The Relationship Between Mental Health Literacy and Positive Mental Health in Nursing Students
Year 2025,
Volume: 14 Issue: 3, 1195 - 1210, 25.09.2025
Gizem Şahin Bayındır
,
Seda Nur Baştürk
,
İrem Gündoğdu
,
Ayşe Simay Gündoğdu
Abstract
This study was conducted to determine the relationship between mental health literacy and positive mental health in nursing students. The sample of this descriptive and correlational study consisted of 440 nursing students studying at the nursing faculty of a state university in Istanbul. Data were collected with Personal Information Form, Mental Health Literacy Scale and Positive Mental Health Scale. In addition to descriptive statistics, independent sample t test, One-Way ANOVA test, pearson correlation analysis and linear regression analysis were used in data analysis. In this study, it was found that the variables female gender, extended family, dormitory and city living, income status, perception of good mental status and satisfaction with general health were related to positive mental health and the variables female gender, senior student, Anatolian high school graduate, broken family, living in Marmara region and perception of good mental status were factors related to mental health literacy. In addition, it was found that there was a weakly significant positive relationship between mental health literacy and positive mental health of nursing students, and mental health literacy predicted positive mental health. In line with these findings, it is recommended to implement practices to improve mental health literacy and positive mental health in nursing students.
Project Number
1919B012106982
References
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7. Ansari E, Mishra S, Tripathi A, Kar SK, Dalal PK. Cross-sectional study of internalised stigma and medication adherence in patients with obsessive compulsive disorder. Gen Psychiatry. 2020;33(2):e100180. https://doi.org/10.1136/gpsych-2019-100180
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8. Buchman-Wildbaum T, Váradi E, Schmelowszky Á, Griffiths MD, Demetrovics Z, Urbán R. Targeting the problem of treatment non-adherence among mentally ill patients: The impact of loss, grief and stigma. Psychiatry Res. 2020; 290:113140. https://doi.org/10.1016/j.psychres.2020.113140
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9. Devraj R, Gupchup G V, Henson D. Mental health literacy of pharmacy students compared to nursing and medical students. Inov Pharm. 2019;10(4): 10.24926/iip.v10i4.2091. https://doi.org/10.24926/iip.v10i4.2091
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12. Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109–21.
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13. Jorm AF, Christensen H, Griffiths KM. The Public’s Ability to Recognize Mental Disorders and their Beliefs about Treatment: Changes in Australia Over 8 Years. Aust New Zeal J Psychiatry [Internet]. 2006 Jan 1;40(1):36–41. https://doi.org/10.1080/j.1440-1614.2006.01738.x
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14. Furnham A, Swami V. Mental health literacy: A review of what it is and why it matters. Int Perspect Psychol Res Pract Consult. 2018;7(4):240–57. https://psycnet.apa.org/doi/10.1037/ipp0000094
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15. Schomerus G, Stolzenburg S, Freitag S, Speerforck S, Janowitz D, Evans-Lacko S, et al. Stigma as a barrier to recognizing personal mental illness and seeking help: A prospective study among untreated persons with mental illness. Eur Arch Psychiatry Clin Neurosci. 2019;269(4):469–79. https://doi.org/10.1007/s00406-018-0896-0
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16. Beasley L, Kiser R, Hoffman S. Mental health literacy, self-efficacy, and stigma among college students. Soc Work Ment Health. 2020;18(6):634–50. https://doi.org/10.1080/15332985.2020.1832643
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19. Guo S, Xiong J, Liu F, Su Y. Mental health literacy levels of medical staff in China: An assessment based on a meta-analysis. Front Psychiatry. 2021;12:1–10. https://doi.org/10.3389/fpsyt.2021.683832
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23. Gorczynski P, Sims-schouten W, Hill D, Wilson JC. Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students. J Ment Heal Training, Educ Pract. 2017;12(2):111–20. https://doi.org/10.1108/JMHTEP-05-2016-0027
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24. Pehlivan Ş, Tokur Kesgi̇n M, Uymaz P. Psychological distress and mental health literacy in university students. Perspect Psychiatr Care. 2021;57(3):1433–41. https://doi.org/10.1111/ppc.12709
-
25. Duran S, Ergün Ş. Correlation between mental health literacy levels and attitudes of seeking psychological help of health services vocational school students: Descriptive cross-sectional research. J High Educ Sci. 2023;13(2):272–9. https://doi.org/10.5961/higheredusci.1193184
-
26. Osman N, Michel C, Schimmelmann BG, Schilbach L, Meisenzahl E, Schultze-Lutter F. Influence of mental health literacy on help-seeking behaviour for mental health problems in the Swiss young adult community: A cohort and longitudinal case-control study. Eur Arch Psychiatry Clin Neurosci. 2023;273(3):649–62. https://doi.org/10.1007/s00406-022-01483-9
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27. Yang J, Li Y, Gao R, Chen H, Yang Z. Relationship between mental health literacy and professional psychological help-seeking attitudes in China: a chain mediation model. BMC Psychiatry. 2023;23(1):956. https://doi.org/10.1186/s12888-023-05458-5
-
28. Baklola M, Terra M, Taha A, Elnemr M, Yaseen M, Maher A, et al. Mental health literacy and help-seeking behaviour among Egyptian undergraduates: A cross-sectional national study. BMC Psychiatry. 2024;24(1):202. https://doi.org/10.1186/s12888-024-05620-7
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29. Oztas B, Aydogan A. Determination of mental health literacy levels of health professionals. J Psychiatr Nurs. 2021;12(3):198–204. https://dx.doi.org/10.14744/phd.2021.43265
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31. Tokur-Kesgin M, Pehlivan Ş, Uymaz P. Study of validity and reliability of the Mental Health Literacy Scale in Turkish. Anatol J Psychiatry. 2020;21(Supplement 2):5-13. http://dx.doi.org/10.5455/apd.102104
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32. Teke C, Baysan Arabaci L. The validity and reliability of positive mental health scale. Anadolu Psikiyatr Derg. 2018;19(Special Issue 1):21–8. http://dx.doi.org/10.5455/apd.284116
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35. Gibbons RJ, Thorsteinsson EB, Loi NM. Beliefs and attitudes towards mental illness: an examination of the sex differences in mental health literacy in a community sample. PeerJ. 2015;3:e1004. https://doi.org/10.7717/peerj.1004
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Hemşirelik Öğrencilerinde Ruh Sağlığı Okuryazarlığı İle Pozitif Ruh Sağlığı Arasındaki İlişki
Year 2025,
Volume: 14 Issue: 3, 1195 - 1210, 25.09.2025
Gizem Şahin Bayındır
,
Seda Nur Baştürk
,
İrem Gündoğdu
,
Ayşe Simay Gündoğdu
Abstract
Bu araştırma, hemşirelik öğrencilerinde ruh sağlığı okuryazarlığı ile pozitif ruh sağlığı arasındaki ilişkiyi belirlemek amacıyla yürütüldü. Tanımlayıcı ve ilişki arayıcı tipte yürütülen bu araştırmanın örneklemini İstanbul’da bir devlet üniversitesinin hemşirelik fakültesinde öğrenim gören 440 hemşirelik öğrencisi oluşturdu. Veriler; Kişisel Bilgi Formu, Ruh Sağlığı Okuryazarlığı Ölçeği ve Pozitif Ruh Sağlığı Ölçeği ile toplandı. Veri analizinde, betimleyici istatistiklerin yanı sıra bağımsız örneklem t testi, tek yönlü varyans analizi, pearson korelasyon analizi ve lineer regresyon analizi kullanıldı.Bu araştırmada; kadın cinsiyet, geniş aile, yurtta ve şehirde yaşama, gelir durumu, iyi düzey ruhsal durum algısı, genel sağlığından memnun olma değişkenlerinin pozitif ruh sağlığı ile ilişkili olduğu; kadın cinsiyet, son sınıf öğrencisi olma, anadolu lisesi mezunu olma, parçalanmış aile, Marmara bölgesinde yaşama ve iyi düzey ruhsal durum algısı değişkenlerinin ruh sağlığı okuryazarlığı ile ilişkili faktörler olduğu belirlendi. Ayrıca, hemşirelik öğrencilerinin ruh sağlığı okuryazarlığı ile pozitif ruh sağlığı arasında pozitif yönde zayıf düzeyde anlamlı ilişki olduğu ve ruh sağlığı okuryazarlığının pozitif ruh sağlığını yordadığı saptandı. Bu bulgular doğrultusunda hemşirelik öğrencilerinin ruh sağlığı okuryazarlığını ve pozitif ruh sağlığını geliştirmeye yönelik uygulamaların yapılması önerilmektedir.
Ethical Statement
Bu çalışma için etik kurul onayı İstanbul Üniversitesi – Cerrahpaşa Klinik Araştırmalar Etik Kurulu'ndan alınmıştır. (Tarih: 06.05.2022 ve Sayı No: 374163).
Supporting Institution
Destekleyen kurum bulunmamaktadır.
Project Number
1919B012106982
Thanks
Araştırmaya katılan tüm hemşirelik öğrencilerine teşekkür ederiz.
References
-
1. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. The Lancet Psychiatry. 2016;3(2):171–8. https://doi.org/10.1016/s2215-0366(15)00505-2
-
2. World Health Organization. Depression and other common mental disorders: Global health estimates [Internet]. 2017. Available from: https://iris.who.int/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
-
3. Santomauro DF, Mantilla Herrera AM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398(10312):1700–12. https://doi.org/10.1016/S0140-6736(21)02143-7
-
4. World Health Organization. Mental disorders [Internet]. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
-
5. Wang P, Alonso J, Angermeyer M, Borges G, Bromet E, Bruffaerts R, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370(9590):841–50. https://doi.org/10.1016/S0140-6736(07)61414-7
-
6. Abdisa E, Fekadu G, Girma S, Shibiru T, Tilahun T, Mohamed H, et al. Self-stigma and medication adherence among patients with mental illness treated at Jimma University Medical Center, Southwest Ethiopia. Int J Ment Health Syst. 2020;14(56):1–13. https://doi.org/10.1186/s13033-020-00391-6
-
7. Ansari E, Mishra S, Tripathi A, Kar SK, Dalal PK. Cross-sectional study of internalised stigma and medication adherence in patients with obsessive compulsive disorder. Gen Psychiatry. 2020;33(2):e100180. https://doi.org/10.1136/gpsych-2019-100180
-
8. Buchman-Wildbaum T, Váradi E, Schmelowszky Á, Griffiths MD, Demetrovics Z, Urbán R. Targeting the problem of treatment non-adherence among mentally ill patients: The impact of loss, grief and stigma. Psychiatry Res. 2020; 290:113140. https://doi.org/10.1016/j.psychres.2020.113140
-
9. Devraj R, Gupchup G V, Henson D. Mental health literacy of pharmacy students compared to nursing and medical students. Inov Pharm. 2019;10(4): 10.24926/iip.v10i4.2091. https://doi.org/10.24926/iip.v10i4.2091
-
10. Kutcher S, Wei Y, Coniglio C. Mental health literacy: Past, present, and future. Can J Psychiatry. 2016;61(3):154–8. https://doi.org/10.1177/0706743715616609
-
11. Jorm AF, Barney LJ, Christensen H, Highet NJ, Kelly CM, Kitchener BA. Research on mental health literacy: what we know and what we still need to know. Aust N Z J Psychiatry. 2006;40(1):3-5. https://doi.org/10.1080/j.1440-1614.2006.01734.x
-
12. Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109–21.
-
13. Jorm AF, Christensen H, Griffiths KM. The Public’s Ability to Recognize Mental Disorders and their Beliefs about Treatment: Changes in Australia Over 8 Years. Aust New Zeal J Psychiatry [Internet]. 2006 Jan 1;40(1):36–41. https://doi.org/10.1080/j.1440-1614.2006.01738.x
-
14. Furnham A, Swami V. Mental health literacy: A review of what it is and why it matters. Int Perspect Psychol Res Pract Consult. 2018;7(4):240–57. https://psycnet.apa.org/doi/10.1037/ipp0000094
-
15. Schomerus G, Stolzenburg S, Freitag S, Speerforck S, Janowitz D, Evans-Lacko S, et al. Stigma as a barrier to recognizing personal mental illness and seeking help: A prospective study among untreated persons with mental illness. Eur Arch Psychiatry Clin Neurosci. 2019;269(4):469–79. https://doi.org/10.1007/s00406-018-0896-0
-
16. Beasley L, Kiser R, Hoffman S. Mental health literacy, self-efficacy, and stigma among college students. Soc Work Ment Health. 2020;18(6):634–50. https://doi.org/10.1080/15332985.2020.1832643
-
17. Coleman SJ, Stevelink SAM, Hatch SL, Denny JA, Greenberg N. Stigma-related barriers and facilitators to help seeking for mental health issues in the armed forces: A systematic review and thematic synthesis of qualitative literature. Psychol Med. 2017;47(11):1880–92. https://doi.org/10.1017/s0033291717000356
-
18. Hao Y, Wu Q, Luo X, Chen S, Qi C, Long J, et al. Mental health literacy of non-mental health nurses: A mental health survey in four general hospitals in Hunan Province, China. Front Psychiatry. 2020;27(11): 507969. https://doi.org/10.3389/fpsyt.2020.507969
-
19. Guo S, Xiong J, Liu F, Su Y. Mental health literacy levels of medical staff in China: An assessment based on a meta-analysis. Front Psychiatry. 2021;12:1–10. https://doi.org/10.3389/fpsyt.2021.683832
-
20. Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Heal Off Publ Soc Adolesc Med. 2010;46(1):3–10. https://doi.org/10.1016/j.jadohealth.2009.08.008
-
21. Furnham A, Cook R, Martin N, Batey M. Mental health literacy among university students. J Public Ment Health. 2011;10(4):198–210. http://dx.doi.org/10.1108/17465721111188223
22. Reavley NJ, McCann T V, Cvetkovski S, Jorm AF. A multifaceted intervention to improve mental health literacy in students of a multicampus university: a cluster randomised trial. Soc Psychiatry Psychiatr Epidemiol. 2014;49(10):1655–66. https://doi.org/10.1007/s00127-014-0880-6
-
23. Gorczynski P, Sims-schouten W, Hill D, Wilson JC. Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students. J Ment Heal Training, Educ Pract. 2017;12(2):111–20. https://doi.org/10.1108/JMHTEP-05-2016-0027
-
24. Pehlivan Ş, Tokur Kesgi̇n M, Uymaz P. Psychological distress and mental health literacy in university students. Perspect Psychiatr Care. 2021;57(3):1433–41. https://doi.org/10.1111/ppc.12709
-
25. Duran S, Ergün Ş. Correlation between mental health literacy levels and attitudes of seeking psychological help of health services vocational school students: Descriptive cross-sectional research. J High Educ Sci. 2023;13(2):272–9. https://doi.org/10.5961/higheredusci.1193184
-
26. Osman N, Michel C, Schimmelmann BG, Schilbach L, Meisenzahl E, Schultze-Lutter F. Influence of mental health literacy on help-seeking behaviour for mental health problems in the Swiss young adult community: A cohort and longitudinal case-control study. Eur Arch Psychiatry Clin Neurosci. 2023;273(3):649–62. https://doi.org/10.1007/s00406-022-01483-9
-
27. Yang J, Li Y, Gao R, Chen H, Yang Z. Relationship between mental health literacy and professional psychological help-seeking attitudes in China: a chain mediation model. BMC Psychiatry. 2023;23(1):956. https://doi.org/10.1186/s12888-023-05458-5
-
28. Baklola M, Terra M, Taha A, Elnemr M, Yaseen M, Maher A, et al. Mental health literacy and help-seeking behaviour among Egyptian undergraduates: A cross-sectional national study. BMC Psychiatry. 2024;24(1):202. https://doi.org/10.1186/s12888-024-05620-7
-
29. Oztas B, Aydogan A. Determination of mental health literacy levels of health professionals. J Psychiatr Nurs. 2021;12(3):198–204. https://dx.doi.org/10.14744/phd.2021.43265
-
30. Bjørnsen HN, Espnes GA, Eilertsen MEB, Ringdal R, Moksnes UK. The relationship between positive mental health literacy and mental well-being among adolescents: Implications for school health services. J Sch Nurs. 2019;35(2):107–16. https://doi.org/10.1177/1059840517732125
-
31. Tokur-Kesgin M, Pehlivan Ş, Uymaz P. Study of validity and reliability of the Mental Health Literacy Scale in Turkish. Anatol J Psychiatry. 2020;21(Supplement 2):5-13. http://dx.doi.org/10.5455/apd.102104
-
32. Teke C, Baysan Arabaci L. The validity and reliability of positive mental health scale. Anadolu Psikiyatr Derg. 2018;19(Special Issue 1):21–8. http://dx.doi.org/10.5455/apd.284116
-
33. Shao AT. Marketing research: An aid to decision making. Cincinnati: South-Western/Thomson Learning; 2002.
-
34. Yue XD, Hiranandani NA, Jiang F, Hou Z, Chen X. Unpacking the gender differences on mental health: The effects of optimism and gratitude. Psychol Rep. 2017;120(4):639–49. https://doi.org/10.1177/0033294117701136
-
35. Gibbons RJ, Thorsteinsson EB, Loi NM. Beliefs and attitudes towards mental illness: an examination of the sex differences in mental health literacy in a community sample. PeerJ. 2015;3:e1004. https://doi.org/10.7717/peerj.1004
-
36. Gorczynski P, Gibson K, Clarke N, Mensah T, Summers R. Examining mental health literacy, help-seeking behaviours, distress, and wellbeing in UK coaches. Eur Phys Educ Rev. 2020 Aug;26(3):713–26. https://doi.org/10.1177/1356336X19887772
-
37. Hadjimina E, Furnham A. Influence of age and gender on mental health literacy of anxiety disorders. Psychiatry Res. 2017;251:8–13. https://doi.org/10.1016/j.psychres.2017.01.089
-
38. Fitri RR. Mental health literacy of university students. Psychol Res Interv. 2019;2(2):13–22.
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