Is Knowledge Enough? The Relationship Between Mental Health Knowledge and Stigmatising Attitudes Among Australian Adolescents

Page: [206 - 219] Pages: 14

  • * (Excluding Mailing and Handling)

Abstract

Background: Young people carry mental health problems disproportionate to the size of their population, and rates of help-seeking are low. School mental health programs have been developed to address these issues, founded on an educational approach to target mental health literacy, and indirectly improve help-seeking. However, it has been suggested that knowledge does not necessarily predict health behaviour in young people.

Objective/Methods: A cross-sectional study was conducted to explore whether knowledge about mental illness was related to attitudes towards mental illness and intentions to seek help in a sample of adolescent girls (N=327).

Results: Results indicated a weak negative relationship between knowledge about mental health and stigmatising attitudes about mental illness, but no relationship between knowledge about mental health and intentions to seek help for mental health problems. When mental health was categorised (e.g., optimal vs. poorer mental health), a negative relationship between knowledge about and stigmatising attitudes toward mental health was shown in those with poor mental health, but not for adolescents categorised as having moderate or optimal mental health.

Conclusion: Findings suggest that while the traditional adage - more information on mental health equals better attitude to mental health - may be true for those with ‘poorer’ levels of mental health (e.g., high levels of psychological distress), it may not reduce stigma associated with mental illness or motivate positive health behaviour in adolescent girls with ‘optimal’ mental health (e.g., low or no levels of psychological distress).

Keywords: Youth, adolescent, mental health, help-seeking, school psychology.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
Allom, V., Mullan, B., & Sebastian, J. (2013). Closing the intention–behaviour gap for sunscreen use and sun protection behaviours. Psychology & Health, 28, 477-494.
[http://dx.doi.org/10.1080/08870446.2012.745935]
Ayo, N. (2012). Understanding health promotion in a neoliberal climate and the making of health conscious citizens. Crit. Public Health, 22, 99-105.
Barry, M.M. (2007). Researching the implementation of community mental health promotion programs. Health Promotion Journal of Australia: Official Journal of Australian Association of Health Promotion Professionals, 18, 240-246.
Block, A.M., Gjesfjeld, C.D., & Greeno, C.G. (2013). Adolescent perspectives of outpatient mental health treatment. Best Practices in Mental Health, 9, 22-38.
Bulanda, J.J., Bruhn, C., Byro-Johnson, T., & Zentmyer, M. (2014). Addressing mental health stigma among young adolescents: Evaluation of a youth-led approach. Health & Social Work, 39, 73-80.
Burns, J., & Birrell, E. (2014). Enhancing early engagement with mental health services by young people. Psychology Research and Behavior Management, 7, 303-312.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
Cokkinides, V.E., Bandi, P., Weinstock, M.A., & Ward, E. (2010). Use of sunless tanning products among US adolescents aged 11 to 18 years. Archives of Dermatology,, 146, 987-922.
Corrigan, P.W., Druss, B.G., & Perlick, D.A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15, 37-70.
Corrigan, P.W., Rowan, D., Green, A., Lundin, R., River, P., Uphoff-Wasowski, K. , . . . Kubiak, M. A. 2002 Challenging two mental illness stigmas: Personal responsibility and dangerousness. Schizophr. Bull., 28, 293-309.
Corrigan, P.W., Watson, A.C., Otey, E., Westbrook, A.L., Gardner, A.L., Lamb, T.A., & Fenton, W.S. (2007). How do children stigmatize people with mental illness? Journal of Applied Social Psychology, 37, 1405-1417.
[http://dx.doi.org/10.1111/j.1559-1816.2007.00218.x]
Czyz, E., Horwitz, A., Eisenberg, D., Kramer, A., & King, C. (2013). Self-reported barriers to professional help seeking among college students at elevated risk for suicide. Journal of American College Health, 61, 398-406.
Diener, E., Emmons, R.A., Larsen, R.J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assess., 49, 71-75.
[http://dx.doi.org/10.1207/s15327752jpa4901_13]
Evans, S.W., Mullett, E., Weist, M.D., & Franz, K. (2005). Feasibility of the MindMatters School Mental Health Promotion Program in American Schools. Journal of Youth and Adolesc., 34, 51-58.
[http://dx.doi.org/10.1007/s10964-005-1336-9]
French, R., Reardon, M., & Smith, P. (2003). Engaging with a mental health service: Perspectives of at-risk youth. Child and Adolescent. Social Work Journal, 20, 529-548.
Ganley, B.J., & Rosario, D.I. (2013). The smoking attitudes, knowledge, intent, and behaviors of adolescents and young adults: Implications for nursing practice. Journal of Nursing Education and. Practice., 3, 40-50.
Garmy, P., Berg, A., & Clausson, E.K. (2015). A qualitative study exploring adolescents’ experiences with a school-based mental health program. BMC public health, 15, 1-9.
[http://dx.doi.org/10.1186/s12889-015-2368-z]
Goldney, R.D., Fisher, L.J., & Wilson, D.H. (2001). Mental health literacy: an impediment to the optimum treatment of major depression in the community. Journal of Affective Disorders., 64, 277-284.
Gordon, R. S. (1983). An Operational Classification of Disease Prevention. Public Health Reports (1974-), 98, 107-109.
Gulliver, A., Griffiths, K.M., & Brewer, J.L. (2012). A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry, 12.
Henry, J.D., & Crawford, J.R. (2005). The short-form of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227-239.
Hom, M., Stanley, I., & Jr, T.J. (2015). Evaluating factors and interventions that influence help-seeking and mental health service utilisation among suicidal individuals: A review of the literature. Clinical Psychology Review, 40, 28-39.
Jané-Llopis, E., & Barry, M.M. (2005). What makes mental health promotion effective? Glob. Health Promot., 12, 47-54.
Jorm, A.F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry, 177, 396-401.
[http://dx.doi.org/10.1192/bjp.177.5.396]
Keyes, C., Dhingra, S., & Simoes, E. (2010). Change in level of positive mental health as a predictor of future risk of mental illness. American Journal of Public Health, 100, 2366-2371.
[http://dx.doi.org/10.2105/ajph.2010.192245]
Keyes, C.L.M. (1998). Social well-being. Soc. Psychol. Quarterly, 61, 121-140.
Keyes, C.L.M., & Lopez, S.J. (2002) Toward a science of mental health: Positive directions in diagnosis and interventions. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of Positive Psychology. New York: Oxford University Press.
Kobau, R.P., Peterson, C., Diener, E., Zack, M.M., Chapman, D., & Thompson, W. (2011). Mental health promotion in public health: perspectives and strategies from positive psychology. American Journal of Public Health, 101, e1-e9.
[http://dx.doi.org/10.2105/ajph.2010.300083]
Labouliere, C.D., Kleinman, M., & Gould, M.S. (2015). When self-reliance is not safe: Associations between reduced help-seeking and subsequent mental health symptoms in suicidal adolescents. International Journal of Environmental Research and Public Health, 12, 3741-3755.
Letamo, G. (2011). Does correct knowledge about HIV and AIDS lead to sexual behaviour? The case of young people in Botswana. African Population Studies, 25, 44-62.
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. (2nd ed.). Sydney, Australia: Psychology Foundation.
Mariu, K., Merry, S., Robinson, E., & Watson, P. (2011). Seeking professional help for mental health problems among New Zealand secondary school students. Clinical. Child Psychology and Psychiatry, 17, 284-297.
Merry, S.N., Hetrick, S.E., Cox, G.R., Brudevold-Iversen, T., Bir, J.J., & McDowell, H. (2011). Psychological and educational interventions for preventing depression in children and adolescents. Cochrane Database Syst. Rev., 7.
Michelmore, L. (2012). Help-seeking for suicidal thoughts and self-harm in young people: A systematic review. Suicide & life-threatening behavior, 42, 507-524.
Mrazek, P.J., & Haggerty, R.J. (1994). Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research.. Washington: National Academies Press.
Muehlenkamp, J., Claes, L., Havertape, L., & Plener, P. (2012). International prevalence of adolescent non-suicidal self-injury and deliberate self-harm. Child Adolesc. Psychiatry and Ment Health, 6, 10.
O’Connor, P.J., Martin, B., Weeks, C.S., & Ong, L. (2014). Factors that influence young people’s mental health help‐seeking behaviour: a study based on the Health Belief Model. Journal of Advanced Nursing, 70, 2577-2587.
Patel, V., Flisher, A.J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. The Lancet, 369, 1302-1313.
[http://dx.doi.org/10.1016/s0140-6736(07)60368-7]
Paternite, C. (2005). School-based mental health programs and services: overview and introduction to the special issue. Journal of. Abnormal. Child Psychology, 33, 657-663.
[http://dx.doi.org/10.1007/s10802-005-7645-3]
Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychol. Assess., 2, 164-172.
Reavley, N., McCann, T., Cvetkovski, S., & Jorm, A. (2014). A multifaceted intervention to improve mental health literacy in students of a multicampus university: A cluster randomised trial. Soc. Psychiatry and Psychiatr. Epidemiol., 49, 1655-1666.
Rickwood, D., Deane, F., & Wilson, C. (2007). When and how do young people seek professional help for mental health problems? The Medical journal of Australia,, 187, S35-S39.
Ryff, C.D. (1989). Happiness Is Everything, or Is It? Explorations on the Meaning of Psychological Well-Being. Journal of Personality and Social. Psychology, 57, 1069-1081.
[http://dx.doi.org/10.1037/0022-3514.57.6.1069]
Sawyer, M., Borojevic, N., Ettridge, K., Spence, S., Sheffield, J., & Lynch, J. (2012). Do help-seeking intentions during early adolescence vary for adolescents experiencing different levels of depressive symptoms? Journal of Adolescent Health, 50, 236-242.
[http://dx.doi.org/10.1016/j.jadohealth.2011.06.009]
Sawyer, M., Harchak, T., Spence, S., Bond, L., Graetz, B., Kay, D. , . . . Sheffield, J. (2010) School-based prevention of depression: A 2-Year follow-up of a randomized controlled trial of the beyondblue schools research initiative. Journal of Adolescent Health, 47, 297-304.
Spence, S.H., & Shortt, A.L. (2007). Research Review: Can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents? Journal of Child Psychology and Psychiatry, 48, 526-542.
[http://dx.doi.org/10.1111/j.1469-7610.2007.01738.x]
Teng, E., Venning, A., Winefield, H., & Crabb, S. (2015). Half full or half empty: The measurement of mental health and mental illness in emerging Australian adults. Social Inquiry into Well-Being, 1, 1-12.
Venning, A., Wilson, A., Kettler, L., & Eliott, J. (2013). Mental health among youth in South Australia: A survey of flourishing, languishing, struggling, and floundering. Aust. Psychol., 48, 299-310.
[http://dx.doi.org/10.1111/j.1742-9544.2012.00068.x]
Vogel, D.L., Wade, N.G., Wester, S.R., Larson, L., & Hackler, A.H. (2007). Seeking help from a mental health professional: The influence of one’s social network. Journal of Clinical Psychology., 63, 233-245.
[http://dx.doi.org/10.1002/jclp.20345]
Wahl, O., Susin, J., Kaplan, L., Lax, A., & Zatina, D. (2011). Changing knowledge and attitudes with a middle school mental health education curriculum. Stigma Research and. Action, 1, 44-53.
Wahlin, T., & Deane, F. (2012). Discrepancies between parent- and adolescent-perceived problem severity and influences on help seeking from mental health services. Australian & New Zealand Journal of. Psychiatry, 46, 553-560.
Waterman, A., Schwartz, S., Zamboanga, B., Ravert, R., Williams, M., Agocha, B. ., . . . Donnellan, M. (2010) The questionnaire for eudaimonic well-being: Psychometric properties, demographic comparisons, and evidence of validity. The Journal of Positive Psychology, 5, 41-61.
Watson, A.C., Otey, E., Westbrook, A.L., Gardner, A.L., Lamb, T.A., Corrigan, P.W., & Fenton, W.S. (2004). Changing Middle Schoolers’ Attitudes About Mental Illness Through Education. Schizophrenia Bulletin., 30, 563-572.
Wei, Y., McGrath, P.J., Hayden, J., & Kutcher, S. (2015). Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry, 15, 1-20.
[http://dx.doi.org/10.1186/s12888-015-0681-9]
Wells, J., Barlow, J., & Stewart-Brown, S. (2003). A systematic review of universal approaches to mental health promotion in schools. Health Educ., 103, 197-220.
[http://dx.doi.org/10.1108/09654280310485546]
WHO. (2001). The second decade: Improving adolescent health and development.. Geneva World Health Organisation.
Wiedemann, A.U., Schüz, B., Sniehotta, F., Scholz, U., & Schwarzer, R. (2009). Disentangling the relation between intentions, planning, and behaviour: A moderated mediation analysis. Psychology & Health, 24, 67-79.
[http://dx.doi.org/10.1080/08870440801958214]