OPEN ACCESS | Rating Scale | Published Online: 18^th  June 2025                                                                           

COMMUNITY ATTITUDE TOWARDS MENTAL ILLNESS- 12 ITEM QUESTIONNAIRE (CAMI-12) - MALAYALAM VERSION

                                                                                                                                                                                                                  

Meera Sujathan¹, Rekha Mathew², Aravind Karunakaran³, Jaimon Plathottathil Michael ^4*, Varghese P Punnoose⁵

1. Senior resident, 3. Assistant Professor, 5. Professor and Principal, Department of Psychiatry, Government Medical College, Kottayam
2. Associate Professor, Department of Psychiatry, Government Medical College, Idukki
3. Associate Professor, Department of Psychiatry, Government Medical College, Ernakulam

*Corresponding Author: Associate Professor, Department of Psychiatry, Government Medical College, Ernakulam.

Email: jaimonpm@gmail.com

The 12- item Community Attitude towards Mental Illness (CAMI-12) scale was derived from the original Community Attitudes toward the Mental Illness (CAMI) scale developed by Taylor and Dear in 1981.1 These 12 items were grouped into the two subscales: Prejudice and Exclusion (PE) and Tolerance and Support (TS) with six questions in each subscale.2,3 Items 1,2,4,5,6,11 in the scale represent Prejudice& Exclusion, and Items 3,7,8,9,10,12 in the scale represent Tolerance& Support.

The Malayalam version of CAMI-12 total score demonstrated high internal consistency, with a Cronbach’s alpha value of 0.90 (95% Confidence Interval (CI: 0.86-0.93).⁴ The internal consistency of the Malayalam version of the two subscales with Tolerance and Support (TS) and Prejudice and Exclusion (PE) was excellent, with Cronbach’s alpha value of 0.89 (95% CI-0.85- 0.92) and 0.90 (95% CI-0.86- 0.93), respectively. The test-retest Reliability of the CAMI-12 Malayalam version was assessed with re-administration after 4 weeks.  The intraclass correlation of the total score was 0.89 (95% CI-0.85- 0.92), and for the subscales, TS and PE were 0.88 (95% CI-0.83- 0.91) and 0.91(95% CI-0.87- 0.94).

Financial support and sponsorship: Nil

Conflicts of interest: There are no conflicts of interest

Copyright and Translation: The English version of CAMI 12 is freely available for individuals who work or study in a university or health setting from the INDIGO Network: International Study of Discrimination and Stigma Outcomes.⁵ We have also got permission through email from the author, Gaia Sampogna, for translation.² The scale can be translated with the following conditions.

1. Translations into different languages should be done using Back Translation.
2. Include the copyright information in the footer of the scale.
3. Any translated versions must be made available to others who wish to use them. Send your translated versions to Prof Claire Henderson (1.henderson@kcl.ac.uk)
4. No financial charge may be made for your version of the scales or guides.

"The author(s) attest that there was no use of generative artificial intelligence (AI) technology in the generation of text, figures, or other informational content of this manuscript."

 

മാനസിക രോഗത്തോടുള്ള സമൂഹത്തിൻറെ മനോഭാവം - 12-ഇന ചോദ്യാവലി

ചുവടെ കൊടുത്തിട്ടുള്ള ഇനങ്ങൾ ശ്രദ്ധാപൂർവ്വം വായിക്കുക. അനുബന്ധ കോളത്തിൽ 'x' അടയാളം ഉപയോഗിച്ച് നിങ്ങളുടെ അഭിപ്രായം രേഖപ്പെടുത്തുക.

 

REFERENCE

1. Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull. 1981; 7(2):225-40. DOI: 10.1093/schbul/7.2.225
2. Sampogna G, Bakolis I, Evans-Lacko S, Robinson E, Thornicroft, Henderson C. The Impact of Social Marketing Campaigns on Reducing Mental Health Stigma: Results From the 2009–2014 Time to Change Programme. European psychiatry: the journal of the Association of European Psychiatrists. 2016; 40: 116-122. https://doi.org/10.1016/j.eurpsy.2016.08.008
3. Ilic N, Henderson H, Henderson C, Evans Lacko S, Thornicroft G. Attitudes towards mental illness. Leeds: The Health and Social Care Information Centre. 2015; Volume 1; Chapter 3; pp: 1-15.
   https://www.indigo-group.org/wp-content/uploads/2020/01/HSE2014-Ch3-Attitudes-towards-mental-illness.pdf
4. Sujathan M, Mathew R, Karunakaran A, Michael JP, Punnoose VP. Reliability and validity of Malayalam version of 12-item Community Attitude Towards Mental Illness (CAMI-12) questionnaire. Kerala Journal of Psychiatry. 2023; 36(2):83-91. DOI: https://doi.org/10.30834/KJP.36.2.2023.413
5. The INDIGO Network. Strengthening Mental Health Worldwide. Other Scales &Guides. Internet [cited 2025 May 27]. Available from: https://www.indigo-group.org/other-scales-in-mental-health/

Please cite the article as: Meera S, Rekha M, Aravind K, Jaimon PM, Varghese PP. Community attitude towards mental illness- 12 item questionnaire (CAMI-12) - Malayalam version. Kerala Journal of Psychiatry 2025; 38(1): 92-94.