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Ruh Sağlığı Okuryazarlığı Ölçeği–Yetişkin Kısa Formu: Türkçe Versiyonun Psikometrik Özellikleri

Yıl 2025, Cilt: 17 Sayı: Supplement 1, 178 - 191
https://doi.org/10.18863/pgy.1683925

Öz

Amaç: Bu çalışma 16 maddeden oluşan Ruh Sağlığı Okuryazarlığı Ölçeği – Yetişkin Kısa Formunu (RSOÖ-YKF) Türkçeye uyarlamayı ve Türkçe versiyonun psikometrik özelliklerini incelemeyi amaçlamaktadır.
Yöntem: Çalışmaya yaşları 18 ile 56 arasında değişen 276’sı kadın, 85’i erkek olmak üzere toplam 361 yetişkin birey katılmıştır. Ölçme aracının yapı geçerliği DFA ile incelenmiştir. DFA ile ulaşılan modelin uyum iyiliğinin yorumlanmasında χ2/sd, CFI, RMSEA, SRMR, GFI ve AGFI indekslerinden yararlanılmıştır. Bu indekslerin değerlendirilmesinde Schermelleh-Engel ve ark. (2003) tarafından önerilen eşik değerler referans alınmıştır.
Bulgular: Doğrulayıcı faktör analizi sonuçları RSOÖ-YKF Türkçe versiyonun orijinal ölçeğe benzer şekilde dört boyutlu (ruh sağlığı sorunlarına ilişkin bilgi, kalıpyargılar, yardım arama becerileri, kendine yardım stratejileri) bir yapıya sahip olduğunu ortaya koymuştur. Ölçme aracının ölçüt bağıntılı geçerliğinin incelenmesine yönelik analizler katılımcıların ruh sağlığı okuryazarlığı düzeyleri ile psikolojik yardım aramaya dair tutumları arasında pozitif yönde, psikolojik yardım aramada kendini damgalama eğilimleri arasında ise negatif yönde anlamlı bir ilişki olduğunu göstermiştir. Ek olarak psikolojik yardım deneyimine sahip olan ve ailelerinde veya yakın çevrelerin psikiyatrik bir bozukluk tanısı almış tanıdıkları olan katılımcıların yardım almamış ve tanı almış tanıdığı olmayanlara göre ruh sağlığı okuryazarlığı düzeylerinin daha yüksek olduğu belirlenmiştir. Çalışmanın bu bulguları ilgili literatürdeki çalışmalar ile uyumludur ve ölçüt bağıntılı geçerlik kanıtları olarak değerlendirilmişlerdir. Hesaplanan Cronbach alfa (,83) ve McDonald omega (,83) güvenirlik katsayıları RSOÖ-YKF Türkçe versiyonun güvenilirliğini desteklemektedir.
Sonuç: Araştırmanın bulguları bir bütün olarak değerlendirildiğinde RSOÖ-YKF Türkçe versiyonunun yetişkin bireylerin ruh sağlığı okuryazarlığı düzeylerinin ölçülmesinde kullanılabilmesi için yeterli psikometrik özelliklere sahip olduğunu kanıtlamaktadır.

Etik Beyan

Veri toplama sürecine başlanmadan önce MCBÜ Üniversitesi Sosyal ve Beşeri Bilimler Bilimsel Araştırma ve Yayın Etiği Kurulu’ndan gerekli etik izin alınmıştır (Sayı: E--050.01-740817, Tarih: 12.03.2024).

Kaynakça

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  • Adler NE, Epel ES, Castellazzo G, Ickovics JR (2000) Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy, white women. Health Psychol, 19:586-592.
  • Akdoğan E, Şen GK, Onan N (2023) Ruh sağlığı okuryazarlığı ölçeği (RSOÖ): Türkçe uyarlama, geçerlik ve güvenirlik. Unika Sağlık Bilimleri Dergisi, 3:490-507.
  • Altuncu KA, Lomoriello AS, Lo Buglio G, Martino L, Yenihayat A, Belfiore MT et al. (2023) Mental health literacy about personality disorders: a multicultural study. Behav Sci, 13:605-617.
  • Aluh DO, Anyachebelu OC, Ajaraonye CI (2020) Comparison of pharmacists’ mental health literacy: developed versus developing countries. J Am Pharm Assoc, 60:64-72.
  • Ankay A (2013) Ruh Sağlığı ve Davranış Bozuklukları, 2. baskı. Nobel Tıp Kitabevi.
  • Başokçu TO (2019) Ölçme süreç ve sonuçlarının nitelikleri: Ölçme hatası, güvenirlik, geçerlik ve kullanışlılık. In Eğitimde Ölçme ve Değerlendirme (Ed N Doğan):32-75. Anklara, Pegem Akademi.
  • Beşiroğlu L, Akman N, Selvi Y, Aydin A, Boysan M, Özbebit Ö (2010) Obsesif-kompulsif belirti kategorileri hakkında ruh sağlığı bilgisi. Noro Psikiyatr Ars, 47:133-138.
  • Bolarinwa OA (2015) Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Niger Postgrad Med J, 22:195-201.
  • Bonabi H, Müller M, Ajdacic-Gross V, Eisele J, Rodgers S, Seifritz E et al. (2016) Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: A longitudinal study. J Nerv Ment Dis, 204:321-324.
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  • Campos L, Dias P, Costa M, Rabin L, Miles R, Lestari S et al. (2022) Mental health literacy questionnaire-short version for adults (MHLq-SVa): Validation study in China, India, Indonesia, Portugal, Thailand, and the United States. BMC Psychiatry, 22:713.
  • Campos L, Dias P, Palha F, Duarte A, Veiga E (2016) Development and psychometric properties of a new questionnaire for assessing mental health literacy in young people. Universitas Psychologica, 15:61-72.
  • Cheng HL, Wang C, McDermott RC, Kridel M, Rislin JL (2018) Self‐stigma, mental health literacy, and attitudes toward seeking psychological help. J Couns Dev, 96:64-74.
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Mental Health Literacy Questionnaire-Short Version for Adults: Psychometric Properties of Turkish Version

Yıl 2025, Cilt: 17 Sayı: Supplement 1, 178 - 191
https://doi.org/10.18863/pgy.1683925

Öz

Objective: This study aims to adapt the 16-item Mental health literacy questionnaire-short version for adults (MHLq-SVa) into Turkish and to examine the psychometric properties of the Turkish form.
Method: The study included a 361 adults, 276 females and 85 males, aged between 18 and 56 years. The construct validity of the measurement tool was examined using Confirmatory Factor Analysis (CFA). The goodness of fit of the model obtained by CFA was interpreted using indices such as χ2/sd, CFI, RMSEA, SRMR, GFI, and AGFI. In the evaluation of these indices, the threshold values suggested by Schermelleh-Engel et al. (2003) were taken as reference.
Results: The results of the confirmatory factor analysis (CFA) revealed that the Turkish version of the MHLq-SVa had a four-dimensional structure (knowledge of mental health problems, stereotypes, help-seeking skills, and self-help strategies) similar to the original scale. Analyses to examine the criterion-related validity of the measurement tool showed that there was a significant positive relationship between the participants' mental health literacy levels and their attitudes towards seeking psychological help, and a significant negative relationship between their tendency to stigmatize themselves in seeking psychological help. In addition, it was found that participants who had psychological help experience and had acquaintances diagnosed with a psychiatric disorder in their families or close circles had higher levels of mental health literacy than those who did not receive help and had no diagnosed acquaintances. This finding of the study is consistent with the studies in the literature and is regarded as evidence of criterion-related validity. The calculated Cronbach's alpha (.83) and McDonald's omega (.83) reliability coefficients support the reliability of the Turkish form of the MHLq-SVa.
Conclusion: A thorough evaluation of the study's findings indicates that the Turkish form of the MHLq-SVa exhibits robust psychometric characteristics, making it a reliable instrument for assessing the mental health literacy levels of adults.

Kaynakça

  • Acun Kapıkıran A, Kapıkıran Ş (2013) Psikolojik yardım aramada kendini damgalama ölçeği: Geçerlik ve güvenirlik. Türk Psikolojik Danışma ve Rehberlik Dergisi, 5:131-141.
  • Adler NE, Epel ES, Castellazzo G, Ickovics JR (2000) Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy, white women. Health Psychol, 19:586-592.
  • Akdoğan E, Şen GK, Onan N (2023) Ruh sağlığı okuryazarlığı ölçeği (RSOÖ): Türkçe uyarlama, geçerlik ve güvenirlik. Unika Sağlık Bilimleri Dergisi, 3:490-507.
  • Altuncu KA, Lomoriello AS, Lo Buglio G, Martino L, Yenihayat A, Belfiore MT et al. (2023) Mental health literacy about personality disorders: a multicultural study. Behav Sci, 13:605-617.
  • Aluh DO, Anyachebelu OC, Ajaraonye CI (2020) Comparison of pharmacists’ mental health literacy: developed versus developing countries. J Am Pharm Assoc, 60:64-72.
  • Ankay A (2013) Ruh Sağlığı ve Davranış Bozuklukları, 2. baskı. Nobel Tıp Kitabevi.
  • Başokçu TO (2019) Ölçme süreç ve sonuçlarının nitelikleri: Ölçme hatası, güvenirlik, geçerlik ve kullanışlılık. In Eğitimde Ölçme ve Değerlendirme (Ed N Doğan):32-75. Anklara, Pegem Akademi.
  • Beşiroğlu L, Akman N, Selvi Y, Aydin A, Boysan M, Özbebit Ö (2010) Obsesif-kompulsif belirti kategorileri hakkında ruh sağlığı bilgisi. Noro Psikiyatr Ars, 47:133-138.
  • Bolarinwa OA (2015) Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Niger Postgrad Med J, 22:195-201.
  • Bonabi H, Müller M, Ajdacic-Gross V, Eisele J, Rodgers S, Seifritz E et al. (2016) Mental health literacy, attitudes to help seeking, and perceived need as predictors of mental health service use: A longitudinal study. J Nerv Ment Dis, 204:321-324.
  • Cain MK, Zhang Z, Yuan K (2017) Univariate and multivariate skewness and kurtosis for measuring nonnormality: Prevalence, influence and estimation. Behav Res Methods, 49:1716–1735.
  • Campos L, Dias P, Costa M, Rabin L, Miles R, Lestari S et al. (2022) Mental health literacy questionnaire-short version for adults (MHLq-SVa): Validation study in China, India, Indonesia, Portugal, Thailand, and the United States. BMC Psychiatry, 22:713.
  • Campos L, Dias P, Palha F, Duarte A, Veiga E (2016) Development and psychometric properties of a new questionnaire for assessing mental health literacy in young people. Universitas Psychologica, 15:61-72.
  • Cheng HL, Wang C, McDermott RC, Kridel M, Rislin JL (2018) Self‐stigma, mental health literacy, and attitudes toward seeking psychological help. J Couns Dev, 96:64-74.
  • Clarke M, Whitty P, Browne S, McTigue O, Kamali M, Gervin M et al. (2006) Untreated illness and outcome of psychosis. Br J Psychiatry, 189:235–240.
  • Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N et al. (2015) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med, 45:11-27.
  • Çinçinoğlu G, Okan A (2021) The relationship between mental health literacy and stigma. 6. International 10th National Psychiatric Nursing Congress, 20–23 October 2021. İzmir. Kongre Özet Kitabı sayfa: 918.
  • Crocker L, Algina J (2006) Introduction to Classical and Modern Test Theory. Mason OH, Wadsworth.
  • Dahlberg KM, Waern M, Runeson B (2008) Mental health literacy and attitudes in a Swedish community sample–Investigating the role of personal experience of mental health care. BMC Public Health, 8:8.
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  • Lien YJ, Chen L, Cai J, Wang YH, Liu YY (2024) The power of knowledge: how mental health literacy can overcome barriers to seeking help. Am J Orthopsychiatry, 94:127–47.
  • Loch AA, Kotov R (2025) Promises and pitfalls of internet search data in mental health: Critical review. JMIR Ment Health, 12:e60754.
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  • Miller ET, Neal DJ, Roberts LJ, Boer JS, Cresskr SO, Metrik J et al. (2009) Test-retest reliability of alcohol measures: Is there a difference between internet-based assessment and traditional methods? In Addictive Behaviors: New Readings on Etiology, Prevention, and Treatment (Eds GA Marlatt, K Witkiewitz): 323–341 Washington DC, American Psychological Association.
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  • Tokur Kesgin M, Pehlivan Ş, Uymaz P (2020) Ruh sağlığı okuryazarlığı ölçeğinin Türkçe uyarlaması: Geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Derg, 21:5-13.
  • Topkaya N (2011) Psikolojik yardım alma niyetinin sosyal damgalanma, tedavi korkusu, beklenen yarar, beklenen risk ve tutum faktörleriyle modellenmesi (Doktora tezi). İzmir, Ege Üniversitesi.
  • Vogel DL, Wade NG, Haake S (2006) Measuring the self-stigma associated with seeking psychological help. J Couns Psychol, 53:325.-338.
  • Wei Y, McGrath PJ, Hayden J, Kutcher S (2015) Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry, 15:291.
  • White M, Casey L (2017) Helping older adults to help themselves: the role of mental health literacy in family members. Aging Ment Health, 21:1129-1137.
  • WHO (2017) Global Action Plan on the Public Health Response to Dementia 2017–2025. Geneva, World Health Organization.
  • Xiong J, Lipsitz O, Nasri F, Lui LM, Gill H, Phan L et al. (2020) Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord, 277:55-64.
Toplam 93 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Test, Ölçme ve Psikometri (Diğer)
Bölüm Araştırma
Yazarlar

Erol Esen 0000-0002-8285-2666

Erken Görünüm Tarihi 3 Ağustos 2025
Yayımlanma Tarihi 10 Ekim 2025
Gönderilme Tarihi 7 Mayıs 2025
Kabul Tarihi 3 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 17 Sayı: Supplement 1

Kaynak Göster

AMA Esen E. Mental Health Literacy Questionnaire-Short Version for Adults: Psychometric Properties of Turkish Version. Psikiyatride Güncel Yaklaşımlar. Ağustos 2025;17(Supplement 1):178-191. doi:10.18863/pgy.1683925

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