Skip to main content
Log in

Development, Reliability, and Validity of the Beliefs Toward Mental Illness Scale

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

The present study describes the development of a new scale to measure Beliefs toward Mental Illness (BMI), which was designed to measure cross-cultural differences in such beliefs as well as to predict treatment-seeking behavior among different cultural groups. A total of 216 students participated in this study (114 Asian students and 102 American students). A series of factor analyses examining construct validity for the BMI revealed that the BMI has three dimensions, including dangerousness, poor social and interpersonal skills, and incurability. Examination of the reliability estimates for each factor revealed moderate to high internal consistency of the BMI. Comparisons between American and Asian students revealed the expected cultural differences in their beliefs toward mental illness and treatment preference.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Atkinson, D. R., Lowe, S., & Matthews, L. (1995). Asian-American acculturation, gender, and willingness to seek counseling. Journal of Multicultural Counseling and Development, 23(3), 130-138.

    Google Scholar 

  • Chou, K. L., & Mak, K. Y. (1998). Attitudes to mental patients among Hong Kong Chinese: A trend study over two years. International Journal of Social Psychiatry, 44(3), 215-224.

    Google Scholar 

  • Chou, K. L., Mak, K. Y., Chung, P. K., & Ho, K. (1996). Attitudes towards mental patients in Hong Kong. International Journal of Social Psychiatry, 42(3), 231-219.

    Google Scholar 

  • Enrique, G. A. Jr. (1993). Psychiatric care of Filipino Americans. In Gaw, A. C (Ed.) Culture, ethnicity, and mental illness. Washington, DC: American Psychiatry Press, Inc.

    Google Scholar 

  • Fabrega, H. Jr. (1991). Psychiatric stigma in non-Western societies. Comprehensive Psychiatry, 32, 534-551.

    Google Scholar 

  • Fan, C. (1999). A comparison of attitudes towards mental illness and knowledge of mental health services between Australian and Asian students. Community Mental Health Journal, 35(1), 47-56.

    Google Scholar 

  • Fujii, J. S., Fukushima, S. N., & Yamamoto, J. (1993). Psychiatric care of Japanese Americans. In Gaw, A. C (Ed.) Culture, ethnicity, and mental illness. Washington, DC: American Psychiatry Press, Inc.

    Google Scholar 

  • Gaw, A. C. (1993). Psychiatric care of Chinese Americans. In Gaw, A. C (Ed.) Culture, ethnicity, and mental illness. Washington, DC: American Psychiatry Press, Inc.

    Google Scholar 

  • Hatfield, B., Mohamad, H., Rahim, Z., & Tanweer, H. (1996). Mental health and the Asian Communities: A local survey. British Journal of Social Work, 26, 315-336.

    Google Scholar 

  • Johnson, S., & Orrell, M. (1995). Insight and psychosis: a social perspective. Psychological Medicine, 25, 515-520.

    Google Scholar 

  • Kim, L. I. C. (1993). Psychiatric care of Korean Americans. In Gaw, A. C (Ed.), Culture, ethnicity, and mental illness. Washington, DC: American Psychiatry Press, Inc.

    Google Scholar 

  • Lam, A. P., & Kavanagh, D. J. (1996). Help seeking by immigrant Indochinese psychiatric patients in Sydney, Australia. Psychiatric Services, 47(9), 993-995.

    Google Scholar 

  • Leong, F. T. L., Wagner, N. S., & Kim, H. H. (1995). Group counseling exceptions among Asian American students: the role of culture-specific factors. Journal of Counseling Psychology, 42(2), 217-222.

    Google Scholar 

  • Matsuoka, J. K., Breaux, C., & Ryujin, D. H. (1997). National utilization of mental health services by Asian Americans/Pacific Islanders. Journal of Community Psychology, 25(2), 141-145.

    Google Scholar 

  • Ng, C. H. (1997). The stigma of mental illness in the Asian cultures. Australian and New Zealand Journal of Psychiatry, 31, 382-390.

    Google Scholar 

  • Raguram, R., Weiss, M. G., Channabasavanna, S. M., & Devins, G. M. (1996). Stigma, depression and somatization in South India. American Journal of Psychiatry, 153, 1043-1049.

    Google Scholar 

  • Suinn, R. M., Ahuna, C., & Khoo, G. (1992). The Suinn-Lew Asian Self-Identity Acculturation Scale: concurrent and factorial validation. Educational and Psychological Measurement, 52, 1042-1046.

    Google Scholar 

  • Suinn, R. M., Figueroa, K. R., Lew, S., & Vigal, P. (1987). The Suinn-Lew Asian Self-Identity Acculturation Scale: an initial report. Educational and Psychological Measurement, 47, 401-407.

    Google Scholar 

  • Whaley, A. L. (1997). Ethnic and racial differences in perceptions of dangerousness of persons with mental illness. Psychiatric Services, 48(10), 1328-1330.

    Google Scholar 

  • Wintersteen, R. T., Wintersteen, L. B., Mupedziswa, R., & Cheah, A. (1997). Families and mental illness: Observations from two developing countries. International Social Work, 40(2), 191-207.

    Google Scholar 

  • Zhang, A. Y., Snowden, L. R., & Sue, S. (1998). Differences between Asian and white Americans' help seeking and utilization patterns in the Los Angeles Area. Journal of Community Psychology, 26(4), 317-326.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hirai, M., Clum, G.A. Development, Reliability, and Validity of the Beliefs Toward Mental Illness Scale. Journal of Psychopathology and Behavioral Assessment 22, 221–236 (2000). https://doi.org/10.1023/A:1007548432472

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1007548432472

Navigation