title: Spanish validation of the social stigma scale: Community Attitudes towards Mental Illness.
abstract: BACKGROUND
  The stigma against people with mental illness is very high. In Spain there are currently no tools to assess this construct. The aim of this study was to validate the Spanish version of the Community Attitudes towards Mental Illness questionnaire in an adolescent population, and determining its internal consistency and temporal stability. Another analysis by gender will be also performed.
  
  
  METHODS
  A translation and back-translation of the Community Attitudes towards Mental Illness was performed. A total of 150 students of between 14 and 18 years-old were evaluated with this tool in two stages. Internal consistency was tested using Cronbach α; and intraclass correlation coefficient was used for test-retest reliability. Gender-stratified analyses were also performed.
  
  
  RESULTS
  The Cronbach α was 0.861 for the first evaluation and 0.909 for the second evaluation. The values of the intraclass correlation coefficient ranged from 0.775 to 0.339 in the item by item analysis, and between 0.88 and 0.81 in the subscales. In the segmentation by gender, it was found that girls scored between 0.797 and 0.863 in the intraclass correlation coefficient, and boys scored between 0.889 and 0.774.
  
  
  CONCLUSIONS
  In conclusion, the Community Attitudes towards Mental Illness is a reliable tool for the assessment of social stigma. Although reliable results have been found for boys and girls, our results found some gender differences in the analysis.
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España. Electronic address: sochoa@pssjd.org.
authors.forename: Susana
authors.initials: S
authors.lastname: Ochoa
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Martínez-Zambrano
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Regina
authors.initials: R
authors.lastname: Vila-Badia
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Oti
authors.initials: O
authors.lastname: Arenas
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Emma
authors.initials: E
authors.lastname: Casas-Anguera
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Esther
authors.initials: E
authors.lastname: García-Morales
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Raúl
authors.initials: R
authors.lastname: Villellas
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Martín
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: María Belén
authors.initials: MB
authors.lastname: Pérez-Franco
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Tamara
authors.initials: T
authors.lastname: Valduciel
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Mar
authors.initials: M
authors.lastname: García-Franco
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Jose
authors.initials: J
authors.lastname: Miguel
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Balsera
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Gemma
authors.initials: G
authors.lastname: Pascual
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Eugènia
authors.initials: E
authors.lastname: Julia
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Diana
authors.initials: D
authors.lastname: Casellas
authors.affiliation: Parc Sanitari Sant Joan de Déu, Centro de Investigación en Red en Salud Mental, Sant Boi de Llobregat, Barcelona, España.
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Haro
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders; D011581:Psychological Tests; D000297:Psychology, Adolescent; D011594:Psychometrics; D015203:Reproducibility of Results; D012737:Sex Factors; D057545:Social Stigma; D013030:Spain; D014177:Translations
keywords: Adolescentes; Adolescents; Estigma; Mental health; Salud mental; Stigma