{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:59:37Z","timestamp":1785581977597,"version":"3.56.0"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":39,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alz &amp;amp; Dem Diag Ass &amp;amp; Dis Mo"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Overcoming dementia\u2010related stigma is a global challenge, but tools to assess stigma among family caregivers of people living with dementia remain limited. This study examined the validity and reliability of the Japanese version of the Family Stigma Instrument for family caregivers of people living with dementia (J\u2010FAMSI\u2010dementia), originally developed in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A total of 372 informal caregivers aged 18 to 79 years of family members living with dementia completed an internet survey. The J\u2010FAMSI\u2010dementia comprises five subscales (stigma by association; perceived, affective, and behavioral affiliate stigma; and positive aspects of caregiving), developed through forward and backward translations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Confirmatory factor analysis supported an acceptable five\u2010factor model. All subscales showed high internal consistency and moderate to good test\u2013retest reliability. Correlations with dementia attitude, caregiving burden, and depressive symptoms supported construct validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>The J\u2010FAMSI\u2010dementia demonstrated acceptable validity and reliability and may help identify dementia\u2010related stigma among family caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dad2.70358","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T03:18:03Z","timestamp":1778469483000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a Japanese version of the Family Stigma Instrument for dementia"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9165-5501","authenticated-orcid":false,"given":"Taiji","family":"Noguchi","sequence":"first","affiliation":[{"name":"Department of Community Health and Preventive Medicine Hamamatsu University School of Medicine  Hamamatsu Japan"},{"name":"Department of Social Science Research Institute, National Center for Geriatrics and Gerontology  Obu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jem","family":"Bhatt","sequence":"additional","affiliation":[{"name":"UCL Unit for Stigma Research, Research Department of Clinical Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayane","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Social Science Research Institute, National Center for Geriatrics and Gerontology  Obu Japan"},{"name":"Graduate School of Human Life and Ecology Osaka Metropolitan University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryota","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences Aichi Shukutoku University  Nagakute Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(17)31756\u20107"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbac146"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12194"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474\u20104422(23)00415\u20105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010021\u201002540\u2010z"},{"key":"e_1_2_11_7_1","unstructured":"Scottish Government.Dementia in Scotland: Everyone's Story(2023)."},{"key":"e_1_2_11_8_1","unstructured":"Ministry of Health Labour and Welfare of Japan.The Basic Act on Dementia to Promote an Inclusive Society. Ministry of Health Labour and Welfare of Japan. Accessed January 16 2024.https:\/\/www.mhlw.go.jp\/content\/001212852.pdf"},{"key":"e_1_2_11_9_1","volume-title":"Stigma: Notes on the management of spoiled identity","author":"Goffman E","year":"2009"},{"key":"e_1_2_11_10_1","unstructured":"Alzheimer's Disease International.World Alzheimer Report 2024 Global changes in attitudes to dementia.2024.https:\/\/www.alzint.org\/resource\/world\u2010alzheimer\u2010report\u20102024\/"},{"key":"e_1_2_11_11_1","unstructured":"DuttaS MandevilleK ThornicroftG et\u00a0al Reduction of Mental Health Related Stigma and Discrimination: Global Overview.2024.http:\/\/documents.worldbank.org\/curated\/en\/099112424194025105"},{"key":"e_1_2_11_12_1","first-page":"25","volume-title":"Dementia and Society: An Interdisciplinary Approach","author":"Vermeulen P","year":"2022"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301218800122"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/14713012241249796"},{"key":"e_1_2_11_15_1","first-page":"148","article-title":"Structural stigma, affiliated stigma and consequences of caregiving for the family members of inpatients with dementia: a comparative approach","volume":"57","author":"Tudose C","year":"2017","journal-title":"Rev. Cercet. Interv. Soc"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1332\/23978821y2025d000000105"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/14297-012"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1584790"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301216673920"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13195\u2010016\u20100213\u2010y"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181f32594"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.585"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2018.39"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2019.03.001"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.10.008"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnab092"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.18148\/srm\/2014.v8i2.5453"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(03)00084\u20102"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.13168"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.40.497"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2018.03.007"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.31662\/jmaj.2018\u20100015"},{"key":"e_1_2_11_33_1","first-page":"xvii","volume-title":"Confirmatory Factor Analysis For Applied Research","author":"Brown TA","year":"2015"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/30.5.583"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbw047"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2006.25.8.875"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000014"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/50.2.111"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbp096"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010011146"},{"key":"e_1_2_11_41_1","unstructured":"Ministry of Health Labour and Welfare.Summary Report of Comprehensive Survey of Living Conditions 2022.Ministry of Health Labor and Welfare. Accessed January 27 2026.https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/k\u2010tyosa\/k\u2010tyosa22\/index.html"}],"container-title":["Alzheimer's &amp; Dementia: Diagnosis, Assessment &amp; Disease Monitoring"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dad2.70358","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/dad2.70358","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dad2.70358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:15:35Z","timestamp":1785579335000},"score":1,"resource":{"primary":{"URL":"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/10.1002\/dad2.70358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/dad2.70358"],"URL":"https:\/\/doi.org\/10.1002\/dad2.70358","archive":["Portico"],"relation":{},"ISSN":["2352-8729","2352-8729"],"issn-type":[{"value":"2352-8729","type":"print"},{"value":"2352-8729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-03-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70358"}}