The development and psychometric properties of the HIV and Abuse Related Shame Inventory (HARSI).
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Shame has been shown to predict sexual HIV transmission risk behavior, medication non-adherence, symptomatic HIV or AIDS, and symptoms of depression and PTSD. However, there remains a dearth of tools to measure the specific constructs of HIV-related and sexual abuse-related shame. To ameliorate this gap, we present a 31-item measure that assesses HIV and sexual abuse-related shame, and the impact of shame on HIV-related health behaviors. A diverse sample of 271 HIV-positive men and women who were sexually abused as children completed the HIV and Abuse Related Shame Inventory (HARSI) among other measures. An exploratory factor analysis supported the retention of three-factors, explaining 56.7% of the sample variance. These internally consistent factors showed good test-retest reliability, and sound convergent and divergent validity using eight well-established HIV specific and general psychosocial criterion measures. Unlike stigma or discrimination, shame is potentially alterable through individually-focused interventions, making the measurement of shame clinically meaningful.
Child Abuse, Sexual
Health Status Indicators
Quality of Life
Reproducibility of Results
Surveys and Questionnaires
Published Version (Please cite this version)10.1007/s10461-011-0086-9
Publication InfoNeufeld, Sharon AS; Sikkema, Kathleen J; Lee, Rachel S; Kochman, Arlene; & Hansen, Nathan B (2012). The development and psychometric properties of the HIV and Abuse Related Shame Inventory (HARSI). AIDS Behav, 16(4). pp. 1063-1074. 10.1007/s10461-011-0086-9. Retrieved from https://hdl.handle.net/10161/6060.
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Research Professor in the Department of Psychology and Neuroscience
Kathleen J. Sikkema, Ph.D., Gosnell Family Professor of Global Health, Psychology and Neuroscience, and Psychiatry and Behavioral Sciences at Duke University, is a clinical psychologist with emphases in health and community psychology. She is the Director of Doctoral Studies at the Duke Global Health Institute (DGHI), Director of the Social and Behavioral Science Core in Duke's Center for AIDS Research (CFAR), an