Andrej Marušič Institute, Slovene Centre for Suicide Research, 68960University of Primorska, Koper, Slovenia.
Department of Psychology, Faculty of Mathematics, Natural Sciences and Information Technologies, 244385University of Primorska, Koper, Slovenia.
Inquiry. 2022 Jan-Dec;59:469580211047193. doi: 10.1177/00469580211047193.
The aim of the present validation study is to determine the psychometric properties of the Slovenian version of the Mental Health Literacy Scale. For this purpose, the factorial structure, internal consistency, cross-cultural, convergent and discriminant validity were assessed. The measure was translated and adapted to Slovenian context through a blind back-translation process. It was applied to a representative sample of the Slovenian adult population via an online research panel. A total of 1189 participants (598 women), aged between 18 and 95 years ( = 46.7, = 16.2) completed the survey. Confirmatory and exploratory factor analyses, reliability analyses, hypothesis testing, and correlational analyses were conducted. The analyses rejected a hypothesised unidimensional model and demonstrated that a four-factor model with 27 items was the most theoretically and psychometrically adequate. The Slovenian version of Mental Health Literacy Scale (S-MHLS) consists of the following factors: (1) Attitudes Towards People With Mental Health Problems, (2) General Attitudes Towards Mental Health Problems and Help-Seeking, (3) Recognition of Mental Health Disorders and (4) Knowledge About Seeking Mental Health Information. The factors have adequate construct validity and internal consistency, which is also adequate for the entire S-MHLS. However, a decreased scope of the content might result in an inadequate representation of the construct of mental health literacy. In addition, the psychometric interpretation of the MHLS varies widely in validation studies across different linguistic contexts. Therefore, we propose a further improvement of the instrument with a psychometrically and theoretically sound multifactorial structure that demonstrates strong cross-cultural validity.
本验证研究的目的是确定斯洛文尼亚版心理健康素养量表的心理测量特性。为此，评估了因子结构、内部一致性、跨文化、收敛和判别效度。该量表通过盲回译过程被翻译并适用于斯洛文尼亚的背景。通过在线研究小组，对斯洛文尼亚成年人口的代表性样本进行了测量。共有 1189 名参与者（598 名女性），年龄在 18 至 95 岁之间（均值 = 46.7，标准差 = 16.2），完成了调查。进行了验证性和探索性因素分析、可靠性分析、假设检验和相关分析。分析结果拒绝了假设的单维模型，表明具有 27 个项目的四因素模型在理论上和心理测量上最合理。斯洛文尼亚版心理健康素养量表（S-MHLS）由以下因素组成：（1）对心理健康问题人群的态度，（2）对心理健康问题和寻求帮助的一般态度，（3）对心理健康障碍的识别，以及（4）寻求心理健康信息的知识。这些因素具有充分的建构效度和内部一致性，对整个 S-MHLS 也是充分的。然而，内容范围的缩小可能导致心理健康素养结构的代表性不足。此外，心理健康素养量表在不同语言背景的验证研究中的心理测量解释差异很大。因此，我们建议进一步改进该工具，采用具有心理测量和理论合理性的多因素结构，展示出强大的跨文化有效性。
