The Relationship between Mental Health Literacy and General Health in Female Adolescents

Document Type : Original Article

Authors

1 Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

4 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;

Abstract

Background and Objectives: It has identified health literacy as one of the most important determinants of health status. Considering the importance of mental health literacy (MHL), the aim of this study was to determine the level of mental health literacy and its correlation with general health in female middle school students.

Materials and Methods: This cross-sectional study was conducted during the academic year of 2018. First of all, three education districts were randomly selected in Mashhad. Then three female middle schools were randomly selected from those districts. students in all three schools were included in the study through convenient sampling. A total of 638 female students contributed to the study. Goldberg and Hillier’s version of the General Health Questionnaire (GHQ-28) and the Mental Health Literacy Scale (MHLS) were used. The data were analyzed using SPSS version 22.

Results: The mean (SD) MHL and GHQ-28 were 127.69(9.58) and 23.71(12.82), respectively. Students in upper grade with graduate and employee’s fathers had significantly higher MHL (p <0.05). Students whose mothers were employees had a significantly better scores in GHQ-28 (p<0.001). More than 70% of students had no somatic symptoms, anxiety, or depression. Around 53.2% of students had low disorder in the social function subscale.  Based on the results, there was a significant negative correlation between MHL and depression (p<0.05).

Conclusion: Based on our results, better mental health literacy led to lower depression in female middle school students.

Keywords


1. Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA psychiatry. 2015;72(4):334-41.
https://doi.org/10.1001/jamapsychiatry.2014.2502
PMid:25671328 PMCid:PMC4461039
 
2. Jafari 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):1-11.
https://doi.org/10.1186/s12888-021-03507-5
PMid:34641793 PMCid:PMC8507341  
 
3. Reid S, Kauer S, Patton G. 152. Using Cell Phones to Detect, Treat, and Manage Adolescent Mental Health: A Randomised Controlled Trial of the Mobiletype Program in Rural and Metro Primary Care Australia. Journal of Adolescent Health. 2011;48(2):S96-S7.
https://doi.org/10.1016/j.jadohealth.2010.11.200  
 
4. Tsai AC, Tomlinson M. Inequitable and ineffective: exclusion of mental health from the post-2015 development agenda. PLoS Med. 2015;12(6):153-158.
https://doi.org/10.1371/journal.pmed.1001846
PMid:26125938 PMCid:PMC4488341  
 
5. shiani m, Jalili z, shojaeizadeh d. The Effect of Education Based on the Precede-Proceed Model on the Mental Health of Middle -aged Women referred to Municipal Health Houses of Tehran. Iranian Journal of Health Education and Health Promotion. 2020;8(4):309-23.
https://doi.org/10.29252/ijhehp.8.4.309  
 
6. Wei 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):291-297.
https://doi.org/10.1186/s12888-015-0681-9
PMid:26576680 PMCid:PMC4650294  
 
7. Habibzadeh A. Investigating the mental health of female high school students in The city of Qom. knowledge and research in applied psychology. 2014;15(3):108-17.  
 
8. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The mediator role of mental health literacy in the relationship between demographic variables and health-promoting behaviours. Iran J Psychiatry Behav Sci. 2018;12(2):11-18.
https://doi.org/10.5812/ijpbs.12603  
 
9. Noorbala AA, Bagheri Yazdi SA, M. H. Trends in change of mental health status in the population of tehran between 1998 and 2007. Arch Iran Med. 2012;15(4):201-4.  
 
10. Sayarifard A, L G. Mental health literacy in iran: an urgent need for a remedy. Int J Prev Med. 2013;4(7):741-2.  
 
11. Mohammadi MR, Ahmadi N, Khaleghi A, Mostafavi SA, Kamali K, Rahgozar M, et al. Prevalence and correlates of psychiatric disorders in a national survey of iranian children and adolescents. Iran J Psychiatry. 2019;14(1):1-15.
https://doi.org/10.18502/ijps.v14i1.418
PMid:31114613 PMCid:PMC6505051  
 
12. Sharifi V, Mojtabai R, Shahrivar Z, Alaghband-Rad J, Zarafshan H, L W. Child and adolescent mental health care in iran: current status and future directions. Arch Iran Med. 2016;19(11):797-804.  
 
13. Mansouri N, Gharaee B, Shariat SV, Bolhari J, Yousefi Nooraie R, Rahimi-Movaghar A, et al. The change in attitude and knowledge of health care personnel and general population following trainings provided during integration of mental health in Primary Health Care in Iran: a systematic review. Int J Mental Health Syst. 2009;3(15):231-7.
https://doi.org/10.1186/1752-4458-3-15
PMid:19555504 PMCid:PMC2720378  
 
14. A H. Investigating the mental health of female high school students in The city of Qom. Knowl Res Appl Psychol. 2014;15(3):108-17.  
 
15. Mousavi Bazaz SM, Madani A, Mousavi Bazaz M, Zarei F, E AK. Study of psychological disorders and its social determinants among high school students in Bashagard, Iran, 2014. J Prev Med. 2015;2(3):40-6.  
 
16. Dragun R, Veček NN, Marendić M, Pribisalić A, Đivić G, Cena H, et al. Have lifestyle habits and psychological well-being changed among adolescents and medical students due to COVID-19 lockdown in Croatia? Nutrients. 2020;13(1):97.  
 
17. Dias P, Campos L, Almeida H, Palha F. Mental Health Literacy in Young Adults: Adaptation and Psychometric Properties of the Mental Health Literacy Questionnaire. Int J Environ Res Public Health. 2018;15(7):13-18.
https://doi.org/10.3390/ijerph15071318
PMid:29937509 PMCid:PMC6068770  
 
18. Coles 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. Journal of Adolescent Health. 2016;58(1):57-62.
https://doi.org/10.1016/j.jadohealth.2015.09.017
PMid:26707229  
 
19. Deen T, Bridges AJ. Depression literacy: rates and relation to perceived need and mental health service utilization in a rural American sample. 2011.
https://doi.org/10.22605/RRH1803
PMid:22126600  
 
20. Yu Y, Liu Z-w, Hu M, Liu X-g, Liu H-m, Yang JP, et al. Assessment of mental health literacy using a multifaceted measure among a Chinese rural population. BMJ open. 2015;5(10):26-34.
https://doi.org/10.1136/bmjopen-2015-009054
PMid:26438139 PMCid:PMC4606438  
 
21. Arafat SY, Al Mamun M, Uddin MS. Depression literacy among first-year university students: a cross-sectional study in Bangladesh. Global Psychiatry. 2019;2(1):31-6.
https://doi.org/10.2478/gp-2019-0002  
 
22. Alikhani S, Alikhani M. The experience of health-promoting schools in Iran. International Journal of School Health. 2014;1(1):1-5.
https://doi.org/10.17795/intjsh-19856  
 
23. Mirghafourvand M, Charandabi SM-A, Sharajabad FA, Sanaati F. Spiritual well-being and health-related quality of life in Iranian adolescent girls. Community mental health journal. 2016;52(4):484-92.
https://doi.org/10.1007/s10597-016-9988-3
PMid:26787114  
 
24. Mohammadi MR, Ahmadi N, Khaleghi A, Mostafavi SA, Kamali K, Rahgozar M, et al. Prevalence and correlates of psychiatric disorders in a national survey of Iranian children and adolescents. Iranian journal of psychiatry. 2019;14(1):1-8.
https://doi.org/10.18502/ijps.v14i1.418
PMid:31114613 PMCid:PMC6505051  
 
25. Sharifi V, Mojtabai R, Shahrivar Z, Alaghband-Rad J, Zarafshan H, Wissow L. Child and adolescent mental health care in Iran: current status and future directions. Archives of Iranian medicine. 2016;19(11):10-18.  
 
26. Mansouri N, Gharaee B, Shariat SV, Bolhari J, Nooraie RY, Rahimi-Movaghar A, et al. The change in attitude and knowledge of health care personnel and general population following trainings provided during integration of mental health in Primary Health Care in Iran: a systematic review. International Journal of Mental Health Systems. 2009;3(1):1-7.
https://doi.org/10.1186/1752-4458-3-15
PMid:19555504 PMCid:PMC2720378  
 
27. Mousavi Bazaz S, Madani A, Zaree F. Prevalence of psychological disorders and its social determinants among high school students in Bashagard, Iran, 2014. Journal of preventive medicine. 2015;2(3):40-6.  
 
28. Ebrahimipour H, Olyani S, Rezazadeh A, Khorsand Vakilzadeh A, Fazaeli S, Jafari M, et al. Effect of" Iran's health system evolution" and" tariff change" based on relative values book on performance of obstetrics and gynecology department: a case study in a big hospital. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2017;20(8):15-25.  
 
29. Nourbala AA, Bagheri YS, Mohammad K. The validation of general health questionnaire-28 as a psychiatric screening tool. 2009.  
 
30. O'Connor M, Casey L. The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry research. 2015;229(1-2):511-6.
https://doi.org/10.1016/j.psychres.2015.05.064
PMid:26228163  
 
31. Nazifi M, Mokarami H, Akbaritabar A, FarajiKujerdi M, Tabrizi R, Rahi A. Reliability, validity and factor structure of the persian translation of general health questionnire (ghq-28) in hospitals of kerman university of medical sciences. Journal of Fasa University of Medical Sciences. 2014;3(4):336-42.
https://doi.org/10.17795/jhealthscope-15547  
 
32. Nejatian M, Tehrani H, Momenian V, Jafari A. A modified version of the Mental Health Literacy Scale (MHLS) in Iranian people. 2020.
https://doi.org/10.21203/rs.3.rs-15814/v2
PMCid:PMC7013693  
 
33. Bahrami MA, Bahrami D, Chaman-Ara K. The correlations of mental health literacy with psychological aspects of general health among Iranian female students. International Journal of Mental Health Systems. 2019;13(1):59-67.
https://doi.org/10.1186/s13033-019-0315-6
PMid:31462909 PMCid:PMC6710878  
 
34. Sayarifard A, Ghadirian L, Mohit A, Eftekhar M, Badpa M, Rajabi F. Assessing mental health literacy: What medical sciences students' know about depression. Medical journal of the Islamic Republic of Iran. 2015;29:161-164.  
 
35. Marwood MR, Hearn JH. Evaluating mental health literacy in medical students in the United Kingdom. The Journal of mental health training, education and practice. 2019;17(1):43-47.  
 
36. Aluh DO, Anyachebelu OC, Anosike C, Anizoba EL. Mental health literacy: what do Nigerian adolescents know about depression? International Journal of Mental Health Systems. 2018;12(1):1-6.
https://doi.org/10.1186/s13033-018-0186-2
PMid:29467817 PMCid:PMC5815228  
 
37. Kelly CM, Jorm AF, Wright A. Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Medical Journal of Australia. 2007;187(S7):S26-S30.
https://doi.org/10.5694/j.1326-5377.2007.tb01332.x  
 
38. Khajouei R, Salehi F. Health literacy among Iranian high school students. American Journal of Health Behavior. 2017;41(2):215-22.
https://doi.org/10.5993/AJHB.41.2.13
PMid:28452699  
 
39. Parvizy S, Nikbahkt A, Pournaghash Tehrani S, Shahrokhi S. Adolescents' perspectives on addiction: qualitative study. Nursing & health sciences. 2005;7(3):192-8.
https://doi.org/10.1111/j.1442-2018.2005.00237.x
PMid:16083482  
 
40. Kh A. Cultural, social and educational vulnerability in adolescents and youths. International Journal of Behavioral Sciences. 2010;4(3):241-8.  
 
41. Doku D, Koivusilta L, Rainio S, Rimpelä A. Socioeconomic differences in smoking among Finnish adolescents from 1977 to 2007. Journal of Adolescent Health. 2010;47(5):479-87.
https://doi.org/10.1016/j.jadohealth.2010.03.012
PMid:20970083  
 
42. Olyani S, Afzalaghaee M,Talebi M, Peyman N. Depression and Its Risk Factors among Community-Dwelling Iranian Older Adults during the COVID-19 Outbreak. Health Education and Health Promotion. 2021;9(2):141-146.  
 
43. Karimpour Vazifehkhorani A, Karimzadeh M, Poursadeghiyan M, Rahmati-Najarkolaei F. Psychoeducation on improving mental health literacy and adjustment to illness in patients with type 2 diabetes: an experimental study. Iranian Rehabilitation Journal. 2018;16(4):395-404.
https://doi.org/10.32598/irj.16.4.395  
 
44. Mond J, Marks P, Hay PJ, Rodgers B, Kelly C, Owen C, et al. Mental health literacy and eating-disordered behavior: Beliefs of adolescent girls concerning the treatment of and treatment-seeking for bulimia nervosa. Journal of Youth and Adolescence. 2007;36(6):753-9.
https://doi.org/10.1007/s10964-006-9087-9  
 
45. Newcomb-Anjo SE. Applying what is known about adolescent development to improve school-based mental health literacy of depression interventions: Bridging research to practice. Adolescent Research Review. 2019;4(3):235-48.
https://doi.org/10.1007/s40894-018-0083-6