The diagnostic and prognostic significance of the whitely. Illness attitudesscaledimensionsandtheirassociationswithanxietyrelatedconstructsinanonclinicalsample. These findings might have clinical implications in helping to distinguish in patients with medically unexplained symptoms those for whom there is a high chance of persistence of the symptoms andor of high. The adapted illness attitude scales was renamed the childhood illness attitude scales. For perception about mental illness, frequency distribution of the responses was calculated. A national representative sample of 2039 adults from the general population was interviewed by telephone. These related to community attitudes, family attitudes, and selfattitudes. The preliminary versions of the two scales used in the current study, the mental health knowledge questionnaire mhkq and the mental health attitude questionnaire mhaq, used some of the items from the ministry of health scales, but most items were developed after extensive discussions between nine. On some types of attitude measures youth were similar to the wider target group. The factor structure and reliability of the illness. Whether it has crosscultural validity in china remains to be determined. Factor structure of the childhood illness attitude scales.
The illness attitude scales ias were simplified from a 5point likerttype scale to a yesorno format and translated into spanish using brislins. The attitudes of this group towards mental illness has not previously been investigated. Measuring public attitudes to severe mental illness in greece. Measurement of attitudes, beliefs and behaviors of mental. Knowledge and attitude about mental illness of students in a. The factor structure and reliability of the illness attitude scales in a.
Health knowledge questionnaire mhkq and the mental health attitude questionnaire mhaq, used some of the items from the ministry of health scales, but most items were developed after extensive discussions between nine members of the research team at the shanghai mental health center. Screening for hypochondriasis with the illness attitude scales. We investigated participants of a german population. Kellner, 1986 make up a 27item selfreport measure 5point rating scale that is an internationally widely used and established instrument for the assessment. Screening for hypochondriasis with the illness attitude. Kellner, 1986, 1987 may prove highly useful for the screening of hypochondriasis. We expected the ias subscales to be equally as effective as the 7item short version of the whiteley index whiteley7. Optimal cutoff points on the health anxiety inventory, illness.
Homosexuality attitude scale the homosexuality attitude scale has is a likert scale that assesses peoples stereotypes, misconceptions, and anxieties about homosexuals. The scales fill a gap in the domain of attitudes assessment for health professionals, particularly for medical students and physicians, especially as interventions targeting stigma towards people with mental illness are. Kellner, 1986 make up a 27item selfreport measure 5point rating scale that is. S separatism st stereotyping r restrictiveness b benevolence p pessimistic prediction stig stigmatization 1.
Pdf the factor structure of the illness attitude scales in. Attitudes towards mental health problems we devised the atmhp as a 35item scale to tap different aspects of shame in relationship to a mental health problem. The measurement of public attitudes toward the mentally ill has taken on new significance since the introduction of communitybased mental health care. Pdf the factor structure of the illness attitude scales. Cadat is a leader in both research and clinical treatment of anxiety disorders in the uk. Apr 07, 20 a measure or assessment used to assess an attitude usually for the purpose of comparison. Selection of a stigma instrument numerous scales developed to measure attitudes toward.
Assessing knowledge and attitudes about mental illness in. The measure contains a unidimensional factor representing a favorable or unfavorable evaluation of homosexuals. The cias measures fears, beliefs, and attitudes associated with health anxiety and abnormal illness behavior in childhood. Scaling is a technique used for measuring qualitative responses of respondents such as those related to their feelings, perception, likes, dislikes, interests and preferences. The cias is a 35item selfreport measure based on the illness attitudes scales, designed for use with schoolage children. The illness perception questionnaire and its related scales brief, revised elicit responses related to the illness related symptom experience, the timeline, consequences, cause, and illness coherence. This was the case for the perceived capability of people with experience of mental illness and, with the exception of depression, willingness to accept people with experience of mental illness in a range of social situations. Pdf a validation study of the whitely index, the illness. It was found to be reliable, valid and responsive to change. Illnessattitudesscaledimensionsandtheirassociationswithanxietyrelatedconstructsinanonclinicalsample. Are you easiest to get along with when you are ill. However, as anyone who has every faked an attitude scales knows there are shortcomings in these self report scales of attitudes.
The illness attitude scales ias were developed by robert kellner as a clinimetric index for measuring. Also we utilized focal measures assessing attitudes of healthcare providers, which comprise the attitude to mental illness questionnaire amiq and the. S people with mental illness have unpredictable behavior. Attitude is a resultant of number of external and internal factors. Concept of attitude attitudes are individual mental processes which determine both the actual and potential responses of each person in a social world. Optimal cutoff points on the health anxiety inventory. Stigma towards adults with mental illness, defined here as a serious medical condition such as schizophrenia, bipolar disorder, or major. An attitude scale is designed to provide a valid, or accurate, measure of an individuals social attitude. The illness attitude scale ias was devised to assess hypochondria and abnormal illness behaviour and described as having nine subscales kellner, abridged manual of the illness attitude scale, 1987.
Pdf optimal cutoff points on the health anxiety inventory. I worry about illness, ii concerns about pain, iii, health habits, iv hypochondriacal beliefs, v thanatophobia fear of death, vi disease phobia, vii bodily preoccupations, viii treatment experience, and ix effects of symptoms. A validation study of the whitley index, the illness attitude scales and the. A validation study of the whitely index, the illness attitude scales, and the somatosensory amplification scale in general medical and general practice patients. The person completed the attitude scale as part of a research project aiming to determine how strongly people feel about war. This descriptive crosssectional study was conducted at a catholic university in nigeria over a threemonth period. Illness attitude scales hypochondriasis health anxiety. Previous attitude scales have been constructed and applied primarily in a professional context. Since an attitude is always directed toward some object it may be defined as the state of mind of the individual toward a value. Scaling community attitudes toward the mentally iii. Previous attitude scales have been constructed and applied primarily in a professional.
Items are scored on a 5 or 10 point likert scale and all scales examine both the. Perception and attitude towards mental illness in an urban. Jun 17, 2012 attitude scaleformental illness pat sherman 1. Revisions to the adult version consisted of simplification of language, revision of likert scale i. For the purpose of this paper, this group will be referred to as the mental illness stigma panel members mispm. Developing a new scale the need for a new scale to measure positive mental health policy makers and practitioners interested in promoting mental health have had to rely on scales that focus on mental illness to assess the impact of their policies and interventions. This article discusses the development and application of a new set of four scales explicitly designed to measure community attitudes toward the mentally ill. The illness attitude scale ias was devised to assess hypochondria and abnormal illness behaviour and described as having nine sub scales kellner, abridged manual of the illness attitude scale, 1987. Do you think there is something seriously wrong with our body. Characteristics and attitudes of preservice teachers toward. Mar 06, 2015 the mica2 and mica4 scales were responsive to changes in attitudes about mental illness and psychiatry after interventions. The illness attitude scales ias were developed by robert kellner as a clinimetric index for measuring hypochondriacal fears and beliefs worry about illness, concerns about pain, health habits. However, no previous studies have examined the factor structure of this instrument. Their adaptationthe childhood illness attitude scales ciasconsists of items from the ias simplified to ageappropriate language.
However, its factor structure is, especially for translations of the ias, not sufficiently explored. The illness attitude scales ias, designed by kellner in 1986, assesses fears, beliefs, and attitudes associated with hypochondriasis and abnormal illness behaviour. Attitude scale definition of attitude scale by merriamwebster. Analysis of omicc attitude scale was done like any other likert scale with five point responses. To ascertain the knowledge about mental illness and attitude of undergraduate students in a university in southern nigeria, towards the mentally ill. Depending upon the attitude to be measured, appropriate scales are designed. The illness attitude scale ias was devised to assess hypochondria and abnormal illness behaviour and described as having nine subscales kellner. Scaling community attitudes toward the mentally ill. The illness attitude scales fulltext psychotherapy and. The illness attitude scales ias are considered as one of the most suitable instruments to screen hypochondriasis. Does your illness interfere with your life a great deal. Health anxiety can be viewed as a dimensional phenomenon where severe health anxiety in form of dsmiv hypochondriasis represents a cutoff where the health anxiety becomes clinically significant. Attitude scale definition is a measure of the relative quantity of an attitude possessed by an individual as contrasted with a reference group.
Kings college london health anxiety questionnaires. There are various problems that affect the validity of attitude scales. Objective to examine the factor structure of the childhood illness attitude scales cias. An amended version mica4 was validated with a sample of nursing students and may be suitable for staff and students from a wide range of health professions.
Clinimetrics disease phobia thanatophobia diagnostic. More unawareness of illness in bipolar disorder, schizophrenia and major depressive disorder 95% ccii r r p trevisi et al. Insight in mental illness nc psychiatric association. The factor structure of the illness attitude scales in a german population article pdf available in international journal of behavioral medicine 162. The advantage of surveying preservice teachers versus practicing teachers is that researchers have found that some college courses can positively impact.
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