Psychometric assessment of the Persian adaptation of the attitudes toward seeking professional psychological help scale-short form

Abouzar Nazari; Gholamreza Garmaroudi; Abbas Rahimi Foroushani; Azadeh Askari

doi:10.1186/s12888-023-05388-2

Psychometric assessment of the Persian adaptation of the attitudes toward seeking professional psychological help scale-short form

BMC Psychiatry. 2024 Jan 26;24(1):75. doi: 10.1186/s12888-023-05388-2.

Authors

Abouzar Nazari¹, Gholamreza Garmaroudi², Abbas Rahimi Foroushani³, Azadeh Askari⁴

Affiliations

¹ Department of Health Education and Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
² Department of Health Education and Promotion, School of Health, Tehran University of Medical Sciences, Tehran, Iran. garmaroudi@tums.ac.ir.
³ Department of Epidemiology and Biostatistics, School of Health, Tehran University of Medical Sciences, Tehran, Iran.
⁴ Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Beheshti University, Tehran, Iran.

Abstract

Background and purpose: Mental health disorders are a growing concern worldwide, with a significant impact on public health. Understanding attitudes toward seeking professional psychological help is essential in addressing these issues. In the Iranian context, there is a need for a reliable tool to measure these attitudes. This study aims to assess the validity and reliability of the Persian Adaptation of the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (ATSPPH-SF).

Materials and methods: A cross-sectional study was conducted in May 2023, utilizing a convenience sampling method with 1050 participants aged 10 to 65 years in Iran.The ATSPPH-SF questionnaire, consisting of 10 items and 2 subscales, was employed. The questionnaire underwent translation and cultural adaptation, and its validity was assessed through qualitative face and content validities. Confirmatory factor analysis (CFA) was used to evaluate construct validity. Reliability was assessed using McDonald's omega coefficient and Cronbach's alpha coefficient. Data collection was conducted through an online survey.

Results: The CFA results indicated a two-factor structure for the ATSPPH-SF, with one factor representing openness to seeking treatment for emotional problems and the other factor reflecting the value and need for seeking treatment. The model demonstrated acceptable fit indices. Both McDonald's omega coefficient and Cronbach's alpha coefficient suggested good internal consistency for the scale. The mean total score for the ATSPPH-SF was 21.37 (SD = 5.52), indicating the reliability and validity of the scale for the Iranian population.

Conclusion: This study confirms the suitability of the short-form ATSPPH-SF with 10 items and 2 subscales as a valid and reliable tool for assessing attitudes toward seeking professional psychological help in the Iranian population. With no prior appropriate instrument available, this scale fills a crucial gap. It can be employed to measure attitudes among various demographic groups, aiding in the design of targeted interventions to enhance mental health literacy and reduce the stigma associated with seeking professional psychological help in Iran.

Keywords: Attitudes toward seeking Professional Psychological Help Scale; Confirmatory factor analysis; Mental health services; Psychometrics; Reliability; Validity.

MeSH terms

Cross-Sectional Studies
Humans
Iran
Psychometrics* / methods
Reproducibility of Results
Surveys and Questionnaires