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Int. J. Environ. Res. Public Health 2018, 15(7), 1318; https://doi.org/10.3390/ijerph15071318

Mental Health Literacy in Young Adults: Adaptation and Psychometric Properties of the Mental Health Literacy Questionnaire

1
Faculty of Education and Psychology, Universidade Católica Portuguesa, Rua Diogo Botelho, 1327, 4169-005 Porto, Portugal
2
Research Center for Human Development, Rua Diogo Botelho, 1327, 4169-005 Porto, Portugal
3
Faculty of Education and Psychology, Universidade Católica Portuguesa, Rua Diogo Botelho, 1327, 4169-005 Porto, Portugal
4
ENCONTRAR+SE—Association for the Promotion of Mental Health, Rua Professor Melo Adrião 106, 4100-340 Porto, Portugal
*
Author to whom correspondence should be addressed.
Received: 30 April 2018 / Revised: 9 June 2018 / Accepted: 18 June 2018 / Published: 23 June 2018
(This article belongs to the Special Issue Health Literacy in Context—Settings, Media, and Populations)
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Abstract

Mental health literacy (MHL) is considered a prerequisite for early recognition and intervention in mental disorders, and for this reason, it has become a focus of research over the past few decades. Assessing this construct is relevant for identifying knowledge gaps and erroneous beliefs concerning mental health issues, to inform the development of interventions aimed at promoting mental health literacy as well as the evaluation of these interventions. Recently, we developed a new self-reporting measure (MHLq) for assessing mental health literacy in young people (12–14 years-old), meeting the need to assess MHL from a comprehensive perspective of the construct instead of focusing on a restricted number of mental disorders or specific dimensions (e.g., knowledge concerning specific disorders; stigma). The present study aimed to adapt the MHLq for the young adult population and to examine its psychometric properties, according to the following steps: (1) item adaptation, using a think aloud procedure (n = 5); (2) data collection (n = 356, aged between 18 and 25 years old; and (3) psychometric analyses (exploratory factor analysis and internal consistency analysis). The final version of the questionnaire included 29 items (total scale α = 0.84), organized by four dimensions: (1) knowledge of mental health problems (α = 0.74); (2) erroneous beliefs/stereotypes (α = 0.72); (3) help-seeking and first aid skills (α = 0.71); and (4) self-help strategies (α = 0.60). The results suggest that the MHLq-adult form is a practical, valid, and reliable screening tool for identifying gaps in knowledge, beliefs, and behavioral intentions related to mental health and mental disorders, planning promotion programs, and evaluating intervention effectiveness. View Full-Text
Keywords: mental health literacy questionnaire; psychometric properties; young adults mental health literacy questionnaire; psychometric properties; young adults
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Dias, P.; Campos, L.; Almeida, H.; Palha, F. Mental Health Literacy in Young Adults: Adaptation and Psychometric Properties of the Mental Health Literacy Questionnaire. Int. J. Environ. Res. Public Health 2018, 15, 1318.

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