Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Understanding Mental Health Literacy

정신 건강 이해력 이해하기: 개념과 최신연구동향

  • Yong-Wook Shin (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine)
  • 신용욱 (울산대학교 의과대학 서울아산병원 정신건강의학교실)
  • Received : 2023.10.17
  • Accepted : 2023.10.27
  • Published : 2023.10.30
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Abstract

Objective : This study aims to investigate the concept of mental health literacy, its evolution, and its significance in modern healthcare practices. Methods : This paper reviews the evolution of mental health literacy, examining pertinent studies both within the country and internationally. It also addresses the limitations and challenges associated with mental health diagnoses. Results : Findings from various studies indicate that public awareness and recognition of mental health issues are generally inadequate. Identified causes of mental health conditions by study participants point to personal and societal influences, while biological factors are frequently neglected. In South Korea, there is a notable preference for non-professional support over psychiatric interventions. Conclusion : This study highlights the growing importance of mental health literacy in today's society, emphasizing the need for accurate understanding of mental health issues and effective treatment approaches. Similar to physical health literacy, mental health literacy should be considered a basic human right. This perspective marks a shift from a knowledge monopoly held by experts to the inclusion and active involvement of 'people with lived experience' in the mental health service system.

Keywords

References

  1. Tambling R, D'Aniello C, Russell B. Mental health literacy: a critical target for narrowing racial disparities in behavioral health. Int J Ment Health Addict 2023;21:1867-1881.
  2. Kessler RC, ustun TB, World Health Organization. WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders. Cambridge Univ Press;2011.
  3. Roll JM, Kennedy J, Tran M, Howell D. Disparities in unmet need for mental health services in the United States, 1997-2010. Psychiatr Serv 2013;64:80-82. https://doi.org/10.1176/appi.ps.201200071
  4. Thornicroft G. Most people with mental illness are not treated. The Lancet 2007;370:807-808. https://doi.org/10.1016/S0140-6736(07)61392-0
  5. Jorm AF. Why we need the concept of "mental health literacy." Health Commun 2015;30:1166-1168. https://doi.org/10.1080/10410236.2015.1037423
  6. 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;166:182-186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x
  7. Kindig DA, Panzer AM, Nielsen-Bohlman L. Health literacy: a prescription to end confusion. Published online 2004.
  8. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011;155:97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
  9. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000;15:259-267. https://doi.org/10.1093/heapro/15.3.259
  10. Bjornsen HN, Eilertsen MEB, Ringdal R, Espnes GA, Moksnes UK. Positive mental health literacy: development and validation of a measure among Norwegian adolescents. BMC Public Health 2017;17:1-10. https://doi.org/10.1186/s12889-016-3954-4
  11. Kutcher S, Wei Y, Costa S, Gusmao R, Skokauskas N, Sourander A. Enhancing mental health literacy in young people. Eur Child Adolesc Psychiatry 2016;25:567-569. https://doi.org/10.1007/s00787-016-0867-9
  12. Jung CG. The integration of the personality. Published online 1939.
  13. Carvalho D, Sequeira C, Querido A, Tomas C, Morgado T, Valentim O, et al. Positive mental health literacy: a concept analysis. Front Psychol 2022;13:877611.
  14. Santini ZI, Torres-Sahli M, Hinrichsen C, Meilstrup C, Madsen KR, Rayce SB, et al. Measuring positive mental health and flourishing in Denmark: validation of the mental health continuum-short form (MHC-SF) and cross-cultural comparison across three countries. Health Qual Life Outcomes 2020;18:1-15. https://doi.org/10.1186/s12955-019-1245-3
  15. Lluch-Canut T, Puig-Llobet M, Sanchez-Ortega A, Roldan-Merino J, Ferre-Grau C. Assessing positive mental health in people with chronic physical health problems: correlations with socio-demographic variables and physical health status. BMC Public Health 2013;13:1-11. https://doi.org/10.1186/1471-2458-13-1
  16. Teixeira SMA, Coelho JCF, Sequeira CA da C, Lluch i Canut MT, Ferre-Grau C. The effectiveness of positive mental health programs in adults: a systematic review. Health Soc Care Community 2019;27:1126-1134. https://doi.org/10.1111/hsc.12776
  17. Sweileh WM. Global research activity on mental health literacy. Middle East Curr Psychiatry 2021;28:1-9. https://doi.org/10.1186/s43045-021-00125-5
  18. Reavley 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;45:947-956. https://doi.org/10.3109/00048674.2011.621060
  19. Kelly CM, Jorm AF, Wright A. Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Med J Aust 2007;187:S26-S30. https://doi.org/10.5694/j.1326-5377.2007.tb01332.x
  20. 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;58:57-62. https://doi.org/10.1016/j.jadohealth.2015.09.017
  21. Loureiro LMJ, Jorm AF, Oliveira RA, Mendes AMO, dos Santos JCP, Rodrigues MA, et al. Mental health literacy about schizophrenia: a survey of P ortuguese youth. Early Interv Psychiatry 2015;9:234-241. https://doi.org/10.1111/eip.12123
  22. Bjornsen HN, Espnes GA, Eilertsen MEB, Ringdal R, Moksnes UK. The relationship between positive mental health literacy and mental well-being among adolescents: implications for school health services. J Sch Nurs 2019;35:107-116. https://doi.org/10.1177/1059840517732125
  23. Bjornsen HN, Ringdal R, Espnes GA, Eilertsen MEB, Moksnes UK. Exploring MEST: a new universal teaching strategy for school health services to promote positive mental health literacy and mental wellbeing among Norwegian adolescents. BMC Health Serv Res 2018;18:1-13. https://doi.org/10.1186/s12913-018-3829-8
  24. Cotton SM, Wright A, Harris MG, Jorm AF, McGorry PD. Influence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry 2006;40:790-796. https://doi.org/10.1080/j.1440-1614.2006.01885.x
  25. Nobre J, Calha A, Luis H, Oliveira AP, Monteiro F, Ferre-Grau C, et al. Mental health literacy and positive mental health in adolescents: a correlational study. Int J Environ Res Public Health 2022;19:8165.
  26. Bonabi H, Muller M, Ajdacic-Gross V, Eisele J, Rodgers S, Seifritz E, et al. Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: a longitudinal study. J Nerv Ment Dis 2016;204:321-324. https://doi.org/10.1097/NMD.0000000000000488
  27. Kutcher S, Wei Y, Morgan C. Successful application of a Canadian mental health curriculum resource by usual classroom teachers in significantly and sustainably improving student mental health literacy. Can J Psychiatry 2015;60:580-586. https://doi.org/10.1177/070674371506001209
  28. Mcluckie A, Kutcher S, Wei Y, Weaver C. Sustained improvements in students' mental health literacy with use of a mental health curriculum in Canadian schools. BMC Psychiatry 2014;14:1-6. https://doi.org/10.1186/1471-244X-14-1
  29. Patalay P, Annis J, Sharpe H, Newman R, Main D, Ragunathan T, et al. A pre-post evaluation of OpenMinds: a sustainable, peer-led mental health literacy programme in universities and secondary schools. Prev Sci 2017;18:995-1005. https://doi.org/10.1007/s11121-017-0840-y
  30. Casanas R, Arfuch VM, Castellvi P, Gil JJ, Torres M, Pujol A, et al. "EspaiJove. net"-a school-based intervention programme to promote mental health and eradicate stigma in the adolescent population: study protocol for a cluster randomised controlled trial. BMC Public Health 2018;18:1-10.
  31. Ojio Y, Foo JC, Usami S, Fuyama T, Ashikawa M, Ohnuma K, et al. Effects of a school teacher-led 45-minute educational program for mental health literacy in pre-teens. Early Interv Psychiatry 2019;13:984-988. https://doi.org/10.1111/eip.12746
  32. Lindow JC, Hughes JL, South C, Minhajuddin A, Gutierrez L, Bannister E, et al. The youth aware of mental health intervention: impact on help seeking, mental health knowledge, and stigma in US adolescents. J Adolesc Health 2020;67:101-107. https://doi.org/10.1016/j.jadohealth.2020.01.006
  33. Amado-Rodriguez ID, Casanas R, Mas-Exposito L, Castellvi P, Roldan-Merino JF, Casas I, et al. Effectiveness of mental health literacy programs in primary and secondary schools: a systematic review with meta-analysis. Children 2022;9:480.
  34. Baik JW, Lee HY, Nam HE. Research trend analysis of health and mental health literacy in Korea: 2007-2017. Korean J Heal Serv Manag 2018;12:95-106. https://doi.org/10.12811/kshsm.2018.12.3.095
  35. Kim HC. Research trend analysis on mental health literacy in Korea: focus on KCI journals (2010-2020). Mental Health & Social Work 2021;49:27-54. https://doi.org/10.24301/MHSW.2021.3.49.2.27
  36. Ko H, Choi H. Mental health literacy among parents of adolescents and teachers in Korea. J Korean Acad Psychiatr Ment Health Nurs 2015;24:168-177. https://doi.org/10.12934/jkpmhn.2015.24.3.168
  37. Ji HA, Kim SR, Lee MS, Park SH, Kim Y, Lee KH, et al. The comparative analysis of mental health literacy in general population: the analysis of national mental health literacy and attitude survey in 2021. Korean J Psychosom Med 2022;30:38-45.
  38. Lee SH, Suh J. Mental health literacy of the Korean public: a comparison between depression and schizophrenia. Korean J Soc Welf Stud 2010;41:127-158.
  39. Seo MK, Lee MK. Mental health literacy and vulnerable group analysis of Korea. Korean J Soc Welf 2013;65:313-334. https://doi.org/10.20970/kasw.2013.65.2.013
  40. Chung SD, Lee MW, Park C, Lim JS. A study on factors influencing on mental health literacy using Andersen and Newman's Model: a comparison between older adults and other age groups. Korean J Gerontol Soc Welf 2016;71:193-218. https://doi.org/10.21194/kjgsw.71.3.201609.193
  41. Park JH, Lee SH. Mental health literacy and help-seeking behavior among Korean young adults-the mediating effect of stigma, attitude and intention related to help-seeking. Korean J Soc Welf 2020;72:63-92. https://doi.org/10.20970/kasw.2020.72.4.003
  42. Jeon M, Furnham A. Mental health literacy in South Korea. Int J Cult Ment Health 2017;10:353-366. https://doi.org/10.1080/17542863.2017.1322623
  43. Kwon H, Hong HJ, Kweon YS. Classification of adolescent suicide based on student suicide reports. J Korean Acad Child Adolesc Psychiatry 2020;31:169.
  44. Choi J. Promoting Mental Health Literacy at Schools in South Korea. J Korean Acad Child Adolesc Psychiatry 2023;34:15.
  45. Ko H, Hwang S. Mental health literacy among the junior army officer. J Mil Nurs Res 2018;36:41-52.
  46. Jeon M. Mental Health Literacy of Community Social Welfare Service Provider. A master's thesis, Graduate School of Gyeongsang National University. Published online 2013.
  47. Sims A. The scar that is more than skin deep: the stigma of depression. Br J Gen Pract 1993;43:30-31.
  48. Regier DA, Hirschfeld RM, Goodwin FK, Burke JD, Lazar JB, Judd LL. The NIMH Depression Awareness, Recognition, and Treatment Program: structure, aims, and scientific basis. Am J Psychiatry 1988;145:1351-1357. https://doi.org/10.1176/ajp.145.11.1351
  49. Angermeyer MC, Matschinger H. Public attitude towards psychiatric treatment. Acta Psychiatr Scand 1996;94:326-336. https://doi.org/10.1111/j.1600-0447.1996.tb09868.x
  50. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. Br J Psychiatry 2000;177:396-401. https://doi.org/10.1192/bjp.177.5.396
  51. Wagner D. Literacy and UNESCO: Conceptual and Historical Perspectives. New Dir Adult Contin Educ 2013;2013:19-27. https://doi.org/10.1002/ace.20050
  52. Redit C. Lived experience: shifting focus. Nat Ment Health 2023;1:145-145.