(1) Background: Negative attitudes toward mental health problems (ATMHP) remain a barrier to help-seeking, especially in collectivist, lower-middle-income countries like Nepal. While the Attitudes Towards Mental Health Problems Scale (ATMHPS) has been used globally, it has not been formally validated for Nepalese populations; (2) Methods: We conducted a cross-sectional study and recruited participants through an opportunity sampling method. We developed the Nepalese Short Version of the ATMHPS (N-SATMHPS) using Dataset 1 (n = 384), and validated it with Dataset 2 (n = 803). Fourteen items with the strongest internal consistency were selected across the original seven subscales. Confirmatory factor analysis (CFA) and internal consistency testing were used to assess psychometric properties; (3) Results: The N-SATMHPS showed strong internal consistency (α = 0.74–0.92) and excellent model fit (χ²/df = 1.92, CFI = 0.982, TLI = 0.970, RMSEA = 0.049, SRMR = 0.026). Correlations with the full version ranged from r = 0.79 to 0.96. Discriminant validity with Mental health Literacy Questionnaire – young Adults (MHLQ-YA) showed weak but significant correlations, confirming construct distinction; (4) Conclusion: The scale captured key Nepalese cultural constructs—such as shame and family honor—and aligned with collectivist cultural expectations. The N-SATMHPS demonstrates strong psychometric performance and cultural relevance, making it suitable for research and intervention work aimed at reducing stigma and improving mental health in Nepal.
Poudel et al. (Wed,) studied this question.
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