Level and predictors of mental health literacy among secondary school students in Nakhon Pathom Province, Thailand 10.55131/jphd/2024/220305
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Abstract
Mental health literacy (MHL) is one of the most important factors in resolving mental health disorders for adolescents. This cross-sectional study examines the level of MHL among secondary school students and seeks to determine its predictors. A multi-stage sampling technique was used to recruit a sample of 404 students with a mean age of 14.89 years (SD = 1.66) attending an autonomous secondary school in Nakhon Pathom province, Thailand in the first semester of the 2023 academic year. The research instruments were two self-reporting questionnaires, namely the General Health Questionnaire (GHQ – Thai version) and the Mental Health Literacy Survey. Content validity was reviewed by three experts and the Index of Consistency (IOC) was 0.97, with Cronbach’s alpha reliabilities of 0.94 (GHQ), and 0.75 (MHL). Descriptive statistics including chi-square test and binary logistic regression were used to analyze the data. The mean score of MHL was 28.96 (SD = 3.58), indicating adequate MHL within this sample. Academic performance (OR 1.834, 95%Cl 1.139-2.954), studying at the senior high school level (OR 1.559, 95%Cl 1.005-2.418), and experiencing psychological distress (OR .535, 95%Cl .321- .892) were all predictors of adequate MHL. These findings suggest that school administrations and healthcare providers should develop a program to ensure junior-level students attain cognitive abilities and an adequate MHL level to prevent future mental illness.
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References
World Health Organization. Recognizing adolescence [Internet]. [Cited 2022 May 16]. Available from: https://apps.who.int/adolescent/seconddecade/section2/page1/recognizing-adolescence.html
Al-Shannaq Y, Darwish S, Mohammad AA, Jaradat D. Depression and depression literacy among adolescent school students. Jordan J Nurs Res. 2023;2:55-68. doi: https://dx.doi.org/ 10.14525/JJNR.v2i1.08
UNICEF, Institute for Population and Social Research, Burnet Institute: Strengthening mental health and psychosocial support systems and services children and adolescents in East Asia and the Pacific: Thailand Country Report. UNICEF, Bangkok, 2022.
Choychoda S, Hale W W, Sarayuthpitaka J, Tangdhanakanond K. A cross‐sectional study on the prevalence of Thai adolescent depression. KJSS, 2023;44:509–16. doi: 10.34044/j. kjss.2023.44.2.21
Seedaket S, Turnbull N, Phajan T, Wanchai A. Improving Mental Health Literacy in Adolescents: Systematic Review of Supporting Intervention Studies. Trop Med Int Health. 2020;25(9):1055–64. doi:10.1111/tmi.13449
Abonassir AA, Siddiqui AF, Abadi SA, Al-Garni AM, Alhumayed RS, Tirad RS, et al. Mental health literacy among secondary school female students in Abha, Saudi Arabia. J Family Med Prim Care. 2021;10(2): 1015-20. doi: 10.4103/jfmpc.jfmpc_ 2083_20.
Jorm AF. Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000;177:396-401. doi: 10.1192/bjp. 177.5.396.
Pehlivan Ş, Tokur Kesgi NM, Uymaz P. Psychological distress and mental health literacy in university students. Perspect Psychiatr Care. 2021;57(3): 1433-41. doi: 10.1111/ppc.12709.
Zhang X, Yue H, Hao X, Liu X, Bao H. Exploring the relationship between mental health literacy and psychological distress in adolescents: A moderated mediation model. Prev Med Rep. 2023;33:102199. doi: 10.1016/j.pmedr.2023.102199.
Jorm 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):182-6. doi: 10.5694/ j.1326-5377.1997.tb140071.x.
Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231-43. doi: 10.1037/a0025957.
Kutcher S, Wei Y, Coniglio C. Mental Health Literacy: Past, Present, and Future. Can J Psychiatry. 2016;61(3): 154-8. doi: 10.1177/07067437156166 09.
Singh S, Zaki RA, Farid NDN. Adolescent mental health literacy and its association with depression. ASM Science Journal. 2018;13(5):207–16.
Singh S, Zaki RA, Farid NDN, Kaur K. The Determinants of Mental Health Literacy among Young Adolescents in Malaysia. Int J Environ Res Public Health. 2022;19(6). doi: 10.3390/ ijerph19063242.
Abdelsalam NM, Said RM. Level and predictors of mental health literacy of depression and suicide among undergraduate medical students. Middle East Curr Psychiatry. 2022; 29:64. https://doi.org/10.1186/s43045-022-00229-6
Bragg TL, Segal DL, Coolidge FL. Mental health literacy and attitudes about mental disorders among younger and older adults: a preliminary study. Open J Geriatr. 2018;1(2):1–6.
Chidmongkol R, Mueannadon R, Kaewma S. Depression and Mental Health Literacy in Adolescents. Journal of Nursing and Health Research. 2020;21(2):40-51.
Chidmongkol R, Aryuwat P, Laoratsri P. Mental Health Literacy of Junior High School in School of Non Soong Sub-district, Muang District,Udon Thani. Nursing, Health, and Education Journal. 2019;22:35-42.
Yosson S, Boonchieng W, Kueausukon P. Mental health literacy among junior high school students in schools under municipal jurisdiction. Journal of Nursing and Health Research. 2023;24(1):107-19.
Supreeyaporn N. School Mental Health: Guideline for Mental Health Promotion in Adolescents. Journal of Education Studies. 2023;51(1):EDU CU5101002 (13 pages) doi: 10.14456/ educu.2023.2.
Namdej N, Phongsakchat P, Sangournpak O. Mental Health Literacy among Senior High School Students in Saraburi Province. J Nurs Educ. 2018;11(3):125-38.
Secondary Educational Service Area Office Nakhon Pathom. Academic year information. [Internet]. [cited 2022 May 16]. Available from: https://www.mathayom-npt.go.th/ bigdatapmnpt/index.php
Kaewprom C, Yuthavisut S, Pratoom L, Boontum A. Mental health literacy among village health workers A case study of two sub-districts in Kloong, Chantaburi. J HEALTH Sci. 2014; 8(1):10-6.
Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the General Health Questionaire. J Psychiatr Assoc Thailand. 1996;41(1):2-17.
Arslan S, Karabey S. High School Students' and Teachers' Mental Health Literacy Levels in Istanbul, Turkey: A Comprehensive Analysis. J Sch Health. 2023;93(8):698-706. doi: 10.1111/josh.13316.
Nobre J, Calha A, Luis H, Oliveira AP, Monteiro F, Ferré-Grau C, et al. Mental Health Literacy and Positive Mental Health in Adolescents: A Correlational Study. Int J Environ Res Public Health. 2022;19(13). doi: 10.3390/ijerph19138165.
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. J Adolesc Health. 2016; 58(1):57-62. doi: 10.1016/j.jadohealth. 2015.09.017.
Pumpayung P, Taifapoon T. Influence of opinion leaders in online social network on stigma, attitude and decision making towards mental healthcare service. Journal of Public Relations and Advertising.2018; 11(1):21–42.