The Serbian Short Version of the Mental Health Literacy Questionnaire for Young People (MHLq-yp): Validation with a Sample of Elementary School Students

Marija Trajković; Ana Radanović; Isidora Micić; Marina Kovačević Lepojević

doi:10.19090/pp.v18i1.2549

Authors

Marija Trajković Institute for Educational Research, Belgrade, Serbia https://orcid.org/0000-0001-5555-1780
Ana Radanović Institute for Educational Research, Belgrade, Serbia https://orcid.org/0000-0002-6322-5165
Isidora Micić Institute for Educational Research, Belgrade, Serbia https://orcid.org/0000-0002-7266-7248
Marina Kovačević Lepojević Institute for Educational Research, Belgrade, Serbia https://orcid.org/0000-0002-4780-1716

DOI:

https://doi.org/10.19090/pp.v18i1.2549

Keywords:

literacy, mental health, elementary school, validity, Serbia

Abstract

The last few decades have brought an elaboration of the concept and the development of valid and reliable measures of mental health literacy (MHL) in adults, children, and adolescents. Nevertheless, most of the empirical evidence on MHL has come from developed, high income Western countries. The present study aimed to develop a Serbian short version of the Mental Health Literacy Questionnaire for Young People (MHLq-yp), suitable for application in elementary school settings. The original version of the MHLq-yp has been adapted into Serbian following the translation-back methodology and think-aloud procedure. This questionnaire was validated in a sample of 386 primary school students (52.2% girls), whose age ranged from 11 to 14 years (M_age=12.63, SD_age=0.88). Based on exploratory factor analysis and internal consistency indices, a short version of the instrument was developed, which showed good internal and convergent validity.

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References

Al-Shannaq, Y., Darwish, S., Mohammad, A., & Jaradat, D. (2023). Depression and depression literacy among adolescent school students. Jordan Journal of Nursing Research, 2(1), 55-68. https://doi.org/10.14525/JJNR.v2i1.08

Aluh, D. O., Anyachebelu, O. C., Anosike, C., & Anizoba, E. L. (2018). Mental health literacy: What do Nigerian adolescents know about depression?. International Journal of Mental Health Systems, 12(1), 1-6. https://doi.org/10.1186/s13033-018-0186-2

Attygalle, U. R., Perera, H., & Jayamanne, B. D. W. (2017). Mental health literacy in adolescents: Ability to recognise problems, helpful interventions and outcomes. Child and Adolescent Psychiatry and Mental Health, 11(38), 1-8. https://doi.org/10.1186/s13034-017-0176-1

Belfer, M. L. (2008). Child and adolescent mental disorders: the magnitude of the problem across the globe. Journal of child psychology and psychiatry, 49(3), 226-236. doi:10.1111/j.1469-7610.2007.01855.x

Bener, A., & Ghuloum, S. (2011). Gender differences in the knowledge, attitude and practice towards mental health illness in a rapidly developing Arab society. International Journal of Social Psychiatry, 57(5), 480-486. https://doi.org/10.1177/0020764010374415

Bjørnsen, H. N., Eilertsen, M. E. B., Ringdal, R., Espnes, G. A., & Moksnes, U. K. (2017). Positive mental health literacy: Development and validation of a measure among Norwegian adolescents. BMC public health, 17(717), 1-10. https://doi.org/10.1186/s12889-017-4733-6

Calear, A. L., Batterham, P. J., Torok, M., & McCallum, S. (2021). Help-seeking attitudes and intentions for generalised anxiety disorder in adolescents: The role of anxiety literacy and stigma. European Child & Adolescent Psychiatry, 30(2), 243-251. https://doi.org/10.1007/s00787-020-01512-9

Campos, L., Dias, P., Costa, M. Rabin, L., Miles, R., Lestari, S., Feraihan, R., Pant, N., Sriwichai, N., Booncheing, W., & Yu, L. (2022). Mental health literacy questionnaire-short version for adults (MHLq-SVa): Validation study in China, India, Indonesia, Portugal, Thailand, and the United States. BMC Psychiatry, 22(713), 1-8. https://doi.org/10.1186/s12888-022-04308-0

Campos, L., Dias, P., Palha, F., Duarte, A., & Veiga, E. (2016). Development and psychometric properties of a new questionnaire for assessing mental health literacy in young people. Universitas Psychologica, 15(2), 61-72. https://doi.org/10.11144/Javeriana.upsy15-2.dppq

Coles, M. E., Ravid, A., Gibb, B., George-Denn, D., Bronstein, L. R., & McLeod, S. (2016). Adolescent mental health literacy: Young people's knowledge of depression and social anxiety disorder. Journal of Adolescent Health, 58(1), 57-62. http://doi.org/10.1016/j.jadohealth.2015.09.017

Corrigan, P. W., Michaels, P. J., Vega, E., Gause, M., Watson, A. C., & Rüsch, N. (2012). Self-stigma of mental illness scale–short form: Reliability and validity. Psychiatry research, 199(1), 65-69.https://doi.org/10.1016/j.psychres.2012.04.009

Costa, P. J. C., Inman, R. A., & Moreira, P. A. S. (2022). The Brief Multidimensional Students’ Life Satisfaction Scale (BMSLSS): Further evidence of factorial structure, reliability, and relations with other indicators of subjective wellbeing. Applied Research in Quality of Life, 17(6), 3541-3558. https://doi.org/10.1007/s11482-022-10078-4

Cotton, S. M., Wright, A., Harris, M. G., Jorm, A. F., & McGorry, P. D. (2006). Influence of gender on mental health literacy in young Australians. Australian and New Zealand Journal of Psychiatry, 40(9), 790-796. https://doi.org/10.1080/j.1440-1614.2006.01885.x

Dias, P., Campos, L., Almeida, H., & Palha, F. (2018). Mental health literacy in young adults: Adaptation and psychometric properties of the mental health literacy questionnaire. International Journal of Environmental Research and Public Health, 15(1318), 1-13. https://doi.org/10.3390/ijerph15071318

Essau, C. A., Olaya, B., Pasha, G., Pauli, R., & Bray, D. (2013). Iranian adolescents' ability to recognize depression and beliefs about preventative strategies, treatments and causes of depression. Journal of affective disorders, 149(1-3), 152-159. https://doi.org/10.1016/j.jad.2013.01.016

Ethan, M., Patricia, F. (2021). The impact of the campus climate and mental health literacy on students’ well-being. The Journal of Mental Health Training, Education and Practice, 16(3), 245-256. https://doi.org/10.1108/JMHTEP-12-2020-0088

Freţian, A. M., Graf, P., Kirchhoff, S., Glinphratum, G., Bollweg, T. M., Sauzet, O., & Bauer, U. (2021). The long-term effectiveness of interventions addressing mental health literacy and stigma of mental illness in children and adolescents: Systematic review and meta-analysis. International Journal of Public Health, 66(1604072), 1-12. https://doi.org/10.3389/ijph.2021.1604072

Ghadirian, L., & Sayarifard, A. (2019). Depression literacy in urban and suburban residents of Tehran, the capital of Iran; recognition, help seeking and stigmatizing attitude and the predicting factors. International journal of preventive medicine, 10(134), 1-6. https://doi.org/10.4103/ijpvm.IJPVM_166_18

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348

Gulliver, A., Griffiths, K., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10(1), 1-9. https://doi.org/10.1186/1471-244X-10-113

Gullone, E., & Taffe, J. (2012). The Emotion Regulation Questionnaire For Children And Adolescents (ERQ–CA): A psychometric evaluation. Psychological Assessment, 24(2), 409-417. https://doi.org/10.1037/a0025777

Huebner, E. S., Suldo, S. M., Valois, R. F., & Drane, J. W. (2006). The Brief Multidimensional Students’ Life Satisfaction Scale: Sex, race, and grade effects for applications with middle school students. Applied Research in Quality of Life, 1, 211–216. https://doi.org/10.1007/s11482-006-9016-9

Jafari, A., Nejatian, M., Momeniyan, V., Barsalani, F. R., & Tehrani, H. (2021). Mental health literacy and quality of life in Iran: A cross-sectional study. BMC Psychiatry, 21(499), 1-11. https://doi.org/10.1186/s12888-021-03507-5

John, O. P., & Gross, J. J. (2004). Healthy and unhealthy emotion regulation: Personality processes, individual differences, and life span development. Journal of Personality, 72(6), 1301-1334. https://doi.org/10.1111/j.1467-6494.2004.00298.x

Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry, 177(5), 396-401. https://doi.org/10.1192/bjp.177.5.396

Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231–243. https://doi.org/10.1037/a0025957

Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “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, 166(4), 182-186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x

Jorm, A. F., Wright, A., & Morgan, A. J. (2007). Beliefs about appropriate first aid for young people with mental disorders: Findings from an Australian national survey of youth and parents. Early Intervention in Psychiatry, 1(1), 61-70. https://doi.org/10.1111/j.1751-7893.2007.00012.x

Jovanović, V., Gavrilov-Jerković, V., Žuljević, D., & Brdarić, D. (2014). Psychometric evaluation of the depression anxiety stress scales-21 (DASS-21) in a Serbian student sample. Psihologija, 47(1), 93-112. https://doi.org/10.2298/PSI1401093J

Jung, H., von Sternberg, K., & Davis, K. (2017). The impact of mental health literacy, stigma, and social support on attitudes toward mental health help-seeking. International Journal of Mental Health Promotion, 19(5), 252-267. https://dx.doi.org/10.1080/14623730.2017.1345687

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry, 62(6), 593-602.

Kilibarda, B., Mladenović, I., & Gudelj-Rakić, J. (2013). Attitudes on alcohol and drinking patterns among youth in Serbia. Srpski arhiv za celokupno lekarstvo, 141(1-2), 66-71.

Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: Past, present, and future. The Canadian Journal of Psychiatry, 61(3), 154-158. https://doi.org/10.1177/0706743715616609

Kutcher, S., Wei, Y., McLuckie, A., & Bullock, L. (2013). Educator mental health literacy: A programme evaluation of the teacher training education on the mental health & high school curriculum guide. Advances in school mental health promotion, 6(2), 83-93. https://doi.org/10.1080/1754730X.2013.784615

Lam, L. T. (2014). Mental health literacy and mental health status in adolescents: A population-based survey. Child and Adolescent Psychiatry and Mental Health, 8(26), 1-8. https://doi.org/10.1186/1753-2000-8-26

Lauber, C., Nordt, C., Falcato, L., & Rössler, W. (2001). Lay recommendations on how to treat mental disorders. Social Psychiatry and Psychiatric Epidemiology, 36(11), 553-556. https://doi.org/10.1007/s001270170006

Liu, Z., Yuan, F., Zhao, J., & Du, J. (2023). Reliability and validity of the positive mental health literacy scale in Chinese adolescents. Frontiers in Psychology, 14(1150293), 1-7. https://doi.org/10.3389/fpsyg.2023.1150293

Lovibond, S. H., & Lovibond, P. F. (1995). Depression Anxiety Stress Scales (DASS--21, DASS--42) [Database record]. APA PsycTests. https://doi.org/10.1037/t01004-000

Lubman, D. I., Cheetham, A., Sandral, E., Wolfe, R., Martin, C., Blee, F., Berridge, B. J., Jorm, A. F., Wilson, C., Allen, N. B., McKay-Brown, L., & Proimos, J. (2020). Twelve-month outcomes of MAKINGtheLINK: A cluster randomized controlled trial of a school-based program to facilitate help-seeking for substance use and mental health problems. eClinicalMedicine, 18(100225), 1-9. https://doi.org/10.1016/j.eclinm.2019.11.018

Nobre, J., Calha, A., Luis, H., Oliveira, A. P., Monteiro, F., Ferré-Grau, C., & Sequeira, C. (2022). Mental health literacy and positive mental health in adolescents: A correlational study. International Journal of Environmental Research and Public Health, 19(13), 1-16. https://doi.org/10.3390/ijerph19138165

O'Brien, K. (2020). Mental health literacy as a predictor of mental health outcomes in Irish college students [Undergraduate thesis, National College of Ireland]. NORMA eResearch. https://norma.ncirl.ie/id/eprint/4829

Olsson, D. P., & Kennedy, M. G. (2010). Mental health literacy among young people in a small US town: Recognition of disorders and hypothetical helping responses. Early Intervention in Psychiatry, 4(4), 291-298. https://doi.org/10.1111/j.1751-7893.2010.00196.x

Ozturan, D. D., & Kocakaya, H. (2023). Evaluation of mental health literacy in university students. Medicine Science, 12(2), 479-483. https://doi.org/10.5455/medscience.2023.04.054

Park, N. (2004). The role of subjective well-being in positive youth development. The annals of the American academy of political and social science, 591(1), 25-39. https://doi.org/10.1177/0002716203260078

Pastor, M. C., López-Penadés, R., Cifre, E., & Moliner-Urdiales, D. (2019). The Spanish version of the Emotion Regulation Questionnaire For Children And Adolescents (ERQ-CA): A psychometric evaluation in early adolescence. The Spanish Journal of Psychology, 22, E30. https://doi.org/10.1017/sjp.2019.30

Popić, M., Savić, S., & Branković, I. (2014). Mentalno zdravlje mladih u Srbiji. [Mental health of youth in Serbia]. Centar za edukaciju, istraživanje i razvoj.

Popov S, Janicic B, Dinic B. (2016). Serbian validation and adaptation of emotional regulation questionnaire. Primenjena Psihologija, 9:63-81.

Ratnayake, P., & Hyde, C. (2019). Mental health literacy, help-seeking behaviour and wellbeing in young people: Implications for practice. The Educational and Developmental Psychologist, 36(1), 16-21. https://doi.org/10.1017/edp.2019.1

Renwick, L., Pedley, R., Johnson, I., Bell, V., Lovell, K., Bee, P., & Brooks, H. (2022). Mental health literacy in children and adolescents in low- and middle-income countries: A mixed studies systematic review and narrative synthesis. European Child & Adolescent Psychiatry, 33(4), 961-985. https://doi.org/10.1007/s00787-022-01997-6

Riemer, M., Athay, M. M., Bickman, L., Breda, C., Kelley, S. D., Vides de Andrade, A. R. (2014). The Peabody treatment progress battery: History and methods for developing a comprehensive measurement battery for youth mental health. Adm Policy Ment Health, 39(0), 3-12. https://doi.org/10.1007/s10488-012-0404-1

Seligson J., Huebner E. S., & Valois R. F. (2003). Preliminary validation of the Brief Multidimensional Students' Life Satisfaction Scale (BMSLSS). Social Indicators Research, 61(2), 121-145. https://doi.org/10.1023/A:1021326822957

Sharma, M., Banerjee, B., & Garg, S. (2017). Assessment of mental health literacy in school-going adolescents. Journal of Indian Association for Child and Adolescent Mental Health, 13(4), 263-283. https://doi.org/10.1177/0973134220170403

Simões de Almeida, R., Trigueiro, M. J., Portugal, P., de Sousa, S., Simões-Silva, V., Campos, F., Silva, M., & Marques, A. (2023). Mental health literacy and stigma in a municipality in the North of Portugal: A cross-sectional study. International Journal of Environmental Research and Public Health, 20(4), 3318. https://doi.org/10.3390/ijerph20043318

Singh, S., Zaki, R., & Farid, N. (2020). Adolescent mental health literacy and its association with depression. ASM Science Journal, 13(5), 207-216

Stevens, J. (2002). Applied multivariate statistics for the social sciences (Vol. 4). Mahwah, NJ: Lawrence Erlbaum Associates.

Tambling, R. R., D’Aniello, C., & Russell, B. S. (2023). Mental health literacy: A critical target for narrowing racial disparities in behavioral health. International Journal of Mental Health and Addiction, 21(3), 1867-1881. https://doi.org/10.1007/s11469-021-00694-w

Thai, T. T., Vu, N. L. L. T., & Bui, H. H. T. (2020). Mental health literacy and help-seeking preferences in high school students in ho Chi Minh City, Vietnam. School Mental Health, 12(2), 378-387. https://doi.org/10.1007/s12310-019-09358-6

Wright, A., Harris, M. G., Jorm, A. F., Cotton, S. M., Harrigan, S. M., McGorry, P. D., Wiggers, J. H., & Hurworth, R. E. (2005). Recognition of depression and psychosis by young Australians and their beliefs about treatment. Medical Journal of Australia, 183(1), 18-23. https://doi.org/10.5694/j.1326-5377.2005.tb06881.x

Yan, C., Ding, Q., Wang, Y., Wu, M., Gao, T., & Liu, X. (2022). The effect of cognitive reappraisal and expression suppression on sadness and the recognition of sad scenes: An event-related potential study. Frontiers in Psychology, 13, 1-14. https://doi.org/10.3389/fpsyg.2022.935007

Yao, Z., Wang, T., Yu, Y., Li, R., Sang, X., Fu, Y., Gong, X., Sun, W., Liu, J. J., Wong, J. P.-H., Fung, K. P.-L., & Jia, C. (2023). Mental health literacy and suicidal ideation among Chinese college students: The mediating role of depressive symptoms and anxiety symptoms. Journal of Affective Disorders, 339, 293-301. https://doi.org/10.1016/j.jad.2023.07.050

Zhang, X., Yue, H., Hao, X., Liu, X., & Bao, H. (2023). Exploring the relationship between mental health literacy and psychological distress in adolescents: A moderated mediation model. Preventive Medicine Reports, 33, 102199. https://doi.org/10.1016/j.pmedr.2023.102199