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Validating the Arabic Coming Out with Mental Illness Scale (COMIS-Ar).
Hissa Mustafa Alabbasi1, Zain Yaqoob Alshomeli2, Noof Khaled Alabassi3
1Department of Radiology, King Hamad University Hospital, Muharraq, Bahrain.
Oman Medical Journal
|November 12, 2025
Summary
This study translated and validated the Coming Out with Mental Illness Scale (COMIS) into Arabic (COMIS-Ar). The COMIS-Ar is a reliable tool for assessing mental health disclosure barriers in Arabic-speaking populations.
Area of Science:
- Psychiatry and Mental Health
- Cross-cultural Psychology
- Health Services Research
Background:
- Social stigma surrounding mental illness in Arab cultures hinders help-seeking behaviors.
- A validated Arabic tool to assess barriers to mental illness disclosure is lacking.
Purpose of the Study:
- To translate the Coming Out with Mental Illness Scale (COMIS) into Arabic (COMIS-Ar).
- To validate the COMIS-Ar for use with Arabic-speaking populations.
Main Methods:
- Standard forward-backward translation procedures were used to create the COMIS-Ar.
- A cross-sectional online survey assessed 420 Arabic-speaking adults.
- Internal consistency, confirmatory factor analysis (CFA), and model fit indices were evaluated.
Main Results:
- The COMIS-Ar demonstrated good internal reliability (Cronbach's α = 0.89; McDonald's ω = 0.90).
- Both factors ('Benefits of being out' and 'Benefits of remaining in') showed good to excellent reliability.
- CFA indicated structural validity, though refinement is suggested.
Conclusions:
- The COMIS-Ar is a reliable and potentially valid instrument for assessing mental health disclosure barriers in Arabic speakers.
- The scale can assist clinicians in identifying obstacles and planning interventions.
- Further psychometric studies are needed to enhance the scale's utility.
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