Construction and factorial validation of a short version of the Attitudes Towards Mental Health Problems Scale (SATMHPS)

Negative attitudes and shame towards mental health problems are detrimental to mental health. An established measure for mental health attitudes and shame is the Attitudes Towards Mental Health Problems Scale (ATMHPS), comprising 35 items. This comprehensive instrument evaluates Community/Family Attitudes, Community/Family External Shame, Internal Shame, and Family/Self Reflected Shame. One weakness of the ATMHPS is its length. The present study constructed and validated a shorter version of the ATMHPS (SATMHPS), comprising 14 items. Samples of UK university students (274 business and 301 healthcare students) were recruited, and analyses were performed to construct and validate the factorial structure. The SATMHPS demonstrated good to excellent internal consistency, and very strong correlations with the original ATMHPS in both samples. Confirmatory factor analyses on the SATMHPS replicated the seven-factor model identified in the original ATMHPS. The SATMHPS can be a reliable, valid and user-friendly instrument to measure attitudes and shame towards mental health problems.