Mental Health Literacy of Australian Rural Adolescents: An Analysis Using Vignettes and Short Films

Marshall, Jamie M; Dunstan, Debra A.

doi:10.1111/j.1742-9544.2011.00048.x

Cited by 15 publications

(48 citation statements)

References 48 publications

(92 reference statements)

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“…However, incorrect labelling occurred more frequently when vignettes were written, contradicting Marshall and Dunstan's (2013) findings, where depression was labelled correctly more often for written vignettes. However, incorrect labelling occurred more frequently when vignettes were written, contradicting Marshall and Dunstan's (2013) findings, where depression was labelled correctly more often for written vignettes.…”

contrasting

confidence: 71%

“…Written vignettes may be too prescriptive (Marshall & Dunstan, 2013). Written vignettes may be too prescriptive (Marshall & Dunstan, 2013).…”

Section: Vignette Methodologymentioning

confidence: 99%

“…Written vignettes may be too prescriptive (Marshall & Dunstan, 2013). Whilst written vignettes are frequently administered in the literature, preliminary research with lay people indicated that videotaped vignettes resulted in lower recognition (23%) when labelling depression than written vignettes (68%) (Marshall & Dunstan, 2013). Whilst written vignettes are frequently administered in the literature, preliminary research with lay people indicated that videotaped vignettes resulted in lower recognition (23%) when labelling depression than written vignettes (68%) (Marshall & Dunstan, 2013).…”

Section: Vignette Methodologymentioning

confidence: 99%

“…Marshall and Dunstan's (2013) preliminary work indicates that written vignettes may be too prescriptive and thus, lead to recognition rates being overstated in mental health literacy research. However, little is known about whether they can perceive the more subtle presentation of at risk mental state (ARMS).…”

mentioning

confidence: 99%

“…It may be that written vignettes are too prescriptive (Marshall & Dunstan, 2013), with clinicians easily applying what they have learned in textbooks. However, as hypothesised, many clinicians incorrectly labelled the mental health problem in videotaped vignettes, compared with written vignettes.…”

mentioning

confidence: 99%

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Recognising an at Risk Mental State for Psychosis: Australian Lay People and Clinicians’ Ability to Identify a Problem and Recommend Help Across Vignette Types

Greenhalgh¹,

Shanley²

2017

Australian Psychologist

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Objective: This study assessed lay people and clinicians' recognition of an at risk mental state (ARMS) for psychosis, their intentions to recommend help, and the equivalence of written and videotaped vignettes when detecting the problem. Methods: In an Australian online survey, 52 lay people and 32 psychologists with provisional or full registration were randomly assigned to either a videotaped or written vignette of someone with an ARMS. Measures assessed detection and labelling of the mental health problem, and lay people's intentions to recommend help. Results: Data were analysed with Chi-Square statistics, Fisher's Exact tests, and Multinomial Logistic Regression. Lay people frequently detected that a mental health problem existed but labelled it incorrectly. All clinicians detected that a mental health problem existed and most labelled it correctly. Lay people's detection that a mental health problem existed was not associated with vignette type but videotaped vignettes produced significantly more correct labelling. Clinicians had poorer labelling when the vignette was videotaped. Correct labelling was associated with intentions to recommend help to a doctor, psychiatrist, and psychologist/counsellor but not with other help sources or with "no help." Conclusions: Results indicated that if lay people received further education about ARMS, they may be more likely to recommend help to certain mental health professionals. They further highlight the need to use multiple vignette methods in mental health literacy research and the importance of simulated learning about ARMS in professional training environments. Replication of these results in larger samples is required.What this paper adds 1 Given the increased emphasis on preventative treatment at early stages of psychosis, further research is warranted into whether lay people and clinicans can detect and label an ARMS and whether correct labelling facilitates intentions to recommend help. People with ARMS cannot access targeted treatment without first being correctly identified and referred. Thus, this study addresses this gap in our knowledge. 2 Recognition rates for psychosis and early psychosis have beenpreviously based upon open-ended responding. This provides complex and detailed conceptualisations of how problems are perceived and highlights how people tend to use general terms such as "mental illness." However, this does not allow us to detect peoples' perception of the primary presenting problem or their literacy using professional terminology.Requiring that participants use professional terminology gives researchers an indication of whether they understand the underlying psychotic nature of the problem in ARMS. The current research captures people's detection of a general mental health problem and the perceived nature of the primary problem, using broad psychiatric labels. 3 The outcomes of Marshall and Dunstan (2013) research into the impact of vignette methodology may have been influenced by order effects and unequal content across videotaped vignett...

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contrasting

confidence: 71%

“…Written vignettes may be too prescriptive (Marshall & Dunstan, 2013). Written vignettes may be too prescriptive (Marshall & Dunstan, 2013).…”

Section: Vignette Methodologymentioning

confidence: 99%

Section: Vignette Methodologymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Recognising an at Risk Mental State for Psychosis: Australian Lay People and Clinicians’ Ability to Identify a Problem and Recommend Help Across Vignette Types

Greenhalgh¹,

Shanley²

2017

Australian Psychologist

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The Influence of Stigma and Trust in Young People Seeking Support for Their Own or a Friend’s Symptoms: The Role of Threat Appraisals

Pimenta

Hunter

Rasmussen

2022

Child Youth Care Forum

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Background Stigma and trust influence how adolescents seek support for mental illness, though it is unclear how these influence their decisions to approach a range of potential sources of support. Moreover, even less is known about the ways in which these issues are related when a friend discloses symptoms of mental illness. Objective The study’s aims were to understand the role of stigma, trust, and threat appraisals in adolescents’ support seeking when exposed to their own, or to a friend’s, symptoms of mental illness. Method A vignette-based study comparing reports of support (friends, parents, teachers, professionals, and online) was completed with reference to either (i) experiencing symptoms of mental illness or (ii) having a friend disclose these types of symptoms. Two hundred and fifty adolescents (M = 12.75 years) answered questions pertaining to stigma (public and self), trust levels, threat appraisals, and support seeking. Results When dealing with their own symptoms, threat accounted for 4.8 and 2.5% of the variance when seeking support from parents and professionals, respectively. Self-stigma accounted for 2.4% of variance when seeking support from parents and 0.8% of variance when seeking support from professionals. Trust moderated the association between threat and the use of online support. When responding to a friend’s disclosure, higher levels of public-stigma were associated with lower support seeking from friends, parents, and professionals. Conclusions This study showed a distinction in how adolescents deal with their own or a friend’s symptoms of mental illness, and what resources they choose to ask for support from. Self-stigma, threat, and trust levels were particularly relevant when experiencing their own symptoms, while dealing with a friend’s disclosure was related to levels of public-stigma.

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Characteristics of mental health literacy measurement in youth: a scoping review of school-based surveys

Coughlan,

Heyland,

Sheaves

et al. 2024

Discov Ment Health

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Mental health literacy (MHL) was introduced 25 years ago as knowledge and beliefs about mental disorders which aid in their recognition, management, or prevention. This scoping review mapped the peer-reviewed literature to assess characteristics of secondary school-based surveys in school-attending youth and explore components of school-based programs for fostering MHL in this population. The search was performed following the method for scoping reviews by the Joanna Briggs Institute (JBI). Searches were conducted in four scientific databases with no time limit, although all sources had to be written in English. Primary studies (N = 44) provided insight into MHL surveys and programs for school-attending youth across 6 continents. Studies reported that most youth experience moderate or low MHL prior to program participation. School-based MHL programs are relatively unified in their definition and measures of MHL, using closed-ended scales, vignettes, or a combination of the two to measure youth MHL. However, before developing additional interventions, steps should be taken to address areas of weakness in current programming, such as the lack of a standardized tool for assessing MHL levels. Future research could assess the feasibility of developing and implementing a standard measurement protocol, with educator perspectives on integrating MHL efforts into the classroom. Identifying the base levels of MHL amongst school-attending youth promotes the development of targeted programs and reviewing the alignment with program components would allow researchers to build on what works, alter what does not, and come away with new ways to approach these complex challenges, ultimately advancing knowledge of MHL and improving levels of MHL.

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Mental Health Literacy of Australian Rural Adolescents: An Analysis Using Vignettes and Short Films

Cited by 15 publications

References 48 publications

Recognising an at Risk Mental State for Psychosis: Australian Lay People and Clinicians’ Ability to Identify a Problem and Recommend Help Across Vignette Types

Recognising an at Risk Mental State for Psychosis: Australian Lay People and Clinicians’ Ability to Identify a Problem and Recommend Help Across Vignette Types

The Influence of Stigma and Trust in Young People Seeking Support for Their Own or a Friend’s Symptoms: The Role of Threat Appraisals

Characteristics of mental health literacy measurement in youth: a scoping review of school-based surveys

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