High School Students' and Teachers' Mental Health Literacy Levels in Istanbul, Turkey: A Comprehensive Analysis
Corresponding Author
Seyma Arslan MD
Arnavutköy District Health Directorate, Republic of Turkey, Ministry of Health, Tasoluk Mahallesi, Akbaba Sokak No:3 Kat:2 Arnavutkoy, Istanbul, Turkey
Address correspondence to: Seyma Arslan, MD., (sheyma87@gmail.com), Tasoluk Mahallesi, Akbaba Sokak No:3 Kat:2 Arnavutkoy, Istanbul, Turkey.Search for more papers by this authorSelma Karabey MD
Professor of Public Health
Istanbul Faculty of Medicine, Istanbul University, Tahtakale Mahallesi, Suleymaniye Takvimhane Cad. No:19, 34116 Fatih, Istanbul, Turkey
Search for more papers by this authorCorresponding Author
Seyma Arslan MD
Arnavutköy District Health Directorate, Republic of Turkey, Ministry of Health, Tasoluk Mahallesi, Akbaba Sokak No:3 Kat:2 Arnavutkoy, Istanbul, Turkey
Address correspondence to: Seyma Arslan, MD., (sheyma87@gmail.com), Tasoluk Mahallesi, Akbaba Sokak No:3 Kat:2 Arnavutkoy, Istanbul, Turkey.Search for more papers by this authorSelma Karabey MD
Professor of Public Health
Istanbul Faculty of Medicine, Istanbul University, Tahtakale Mahallesi, Suleymaniye Takvimhane Cad. No:19, 34116 Fatih, Istanbul, Turkey
Search for more papers by this authorABSTRACT
BACKGROUND
Mental health literacy is important for awareness of mental illnesses in adolescence, which is the initial period of mental disorders. Determining the levels of mental health literacy guides studies in activities promoting mental health. This study aimed to determine the mental health literacy levels of high school students and teachers and related factors.
METHODS
Our study is a cross-sectional study. A total of 1051 people (students and teachers) were included in the Fatih District of Istanbul were included in our study. The mental health literacy levels of the participants were evaluated with the Mental Health Literacy Questionnaire. This questionnaire includes scenarios about mental problems called “vignettes” and questions about them.
RESULTS
Students' recognition percentages of depression, schizophrenia, and social phobia vignettes were found to be 28.1%, 46.5%, and 5.9%, respectively. For the person who was described in the vignettes, the “family physician” was chosen as the least by students and teachers. A statistically significant relationship was found between students' mental health literacy levels and sex, grade, father education levels, and experiencing vignette similar issues (p < .005). Additionally, teachers who were not school administrators and experienced vignette similar issues levels were higher (p < .005).
CONCLUSIONS
These results showed us that mental health literacy levels are low in high schools. School-based intervention studies on this issue are of critical importance. In addition, it is seen that individuals do not consider asking for help with mental health problems from primary care services. This shows the inadequacy of the integration of primary health care services and mental health services.
Supporting Information
Filename | Description |
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josh13316-sup-0001-Supplementary material 1.jpgimage/jpp, 45.4 KB |
Data S1. Number of classes (units) selected according to school types. |
josh13316-sup-0002-Supplementary material 2.docxWord 2007 document , 18 KB |
Data S2. Percentages of students and teachers who believed the following might stop them from seeking help from the person or service previously nominated (among those who would ask for help). |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- 1 World Health Organization. Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report/a Report from the World Organization. World Health Organization; 2004. Available at: https://www.who.int/mental_health/evidence/en/promoting_mhh.pdf. Accessed December 10, 2019.
- 2Prince M, Patel V, Saxena S, et al. No health without mental health. Lancet. 2007; 370(9590): 859-877. https://doi.org/10.1016/S0140-6736(07)61238-0.
- 3Davies SC, Lemer C, Strelitz J, Weil L. Our children deserve better: prevention pays. Lancet. 2013; 382(9902): 1383-1384. https://doi.org/10.1016/S0140-6736(13)62004-8.
- 4Crenna-Jennings W, Hutchinson J. Access to Child and Adolescent Mental Health Services in 2019. 2020.
- 5Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997; 166(4): 182-186.
- 6Wei Y, McGrath PJ, Hayden J, Kutcher S. Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry. 2015; 15(1): 291. https://doi.org/10.1186/s12888-015-0681-9.
- 7Sekı OH. Bir İl Merkezinde Yaşayan Bireylerin Ruh Sağlığı Okuryazarlığının İncelenmesi. Humanist Perspect. 2021; 3(3): 660-675. https://doi.org/10.47793/HP.993929.
10.47793/HP.993929 Google Scholar
- 8Göktaş S, Işıklı B, Fatih Önsüz M, Yenilmez Ç, Metintaş S. Ruh Sağlığı Okuryazarlığı Ölçeği'nin (Rsoy Ölçeği) Türkçe Geçerlilik ve Güvenilirliğinin Değerlendirilmesi. Konuralp Tıp Dergisi. 2019; 11(3): 424-431. https://doi.org/10.18521/KTD.453411.
- 9Jorm AF, Wright A, Morgan AJ. Beliefs about appropriate first aid for young people with mental disorders: findings from an Australian national survey of youth and parents. Early Interv Psychiatry. 2007; 1(1): 61-70. https://doi.org/10.1111/j.1751-7893.2007.00012.x.
- 10Reavley NJ, Jorm AF. Young people's recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey. Aust N Z J Psychiatry. 2011; 45(10): 890-898. https://doi.org/10.3109/00048674.2011.614215.
- 11Hirai M, Clum GA. Development, reliability, and validity of the beliefs toward mental illness scale. J Psychopathol Behav Assess. 2000; 22(3): 221-236. https://doi.org/10.1023/A:1007548432472.
- 12Bilge A, Çam O. Ruhsal Hastalığa Yönelik İnançlar Ölçeği'nin geçerliliği ve güvenilirliği. Anadolu Psikiyatri Derg. 2008; 9(2): 91-94.
- 13Melas PA, Tartani E, Forsner T, Edhborg M, Forsell Y. Mental health literacy about depression and schizophrenia among adolescents in Sweden. Eur Psychiatry. 2013; 28(7): 404-411. https://doi.org/10.1016/J.EURPSY.2013.02.002.
- 14Reavley NJ, Jorm AF. Public recognition of mental disorders and beliefs about treatment: changes in Australia over 16 years. Br J Psychiatry. 2012; 200(5): 419-425. https://doi.org/10.1192/bjp.bp.111.104208.
- 15Thai Quynh-Chi N, Hoang-Minh D, Thi K-AL. Recognition of anxiety disorder and depression and literacy of first-aid support: a cross-sectional study among undergraduate students in Ha Noi, Viet Nam 2018. Health Psychol Open. 2021; 8(1): 205510292110151. https://doi.org/10.1177/20551029211015116.
- 16Nguyen Thai QC, Nguyen TH. Mental health literacy: knowledge of depression among undergraduate students in Hanoi, Vietnam. Int J Ment Health Syst. 2018; 12(1): 1-8. https://doi.org/10.1186/S13033-018-0195-1/TABLES/2.
- 17Yoshioka K, Reavley NJ, Hart LM, Jorm AF. Recognition of mental disorders and beliefs about treatment: results from a mental health literacy survey of Japanese high school students. Int J Cult Ment Health. 2015; 8(2): 207-222. https://doi.org/10.1080/17542863.2014.931979.
10.1080/17542863.2014.931979 Google Scholar
- 18Amarasuriya SD, Jorm AF, Reavley NJ. Depression literacy of undergraduates in a non-western developing context: the case of Sri Lanka. BMC Res Notes. 2015; 8(1): 593. https://doi.org/10.1186/s13104-015-1589-7.
- 19Saraf G, Chandra P, Desai G, Rao G. What adolescent girls know about mental health: findings from a mental health literacy survey from an urban slum setting in India. Indian J Psychol Med. 2018; 40(5): 433-439. https://doi.org/10.4103/IJPSYM.IJPSYM_108_18.
- 20Aluh DO, Dim OF, Anene-Okeke CG. Mental health literacy among Nigerian teachers. Asia Pac Psychiatry. 2018; 10(4):e12329. https://doi.org/10.1111/APPY.12329.
- 21 Ahmad A, Salve HR, Nongkynrih B, Sagar R, Krishnan A. Mental health literacy among adolescents: evidence from a community-based study in Delhi. Int J Soc Psychiatry. 2021; 65(4):207640211006155. https://doi.org/10.1177/00207640211006155.
- 22Loo PW, Wong S, Furnham A. Mental health literacy: a cross-cultural study from Britain, Hong Kong and Malaysia. Asia Pac Psychiatry. 2012; 4(2): 113-125. https://doi.org/10.1111/j.1758-5872.2012.00198.x.
- 23Li W, Reavley N. Recognition and beliefs about treatment for mental disorders in mainland China: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2019; 55(2): 129-149. https://doi.org/10.1007/S00127-019-01799-3.
- 24Swami V, Loo PW, Furnham A. Public knowledge and beliefs about depression among urban and rural Malays in Malaysia. Int J Soc Psychiatry. 2010; 56(5): 480-496. https://doi.org/10.1177/0020764008101639.
- 25Aguirre Velasco A, Cruz ISS, Billings J, Jimenez M, Rowe S. What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review. BMC Psychiatry. 2020; 20(1): 293. https://doi.org/10.1186/S12888-020-02659-0.
- 26Reavley NJ, Jorm AF. Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma. Aust N Z J Psychiatry. 2011; 45(11): 947-956. https://doi.org/10.3109/00048674.2011.621060.
- 27Coles ME, Ravid A, Gibb B, George-Denn D, Bronstein LR, McLeod S. Adolescent mental health literacy: young people's knowledge of depression and social anxiety disorder. J Adolesc Health. 2016; 58(1): 57-62. https://doi.org/10.1016/J.JADOHEALTH.2015.09.017.
- 28 Başer DA, Kahveci R. Ruhsal Hastalıklar İzlem ve Bildirimi Açısından Aile Hekimlerinin Rolü. In: İ Akbıyık, ed. Türkiye Klinikleri. 1st ed. Ankara: Türkiye Klinikleri Yayınevi; 2019: 21-25. Available at: https://www.researchgate.net/publication/340037796_Ruhsal_Hastaliklar_Izlem_ve_Bildirimi_Acisindan_Aile_Hekimlerinin_Rolu. Accessed February 7, 2022.
- 29Stunden C, Zasada J, VanHeerwaarden N, et al. Help-seeking behaviors of transition-aged youth for mental health concerns: qualitative study. J Med Internet Res. 2020; 22(10):e18514. https://doi.org/10.2196/18514.
- 30Calear AL, Batterham PJ, Torok M, McCallum S. Help-seeking attitudes and intentions for generalised anxiety disorder in adolescents: the role of anxiety literacy and stigma. Eur Child Adolesc Psychiatry. 2021; 30(2): 243-251. https://doi.org/10.1007/S00787-020-01512-9.
- 31Mansfield R, Humphrey N, Patalay P. Educators' perceived mental health literacy and capacity to support students' mental health: associations with school-level characteristics and provision in England. Health Promot Int. 2021; 36(6): 1621. https://doi.org/10.1093/HEAPRO/DAAB010.
- 32Jorm AF, Kitchener BA, Sawyer MG, Scales H, Cvetkovski S. Mental health first aid training for high school teachers: a cluster randomized trial. BMC Psychiatry. 2010; 10:51. https://doi.org/10.1186/1471-244X-10-51.
- 33Yoshioka K, Reavley NJ, MacKinnon AJ, Jorm AF. Stigmatising attitudes towards people with mental disorders: results from a survey of Japanese high school students. Psychiatry Res. 2014; 215(1): 229-236. https://doi.org/10.1016/J.PSYCHRES.2013.10.034.
- 34Yap MBH, Reavley N, Jorm AF. Where would young people seek help for mental disorders and what stops them? Findings from an Australian national survey. J Affect Disord. 2013; 147(1–3): 255-261. https://doi.org/10.1016/j.jad.2012.11.014.
- 35Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010; 10(1):113. https://doi.org/10.1186/1471-244X-10-113.
- 36Oban G, Küçük L. Ergenlerde Ruhsal Hastalıklara Yönelik Damgalamayı Etkileyen Etmenler. Psikiyatri Hemşireliği Dergisi. 2011; 2(1): 31-39.
- 37Jafari A, Nejatian M, Momeniyan V, Barsalani FR, Tehrani H. Mental health literacy and quality of life in Iran: a cross-sectional study. BMC Psychiatry. 2021; 21(1): 499. https://doi.org/10.1186/S12888-021-03507-5.
- 38Lee HY, Hwang J, Ball JG, Lee J, Yu Y, Albright DL. Mental health literacy affects mental health attitude: is there a gender difference? Am J Health Behav. 2020; 44(3): 283-291. https://doi.org/10.5993/AJHB.44.3.1.
- 39Pehlivan Ş, Tokur Kesgin M, Uymaz P. Psychological distress and mental health literacy in university students. Perspect Psychiatr Care. 2021; 57(3): 1433-1441. https://doi.org/10.1111/PPC.12709.
- 40Reavley NJ, Morgan AJ, Jorm AF. Development of scales to assess mental health literacy relating to recognition of and interventions for depression, anxiety disorders and schizophrenia/psychosis. Aust N Z J Psychiatry. 2014; 48(1): 61-69. https://doi.org/10.1177/0004867413491157.
- 41 Dadaczynski K, Rathmann K, Hering T, Okan O. The role of school Leaders' health literacy for the implementation of health promoting schools. Int J Environ Res Public Health. 2020; 17(6); 1-16. https://doi.org/10.3390/IJERPH17061855.
- 42Kim EJ, Yu JH, Kim EY. Pathways linking mental health literacy to professional help-seeking intentions in Korean college students. J Psychiatr Ment Health Nurs. 2020; 27(4): 393-405. https://doi.org/10.1111/JPM.12593.
- 43Schnyder N, Panczak R, Groth N, Schultze-Lutter F. Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. Br J Psychiatry. 2017; 210(4): 261-268. https://doi.org/10.1192/bjp.bp.116.189464.
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