Safaralinezhad Atefeh, Lamyian Minoor, Ahmadi Fazlollah, Hosseinkhani Zahra, Montazeri Ali
Department of Reproductive Health and Midwifery, Faculty of Medical Sciences Tarbiat Modares University Tehran Iran.
Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases Qazvin University of Medical Sciences Qazvin Iran.
Health Sci Rep. 2025 Sep 16;8(9):e71227. doi: 10.1002/hsr2.71227. eCollection 2025 Sep.
Gender is recognized as a critical determinant of mental health. Women's reproductive years are a period when they are particularly vulnerable to mental health issues. Enhancing mental health literacy can help reduce the burden of these disorders. This study aimed to develop and assess the psychometric properties of a Mental Health Literacy Scale specifically designed for women of reproductive age.
Women of reproductive ages mental health literacy scale (WoRA-MHL) was developed through qualitative studies, a literature review, and systematic item generation. The scale underwent content and face validity assessments, followed by item analysis. Structural validity was examined by employing preliminary factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability measures included Cronbach's alpha, split-half testing, intraclass correlation coefficients (ICC), and metrics of absolute reliability.
The final WoRA-MHL instrument consists of 30 items categorized under four themes: "Accessing and Obtaining Mental Health Information," "Understanding Mental Health Information," "Maintaining Mental Health," and "Adapting to the Challenges of Women's Lives." Together, these four themes accounted for 54.42% of the total variance. CFA validated a satisfactory model fit for the scale. The reliability assessment indicated a Cronbach's alpha of 0.889, an overall ICC of 0.966, and a standard error of measurement of 4.68.
The study offered initial support for the construct validity and reliability of the WoRA-MHL as a tool for assessing mental health literacy (MHL) in reproductive-age women. It aims to identify gaps in knowledge, skills, and behaviors related to mental health and mental disorders, as well as to assist in planning promotional programs and evaluating the effectiveness of interventions. Future research is needed to further validate this measure and conduct multicultural comparisons of MHL across diverse populations worldwide.
性别被认为是心理健康的关键决定因素。女性的生育年龄段是她们特别容易出现心理健康问题的时期。提高心理健康素养有助于减轻这些疾病的负担。本研究旨在开发并评估专门为育龄女性设计的心理健康素养量表的心理测量特性。
通过定性研究、文献综述和系统的条目生成过程，开发了育龄女性心理健康素养量表（WoRA-MHL）。该量表进行了内容效度和表面效度评估，随后进行了条目分析。通过采用探索性因素分析（EFA）和验证性因素分析（CFA）来检验结构效度。可靠性测量包括克朗巴哈系数、分半测试、组内相关系数（ICC）以及绝对可靠性指标。
最终的WoRA-MHL工具由30个条目组成，分为四个主题：“获取和获得心理健康信息”、“理解心理健康信息”、“保持心理健康”以及“适应女性生活的挑战”。这四个主题共同解释了总方差的54.42%。CFA验证了该量表具有令人满意的模型拟合度。可靠性评估表明克朗巴哈系数为0.889，总体ICC为0.966，测量标准误为4.68。
该研究为WoRA-MHL作为评估育龄女性心理健康素养（MHL）工具的结构效度和可靠性提供了初步支持。它旨在识别与心理健康和精神障碍相关的知识、技能和行为方面的差距，并协助规划宣传项目以及评估干预措施的有效性。未来需要进一步验证该测量方法，并在全球不同人群中对MHL进行多元文化比较。
