doi:

DOI: 10.3724/SP.J.1042.2020.00001

Advances in Psychological Science (心理科学进展) 2020/28:1 PP.1-12

Mental health literacy: Concept, measurement, intervention and effect


Abstract:
Mental health literacy (MHL) is important for improving mental health. In a narrow sense, it refers to the knowledge and beliefs about mental disorders which aid their recognition, management or prevention. In a broad sense, it refers to the comprehensive use of mental health knowledge, skills and attitudes to maintain and promote mental health. MHL is often measured by Vignette case questionnaire, and unidimensional or multi-dimensional scales. Interventions including social campaigns, school education, self-service application and Mental Health First Aid training can effectively improve MHL. Elements of MHL, including psychological health knowledge, mental disorder recognition, emotional regulation, anti-stigma, and help-seeking attitude etc, are positively related to mental health. Future research can be carried out in such aspects as constructing the MHL evaluation system, exploring the mechanism of its influence, expanding the coverage of research, and strengthening empirical intervention research.

Key words:mental health literacy,concept,measurement,intervention

ReleaseDate:2019-12-28 14:18:50



白汉平, 肖卫东. (2018). 个人成长主动性、专业心理求助态度与大学生心理健康的关系研究. 学校党建与思想教育, (5), 72-74.

陈宜刚, 陈鲁, 周航, 林征, 夏友春, 李长松, … 陈德. (2015). 抑郁症患者生活质量与自我病耻感的相关性研究. 中国全科医学, 18(16), 1950-1953.

陈怡伶. (2013).台南市社区志工之老人心理健康素养调查研究(硕士学位论文). 长荣大学, 台南.

陈祉妍, 王雅芯, 郭菲, 章婕, 江兰. (2019). 国民心理健康素养调查. 见傅小兰, 张侃, 陈雪峰, 陈祉妍(编), 中国国民心理健康发展报告(2017~2018). (pp. 220-263). 北京:社会科学文献出版社.

杜建政, 刘宁, 张翔, 杨文登. (2015). 幼教人员的幼儿心理健康素养现状. 学前教育研究, (6), 48-55.

高旭. (2017). 大学生心理卫生素养研究(硕士学位论文). 华中农业大学, 武汉.

国家卫健委. (2010).《精神卫生工作指标调查评估方案》(卫办疾控发[2010]24号). 2019-03-18取自http://www.gov.cn/gzdt/2010-03/08/content_1550552.htm

国家卫健委. (2018). 《关于开展2018年世界精神卫生日宣传活动的通知》. 2019-08-14取自http://www.zfxxgk.suzhou.gov.cn/sjjg/szswshjhsywyh/201810/t20181010_1008181.html

国家卫健委. (2019). 健康中国行动推进委员会办公室2019年7月23日新闻发布会介绍健康中国行动之心理健康促进行动. 2019-08-14取自http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11178&gecstype=1.

韩建涛, 秦鹏生, 葛明贵. (2013). 心理健康知识对大学生心理健康影响的研究. 扬州大学学报(高教研究版), 17(6), 27-30.

韩哲, 王丹丹, 欧阳灵青, 牛鹏程, 云知明. (2019). 心理健康素养问卷在精英运动员群体中的信效度检验. 湖北体育科技, 38(3), 226-229.

侯瑞鹤, 俞国良. (2006). 情绪调节理论:心理健康角度的考察. 心理科学进展, 14(3), 375-381.

黄志平. (2011). 长沙、西安、无锡三城市居民精神健康素养研究(博士学位论文), 中南大学, 长沙.

李凤兰, 高旭. (2018). 大学生心理卫生素养研究综述. 中国学校卫生, 39(1), 154-160.

李红秋, 崔宏亮, 宋郡, 李雪秋. (2018). 北京市某社区居民心理卫生知识调查及心理健康宣教干预模式研究. 医学动物防制, 34(7), 637-639.

李珺. (2012). 中国公众心理健康素养的探索研究:以北京家政服务员为案例(硕士学位论文).中国科学院, 北京.

李珺, 李大光. (2012). 中国公众心理健康素养的探索研究. 科普研究, 7(2), 34-41.

刘光大. (2018). 公众心理健康素养的质性研究(硕士学位论文). 华中师范大学心理学院, 武汉.

刘奕. (2014). 浏阳市农村社区18-60岁居民精神健康素养及其影响因素研究(硕士学位论文). 中南大学, 长沙.

任莉, 肖乐, 张国富, 李艳, 谢侃侃, 陈群, … 罗小年. (2013). 精神分裂症患者病耻感与生活质量的关系. 临床精神医学杂志, 23(5), 302-304.

任志洪, 李献云, 赵陵波, 余香莲, 李政汉, 赖丽足, … 江光荣. (2016). 抑郁症网络化自助干预的效果及作用机制-以汉化MoodGym为例. 心理学报, 48(7), 818-832.

沈德立, 马惠霞. (2004). 论心理健康素质. 心理与行为研究, 2(4), 567-571.

孙建胜, 骆宏, 姚娟娟. (2002). 国外公众的精神卫生认识现状. 中国健康教育, 18(4), 263-264.

孙艳莉. (2015). 宁夏地区社区居民精神卫生知识及对精神疾病态度的现况研究(硕士学位论文). 宁夏医科大学, 银川.

田亮, 仪玉伟, 靳玉宏, 肖存利, 孙雅丽. (2018). 北京市西城区居民心理健康知识知晓率调查研究. 中国医学创新, 15(24), 62-65.

王定玺, 罗稀, 伊敏, 李小麟. (2016). 某大学在校生参与救援培训活动认知情况分析. 中国学校卫生, 37(2), 285-287.

王哲雨. (2018).心理健康类APP评价研究(硕士学位论文). 华中师范大学信息管理学院, 武汉.

魏晓薇, 翟宏堃, 孟祥寒, 李强. (2018). 心理健康素养研究述评与展望[摘要]. 第二十一届全国心理学学术会议摘要集(中国北京, 2018-11-2), 中国心理学会, pp.105-105.

吴蓉, 何雪松. (2013). 大学生的精神健康素养与专业求助倾向:以上海e校为例. 华东理工大学学报(社会科学版), 28(5), 101-108.

吴珏, 朱旭, 李艳青, 刘光大, 张灵楷, 张衍, 江光荣. (2018). 国民心理卫生素养问卷的编制[摘要]. 第二十一届全国心理学学术会议摘要集(中国北京, 2018-11-2), 中国心理学会, pp.105-105.

杨宗升. (2015). 中学生心理健康素养、心理健康水平的现状及关系研究(硕士学位论文). 云南师范大学, 昆明.

岳童, 王晓刚, 黄希庭. (2012). 心理疾病自我污名:心理康复的一个高危因子. 心理科学进展, 20(9), 1448-1456.

张茜, 潘芳. (2018). 中学生心理健康状况与心理健康知识知晓度的关系[摘要]. 第二十一届全国心理学学术会议摘要集(中国北京, 2018-11-2), 中国心理学会, pp.57-58.

张淑敏. (2012). 注意力障碍/过动症儿童照顾者心理健康素养研究(硕士学位论文). 长荣大学, 台南.

张晓. (2013). 医学生抑郁状态、抑郁障碍心理健康素养现状及其心理健康教育干预效果初探(硕士学位论文). 广西医科大学, 南宁.

Bjørnsen, H. N., Eilertsen, M.-E. B., Ringdal, R., Espnes, G. A., & Moksnes, U. K. (2017). Positive mental health literacy:Development and validation of a measure among Norwegian adolescents. BMC Public Health, 17(1), 717.

Bjørnsen, H. N., Espnes, G. A., Eilertsen, M.-E. B., Ringdal, R., & Moksnes, U. K. (2019). The relationship between positive mental health literacy and mental well-being among adolescents:Implications for school health services. The Journal of School Nursing, 35(2), 107-116.

Brijnath, B., Protheroe, J., Mahtani, K. R., & Antoniades, J. (2016). Do web-based mental health literacy interventions improve the mental health literacy of adult consumers? Results from a systematic review. Journal of Medical Internet Research, 18(6), e165.

Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585-599.

Burns, J. R., & Rapee, R. M. (2006). Adolescent mental health literacy:Young people's knowledge of depression and help seeking. Journal of Adolescence, 29(2), 225-239.

Campos, L., Dias, P., Palha, F., Duarte, A., Veiga, E. (2016). Development and psychometric properties of a new questionnaire for assessing mental health literacy in young people. Universitas Psychologica, 15(2), 61-72.

Carr, W., Wei, Y. F., Kutcher, S., & Heffernan, A. (2018). Preparing for the classroom:Mental health knowledge improvement, stigma reduction and enhanced help-seeking efficacy in Canadian preservice teachers. Canadian Journal of School Psychology, 33(4), 314-326.

Coles, M. E., & Coleman, S. L. (2010). Barriers to treatment seeking for anxiety disorders:Initial data on the role of mental health literacy. Depression and Anxiety, 27(1), 63-71.

Dias, P., Campos, L., Almeida, H., & Palha, F.. (2018). Mental health literacy in young adults:Adaptation and psychometric properties of the mental health literacy questionnaire. International Journal of Environmental Research & Public Health, 15(7), 1318.

Epps, C. S., Armstrong, M., Davis, C. S., Massey, O. T., McNeish, R., & Smith, R. B. (2007). Development and testing of an instrument to measure mental health literacy. Agency for Health Care Administration series, 220-299.

Evans-Lacko, S., Little, K., Meltzer, H., Rose, D., Rhydderch, D., Henderson, C., & Thornicroft, G. (2010). Development and psychometric properties of the mental health knowledge schedule. The Canadian Journal of Psychiatry, 55(7), 440-448.

Firth, J., Torous, J., Nicholas, J., Carney, R., Pratap, A., Rosenbaum, S., & Sarris, J. (2017). The efficacy of smartphone-based mental health interventions for depressive symptoms:A meta-analysis of randomized controlled trials. World Psychiatry, 16(3), 287-298.

Furnham, A., & Hamid, A. (2014). Mental health literacy in non-western countries:A review of the recent literature. Mental Health Review Journal, 19(2), 84-98.

Gong, A. T., & Furnham, A. (2014). Mental health literacy:Public knowledge and beliefs about mental disorders in mainland China. PsyCh Journal, 3(2), 144-158.

Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people:A systematic review. BMC Psychiatry, 10(1), 113.

Hadlaczky, G., Hökby, S., Mkrtchian, A., Carli, V., & Wasserman, D. (2014). Mental health first aid is an effective public health intervention for improving knowledge, attitudes, and behaviour:A meta-analysis. International Review of Psychiatry, 26(4), 467-475.

Harman, G., & Heath, J. (2017). Australian country perspective:The work of beyondblue and SANE Australia. In Gaebel W, Rössler W, Sartorius N (Eds.), The stigma of mental illness-End of the story? (pp. 289-315). Heidelberg:Springer, Cham.

Jorm, A. F. (2012). Mental health literacy:Empowering the community to take action for better mental health. American Psychologist, 67(3), 231-243.

Jorm, A. F. (2015). Why we need the concept of "Mental Health Literacy". Health Communication, 30(12), 1166-1168.

Jorm, A. F., Barney, L. J., Christensen, H., Highet, N. J., Kelly, C. M., & Kitchener, B. A. (2006). Research on mental health literacy:What we know and what we still need to know. Australian and New Zealand Journal of Psychiatry, 40(1), 3-5.

Jorm, A. F., & Kitchener, B. A. (2018). The truth about mental health first aid training. Psychiatric Services, 69(4), 492-492.

Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). "Mental health literacy":A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182-186.

Jung, H., von Sternberg, K., & Davis, K. (2016). Expanding a measure of mental health literacy:Development and validation of a multicomponent mental health literacy measure. Psychiatry Research, 243, 278-286.

Kim, J. E., Saw, A., & Zane, N. (2015). The influence of psychological symptoms on mental health literacy of college students. American Journal of Orthopsychiatry, 85(6), 620-630.

Kitchener, B. A., & Jorm, A. F. (2017). The role of mental health first aid training in nursing education:A response to Happell, Wilson & Mcnamara (2015). Collegian, 24(3), 313-315.

Kohls, E., Coppens, E., Hug, J., Wittevrongel, E., van Audenhove, C., Koburger, N., … Hegerl, U. (2017). Public attitudes toward depression and help-seeking:Impact of the OSPI-Europe depression awareness campaign in four European regions. Journal of Affective Disorders, 217, 252-259.

Kusan, S. (2013). Dialectics of mind, body, and place:Groundwork for a theory of mental health literacy. Sage Open, 3(4), 1-16.

Kutcher, S., Bagnell, A., & Wei, Y. F. (2015). Mental health literacy in secondary schools:A Canadian approach. Child and Adolescent Psychiatric Clinics of North America, 24(2), 233-244.

Kutcher, S., Wei, Y. F., & Coniglio, C. (2016). Mental health literacy:Past, present, and future. The Canadian Journal of Psychiatry, 61(3), 154-158.

Kutcher, S., Wei, Y. F., Costa, S., Gusmão, R., Skokauskas, N., & Sourander, A. (2016). Enhancing mental health literacy in young people. European Child & Adolescent Psychiatry, 25(6), 567-569.

Lam, L. T. (2014). Mental health literacy and mental health status in adolescents:A population-based survey. Child and Adolescent Psychiatry and Mental Health, 8(1), 26.

Lysaker, P. H., Roe, D., & Yanos, P. T. (2006). Toward understanding the insight paradox:Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin, 33(1), 192-199.

McCormack, Z., Gilbert, J. L., Ott, C., & Plake, K. S. (2018). Mental health first aid training among pharmacy and other university students and its impact on stigma toward mental illness. Currents in Pharmacy Teaching and Learning. 10(10), 1342-1347.

Miller, L., Musci, R., D'Agati, D., Alfes, C., Beaudry, M. B., Swartz, K., & Wilcox, H. (2019). Teacher mental health literacy is associated with student literacy in the adolescent depression awareness program. School Mental Health, 11(2), 357-363.

Mojtabai, R., Evans-Lacko, S., Schomerus, G., & Thornicroft, G. (2016). Attitudes toward mental health help seeking as predictors of future help-seeking behavior and use of mental health treatments. Psychiatric Services, 67(6), 650-657.

O'Connor, M., & Casey, L. (2015). The mental health literacy scale (MHLS):A new scale-based measure of mental health literacy. Psychiatry Research, 229(1-2), 511-516.

O'Connor, M., Casey, L., & Clough, B. (2014). Measuring mental health literacy-a review of scale-based measures. Journal of Mental Health, 23(4), 197-204.

Ojio, Y., Foo, J. C., Usami, S., Fuyama, T., Ashikawa, M., Ohnuma, K.,… Sasaki, T. (2019). Effects of a school teacher-led 45-minute educational program for mental health literacy in pre-teens. Early Intervention in Psychiatry, 13(4), 984-988.

Paulhus, D. L., & Harms, P. D. (2004). Measuring cognitive ability with the overclaiming technique. Intelligence, 32(3), 297-314.

Rabkin, J. (1974). Public attitudes toward mental illness:a review of the literature. Schizophrenia Bulletin, 1(10), 9-33.

Rafal, G., Gatto, A., & DeBate, R. (2018). Mental health literacy, stigma, and help-seeking behaviors among male college students. Journal of American College Health, 66(4), 284-291.

Reavley, N. J., & Jorm, A. F. (2012). Public recognition of mental disorders and beliefs about treatment:Changes in Australia over 16 years. British Journal of Psychiatry, 200(5), 419-425.

Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129(3), 257-265.

Sampogna, G., Bakolis, I., Evans-Lacko, S., Robinson, E., Thornicroft, G., & Henderson, C. (2017). The impact of social marketing campaigns on reducing mental health stigma:Results from the 2009-2014 time to change programme. European Psychiatry, 40, 116-122.

Spiker, D. A., & Hammer, J. H. (2019). Mental health literacy as theory:Current challenges and future directions. Journal of Mental Health, 28(3), 238-242.

Swami, V., Papanicolaou, A., & Furnham, A. (2011). Examining mental health literacy and its correlates using the overclaiming technique. British Journal of Psychology, 102(3), 662-675.

Swami, V., Persaud, R., & Furnham, A. (2011). The recognition of mental health disorders and its association with psychiatric scepticism, knowledge of psychiatry, and the big five personality factors:An investigation using the overclaiming technique. Social Psychiatry and Psychiatric Epidemiology, 46(3), 181-189.

Tay, J. L., Tay, Y. F., & Klainin-Yobas, P. (2018). Effectiveness of information and communication technologies interventions to increase mental health literacy:A systematic review. Early Interv Psychiatry, 12(6), 1024-1037.

Torous, J., Nicholas, J., Larsen, M. E., Firth, J., & Christensen, H. (2018). Clinical review of user engagement with mental health smartphone apps:Evidence, theory and improvements. Evidence Based Mental Health, 21(3), 116-119.

Twomey, C., O'Reilly, G., Byrne, M., Bury, M., White, A., Kissane, S., … Clancy, N. (2014). A randomized controlled trial of the computerized CBT programme, MoodGYM, for public mental health service users waiting for interventions. The British Journal of Clinical Psychology, 53(4), 433-450.

Walker, J. G., Mackinnon, A. J., Batterham, P., Jorm, A. F., Hickie, I., McCarthy, A.,… & Christensen, H. (2010). Mental health literacy, folic acid and vitamin B12, and physical activity for the prevention of depression in older adults:Randomised controlled trial. The British Journal of Psychiatry, 197(1), 45-54.

Wei, Y., & Kutcher, S. (2014). Innovations in practice:"Go-to" educator training on the mental health competencies of educators in the secondary school setting:A program evaluation. Child and Adolescent Mental Health, 19(3), 219-222.

Wei, Y. F., McGrath, P. J., Hayden, J., & Kutcher, S. (2015). Mental health literacy measures evaluating knowledge, attitudes and help-seeking:A scoping review. BMC Psychiatry, 15(1), 291.

Wei, Y. F., McGrath, P. J., Hayden, J., & Kutcher, S. (2016). Measurement properties of tools measuring mental health knowledge:A systematic review. BMC Psychiatry, 16(1), 297.

Wei, Y., McGrath, P., Hayden, J., & Kutcher, S. (2018). The quality of mental health literacy measurement tools evaluating the stigma of mental illness:A systematic review. Epidemiology and Psychiatric Sciences, 27(5), 433-462.

Wong, D. F. K., Cheng, C.-W., Zhuang, X. Y., Ng, T. K., Pan, S. M., He, X., & Poon, A. (2017). Comparing the mental health literacy of Chinese people in Australia, China, Hong Kong and Taiwan:Implications for mental health promotion. Psychiatry Research, 256, 258-266.

Wong, D. F. K., Lau, Y., Kwok, S., Wong, P., & Tori, C. (2016). Evaluating the effectiveness of mental health first aid program for Chinese people in Hong Kong. Research on Social Work Practice, 27(1), 59-67.