The Italian Version of the Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Validation Among Mental Health Professionals.
Thomas Salvan, Alessandra Nazeri, Giada Silveri, Andrea Fiorillo, Antonio Ventriglio, Federica Pinna, Manlio Converti, Markus Bidell, Nigel Sherriff, Gian Maria Galeazzi, Mattia Marchi, Francesco Amaddeo, Massimo Mirandola
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引用次数: 0
Abstract
Introduction: Sexual and gender minority (SGM) individuals experience substantial health inequalities, and clinical competence among healthcare providers is a key determinant of equitable care. The Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) is a validated instrument for assessing SGM-related clinical competence, but no Italian version has been available. This study aimed to translate, adapt, and validate the Italian LGBT-DOCSS among mental health professionals.
Methods: A cross-sectional online survey was administered to clinicians and trainees across Italy between June and December 2024. Psychometric analyses were conducted on 345 participants with complete data on all 18 items. Internal consistency, confirmatory factor analysis (CFA), Scalar multi-group CFA provided preliminary evidence consistent with measurement invariance across sexual orientation subgroups, and Spearman correlations with external measures of authoritarianism were examined.
Results: The original three-factor structure (Clinical Preparedness, Attitudinal Awareness, Basic Knowledge) was replicated with good model fit (CFI = 0.967, TLI = 0.962, RMSEA = 0.058). Internal consistency was strong across all subscales (Cronbach's α ranging from .81 to .89; ordinal α ranging from .87 to .95). Scalar multi-group CFA supported measurement invariance across heterosexual and non-heterosexual subgroups (CFI = 0.944, RMSEA = 0.074), with non-heterosexual professionals demonstrating greater attitudinal affirmation and stronger awareness of SGM health disparities. Authoritarianism showed small-to-moderate associations with Basic Knowledge and Attitudinal Awareness. Significant differences by gender, sexual attraction and profession were observed, with nurses showing lower self-perceived SGM-related competence than other professional groups.
Discussion: The Italian LGBT-DOCSS demonstrates strong psychometric properties and is a valid tool for assessing SGM-related clinical competence among Italian mental health professionals. It can support the identification of training needs and the development of targeted educational interventions to improve care for SGM individuals.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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