期刊论文详细信息
BMC Psychiatry
Quantifying and predicting depression literacy of undergraduates: a cross sectional study in Sri Lanka
Nicola J. Reavley1  Anthony F. Jorm1  Santushi D. Amarasuriya1 
[1] Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Parkville, Melbourne, Victoria 3010, Australia
关键词: Help-seeking;    Scale development;    Treatment beliefs;    Recognition;    Undergraduate;    Depression;    Mental health literacy;    Depression literacy;   
Others  :  1231557
DOI  :  10.1186/s12888-015-0658-8
 received in 2015-07-07, accepted in 2015-10-20,  发布年份 2015
PDF
【 摘 要 】

Background

The high rates of depression and low rates of related help-seeking among undergraduates are matters for concern. In response to the need to examine their knowledge about depression and its management, and the dearth of such research from non-western developing countries, this study examined the depression literacy of undergraduates in Sri Lanka.

Methods

A questionnaire was administered among 4671 undergraduates to examine their depression literacy relating to problem-recognition, measured using a vignette of a depressed undergraduate, and their treatment beliefs measured by assessing their perceptions about the helpfulness of various options of help for the presented problem. Responses for the latter aspect were quantified using a scale comprising the options of help endorsed by Sri Lankan mental health professionals. Regression analysis models were used to identify the correlates of these aspects of depression literacy.

Results

Females, medical undergraduates and those in higher years of study (compared to first-years) were more likely to recognise the problem as depression. The undergraduates obtained a mean percentage score of 76 % on the constructed Depression Treatment Beliefs Scale. Scores on this scale were higher among females, medical undergraduates, those who got help for the problem after trying to deal with it alone and those who recognised the problem as depression, as well as those who used other mental health-related labels for this purpose. Scores were lower among undergraduates in years 2–4 (compared to first-years), those with family or friends with the problem and those with higher stigma on a Social Distance Scale. However, the effect sizes of these relationships were small.

Conclusions

As factors such as gender, discipline, year of study, exposure to depression and stigma are associated with differences in the depression literacy of these undergraduates, concerning their ability to recognise the problem and their related treatment beliefs, these must be considered when designing related educational initiatives. Recognising the problem as depression or the use of other mental health-related labels is associated with better treatment beliefs as per expert consensus, indicating that such labelling could have value for appropriate help-seeking.

【 授权许可】

   
2015 Amarasuriya et al.

【 预 览 】
附件列表
Files Size Format View
20151110021136307.pdf 470KB PDF download
【 参考文献 】
  • [1]Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P: “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 1997, 166:182-6.
  • [2]Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C: A systematic review of studies of depression prevalence in university students. J Psychiatr Res 2013, 47(3):391-400.
  • [3]Steptoe A, Tsuda A, Tanaka Y, Wardle J: Depressive symptoms, socio-economic background, sense of control, and cultural factors in university students from 23 countries. Int J Behav Med 2007, 14(2):97-107.
  • [4]Blanco C, Okuda M, Wright C, Hasin DS, Grant BF, Liu SM, et al.: Mental health of college students and their non-college-attending peers results from the national epidemiologic study on alcohol and related conditions. Arch Gen Psychiatry 2008, 65(12):1429-37.
  • [5]Zivin K, Eisenberg D, Gollust SE, Golberstein E: Persistence of mental health problems and needs in a college student population. J Affect Disord 2009, 117:180-5.
  • [6]Eisenberg D, Golberstein E, Gollust SE: Help-Seeking and access to mental health care in a university student population. Med Care 2007, 45(7):594-601.
  • [7]Gulliver A, Griffiths KM, Christensen H: Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 2010, 10:113. BioMed Central Full Text
  • [8]Rickwood DJ, Deane FP, Wilson CJ, Ciarrochi J: Young people’s help-seeking for mental health problems. Aust E J Adv Ment Health 2005, 4(3):218-51.
  • [9]Furnham A, Hamid A: Mental health literacy in non-western countries: a review of the recent literature. Ment Health Rev J 2014, 19(2):84-98.
  • [10]Ganasen KA, Parker S, Hugo CJ, Stein DJ, Emsley RA, Seedat S: Mental health literacy: focus on developing countries. Afr J Psychiatry 2008, 11(1):23-8.
  • [11]Rong Y, Luscombe GM, Davenport TA, Huang Y, Glozier N, Hickie IB: Recognition and treatment of depression: a comparison of Australian and Chinese medical students. Soc Psychiatry Psychiatr Epidemiol 2009, 44(8):636-42.
  • [12]Hickie IB, Davenport TA, Luscombe GM, Rong Y, Hickie ML, Bell MI: The assessment of depression awareness and help-seeking behaviour: experiences with the International Depression Literacy Survey. BMC Psychiatry 2007, 7:48. BioMed Central Full Text
  • [13]Nieuwsma JA, Pepper CM, Maack DJ, Birgenheir DG: Indigenous perspectives on depression in rural regions of India and the United States. Transcult Psychiatry 2011, 48(5):539-68.
  • [14]Jorm AF: Mental health literacy: Empowering the community to take action for better mental health. Am Psychol 2012, 67(3):231-43.
  • [15]Somasundaram D, Thivakaran T, Bhugra D: Possession states in Northern Sri Lanka. Psychopathol 2008, 41(4):245-53.
  • [16]Sumathipala A, Siribaddana S, Hewege S, Sumathipala K, Prince M, Mann A: Understanding the explanatory model of the patient on their medically unexplained symptoms and its implication on treatment development research: a Sri Lanka Study. BMC Psychiatry 2008, 8:54. BioMed Central Full Text
  • [17]Hollifield M, Hewage C, Gunawardena CN, Kodituwakku P, Bopagoda K, Weerarathnege K: Symptoms and coping in Sri Lanka 20–21 months after the 2004 tsunami. Br J Psychiatry 2008, 192:39-44.
  • [18]Ediriweera HW, Fernando SM, Pai NB: Mental health literacy survey among Sri Lankan carers of patients with Schizophrenia and Depression. Asian J Psychiatry 2012, 5(3):246-50.
  • [19]de Zoysa P, Wickrama T: Mental health and cultural religious coping of disabled veterans’ in Sri Lanka. J Mil Vet Health 2011, 19(3):4-12.
  • [20]Institute for Research and Development: National survey on mental health in Sri Lanka. Institute for Research and Development, Colombo; 2009.
  • [21]Bruckner TA, Scheffler RM, Shen G, Yoon J, Chisholm D, Morris J, et al.: The mental health workforce gap in low- and middle-income countries: a needs-based approach. Bull World Health Organ 2011, 89(3):184-94.
  • [22]Kuruppuarachchi KALA, Kuruppuarachchi KAJM, Wijerathne S, Williams SS: Psychological distress among students from five universities in Sri Lanka. Ceylon Med J 2002, 47(1):13-5.
  • [23]Torabi MR, Perera B: A study of depressive symptomatology, its behavioral correlates and anxiety among undergraduates in Sri Lanka. In College students: Mental health and coping strategies. Edited by Landlow MV. Nova, New York; 2006:133-51.
  • [24]Amarasuriya SD, Jorm AF, Reavley NJ: Prevalence of depression and its correlates among undergraduates in Sri Lanka. Asian J Psychiatry 2015, 15:32-7.
  • [25]Amarasuriya SD, Jorm AF, Reavley NJ, Mackinnon AJ: Stigmatising attitudes of undergraduates towards their peers with depression: a cross-sectional study in Sri Lanka. BMC Psychiatry 2015, 15:129. BioMed Central Full Text
  • [26]Yap MBH, Wright A, Jorm AF: The influence of stigma on young people's help-seeking intentions and beliefs about the helpfulness of various sources of help. Soc Psychiatry Psychiatr Epidemiol 2011, 46(12):1257-65.
  • [27]Dunn KI, Goldney RD, Grande ED, Taylor A: Quantification and examination of depression-related mental health literacy. J Eval Clin Pract 2009, 15(4):650-3.
  • [28]Lauber C, Nordt C, Rössler W: Recommendations of mental health professionals and the general population on how to treat mental disorders. Soc Psychiatry Psychiatr Epidemiol 2005, 40(10):835-43.
  • [29]Reavley NJ, Morgan AJ, Jorm AF: Development of scales to assess mental health literacy relating to recognition of and interventions for depression, anxiety disorders and schizophrenia/psychosis. Aust N Z J Psychiatry 2014, 48(1):61-9.
  • [30]University Grants Commission Sri Lanka. Sri Lanka University Statistics 2013. http://www.ugc.ac.lk/en/publications/1418-sri-lanka-university-statistics-2013.html. Accessed 30th December 2014.
  • [31]Reavley NJ, McCann TV, Jorm AF: Mental health literacy in higher education students. Early Interv Psychiatry 2012, 6(1):45-52.
  • [32]American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th, text rev ed. Washington: Author; 2000.
  • [33]Chen A, Mond JM, Kumar R: Eating disorders mental health literacy in Singapore: beliefs of young adult women concerning treatment and outcome of bulimia nervosa. Early Interv Psychiatry 2010, 4(1):39-46.
  • [34]McCann TV, Lu S, Berryman C: Mental health literacy of Australian Bachelor of Nursing students: a longitudinal study. J Psychiatr Ment Health Nurs 2009, 16(1):61-7.
  • [35]Smith CL, Shochet IM: The impact of mental health literacy on help-seeking intentions: results of a pilot study with first year psychology students. Int J Ment Health Promot 2011, 13(2):14-20.
  • [36]Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C: Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry 2004, 185:342-9.
  • [37]Jorm AF, Wright A: Influences on young people's stigmatising attitudes towards peers with mental disorders: national survey of young Australians and their parents. Br J Psychiatry 2008, 192(2):144-9.
  • [38]Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA: Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health 1999, 89(9):1328-33.
  • [39]Kroenke K, Spitzer RL: The PHQ-9: A new depression diagnostic and severity measure. Psychiatr Ann 2002, 32(9):509-15.
  • [40]Wright A, Harris MG, Wiggers JH, Jorm AF, Cotton SM, Harrigan SM, et al.: Recognition of depression and psychosis by young Australians and their beliefs about treatment. Med J Aust 2005, 183(1):18-23.
  • [41]Amarasuriya SD, Jorm AF, Reavley NJ. Depression literacy of undergraduates in a non-western developing context: the case of Sri Lanka. BMC Res Notes. 2015;8:593. doi:10.1186/s13104-015-1589-7.
  • [42]Furnham A, Cook R, Martin N, Batey M: Mental health literacy among university students. J Public Ment Health 2011, 10(4):198-210.
  • [43]Swami V. Mental health literacy of depression: gender differences and attitudinal antecedents in a representative British sample. PLoS ONE. 2012;7(11). doi:10.1371/journal.pone.0049779.
  • [44]Tang MO JLO, Galdas PM, Phinney A, Han CS: College men's depression-related help-seeking: a gender analysis. J Ment Health 2014, 23(5):219-24.
  • [45]Lauber C, Ajdacic-Gross V, Fritschi N, Stulz N, Rössler W. Mental health literacy in an educational elite – an online survey among university students. BMC Public Health. 2005;5:44. doi:10.1186/1471-2458-5-44.
  • [46]Eisenberg D, Downs M, Golberstein E, Zivin K: Stigma and help-seeking for mental health among college students. Med Care Res Rev 2009, 66(5):522-41.
  • [47]Downs MF, Eisenberg D: Help seeking and treatment use among suicidal college students. J Am Coll Health 2012, 60(2):104-14.
  • [48]Ajzen I: The Theory of Planned Behavior. Organ Behav Hum Decis Process 1991, 50(2):179.
  • [49]Jorm AF, Christensen H, Medway J, Korten AE, Jacomb PA, Rodgers B: Public belief systems about the helpfulness of interventions for depression: associations with history of depression and professional help-seeking. Soc Psychiatry Psychiatr Epidemiol 2000, 35(5):211-9.
  • [50]Jorm AF, Mackinnon A, Christensen H, Griffiths KM: Structure of beliefs about the helpfulness of interventions for depression and schizophrenia. results from a national survey of the Australian public. Soc Psychiatry Psychiatr Epidemiol 2005, 40(11):877-83.
  文献评价指标  
  下载次数:5次 浏览次数:12次