目的修订中文版心理健康素养量表(Mental Health Literacy Scale,MHLS),并验证其信度与效度,以构建适用于中国人群心理健康素养的测量工具。方法采用便利抽样法,于2019年10月至2020年4月通过问卷星平台收集341名社区居民的有效数据。测...目的修订中文版心理健康素养量表(Mental Health Literacy Scale,MHLS),并验证其信度与效度,以构建适用于中国人群心理健康素养的测量工具。方法采用便利抽样法,于2019年10月至2020年4月通过问卷星平台收集341名社区居民的有效数据。测量工具包括中文版MHLS、简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)、亚临床抑郁自助策略量表(Self Help Strategies for Subclinical Depression,SHS)、求助问卷(Help Seeking Questionnaire,HSQ),患者健康问卷抑郁量表-9项(Patient Health Questionnaire-9,PHQ-9)及广泛性焦虑自评量表-7项(Generalized Anxiety Disorder Scale-7,GAD-7)。采用探索性因子分析(exploratory factor analysis,EFA)和验证性因子分析(confirmatory factor analysis,CFA)检验量表信效度,通过Cronbach’sα和重测信度评估内部一致性及稳定性,从结构效度、聚合效度、区分效度和效标关联效度多维度验证测量学属性。结果EFA结果显示,中文版MHLS共提取5个公共因子,分别为疾病知识、信息寻求、对疾病的态度、对求助的态度以及污名化,累计解释率为43.297%。CFA表明,5因子模型拟合良好(χ^(2)/df=1.754),比较适配指数(comparative fit index,CFI)为0.903,增量适配指数(incremental fit index,IFI)为0.905,适配优度指数(goodness of fit index,GFI)为0.884,残差均方和平方根(root mean square error of pproximation,RMSEA)为0.047,残差均方根(root mean square residual,RMR)为0.053。总量表及各分量表的Cronbachα系数为0.701~0.877;重测信度为0.617~0.882(P<0.01)。MHLS总分与SCSQ中积极应对因子得分(r=0.213,P<0.01)、求助问卷得分(r=0.248,P<0.01)及抑郁自助策略得分(r=0.302,P<0.01)均呈显著正相关,表明该量表具有良好的准则相关效度。组间差异结果显示男性、低学历及未接受过心理健康知识培训群体的心理健康素养水平显著低于其他人群。结论中文版MHLS显示出良好的信度与效度,可作为评估个体心理健康素养的科学测量工具,有助于深入了解公众对心理健康的认知水平。同时建议多渠道科普提升男性、低学历人群的心理健康认知水平。展开更多
Background:Limited mental health literacy(MHL)among university service providers is a significant obstacle to effective psychological support.Developing and systematically assessing evidence-based interventions is an ...Background:Limited mental health literacy(MHL)among university service providers is a significant obstacle to effective psychological support.Developing and systematically assessing evidence-based interventions is an urgent priority,particularly in low-and middle-income countries(LMICs).This study aimed to evaluate the effectiveness of the Acceptance&Commitment to Empowerment:Linking Youths AND‘Xin’(Hearts)(ACE-LYNX)intervention in reducing stigma,improving psychological well-being,and enhancing the MHL and empowerment practices of university mental health providers in China.Methods:A total of 124 trained providers participated in this longitudinal study.Quantitative data were collected at baseline,immediately post-intervention,and three-month follow-up using the validated scale(CAMI,DASS-21)and weekly activity logs recording empowerment practices.Generalized estimating equations(GEEs)and qualitative content analysis were used for data analysis.Results:Quantitative analysis showed a significant reduction in stigma immediately postintervention,particularly in the Social Restriction subscale(β=1.35,p<0.001),though this effect diminished by the 3-month follow-up(β=1.80,p=0.001).Notably,a lasting reduction in the providers’stress levels was maintained.Activity logs showed the highest level of engagement at the individual level(51.4%),followed by group level(32.0%),organizational level(10.5%),and community level(6.1%).Qualitative analysis revealed three themes:Skill-based empowerment enhances professional efficacy,embedded interventions expand service boundaries,and organizational empowerment fosters sustainability.Conclusions:This dual-focus ACE-LYNX intervention effectively improved MHL and both attitudinal and functional competencies among providers.It provides a scalable framework for fostering sustainable and inclusive campus mental health ecosystems,with significant implication for enhance psychological services in resource-constrained educational settings.展开更多
文摘目的修订中文版心理健康素养量表(Mental Health Literacy Scale,MHLS),并验证其信度与效度,以构建适用于中国人群心理健康素养的测量工具。方法采用便利抽样法,于2019年10月至2020年4月通过问卷星平台收集341名社区居民的有效数据。测量工具包括中文版MHLS、简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)、亚临床抑郁自助策略量表(Self Help Strategies for Subclinical Depression,SHS)、求助问卷(Help Seeking Questionnaire,HSQ),患者健康问卷抑郁量表-9项(Patient Health Questionnaire-9,PHQ-9)及广泛性焦虑自评量表-7项(Generalized Anxiety Disorder Scale-7,GAD-7)。采用探索性因子分析(exploratory factor analysis,EFA)和验证性因子分析(confirmatory factor analysis,CFA)检验量表信效度,通过Cronbach’sα和重测信度评估内部一致性及稳定性,从结构效度、聚合效度、区分效度和效标关联效度多维度验证测量学属性。结果EFA结果显示,中文版MHLS共提取5个公共因子,分别为疾病知识、信息寻求、对疾病的态度、对求助的态度以及污名化,累计解释率为43.297%。CFA表明,5因子模型拟合良好(χ^(2)/df=1.754),比较适配指数(comparative fit index,CFI)为0.903,增量适配指数(incremental fit index,IFI)为0.905,适配优度指数(goodness of fit index,GFI)为0.884,残差均方和平方根(root mean square error of pproximation,RMSEA)为0.047,残差均方根(root mean square residual,RMR)为0.053。总量表及各分量表的Cronbachα系数为0.701~0.877;重测信度为0.617~0.882(P<0.01)。MHLS总分与SCSQ中积极应对因子得分(r=0.213,P<0.01)、求助问卷得分(r=0.248,P<0.01)及抑郁自助策略得分(r=0.302,P<0.01)均呈显著正相关,表明该量表具有良好的准则相关效度。组间差异结果显示男性、低学历及未接受过心理健康知识培训群体的心理健康素养水平显著低于其他人群。结论中文版MHLS显示出良好的信度与效度,可作为评估个体心理健康素养的科学测量工具,有助于深入了解公众对心理健康的认知水平。同时建议多渠道科普提升男性、低学历人群的心理健康认知水平。
基金funded by the National Natural Science Foundation of China(NSFC,grant 81761128033)the Canadian Institutes of Health Research(CIHR,FRN 154986)through the Collaborative Health Program of the Global Alliance for Chronic Disease(GACD).
文摘Background:Limited mental health literacy(MHL)among university service providers is a significant obstacle to effective psychological support.Developing and systematically assessing evidence-based interventions is an urgent priority,particularly in low-and middle-income countries(LMICs).This study aimed to evaluate the effectiveness of the Acceptance&Commitment to Empowerment:Linking Youths AND‘Xin’(Hearts)(ACE-LYNX)intervention in reducing stigma,improving psychological well-being,and enhancing the MHL and empowerment practices of university mental health providers in China.Methods:A total of 124 trained providers participated in this longitudinal study.Quantitative data were collected at baseline,immediately post-intervention,and three-month follow-up using the validated scale(CAMI,DASS-21)and weekly activity logs recording empowerment practices.Generalized estimating equations(GEEs)and qualitative content analysis were used for data analysis.Results:Quantitative analysis showed a significant reduction in stigma immediately postintervention,particularly in the Social Restriction subscale(β=1.35,p<0.001),though this effect diminished by the 3-month follow-up(β=1.80,p=0.001).Notably,a lasting reduction in the providers’stress levels was maintained.Activity logs showed the highest level of engagement at the individual level(51.4%),followed by group level(32.0%),organizational level(10.5%),and community level(6.1%).Qualitative analysis revealed three themes:Skill-based empowerment enhances professional efficacy,embedded interventions expand service boundaries,and organizational empowerment fosters sustainability.Conclusions:This dual-focus ACE-LYNX intervention effectively improved MHL and both attitudinal and functional competencies among providers.It provides a scalable framework for fostering sustainable and inclusive campus mental health ecosystems,with significant implication for enhance psychological services in resource-constrained educational settings.
