Mental health literacy: a focus on daily life context for population health measurement

Mental health literacy: a focus on daily life context for population health measurement
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心理健康素养:关注日常生活背景以进行人口健康测量

DOI:
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发表时间:
2021
期刊:
SSM - Mental Health
影响因子:
--
通讯作者:
C. Henderson
C. Henderson
中科院分区:
--
文献类型:
--
作者:
Kia;S. Farrell;A. Jolly;R. Khangura;C. Henderson

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心理健康素养的核心目的是使各行各业的每个人都能在日常生活中管理和维护健康。然而,由于普遍关注“精神障碍扫盲”,现有措施没有充分反映日常生活中的精神卫生扫盲情况。我们制定了三项措施的心理健康素养的知识,和态度,可能会引起这种知识的使用,在日常生活中的迹象和行动时,心理健康受到抑郁,焦虑和压力。进行结构验证,以检查这些措施对人群健康监测的适用性。2019年10月,由英国政府资助的英国公共卫生部推出了一项数字资源“Every Mind Matters”,旨在提高普通人群的心理健康素养,并围绕日常生活压力和焦虑,情绪和睡眠采取行动。通过对普通公众(n = 3262名成年人)的在线调查收集了评估Every Mind Matters的基线数据。为建构验证,我们调查了维度和假设的逻辑关联与心理健康素养。结果结构验证结果使我们相信,项目反应的三个措施的主要影响是心理健康素养。这些反应与睡眠卫生知识,对心理健康的耻辱感的态度,以及一些心理健康困难的间接经历有逻辑关联。项目反应理论信息图显示,总量表得分是敏感的心理健康素养的个体差异范围很广。这意味着三个知识和态度的措施,可以管理到一个不同的人群进行早期筛查的目的或公共心理健康interventions.Conclusions的影响进行评估,以监测社会的变化,心理健康素养,人口监测将需要的措施,挖掘到奠定的知识和态度,在日常生活的背景下,使用非技术语言的一般公众的心理健康。需要更多的上下文信息数据来构建合理的测量方法,以指导关于高资源和低资源医疗保健系统社会中心理健康素养的实证辩论。
BackgroundA core purpose of mental health literacy is to enable everyone from all walks of life to manage and maintain wellbeing in daily life. However, mental health literacy in daily life context is not adequately captured by existing measures due to a prevailing focus on ‘mental disorder literacy’. We developed three measures of mental health literacy in terms of knowledge, and attitudes that may evoke the use of this knowledge, of signs and actions in everyday life when mental health is affected by depression, anxiety and stress. Construct validation was performed to examine the suitability of these measures for population health surveillance. MethodsIn October 2019 Public Health England, funded by the UK government, launched a digital resource, Every Mind Matters, aimed at improving mental health literacy in the general population and empowering action around daily life stress and anxiety, mood, and sleep. Baseline data for evaluating Every Mind Matters was collected via an online survey of the general public (n = 3262 adults). For construct validation, we investigated dimensionality and hypotheses of logical associations with mental health literacy. ResultsStructural validation results lend credence to our claim that the primary influence on item responses to the three measures is mental health literacy. These responses show logical associations with knowledge about sleep hygiene, attitudes indicative of stigma towards mental health, and some indirect experience with mental health difficulties. Item response theory information plots showed that total scale scores are sensitive to a wide range of individual differences in mental health literacy. This means the three knowledge and attitudes measures can be administered to a diverse group of people for early screening purposes or to evaluate the impact of public mental health interventions.Conclusions To monitor societal changes in mental health literacy, population surveillance will need measures that tap into lay knowledge and attitudes about mental health in the context of everyday life using non-technical language of the general public. More contextually informed data are needed to construct sound measurement for steering empirical debates about mental health literacy in societies with high- and low-resource healthcare systems.
“像其他任何疾病”?公众对精神分裂症,抑郁和酒精依赖的反应变化了十年。
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