The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity

Abstract Background Although there is a substantial body of research on the stigma associated with mental illness, much of the extant research has not explicitly focused on the concept of prejudice, which drives discriminatory behaviour. Further, research that has investigated prejudice towards peop...

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Main Authors: Amanda Kenny, Boris Bizumic, Kathleen M. Griffiths
Format: Article
Language:English
Published: BMC 2018-09-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-018-1871-z
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author Amanda Kenny
Boris Bizumic
Kathleen M. Griffiths
author_facet Amanda Kenny
Boris Bizumic
Kathleen M. Griffiths
author_sort Amanda Kenny
collection DOAJ
description Abstract Background Although there is a substantial body of research on the stigma associated with mental illness, much of the extant research has not explicitly focused on the concept of prejudice, which drives discriminatory behaviour. Further, research that has investigated prejudice towards people with mental illness has conceptual, theoretical and psychometric limitations. To address these shortcomings, we sought to develop a new measure, the Prejudice towards People with Mental Illness (PPMI) scale, based on an improved conceptualisation and integration of the stigma and prejudice areas of research. Methods In developing the new scale, we undertook a thematic analysis of existing conceptualisations and measures to identify a pool of potential items for the scale which were subsequently assessed for fidelity and content validity by expert raters. We tested the structure, reliability, and validity of the scale across three studies (Study 1 N = 301; Study 2 N = 164; Study 3 N = 495) using exploratory factor, confirmatory factor, correlational, multiple regression, and ordinal logistic regression analyses using both select and general community samples. Results Study 1 identified four factors underlying prejudice towards people with mental illness: fear/avoidance, malevolence, authoritarianism, and unpredictability. It also confirmed the nomological network, that is, the links of these attitudes with the proposed theoretical antecedents and consequences. Studies 2 and 3 further supported the factor structure of the measure, and provided additional evidence for the nomological network. Conclusions We argue that research into prejudice towards people with mental illness will benefit from the new measure and theoretical framework.
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spelling doaj.art-1ead5ebcb2af4fecaef52754fafb88e82022-12-22T00:43:01ZengBMCBMC Psychiatry1471-244X2018-09-0118111310.1186/s12888-018-1871-zThe Prejudice towards People with Mental Illness (PPMI) scale: structure and validityAmanda Kenny0Boris Bizumic1Kathleen M. Griffiths2Research School of Psychology, The Australian National UniversityResearch School of Psychology, The Australian National UniversityResearch School of Psychology, The Australian National UniversityAbstract Background Although there is a substantial body of research on the stigma associated with mental illness, much of the extant research has not explicitly focused on the concept of prejudice, which drives discriminatory behaviour. Further, research that has investigated prejudice towards people with mental illness has conceptual, theoretical and psychometric limitations. To address these shortcomings, we sought to develop a new measure, the Prejudice towards People with Mental Illness (PPMI) scale, based on an improved conceptualisation and integration of the stigma and prejudice areas of research. Methods In developing the new scale, we undertook a thematic analysis of existing conceptualisations and measures to identify a pool of potential items for the scale which were subsequently assessed for fidelity and content validity by expert raters. We tested the structure, reliability, and validity of the scale across three studies (Study 1 N = 301; Study 2 N = 164; Study 3 N = 495) using exploratory factor, confirmatory factor, correlational, multiple regression, and ordinal logistic regression analyses using both select and general community samples. Results Study 1 identified four factors underlying prejudice towards people with mental illness: fear/avoidance, malevolence, authoritarianism, and unpredictability. It also confirmed the nomological network, that is, the links of these attitudes with the proposed theoretical antecedents and consequences. Studies 2 and 3 further supported the factor structure of the measure, and provided additional evidence for the nomological network. Conclusions We argue that research into prejudice towards people with mental illness will benefit from the new measure and theoretical framework.http://link.springer.com/article/10.1186/s12888-018-1871-zPrejudiceMental illnessAttitudesStigmaScale development
spellingShingle Amanda Kenny
Boris Bizumic
Kathleen M. Griffiths
The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
BMC Psychiatry
Prejudice
Mental illness
Attitudes
Stigma
Scale development
title The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
title_full The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
title_fullStr The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
title_full_unstemmed The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
title_short The Prejudice towards People with Mental Illness (PPMI) scale: structure and validity
title_sort prejudice towards people with mental illness ppmi scale structure and validity
topic Prejudice
Mental illness
Attitudes
Stigma
Scale development
url http://link.springer.com/article/10.1186/s12888-018-1871-z
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