Virginia Commonwealth University, Richmond, Virginia, USA.
Early Interv Psychiatry. 2010 Nov;4(4):291-8. doi: 10.1111/j.1751-7893.2010.00196.x. Epub 2010 Aug 12.
Mental health literacy may be a factor in early detection and prompt treatment for mental, emotional and behavioural disorders among young people. Building on previous research in Australia, this study assessed aspects of mental health literacy among adolescents in classrooms in a small town in the eastern USA.
The students were provided brief, hypothetical, gender-matched scenarios about adolescents experiencing negative emotions and exhibiting related behaviours; some scenarios depicted diagnosable disorders. The respondents were asked to characterize each scenario as describing a mental health problem or other teen problem and indicate how they would respond to a peer who had such a problem.
Overall levels of recognition of mental disorders were low (27.5% identified anxiety and 42.4% identified depression as 'a mental health problem or illness'). However, the respondents who recognized a disorder were three to four times more likely than those who did not to say they would take some helping action, such as telling an adult about the problem (depression: odds ratio 3.27; CI 1.43-7.46, anxiety: OR 4.43; CI 2.23-8.79). Few students (27.7%) remembered in-class discussions of mental health, a mandated health topic for schools in their area.
There appears to be substantial room for improvement in mental health literacy among young people, and the development of interventions to enhance mental health literacy among students may be justified.
心理健康素养可能是青少年早期发现和及时治疗精神、情绪和行为障碍的一个因素。本研究以澳大利亚先前的研究为基础,评估了美国东部一个小镇教室里青少年的心理健康素养的各个方面。
向学生提供简短的、假设的、性别匹配的青少年经历负面情绪和表现出相关行为的情景;有些情景描述了可诊断的障碍。要求受访者将每个情景描述为描述一个心理健康问题或其他青少年问题,并表示他们将如何回应有此类问题的同龄人。
总体而言,识别精神障碍的水平较低(27.5%将焦虑识别为“心理健康问题或疾病”,42.4%将抑郁识别为“心理健康问题或疾病”)。然而,识别出障碍的受访者比那些没有识别出障碍的受访者更有可能采取一些帮助行动,例如告诉成年人问题(抑郁:优势比 3.27;95%置信区间 1.43-7.46,焦虑:优势比 4.43;95%置信区间 2.23-8.79)。很少有学生(27.7%)记得在课堂上讨论过心理健康,这是他们所在地区学校规定的必修健康话题。
青少年的心理健康素养似乎有很大的提高空间,有理由为学生开发增强心理健康素养的干预措施。