Yale University

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

TitleThe development and psychometric properties of the HIV and Abuse Related Shame Inventory (HARSI).
Publication TypeJournal Article
Year of Publication2012
AuthorsNeufeld, Sharon A. S., Kathleen J. Sikkema, Rachel S. Lee, Arlene Kochman, and Nathan B. Hansen
JournalAIDS and behavior
Date Published2012 May
KeywordsAdolescent, Adult, Child Abuse, Sexual, Depression, Female, Health Status Indicators, HIV Seropositivity, Humans, Male, Medication Adherence, Personality Inventory, Prejudice, Psychometrics, Quality of Life, Questionnaires, Reproducibility of Results, Sexual Behavior, Shame, United States, Young Adult
AbstractShame 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.
Alternate JournalAIDS Behav

External Links