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Psychometric validation of the Italian version of the Reported and Intended Behaviour Scale (RIBS)

Published online by Cambridge University Press:  30 July 2015

L. Pingani ,
S. Evans-Lacko ,
M. Luciano ,
V. Del Vecchio ,
S. Ferrari ,
G. Sampogna ,
I. Croci ,
T. Del Fatto ,
M. Rigatelli  and
A. Fiorillo
L. Pingani*
Affiliation:
Human Resource Development, Local Health Agency of Reggio Emilia, Reggio Emilia, Italy
S. Evans-Lacko
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
M. Luciano
Affiliation:
Department of Psychiatry, University of Naples, SUN, Naples, Italy
V. Del Vecchio
Affiliation:
Department of Psychiatry, University of Naples, SUN, Naples, Italy
S. Ferrari
Affiliation:
Department of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy
G. Sampogna
Affiliation:
Department of Psychiatry, University of Naples, SUN, Naples, Italy
I. Croci
Affiliation:
Department of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy
T. Del Fatto
Affiliation:
Department of Psychiatry, University of Naples, SUN, Naples, Italy
M. Rigatelli
Affiliation:
Department of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy
A. Fiorillo
Affiliation:
Department of Psychiatry, University of Naples, SUN, Naples, Italy
*
*Address for correspondence: L. Pingani, PhD, Local Health Agency of Reggio Emilia, Via Amendola 2, 42121 Reggio Emilia, Italy (Email: luca.pingani@ausl.re.it)
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Abstract

Background.

Many instruments have been developed and validated to assess the stigma associated with mental disorders and its various domains across different populations. To our knowledge, the Reported and Intended Behaviour Scale (RIBS) is the only validated questionnaire to analyse the presence of reported and intended stigmatising/discriminatory behaviours towards people with mental health problems in the general population. The aims of the study presented herein are to translate and validate the RIBS in Italian language and to adapt it to the Italian socio-cultural background (RIBS-I).

Method.

The RIBS considers reported and intended behaviours across four different domains: (1) living with, (2) working with, (3) living nearby and (4) continuing a relationship with someone with a mental health problem. The validation process included four phases: (1) translation/back translation of the questionnaire from English to Italian and vice versa; (2,3) face validity and reliability of RIBS-I; (4) description of model fit through confirmatory factor analysis. The questionnaire was administered to a sample of the general public via distribution in public places such as shopping centres, markets, squares, cinemas and other gathering places. Questionnaires were administered by trained mental health professionals.

Results.

A total of 447 lay respondents were recruited. The mean age was 38.08 (s.d. = ±14.74) years. Fifty-seven per cent of the sample (n = 257) were female. The Cronbach alpha of RIBS-I was 0.83. All indices of model fit were above the reference values: Goodness of Fit Index (GFI) = 0.987 (GFI > 0.9); Adjusted Goodness of Fit Index (AGFI) = 0.975 (AGFI > 0.9); Comparative Fit Index (CFI) = 0.994 (CFI > 0.9); and Root-Mean-Square Error of Approximation (RMSEA) = 0.023 (RMSEA < 0.05). The χ2 = 23.60 (df = 19; p = 0.21) and χ2/df = 1.24 supported the model.

Conclusions.

The RIBS-I demonstrated good psychometric properties and it can be considered a useful tool to: (1) assess stigmatising (actual or potential) behaviours in the general population; (2) test the efficacy of anti-stigma campaigns and actions; (3) design further studies to better understand the relationship between the three different components of stigmatisation: knowledge, attitudes and behaviours.

Keywords

Behaviourmental disorderspsychometric validationstigmatisation
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 25 , Issue 5 , October 2016 , pp. 485 - 492
Copyright
Copyright © Cambridge University Press 2015 

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References

Arbuckle, J (2006). Amos 7.0 User's Guide. SPSS: Chicago.Google Scholar
Barrett, P (2007). Structural equation modelling: adjudging model fit. Personality and Individual Differences 42, 815–824.Google Scholar
Buizza, C, Pioli, R, Ponteri, M, Vittorielli, M, Corradi, A, Minicuci, N, Rossi, G (2005). Community attitudes towards mental illness and socio-demographic characteristics: an Italian study. Epidemiology and Psychiatric Sciences 14, 154–162.CrossRefGoogle ScholarPubMed
Carrà, G, Clerici, M (2013). Depictions of community care for the mentally ill in two English newspapers: a pilot, qualitative study. Journal of Psychopathology 19, 109–113.Google Scholar
Carrà, G, Giacobone, C, Pozzi, F, Alecci, P, Barale, F (2004). Prevalence of mental disorder and related treatments in a local jail: a 20-month consecutive case study. Epidemiology and Psychiatric Sciences 13, 47–54.Google Scholar
Cronbach, L (1951). Coefficient alpha and the internal structure of tests. Psychometrika 16, 297–334.Google Scholar
Del Vecchio, V, Luciano, M, Sampogna, G, De Rosa, C, Giacco, D, Tarricone, I, Catapano, F, Fiorillo, A (2015). The role of relatives in pathways to care of patients with a first episode of psychosis. International Journal of Social Psychiatry, doi: 10.1177/0020764014568129.CrossRefGoogle ScholarPubMed
Evans-Lacko, S, London, J, Little, K, Henderson, C, Thornicroft, G (2010). Evaluation of a brief anti-stigma campaign in Cambridge: do short-term campaigns work? BMC Public Health 10, 339.Google Scholar
Evans-Lacko, S, Rose, D, Little, K, Flach, C, Rhydderch, D, Henderson, C, Thornicroft, G (2011). Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure. Epidemiology and Psychiatric Sciences 20, 263–271.Google Scholar
Evans-Lacko, S, Brohan, E, Mojtabai, R, Thornicroft, G (2012 a). Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychological Medicine 42, 1741–1752.Google Scholar
Evans-Lacko, S, London, J, Japhet, S, Rüsch, N, Flach, C, Corker, E, Henderson, C, Thornicroft, G (2012 b). Mass social contact interventions and their effect on mental health related stigma and intended discrimination. BMC Public Health 12, 489.Google Scholar
Evans-Lacko, S, Malcolm, E, West, K, Rose, D, London, J, Rüsch, N, Little, K, Henderson, C, Thornicroft, G (2013 a). Influence of Time to Change's social marketing interventions on stigma in England 2009–2011. British Journal of Psychiatry 55, s77–s88.Google Scholar
Evans-Lacko, S, Henderson, C, Thornicroft, G (2013 b). Public knowledge, attitudes and behaviour regarding people with mental illness in England 2009–2012. British Journal of Psychiatry 55, s51–s57.Google Scholar
Friedrich, B, Evans-Lacko, S, London, J, Rhydderch, D, Henderson, C, Thornicroft, G (2013). Anti-stigma training for medical students: the Education Not Discrimination project. British Journal of Psychiatry 55, s89–s94.Google Scholar
Gerlinger, G, Hauser, M, De Hert, M, Lacluyse, K, Wampers, M, Correll, CU (2013). Personal stigma in schizophrenia spectrum disorders: a systematic review of prevalence rates, correlates, impact and interventions. World Psychiatry 12, 155–164.Google Scholar
Griffiths, KM, Carron-Arthur, B, Parsons, A, Reid, R (2014). Effectiveness of programs for reducing the stigma associated with mental disorders. A meta-analysis of randomized controlled trials. World Psychiatry 13, 161–175.Google Scholar
Hair, M, Anderson, R, Tatham, R, Black, W (1998). Multivariate Data Analysis. Prentice Hall: New Jersey.Google Scholar
Hatcher, L (1994). A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling. Cary SAS Institute: North Colorado.Google Scholar
Henderson, C, Evans-Lacko, S, Flach, C, Thornicroft, G (2012). Responses to mental health stigma questions: the importance of social desirability and data collection method. Canadian Journal of Psychiatry 57, 152–160.Google Scholar
IBM. (2013). IBM SPSS Statistics for Windows (Version Version 22.0). IBM: New York.Google Scholar
Kadri, N, Sartorius, N (2005). The global fight against the stigma of schizophrenia. PLoS Medicine 2, e136.Google Scholar
Lasalvia, A, Zoppei, S, Van Bortel, T, Bonetto, C, Cristofalo, D, Wahlbeck, K, Vasseur Bacle, S, Van Audenhove, C, van Weeghel, J, Reneses, B, Germanavicius, A, Economou, M, Lanfredi, M, Ando, S, Sartorius, N, Lopez-Ibor, J, Thornicroft, G, the ASPEN/INDIGO Study Group (2013). Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381, 55–62.Google Scholar
Livingston, JD, Tugwell, A, Korf-Uzan, K, Cianfrone, M, Coniglio, C (2013). Evaluation of a campaign to improve awareness and attitudes of young people towards mental health issues. Social Psychiatry and Psychiatric Epidemiology 48, 965–973.Google Scholar
Magliano, L, Marasco, C, Guarneri, M, Malangone, C, Lacrimini, G, Zanus, P, Maj, M (1999). A new questionnaire assessing the opinions of the relatives of patients with schizophrenia on the causes and social consequences of the disorder: reliability and validity. European Psychiatry 14, 71–75.Google Scholar
Mannarini, S, Boffo, M (2013). Assessing mental disorder causal beliefs: a latent dimension identification. Community Mental Health Journal 49, 686–693.Google Scholar
Pingani, L, Forghieri, M, Ferrari, S, Ben-Zeev, D, Artoni, P, Mazzi, F, Palmieri, G, Rigatelli, M, Corrigan, PW (2012). Stigma and discrimination toward mental illness: translation and validation of the Italian version of the Attribution Questionnaire-27 (AQ-27-I). Social Psychiatry and Psychiatric Epidemiology 47, 993–999.Google Scholar
Pingani, L, Fiorillo, A, Luciano, M, Catellani, S, Vinci, V, Ferrari, S, Rigatelli, M (2013). Who cares for it? How to provide psychosocial interventions in the community. International Journal of Social Psychiatry 59, 701–705.Google Scholar
Pingani, L, Luciano, M, Sampogna, G, De Rosa, C, Pinna, F, Volpe, U, Del Vecchio, V, Fiorillo, A (2014). The crisis in psychiatry: a public health perspective. International Review of Psychiatry 26, 530–534.Google Scholar
Pingani, L, Evans-Lacko, S, Del Vecchio, V, Luciano, M, Catellani, S, Hamati, A, Rigatelli, M, Fiorillo, A (2015). University students’ identification of stigmatizing schizophrenia in Italian newspapers. American Journal of Orthopsychiatry 85, 139–144.CrossRefGoogle ScholarPubMed
Rüsch, N, Evans-Lacko, SE, Henderson, C, Flach, C, Thornicroft, G (2011). Knowledge and attitudes as predictors of intentions to seek help for and disclose a mental illness. Psychiatric Services 62, 675–678.Google Scholar
Rüsch, N, Evans-Lacko, S, Thornicroft, G (2012). What is a mental illness? Public views and their effects on attitudes and disclosure. Australian and New Zealand Journal of Psychiatry 46, 641–650.CrossRefGoogle ScholarPubMed
Rüsch, N, Corrigan, PW, Heekeren, K, Theodoridou, A, Dvorsky, D, Metzler, S, Müller, M, Walitza, S, Rössler, W (2014). Well-being among persons at risk of psychosis: the role of self-labeling, shame, and stigma stress. Psychiatric Services 65, 483–489.Google Scholar
Sartorius, N, Schulze, H (2005). Reducing the Stigma of Mental Illness: A Report from a Global Programme of the World Psychiatric Association. Cambridge University Press: Cambridge.Google Scholar
Thornicroft, G, Brohan, E, Rose, D, Sartorius, N, Leese, M, Group, IS (2009). Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373, 408–415.Google Scholar
Volpe, U, Fiorillo, A, Luciano, M, Del Vecchio, V, Palumbo, C, Calò, S, Piras, S, Signorelli, M, Filippo, D, Piselli, M, De Fazio, P, Gotelli, S, Bardicchia, F, Cerveri, G, Ferrari, S, Mulè, A, Ribolsi, M, Sampogna, G, De Rosa, C, Sartorius, N (2014). Pathways to mental health care in Italy: results from a multicenter study. International Journal of Social Psychiatry 60, 508–513.CrossRefGoogle ScholarPubMed
Winkler, P, Csémy, L, Janoušková, M, Mladá, K, Bankovská Motlová, L, Evans-Lacko, S (2015). Reported and intended behaviour towards those with mental health problems in the Czech Republic and England. European Psychiatry, doi: 10.1016/j.eurpsy.2015.05.003.Google Scholar
Yamaguchi, S, Mino, Y, Uddin, S (2011). Strategies and future attempts to reduce stigmatization and increase awareness of mental health problems among young people: a narrative review of educational interventions. Psychiatry and Clinical Neuroscience 65, 405–415.Google Scholar
Yamaguchi, S, Koike, S, Watanabe, K, Ando, S (2014). Development of a Japanese version of the reported and intended behaviour scale: reliability and validity. Psychiatry and Clinical Neurosciences 68, 448–455.Google Scholar
Zoppei, S, Lasalvia, A (2011). Anti-stigma campaigns: really useful and effective? A critical review of the anti-stigma initiatives conducted in Italy. Rivista di Psichiatria 46, 242–249.Google Scholar