Li Shelly-Anne, Sakata Naoko, Donn Gemma
Department of Family & Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
The Al & Malka Green Artists' Health Centre, University Health Network, Toronto, ON, Canada.
Front Psychol. 2025 Aug 22;16:1329029. doi: 10.3389/fpsyg.2025.1329029. eCollection 2025.
Mental health literacy is a multifaceted construct that consists of helping individuals recognize the early warning signs of mental health conditions, understanding the concept of stigma and misconceptions associated with mental illness, encouraging appropriate help-seeking behaviors, and facilitating access to mental health services. However, mental health literacy remains a largely unexplored topic in artists' health literature. This scoping review examines the conceptualization, operationalization, and measurement of mental health literacy in performing and creative artists.
We conducted a comprehensive search across multiple databases, including MEDLINE, CINAHL, PubMed, EMBASE, PsycINFO, Web of Science, and Cochrane. Our search was designed to identify articles relevant to mental health literacy among artists, encompassing aspects related to the understanding, identification, and education of mental health conditions. Two independent reviewers conducted both abstract and full-text screenings. Our findings are synthesized using the four components of mental health literacy as a framework for organization.
Of the 669 unique citations, 26 articles met the inclusion criteria; of these, 23 focused on performing artists. The articles were published between 1997 and 2024, with at least 4,710 participants from nine countries. Only one study included a definition of mental health literacy. Sixteen articles included one of the four components of mental health literacy, nine included two, four included three, and one had all four components.
Despite the high prevalence of mental health challenges among performing and creative artists, there is a disproportionately low number of interventions aimed at increasing mental health literacy compared to other fields, such as sports medicine and education. This highlights the need for more comprehensive efforts to increase awareness and understanding of mental health issues among artists. Furthermore, the lack of consensus on the conceptualization, operationalization, and measurement of mental health literacy in this field prompts further research. A standardized definition and validated instrument could facilitate more robust research on mental health literacy in the artists' health literature and help identify effective interventions. Future research can build on this review to develop and evaluate interventions aiming to improve mental health literacy in artists.
心理健康素养是一个多方面的概念，包括帮助个人识别心理健康问题的早期预警信号、理解与精神疾病相关的污名化概念和误解、鼓励适当的求助行为以及促进获得心理健康服务。然而，在艺术家健康文献中，心理健康素养仍是一个很大程度上未被探索的主题。本范围综述考察了表演艺术家和创意艺术家心理健康素养的概念化、操作化及测量。
我们在多个数据库中进行了全面检索，包括MEDLINE、CINAHL、PubMed、EMBASE、PsycINFO、科学引文索引和Cochrane。我们的检索旨在识别与艺术家心理健康素养相关的文章，涵盖与心理健康问题的理解、识别和教育相关的方面。两名独立评审员进行了摘要和全文筛选。我们的研究结果以心理健康素养的四个组成部分为组织框架进行综合。
在669条独特的参考文献中，26篇文章符合纳入标准；其中，23篇聚焦于表演艺术家。这些文章发表于1997年至2024年之间，来自9个国家的至少4710名参与者。只有一项研究纳入了心理健康素养的定义。16篇文章纳入了心理健康素养四个组成部分中的一个，9篇纳入了两个，4篇纳入了三个，1篇纳入了全部四个。
尽管表演艺术家和创意艺术家中心理健康挑战的患病率很高，但与运动医学和教育等其他领域相比，旨在提高心理健康素养的干预措施数量却少得不成比例。这凸显了需要做出更全面的努力，以提高艺术家对心理健康问题的认识和理解。此外，该领域在心理健康素养的概念化、操作化和测量方面缺乏共识，这促使开展进一步研究。一个标准化的定义和经过验证的工具可以促进对艺术家健康文献中心理健康素养进行更有力的研究，并有助于确定有效的干预措施。未来的研究可以在此综述的基础上，开发和评估旨在提高艺术家心理健康素养的干预措施。
