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The Community Attitudes Towards Mental Illness (Cami) Scale 40 Years Later

An Investigation Using Confirmatory Factor Analysis and Free‐Response Data

Bibliographic Data

ID7158713
AuthorsNathan R Huff (0000-0002-5844-9527, Psychological and Brain Sciences University of Massachusetts‐Amherst Amherst Massachusetts USA, corresponding author), David H Arnold (Psychological and Brain Sciences University of Massachusetts‐Amherst Amherst Massachusetts USA), Linda M Isbell (0000-0003-3467-3548, Psychological and Brain Sciences University of Massachusetts‐Amherst Amherst Massachusetts USA)
Year2025
Volume53
Issue2
Pagese70005-e70005
Publication date2025-02-01
Open AccessYes
TypeARTICLE
VenueJournal of Community Psychology (JOURNAL)
Journal identifiersISSN: 0090-4392 • E-ISSN: 1520-6629
PublisherWiley (PUBLISHER • GB)
DOI10.1002/jcop.70005
PMID40084599
OpenAlexW4408457617
LanguageEN
References cited66

The community attitudes towards mental illness scale (CAMI) is widely used to measure authoritarianism, benevolence, social restrictiveness, and community mental health attitudes held by general populations and medical professionals. This study compares the fit of published alternative factor structures of the CAMI to a general population English‐speaking sample and examines what mental illnesses individuals think about when responding. Using data from 749 US MTurk participants, confirmatory factor analysis supported a modified version of Morris' (2012) structure — fear/exclusion, social control, and goodwill — χ 2 (183) = 1094.44, p RMSEA = 0.08, CFI = 0.90, SRMR = 0.06. Most participants (73.6%) considered specific mental illnesses, with bipolar disorder, depression, and schizophrenia most common. Some found challenges defining mental illness. Comparing structures of a widely cited tool and identifying what respondents think about while completing the scale assists the many researchers using the CAMI. This clarifies our understanding of community stigma and improves our capacity to reduce it

Confirmatory factor analysis · Mental health · Mental illness · Population · Psychiatry · Restrictiveness · Scale (ratio) · Schizophrenia (object-oriented programming) · Stigma (botany) · Structural equation modeling · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Mental Health Treatment and Access · Psychology · Racial and Ethnic Identity Research

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