|Alternative Title||The Questionnaire Compilation of Residents' Mental Health Literacy and Its Application in Community Psychological Service|
|Place of Conferral||中国科学院心理研究所|
|Keyword||心理健康素养 社区心理健康服务 心理健康服务需求， 多元回归分析 潜剖面分析|
研究一探索性因素分析表明，心理健康素养四因子累积解释方差为48. 5%，载荷在0.58、0.75之间，验证性因素分析显示结构拟合良好，x²/df--5.080,NFI= 0.952, RFI=0.934,IFI=0.961, TLI=0.947, CFI=0.961,RMSEA=0.032。量表的Cronbach a系数为0.72。
研究二表明不同学历、年龄、性别等人口学因素对心理健康素养水平有影响，并制定了不同性别和年龄段人口的心理健康素养常模，而且通过逐步回归分析，证明学历是对“心理健康素养”最具预测力的自变量，它解释了变异量的6. 7%，且对心理健康素养有正面影响(β=0.263,p<0. 001)。
In recent years, the citizens' mental health is more and more concerned by governments and relevant departments, the state has issued a series of policies and documents to strengthen community-level mental health services. many studies have shown that, there is a great demand for the mental health of Chinese residents, but only a few ask for professional psychological help. thus, it is of great significance to understand how to respond to the national call, carry out effective community psychological services and psychological assistance, improve the level of national mental health, reduce the burden of national mental disorders, and improve the level of residents' health and the modern development of the country. There is a close relationship between mental health literacy(Mental health literacy, MHL) and seeking psychological help. Mental health literacy includes psychological knowledge, stigma and help-seeking efficacy. Research shows that residents with low mental health literacy are more inclined to solve their mental problems by themselves rather than seek professional help. Therefore, it is speculated that individuals with different mental health literacy levels have different help-seeking tendencies and behaviors when they have psychological problems. Therefore, it is of great significance to understand the level of residents' mental health literacy and their appeal tendency under different levels of mental health literacy to improve the quality of community psychological service.
This study aims to understand the relationship between mental health literacy level of Chinese residents and their choice of mental health services, and to determine a clear direction for improving residents' mental health level and community mental health services Research methods:
This study is divided into 3 studies:
Study 1:Using self-designed residents' mental health literacy questionnaire to measure the residents MHL level Cluster sampling was adopted in zhangjiagang city, and questionnaires were distributed through the Internet. Among the 42,464 questionnaires collected, 8,000 questionnaires were selected as sample 1 .There were 7,393 valid questionnaires, and the effective recovery rate of sample 1 was 92.41%. SPSS25.0 and Amos21.0 software were used for exploratory factor analysis and confirmatory factor analysis，and a 16-question, 4-dimensional questionnaire on residents' mental health literacy was determined.
Study 2: to explore the influencing factors of mental health literacy. A large-scale cluster sampling was conducted in zhangjiagang using a self-designed questionnaire on mental health literacy The remaining 34,464 questionnaires were used as sample 2, and 32,191 valid data were collected, with an effective recovery rate of 93.4%. SPSS25.0 was used to conduct univariate anova on all variables, to explore the differences in mental health literacy under different demographic factors and mental health conditions.
Study 3:To explore residents' demand for psychological services and the forms of psychological services they wish to receive, the self- designed questionnaire on the demand for mental health services was adopted. The same sample as the second study was used for the latent profiles analysis, analysis using Mplus7.4 to explore the kind of residents' mental health literacy and their demand for mental health services.
An exploratory factor analysis in study 1 showed that the four-factor cumulative interpretation of mental health literacy was 48.5%, and the load was between 0.58 and 0.75. Confirmatory factor analysis showed good structural fit, x²/df--5.080, NFI= 0.952, RFL -0.934, IFI=0.961 TLI=0.947, CFI=0.961，RMSEA=0.032. The Cronbach a coefficient of the scale was 0.72.
Study 2 showed that demographic factors such as different academic qualifications, age, and gender have an impact on mental health literacy levels，and a norm of mental health literacy for different genders and age groups is established, Moreover, through stepwise regression analysis, it is proved that academic qualification is the most predictive independent variable of "mental health literacy", which explains 6.7% of the variance and has a positive impact on mental health literacy (p=0.263，p<0.001).
The study 3 found that according to the residents' score difference in the "mental health knowledge" and "the stigma of mental disorders," residents' mental health literacy can be divided into three categories: "low", "medium" and "high", the rate of selections of residents belongs to "high" are higher in the selection of different forms of mental health services, options of the prefer of the psychological service form and the choice of factors that hindering the seek of psychological services than the selection rate of residents of the "low".
First the reliability and validity of self-designed questionnaire "residents' mental health literacy" is good providing an effective tool for the rapid measurement of residents' mental health literacy.
Second both demographic factors and mental health status will affect residents' mental health literacy level. Among the demographic factors，educational level has the largest influence.
Third mental health literacy kind has an impact on the selection of service content and form.
|陈玥. 居民心理健康素养问卷编制及在社区心理服务中的应用[D]. 中国科学院心理研究所. 中国科学院大学,2019.|
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