Psychometric properties of a mental health literacy questionnaire for university students in Indonesia

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Prasojo Pribadi
Susi Ari Kristina
Muhammad Junaid Farrukh


Mental health literacy, MHLq, validation, Indonesia


Background: Mental health literacy is necessary for early recognition and intervention of mental disorders. Its multifaceted structure provides useful perspectives for developing a tool to assess mental health literacy. Objective: This study aimed to adapt the Mental Health Literacy Questionnaire (MHLq) designed to observe mental health literacy among university students and to test its construct validity and internal consistency. The impact of a sociodemographic variable on mental health literacy score was also explored. Methods: A number of 650 university students participated in this study. The questionnaire items were adapted using a backward forward translation. An exploratory factor analysis was conducted to examine the construct validity. Internal consistency of the questionnaire was tested using Cronbach’s Alpha. Results: The results showed that the MHLq modified version possessed good validity and reliability (total scale α=0.821) that may be used as a screening tool by mental health professionals and researchers to identify intervention needs among university students. Conclusions: This study also found that individuals who identified knowing someone with a mental health problem performed better on the MHLq global score and three-dimensional factors than those who did not. Future studies are needed to further develop and adapt the questionnaire to reach different target-populations.

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1. Roe J, Aspinall P. The restorative benefits of walking in urban and rural settings in adults with good and poor mental health. Health Place. 2011;17(1):103-113.
2. Wang PS, Aguilar-Gaxiola S, Alonso J, 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):841-850.
3. Gustavson K, Knudsen AK, Nesvåg R, et al. Prevalence and stability of mental disorders among young adults: findings from a  longitudinal study. BMC Psychiatry. 2018;18(1):65.
4. Marcus M, Westra H. Mental health literacy in Canadian young adults: Results of a national survey. Can J Community Ment Heal. 2012;31(1):1-15.
5. Scott KM, Lim C, Al-Hamzawi A, Alonso J, Bruffaerts R, Caldas-de-Almeida JM, et al. Association of Mental Disorders With Subsequent Chronic Physical Conditions: World Mental Health Surveys From 17 Countries. JAMA Psychiatry. 2016;73(2):150-
6. Kutcher S, Wei Y, Coniglio C. Mental Health Literacy: Past, Present, and Future. Can J Psychiatry. 2016;61(3):154-158. https://
7. Jorm AF, Korten AE, Jacomb PA, et al. “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997;166(4):182-186.
8. Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231- 243. 
9. 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. 2006;40(1):36-41.
10. O’Connor M, Casey L. The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. Psychiatry Res. 2015;229(1):511-516.
11. Yu Y, Liu ZW, Hu M, et al. Assessment of mental health literacy using a multifaceted measure among a Chinese rural population. BMJ Open. 2015;5(10):1-10.
12. Jorm AF, Kitchener BA, Fischer JA, et al. Mental Health First Aid Training by e-Learning: A Randomized Controlled Trial. Aust New Zeal J Psychiatry. 2010;44(12):1072-1081.
13. Campos L sa, Dias P, Palha F, et al. Development and Psychometric Properties of a New Questionnaire for Assessing Mental Health Literacy in Young People. Univ Psychol. 2016;15(2):61-72.
14. Dias P, Campos L, Almeida H, et al. Mental Health Literacy in Young Adults: Adaptation and Psychometric Properties of the Mental Health Literacy Questionnaire. International Journal of Environmental Research and Public Health. 2018;15(1):1-13.
15. Cortina JM. What Is Coefficient Alpha ? An Examination of Theory and Applications. J Appl Psychol. 1993;78(1):98-104. https://
16. Campos L, Dias P, Palha F. Finding Space to Mental Health-Promoting mental health in adolescents: Pilot study. Educ Heal. 2014;32(1):23-29.
17. Kristina SA, Mardea NA, Ramadhani F, et al. Mental Health Literacy among University Students in Yogyakarta. Int Med J. 2020;25(4):2243-2249.
18. Tay KW, Ong AWH, Pheh KS, et al. Assessing the Effectiveness of a Mental Health Literacy Programme for Refugee Teachers in Malaysia. Malaysian J Med Sci. 2019;26(6):120-126.
19. Noroozi A, Khademolhosseini F, Lari H, et al. The Mediator Role of Mental Health Literacy in the Relationship Between Demographic Variables and Health-Promoting Behaviours. Iran J Psychiatry Behav Sci. 2018;12(2):e12603.
20. Reavley NJ, Morgan AJ, Jorm AF. Development of scales to assess mental health literacy relating to recognition of and interventions for depression, anxiety disorders and schizophrenia/psychosis. Aust New Zeal J Psychiatry. 2013;48(1):61-69. 
21. Kim JE, Saw A, Zane N. The influence of psychological symptoms on mental health literacy of college students. American Journal of Orthopsychiatry. Kim, Jin E.: Department of Psychiatry, University of California, 401 Parnassus Ave, TRC Box
0984, San Francisco, CA, US, 94143, [email protected]: Educational Publishing Foundation; 2015;85(1):620-630. https://doi. org/10.1037/ort0000074

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