Associations between dimensions of mental health literacy and adolescent help-seeking intentions

Goodfellow, C. , Macintyre, A., Knifton, L. and Sosu, E. (2023) Associations between dimensions of mental health literacy and adolescent help-seeking intentions. Child and Adolescent Mental Health, 28(3), pp. 385-392. (doi: 10.1111/camh.12608) (PMID:36375813)

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Background: The majority of long-term mental health problems begin during adolescence. Low mental health literacy (MHL) may impede help-seeking for these problems. Although MHL is a multidimensional construct and adolescent help-seeking can be through formal and informal means, little is known about how dimensions of MHL influence these help-seeking intentions. This study examines associations between dimensions of MHL and formal and informal help-seeking intentions among adolescents. It also investigates whether informal help-seeking mediates the association between dimensions of MHL and formal help-seeking, and whether these associations are moderated by gender. Methods: A cross-sectional survey including measures of MHL, and help-seeking intentions was distributed to participants in 10 schools (12–17 years) across Scotland (n = 734). Data were analysed using Confirmatory Factor Analyses (CFA) and Structural Equation Modelling (SEM). Results: Confirmatory Factor Analyses identified two distinct dimensions of MHL: ability to identify a mental health problem, and knowledge of treatment efficacy. Only knowledge of treatment efficacy was associated with increased intention to seek formal and informal help. Ability to identify a mental health problem was negatively associated with both forms of help-seeking intentions. Informal help-seeking mediated the association between both forms of MHL and formal help-seeking. Gender did not moderate the associations between MHL and help-seeking. Conclusions: Care should be taken when providing MHL interventions to ensure that adaptive forms of MHL are promoted. Future research should investigate possible mechanisms by which discrete forms of MHL influence adolescent help-seeking as well as investigating other potential moderators of MHL and help-seeking, such as stigma.

Item Type:Articles
Additional Information:This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement no. 690954.
Glasgow Author(s) Enlighten ID:Goodfellow, Ms Claire
Authors: Goodfellow, C., Macintyre, A., Knifton, L., and Sosu, E.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Child and Adolescent Mental Health
ISSN (Online):1475-3588
Published Online:14 November 2022
Copyright Holders:Copyright © 2022 The Authors.
First Published:First published in Child and Adolescent Mental Health 28(3): 385-392
Publisher Policy:Reproduced under a Creative Commons license
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
3048230031Relationships and healthKirstin MitchellMedical Research Council (MRC)MC_UU_00022/3HW - MRC/CSO Social and Public Health Sciences Unit
3048230081Relationships and healthKirstin MitchellOffice of the Chief Scientific Adviser (CSO)SPHSU18HW - MRC/CSO Social and Public Health Sciences Unit
314546Help-seeking in adolescence: the importance of mental health stigma and literacyClaire GoodfellowEconomic and Social Research Council (ESRC)ES/W005581/1SHW - MRC/CSO Social & Public Health Sciences Unit