Mental Health Literacy and Associated Factors in Thai Military Medical S
Keywords:
mental health literacy, military medical student, factors influencing mental health literacyAbstract
Objective: To assess mental health literacy (MHL) level and its associated factors among Thai military medical students. Methods: A cross-sectional descriptive study was conducted with 406 second- to sixth-year military medical students using the Thai Mental Health Literacy Scale (TMHLS). Data analysis included descriptive statistics and inferential statistics. Results: The average MHL score among participants was moderate (119.05 ± 11.07). Awareness of mental health issues was relatively high, while knowledge about seeking professional help, self-care, information-seeking, and attitudes toward mental health services were moderate. Factors influencing MHL included higher-year students (p < 0.001) and female students (p < 0.001) score higher. while those who are not living with family or living alone scored lower (p = 0.004). Taking psychiatric courses (p = 0.001), reading mental health books (p < 0.001), and personal experiences with mental illness (p < 0.001) were linked to higher scores. Conclusion: These findings highlight the need for structured mental health education to improve MHL among medical students. Efforts should focus on reducing stigma, enhancing positive attitudes, and promoting help-seeking behaviors.
References
World Health Organization. Mental disorders [Internet]. Geneva: World Health Organization; 2022 [cited 2023 Sep 9]. Available from: https://shorturl.asia/sZ1Ee
Vos T, Solmi M, Abbafati C, Leung J, Benjet C, Allebeack P, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry 2022;9(2):137–50.
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. Medical Journal of Australia 1997;166:182-6.
WHO. The European Mental Health Action Plan 2013–2020. Copenhagen: World Health Organization Regional Office for Europe; 2015.
Nair M, Moss N, Bashir A, Garate D, Thomas D, Fu S, et al. Mental health trends among medical students. Proc (Bayl Univ Med Cent) 2023;36:408-10.
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA 2016;316(21):2214-36.
Untaaveesup S, Tiawwanakul T, Somapee W, Tienkreua C. Prevalence and factors associated with stress in medical students at Ratchaburi Medical Education Center, Ratchaburi Hospital. Journal of the Psychiatric Association of Thailand 2021;66:159-72.
C N. n4Studies: application for sample size calculation in health science research [mobile application]. App Store. 2023 [cited 2025 Jul 31]. Available from: https://shorturl.asia/mjTOv
Sittironnarit G, Sripen R, Phattharayuttawat S. Psychometric properties of the Thai Mental Health Literacy Scale in sixth-year medical students. Siriraj Med J 2022;74(2):100–7.
O'Connor M, Casey L. The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry Res 2015;229:511-6.
Bloom BS, Hastings JT, Madaus GF. Handbook on Formative and Summative Evaluation of Student Learning: McGraw-Hill; 1971.
David W. Hosmer SL. Multiple Logistic Regression. Applied Logistic Regression. New York: Wiley; 2000. p. 31–46.
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;14(5):339-47.
Li H. Mental health literacy, stigma, and early intervention. Asian Journal of Psychiatry 2012;5(3):209-10.
Lanfredi M, Macis A, Ferrari C, Rillosi L, Ughi EC, Fanetti A, et al. Effects of education and social contact on mental health-related stigma among high-school students. Psychiatry Research 2019;281:112581.
Varvari I, Foster H, Nirodi P. Mental Health Literacy in Foundation Doctors - a Survey in the York and Humber Area. BJPsych Open 2022;8:38.
James S, Holdan EG. Comparison of Mental Health Literacy between Criminal Justice Students and Police Academy Cadets: An Exploratory Study. Journal of Criminal Justice Education 2020;31:390-9.
Kuhnigk O, Strebel B, Schilauske J, Jueptner M. Attitudes of medical students towards psychiatry : effects of training, courses in psychiatry, psychiatric experience and gender. Adv Health Sci Educ Theory Pract 2007;12(1):87-101.
Kihumuro RB, Kaggwa MM, Kintu TM, Nakandi RM, Muwanga DR, Muganzi DJ, et al. Knowledge, attitude and perceptions of medical students towards mental health in a university in Uganda. BMC Medical Education 2022;22:730.
Zhang Z, Chen S, Wang X, Liu J, Zhang Y, Mei Y, et al. The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences. International Journal of Mental Health Promotion 2023;25(4):471-483.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 สมาคมเวชศาสตร์ป้องกันแห่งประเทศไทย

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ลงพิมพ์ในวารสารเวชศาสตร์ป้องกันแห่งประเทศไทย ถือเป็นผลงานวิชาการ งานวิจัย วิเคราะห์ วิจารณ์ เป็นความเห็นส่วนตัวของผู้นิพนธ์ กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยเสมอไปและผู้นิพนธ์จะต้องรับผิดชอบต่อบทความของตนเอง