Adolescent Mental Health Literacy Assessment Questionnaire – Chinese Version

Description

Mental health literacy (MHL) is a concept based on the framework of health literacy. It refers to the individual’s knowledge or beliefs regarding the recognition, management, and prevention of mental disorders, including identification of mental disorders, causes or risk factors, self-help, and seeking professional assistance. Currently, mental health issues such as depression and anxiety significantly affect the physical and mental health development of adolescents, and insufficient mental health literacy is a crucial risk factor contributing to adolescent mental health problems. Improving adolescents’ mental health literacy can enhance their mental health status.

Authors and Contact Email

Li Danlin, Hu Jie, Huang Xuexue, etc.
Information not available.

Purpose

The purpose of the study is to develop an assessment questionnaire that can effectively measure the mental health literacy of adolescents, particularly in medical students.

Test Year

May 2020

Administration Method and Scoring

The Adolescent Mental Health Literacy Assessment Questionnaire (AMHLAQ) consists of 22 items across 4 dimensions. It utilizes a Likert scale from 1 to 5 for scoring, with options including “Strongly Disagree,” “Disagree,” “Neutral,” “Agree,” and “Strongly Agree.” The total score is the sum of the scores from individual items, with higher scores indicating higher levels of mental health literacy. Negative items are reverse scored.

Reliability and Validity

The cumulative variance contribution rate is 62.213%, and the total questionnaire’s Cronbach’s α coefficient is 0.897, with a split-half reliability of 0.800. The Cronbach’s α coefficients for the individual dimensions range from 0.796 to 0.885, and the split-half reliability for each dimension varies from 0.725 to 0.846, indicating good reliability. Confirmatory factor analysis shows a χ2/df value of 19.319 (P Factors and Subscales
The questionnaire comprises 4 dimensions: knowledge, identification, attitudes, and behavior.

– Knowledge (知识)
– Identification (识别)
– Attitudes (态度)
– Behavior (行为)

Keywords

Adolescent mental health literacy, questionnaire, measurement, mental health, reliability, validity

Items in Chinese

1. 焦虑症患者常出现不明原因的担心、过分紧张害怕。
2. 抑郁症患者会对大多数事物失去兴趣与快乐。
3. 如果我的亲友患有精神心理疾病，我会觉得很耻辱*。
4. 如果我的亲友患有精神心理疾病，我会鼓励他/她去寻求帮助。
5. 我能控制自己的不良情绪和行为。
6. 如果我的亲友患有精神心理疾病，我不愿意帮他/她做什么*。
7. 强迫症患者常存在思维或行为的强迫反复（如反复洗手）。
8. 创伤后应激障碍患者会努力回避与创伤有关的情景和内容。
9. 我认为只有成年人才会得精神心理疾病*。
10. 我能解决目前我所遇到的心理困扰。
11. 心理咨询是治疗精神心理疾病的一种有效方法。
12. 脑部外伤或病变可能导致精神心理疾病。
13. 我认为精神心理疾病不会影响人的情感*。
14. 多与他人交流有助于心理健康。
15. 如果我的亲友患有精神心理疾病，我会给予他/她帮助。
16. 社交恐惧症患者在与他人交流或集体活动时会变得极度紧张、焦虑。
17. 如果我患有精神心理疾病，我会觉得很耻辱*。
18. 如果我的亲友患有精神心理疾病，我会倾听而不去评判或批评。
19. 我认为精神心理疾病患者通常来自于低收入家庭*。
20. 遭受身心创伤（如情感、躯体虐待等）可能导致精神心理疾病。
21. 诊断精神心理疾病的重要因素之一是其症状的持续时间。
22. 均衡饮食有助于心理健康。

Items in English

1. Patients with anxiety disorders often experience unexplained worry and excessive nervousness or fear.
2. Patients with depression lose interest and pleasure in most things.
3. If my friends or family suffer from mental disorders, I would feel ashamed*.
4. If my friends or family suffer from mental disorders, I would encourage them to seek help.
5. I can control my negative emotions and behaviors.
6. If my friends or family suffer from mental disorders, I would not want to help them with anything*.
7. Patients with obsessive-compulsive disorder often have repetitive thoughts or behaviors (e.g., washing hands repeatedly).
8. Patients with post-traumatic stress disorder strive to avoid trauma-related situations and content.
9. I believe only adults can develop mental disorders*.
10. I can solve the psychological problems I am currently facing.
11. Psychological counseling is an effective method for treating mental disorders.
12. Brain injuries or lesions can lead to mental disorders.
13. I believe mental disorders do not affect a person’s emotions*.
14. Communicating with others helps mental health.
15. If my friends or family suffer from mental disorders, I would help them.
16. Patients with social anxiety disorder become extremely nervous and anxious when communicating with others or during group activities.
17. If I had a mental disorder, I would feel ashamed*.
18. If my friends or family suffer from mental disorders, I would listen without judging or criticizing.
19. I believe patients with mental disorders typically come from low-income families*.
20. Experiencing physical or emotional trauma (e.g., abuse) can lead to mental disorders.
21. One key factor in diagnosing mental disorders is the duration of symptoms.
22. A balanced diet contributes to mental health.

References

李丹琳,胡婕,黄雪雪等.《青少年心理健康素养评定量表》编制及在医学生中的应用[J].中国学校卫生,2021,42(07):1038-1041.DOI:10.16835/j.cnki.1000-9817.2021.07.018.
李丹琳. 《青少年心理健康素养评定量表》的编制及其在医学生中的应用研究[D].安徽医科大学,2021.DOI:10.26921/d.cnki.ganyu.2021.000890.