vitturi BK, Rahmani A, Dini G, Montecucco A, Debarbieri N, Bandiera P et al. Stigma, discrimination and Disclosure of the diagnosis of multiple sclerosis in the workplace: a systematic review. Int J Environ Res Public Health. 2022;19(15).
39.
go back to reference Broersma F, Oeseburg B, Dijkstra J, Wynia K. The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clin Rehabil. 2018;32(4):536–45.PubMedCrossRef Broersma F, Oeseburg B, Dijkstra J, Wynia K. The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clin Rehabil. 2018;32(4):536–45.PubMedCrossRef
40.
go back to reference Rezapour A, Kia AA, Goodarzi S, Hasoumi M, Motlagh SN, Vahedi S. The impact of disease characteristics on multiple sclerosis patients’ quality of life. Epidemiol Health. 2017;39. Rezapour A, Kia AA, Goodarzi S, Hasoumi M, Motlagh SN, Vahedi S. The impact of disease characteristics on multiple sclerosis patients’ quality of life. Epidemiol Health. 2017;39.
41.
go back to reference Tadić D, Đjić V. Quality of life in patients with multiple sclerosis in Republic of Srpska. Medicinski Glasnik. 2013;10(1). Tadić D, Đjić V. Quality of life in patients with multiple sclerosis in Republic of Srpska. Medicinski Glasnik. 2013;10(1).
42.
go back to reference Mitchell AJ, Benito-León J, González J-MM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. Lancet Neurol. 2005;4(9):556–66.PubMedCrossRef Mitchell AJ, Benito-León J, González J-MM, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. Lancet Neurol. 2005;4(9):556–66.PubMedCrossRef
43.
go back to reference Hategeka C, Traboulsee A, McMullen K, Lynd LD. Stigma in multiple sclerosis: association with work productivity loss, health-related quality of life and caregivers’ burden (P3.332). Neurology. 2017;88(16 Supplement):P3.332. Hategeka C, Traboulsee A, McMullen K, Lynd LD. Stigma in multiple sclerosis: association with work productivity loss, health-related quality of life and caregivers’ burden (P3.332). Neurology. 2017;88(16 Supplement):P3.332.
44.
go back to reference Eriksson M, Lindström B. Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health. 2006;60(5):376–81.PubMedPubMedCentralCrossRef Eriksson M, Lindström B. Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health. 2006;60(5):376–81.PubMedPubMedCentralCrossRef
45.
go back to reference Cadden MH, Arnett PA, Tyry TM, Cook JE. Judgment hurts: the psychological consequences of experiencing stigma in multiple sclerosis. Soc Sci Med. 2018;208:158–64.PubMedCrossRef Cadden MH, Arnett PA, Tyry TM, Cook JE. Judgment hurts: the psychological consequences of experiencing stigma in multiple sclerosis. Soc Sci Med. 2018;208:158–64.PubMedCrossRef
47.
go back to reference Jadidi A, Samari B, Nejad AFA, Tapak L, Khodaveisi M. Development and psychometric evaluation of the nursing home accreditation scale: a methodological study. Int J Afr Nurs Sci. 2024;20:100643. Jadidi A, Samari B, Nejad AFA, Tapak L, Khodaveisi M. Development and psychometric evaluation of the nursing home accreditation scale: a methodological study. Int J Afr Nurs Sci. 2024;20:100643.
48.
go back to reference Broersma F, Oeseburg B, Dijkstra J, Wynia K. The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clin Rehabil. 2017;32(4):536–45.PubMedPubMedCentralCrossRef Broersma F, Oeseburg B, Dijkstra J, Wynia K. The impact of self-perceived limitations, stigma and sense of coherence on quality of life in multiple sclerosis patients: results of a cross-sectional study. Clin Rehabil. 2017;32(4):536–45.PubMedPubMedCentralCrossRef
49.
go back to reference Anagnostouli M, Katsavos S, Artemiadis A, Zacharis M, Argyrou P, Theotoka I, et al. Determinants of stigma in a cohort of hellenic patients suffering from multiple sclerosis: a cross-sectional study. BMC Neurol. 2016;16(1):1–10.CrossRef Anagnostouli M, Katsavos S, Artemiadis A, Zacharis M, Argyrou P, Theotoka I, et al. Determinants of stigma in a cohort of hellenic patients suffering from multiple sclerosis: a cross-sectional study. BMC Neurol. 2016;16(1):1–10.CrossRef
50.
go back to reference Valvano A, Floyd RM, Penwell-Waines L, Stepleman L, Lewis K, House A. The relationship between cognitive fusion, stigma, and well-being in people with multiple sclerosis. J Context Behav Sci. 2016;5(4):266–70.CrossRef Valvano A, Floyd RM, Penwell-Waines L, Stepleman L, Lewis K, House A. The relationship between cognitive fusion, stigma, and well-being in people with multiple sclerosis. J Context Behav Sci. 2016;5(4):266–70.CrossRef
51.
go back to reference Buchanan RJ, Zuniga MA, Carrillo-Zuniga G, Chakravorty BJ, Tyry T, Moreau RL, et al. Comparisons of latinos, African americans, and caucasians with multiple sclerosis. Ethn Dis. 2010;20(4):451–7.PubMed Buchanan RJ, Zuniga MA, Carrillo-Zuniga G, Chakravorty BJ, Tyry T, Moreau RL, et al. Comparisons of latinos, African americans, and caucasians with multiple sclerosis. Ethn Dis. 2010;20(4):451–7.PubMed
52.
go back to reference Cook JE, Germano AL, Stadler G. An Exploratory Investigation of Social Stigma and Concealment in patients with multiple sclerosis. Int J MS Care. 2016;18(2):78–84.PubMedPubMedCentralCrossRef Cook JE, Germano AL, Stadler G. An Exploratory Investigation of Social Stigma and Concealment in patients with multiple sclerosis. Int J MS Care. 2016;18(2):78–84.PubMedPubMedCentralCrossRef
Metadata
Title
Validity and reliability of the Persian version of Recce stigma scale in people with multiple sclerosis and its impact on quality of life
Authors
Mohammad Amin Habibi
Mohammad Yazdan Panah
Saeed Vaheb
Meysam Olfatifar
Aysa Shaygannejad
Yousef Mokary
Majid Ghasemi
Sangharsha Thapa
Vahid Shaygannejad
Omid Mirmosayyeb
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2024
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-024-03544-z

Other articles of this Issue 1/2024

BMC Neurology 1/2024 Go to the issue