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Table 2 Original and modified measurement scale items

From: Validation of depressive symptoms, social support, and minority stress scales among gay, bisexual, and other men who have with men (GBMSM) in Nigeria, Africa: a mixed methods approach

Scale

Original Item

Modified Item

CESD-R

My appetite was poor

I didn’t have an appetite

I could not shake off the blues

I could not change my bad mood (final item)

I could not think straight (other suggested item)

I could not think properly (other suggested item)

I had trouble keeping my mind of what I was doing

I had trouble concentrating on what I was doing

I could not get going

I lacked motivation

I lost interest in my usual activities

I lost interest in my daily activities

I felt fidgety

I felt nervous

I wanted to hurt myself

I wanted to harm myself

I had a lot of trouble getting to sleep

I had trouble sleeping

MSPSS

There is a special person who is around when I am in need

There is a significant other I can lean on

There is a special person with whom I can share my joys and sorrows

There is a significant other who I can share my joys and sorrows with

I get the emotional help and support I need from my family

I get the love and support I need from my family

I have a special person who is a real source of comfort to me

I have a significant other who is a real source of comfort to me

My friends really try to help me

My friends are there for me

I can talk about my problems with my family

I can share my problems with my family

I have friends with whom I can share my joys and sorrows

I have friends who I can share my joys and sorrows with

There is a special person in my life who cares about my feelings

There is a significant other in my life who cares about my feelings

The LGBT Minority Stress Measure

Community Connectedness

I feel like I am a part of the GBMSM community

I feel like I am a member of the LGBT community

I feel that I could find information and pamphlets on GBMSM issues

I feel that I could find information, books, flyers on LGBT issues

I feel that I could find professional services for GBMSM issues if I needed to

I feel that I could find friendly services for LGBT issues if I needed to

I feel that I could find a public space that is supportive of GBMSM activities

I feel like there is a safe space where LGBT social activities can take place

Internalized Stigma

If I was offered the chance to be someone who is not GBMSM, I would accept the opportunity

If I could change from being LGBT to straight, I would

I envy people who are not GBMSM.

I am jealous of people who are not LGBT

Rejection Anticipation

I brace myself to be treated disrespectfully because I am GBMSM

I prepare myself to be treated disrespectfully because I am LGBT

Identity Concealment

I avoid telling people about certain things in my life that might imply I am GBMSM

I avoid telling people about certain things in my life that might make them think I am LGBT

I avoid talking about my romantic life because I do not want others to know I am GBMSM

I avoid talking about my love life because I do not want others to know I am LGBT

I do not bring a date to social events because I do not want others to know I am GBMSM

I do not bring a date to social gathering/ parties because I do not want others to know I am LGBT

Victimization Events

I have been verbally harassed or called names because I am GBMSM

I have been called names or insulted because I am LGBT