Garmehi Sima, Hakimi Bahareh, Farhoudi Fateme, Abedini Ehsan
Department of Psychiatry, School of Medicine, Imam Reza Hospital, North Khorasan University of Medical Sciences, Bojnourd, North Khorasan, Iran.
Psychiatry and Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Front Psychiatry. 2025 May 6;16:1553002. doi: 10.3389/fpsyt.2025.1553002. eCollection 2025.
Several instruments have been developed to measure stigma associated with mental disorders. The Reported and Intended Behaviour Scale (RIBS) is one of the validated questionnaires to assess the presence of stigma and discrimination against people with mental illness in the general population. It consists of eight items, divided into two subscales that measure reported and intended stigmatizing behaviours. This study aimed to translate and validate the RIBS in Persian.
We translated the RIBS questionnaire from English into Persian (RIBS-P) and back-translated it into English. Thereafter, ten psychiatrists evaluated its face validity. Between 2020 and 2021, 384 Persian-speaking adults (aged 18-60) residing in various cities across Iran, with internet access, participated in the study. Exploratory factor analyses were performed to determine the construct validity. The reliability of the questionnaire was assessed using internal consistency (Cronbach's alpha coefficient) and test-retest methods.
Most of the participants were 28-37 (53.9%), female (64.6%), married (51.6%), unemployed (67.7%) and educated (100%). The total Cronbach's alpha coefficient for the RIBS-P questionnaire was high (0.732) and The test-retest results showed no significant difference. Factor analysis was used for construct validity and resulted in the extraction of one factor, the mean, standard deviation, and Cronbach's alpha coefficient for the extracted factor were 3.25, 1.02 and 0.807. The items with the highest correlation with the extracted factor from the exploratory analysis were identified (>0.6). Age (0.00000010701), working status (0.00000010833), and education (0.00000010329) had a significant relationship with stigmatisation behaviour.
The findings indicate that the Persian version of the RIBS is valid and reliable for assessing stigmatizing behaviours among Iranians.
已经开发了几种工具来测量与精神障碍相关的耻辱感。报告与预期行为量表(RIBS)是经过验证的问卷之一,用于评估普通人群中对精神疾病患者的耻辱感和歧视的存在情况。它由八个项目组成,分为两个子量表,分别测量报告的和预期的污名化行为。本研究旨在将RIBS翻译成波斯语并进行验证。
我们将RIBS问卷从英语翻译成波斯语(RIBS-P),然后再回译成英语。此后,十位精神科医生评估了其表面效度。在2020年至2021年期间,384名居住在伊朗各城市、有互联网接入的讲波斯语的成年人(年龄在18至60岁之间)参与了该研究。进行探索性因素分析以确定结构效度。使用内部一致性(克朗巴哈α系数)和重测方法评估问卷的信度。
大多数参与者年龄在28至37岁之间(53.9%),女性(64.6%),已婚(51.6%),失业(67.7%)且受过教育(100%)。RIBS-P问卷的总克朗巴哈α系数较高(0.732),重测结果显示无显著差异。使用因素分析来确定结构效度,结果提取出一个因素,提取因素的均值、标准差和克朗巴哈α系数分别为3.25、1.02和0.807。确定了与探索性分析中提取因素相关性最高的项目(>0.6)。年龄(0.00000010701)、工作状态(0.00000010833)和教育程度(0.00000010329)与污名化行为有显著关系。
研究结果表明,RIBS的波斯语版本对于评估伊朗人的污名化行为是有效且可靠的。