Evidence map›Paper›PMID 37060031›Full record

SynthesisSystematic reviews2023

Over 40 years (1981-2023) assessing stigma with the Community Attitudes to Mental Illness (CAMI) scale: a systematic review of its psychometric properties.

Juan P Sanabria-Mazo, Eduardo Doval, Albert Bernadàs, Natalia Angarita-Osorio, Ariadna Colomer-Carbonell, Sara Evans-Lacko, Graham Thornicroft, Juan V Luciano, María Rubio-Valera

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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  7. Indigenous people display lower mental illness stigma in Aotearoa.The Australian and New Zealand journal of psychiatry · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Juan P Sanabria-MazoTeaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Catalonia, Spain.
Eduardo DovalDepartment of Psychobiology and Methodology of Health Sciences, Autonomous University of Barcelona, Barcelona, Spain.
Albert BernadàsTeaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Catalonia, Spain.
Natalia Angarita-OsorioMental Health Research Group, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Ariadna Colomer-CarbonellTeaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Catalonia, Spain.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Graham ThornicroftCentre for Global Mental Health and Centre for Implementation Science, Institute of Psychiatry, Psychology & Neuroscience, Kin's College London, London, UK.
Juan V LucianoTeaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Catalonia, Spain. juanvicente.luciano@uab.cat.ORCID 0000-0003-0750-1599
María Rubio-ValeraTeaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Catalonia, Spain.

Funding

Department of HealthMedical Research Council MR/R023697/1Medical Research Council MR/S001255/1
6 · The paper itself

Abstract

backgroundThe Community Attitudes to Mental Illness (CAMI) scale measures social stigma towards people with mental illness. Although it has been used worldwide, the psychometric properties of the CAMI have not been systematically reviewed. The main aim of this study was to systematically review the psychometric properties of the different versions of the CAMI more than 40 years after of its publication.

methodsA systematic search was conducted in MEDLINE, PsycINFO, Web of Science, and EMBASE from 1981 (year of publication) to 2023 (present). A double review was performed for eligibility, data extraction, and quality assessment.

resultsA total of 15 studies enrolling 10,841 participants were included. The most frequently reported factor structure comprises 3 or 4 factors. Overall, the internal consistency seems adequate for the global scale (α ≥ 0.80), except for CAMI-10 (α = 0.69). Internal consistency of the subscales are not supported, with authoritarianism being the weakest factor (α = 0.27 to 0.68). The stability over time of the total scale has been assessed in the CAMI-40, CAMI-BR, and CAMI-10 (r ≥ 0.39). Few studies have assessed the temporal stability of the CAMI subscales. Most of the correlations with potentially related measures are significant and in the expected direction.

conclusionsThe 3 and 4 factor structure are the most widely reported in the different versions of the CAMI. Even though reliability and construct validity are acceptable, further item refinement by international consensus seems warranted more than 40 years after the original publication. SYSTEMATIC REVIEW REGISTRATION: PROSPERO identification number: CRD42018098956.

Indexed as

Mental DisordersSocial StigmaHumansPsychometricsReproducibility of ResultsSurveys and QuestionnairesCommunity attitudes to mental illnessMental healthPsychometric propertiesStigmaSystematic review

Identifiers

PMID37060031
PMCPMC10103533

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.