The development and psychometric properties of the HIV and Abuse Related Shame Inventory (HARSI).

dc.contributor.author

Neufeld, Sharon AS

dc.contributor.author

Sikkema, Kathleen J

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Lee, Rachel S

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Kochman, Arlene

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Hansen, Nathan B

dc.coverage.spatial

United States

dc.date.accessioned

2012-12-19T16:57:39Z

dc.date.issued

2012-05

dc.description.abstract

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.

dc.identifier

http://www.ncbi.nlm.nih.gov/pubmed/22065235

dc.identifier.eissn

1573-3254

dc.identifier.uri

https://hdl.handle.net/10161/6060

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

AIDS Behav

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10.1007/s10461-011-0086-9

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AIDS and Behavior

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Adolescent

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Adult

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Child Abuse, Sexual

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Depression

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Female

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HIV Seropositivity

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Health Status Indicators

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Humans

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Male

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Medication Adherence

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Personality Inventory

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Prejudice

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Psychometrics

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Quality of Life

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Reproducibility of Results

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Sexual Behavior

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Shame

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Surveys and Questionnaires

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United States

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Young Adult

dc.title

The development and psychometric properties of the HIV and Abuse Related Shame Inventory (HARSI).

dc.type

Journal article

duke.description.issue

4

duke.description.volume

16

pubs.author-url

http://www.ncbi.nlm.nih.gov/pubmed/22065235

pubs.begin-page

1063

pubs.end-page

1074

pubs.issue

4

pubs.organisational-group

Center for Child and Family Policy

pubs.organisational-group

Clinical Science Departments

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Duke

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Duke Population Research Center

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Duke Population Research Institute

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Global Health Institute

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences

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Psychiatry & Behavioral Sciences, Medical Psychology

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Psychology and Neuroscience

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Sanford School of Public Policy

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School of Medicine

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Trinity College of Arts & Sciences

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University Institutes and Centers

pubs.publication-status

Published

pubs.volume

16

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