RUH SAĞLIĞI OKURYAZARLIĞI - MENTAL HEALTH LITERACY
Öz
Özet:
Sağlık okuryazarlığı, bireylerin sağlıkla ilgili bilgilere erişme, anlama ve kullanma gücünü belirleyen, bilişsel ve sosyal beceriler olarak tanımlanan sağlığın en önemli sosyal belirleyicilerinden biridir. Ruh sağlığı okuryazarlığı (RSOY), sağlık okuryazarlığının halen gelişmekte olan bir komponentidir. RSOY “Ruh sağlığı bozukluklarını tanıma, yönetme ve önlemeye yönelik bilgi ve inanç” olarak tanımlanmaktadır. RSOY düzeyi, bireylerin ve toplumun ruh sağlığı üzerinde belirleyici rol oynamaktadır. RSOY kavramının gündeme getirilme amacı ihmal edilen bir konuya dikkat çekmektir. Ruh sağlığı bozuklukları yaygın olduğundan, bireylerin kendileri veya yakınlarında bu hastalıklarla ilgili olağan veya acil bir
durumla karşılaşma olasılığı yüksektir. RSOY seviyesi arttıkça, bireylerde, ruh sağlığı bozukluğu belirtilerinin farkında olma durumu ve uygun tedavi kaynaklarını doğru kullanma davranışları artmaktadır. RSOY düzeyinin artışı, ruh sağlığı hakkındaki bilgi ve tutumun yanı sıra, ruh sağlığı bozukluğu olan kişilere yönelik davranışları da iyileştirir ve damgalamayı azaltır. RSOY düzeyi ve ruh sağlığı ile ilgili sağlık çıktıları arasındaki ilişkiden sorumlu mekanizmaları anlamak, ruh sağlığı bozuklukları için yapılacak müdahaleler açısından kritik önem taşımaktadır. Ruh sağlığı okuryazarlığını artırmaya yönelik eğitim programlarının, sağlık ile ilgili ve sosyal çıktıları daha iyi hale getireceği, bu şekilde de hastalık yükünü azaltacağı bildirilmektedir. RSOY kavramı ülkemiz için çok yeni bir kavram olup, bu konuyla ilgili araştırma eksiği vardır. Toplumun ruh sağlığı hakkındaki bilgi, inanç, tutumunun ne seviyede ve hangi yönde olduğunun belirlenmesi ve izlenmesi için ülkemizde bu konuya yönelik araştırmaların yapılması faydalı olacaktır. Sonrasında bireylerin belirlenen ruh sağlığı okuryazarlığı seviyesine, yaşına, cinsine, yaşadığı yere özel müdahaleler yapılarak bireylerin ve dolayısı ile toplumun ruh sağlığı okuryazarlığının arttırılması sağlanacak böylece kişilerin, kendilerinin ve yakınlarının ruh sağlığını daha iyi yönetmesi mümkün olabilecektir.
Anahtar sözcükler: Ruh sağlığı okuryazarlığı, Ruh sağlığı, Sağlık okuryazarlığı, Damgalama, RSOY
MENTAL HEALTH LITERACY
Health literacy is one of the most important social determinants of health, defined as cognitive and social skills, which determine the individual's ability to access, understand and use healthrelated information. Mental health literacy (MHL) is a component of health literacy and it is still developing. MHL is defined as "knowledge and belief in recognizing, managing and preventing mental disorders". The level of mental health literacy plays decisive role in the mental health of individuals and the community. The concept of mental health literacy is to draw attention to a subject that has been neglected for the sake of bringing to the agenda. As mental health disorders are prevalent, individuals are likely to encounter an ordinary or urgent situation with themselves or their relatives with these diseases. As the level of mental health literacy increases, behaviors such as awareness of mental health disorders and proper use of appropriate treatment resources increase in individuals. Improvement of mental health literacy improves the knowledge and attitudes about mental health as well as improves mental health behavior and reduces stigmatization. Understanding the responsible mechanisms between mental health literacy and mental health related health outcomes is critical to the interventions for mental health disorders. Educational programs aimed at increasing mental health literacy are reported to improve health and social outcomes, thus reducing the burden of illness. The concept of mental health literacy is a very new concept for our country and there is a lack of research on this subject. It will be useful to conduct research into this issue in our country to determine and monitor the level of knowledge, beliefs and attitudes about the mental health of the community. After that, by interventions from a public health point of view to increase mental health literacy for individuals and the community by the level of mental health literacy level, age, gender, will enable people to better manage their mental health for themselves and their relatives.
Keywords: Mental health literacy, Mental health, Health literacy, Stigmatization, MHL
Tam Metin:
ARTICLE 7Referanslar
What is the WHO definition of health?, WHO, 2018 Available from: http://www.who.int/suggestions/faq/en/; access date:15.01.2018.
WHO, Mental health: a state of well-being Available from: http://www.who.int/features/factfiles/mental_health/en/, erişim tarihi:02.01.2018.
Ruh Sağlığı Bozuklukları, DSÖ http://www.who.int/en/news-room/fact-sheets/detail/mental-disorders; Erişim tarihi:10.05.2018
Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiology and Psychiatric Sciences. 2009;18(1):23-33.
Global Leading Categories of Diseases/Disorders Available from: https://www.nimh.nih.gov/health/statistics/global/global-leading-categories-of-diseases-disorders.shtml, erişim:02.01.2018.
Erol N, Kılıç C, Ulusoy M, Keçeci M, Şimşek Z. Türkiye ruh sağlığı profili raporu. Birinci baskı, Ankara. 1998.
Kickbusch I, Nutbeam D. Health promotion glossary. Geneva: World Health Organization. 1998;14.
Bjørnsen HN, Ringdal R, Espnes GA, Moksnes UK. Positive mental health literacy: development and validation of a measure among Norwegian adolescents. BMC Public Health. 2017;17(1):717.
Lincoln A, Paasche‐Orlow MK, Cheng DM, Lloyd‐Travaglini C, Caruso C, Saitz R, et al. Impact of Health Literacy on Depressive Symptoms and Mental Health‐related: Quality of Life Among Adults with Addiction. Journal of general internal medicine. 2006;21(8):818-22.
Kutcher S, Wei Y, Coniglio C. Mental health literacy: past, present, and future. The Canadian Journal of Psychiatry. 2016;61(3):154-8.
Jorm AF, Barney LJ, Christensen H, Highet NJ, Kelly CM, Kitchener BA. Research on mental health literacy: what we know and what we still need to know. Australian & New Zealand Journal of Psychiatry. 2006;40(1):3-5.
Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry. 2000;177(5):396-401.
Kutcher S, Wei Y, Costa S, Gusmão R, Skokauskas N, Sourander A. Enhancing mental health literacy in young people. Springer; 2016.
Li H. Mental health literacy, stigma, and early intervention. Elsevier Science BV; 2012.
Coles ME, Coleman SL. Barriers to treatment seeking for anxiety disorders: initial data on the role of mental health literacy. Depression and anxiety. 2010;27(1):63-71.
Jung H, von Sternberg K, Davis K. Expanding a measure of mental health literacy: Development and validation of a multicomponent mental health literacy measure. Psychiatry research. 2016;243:278-86.
Francis C, Pirkis J, Dunt D, Blood RW, Davis C. Improving mental health literacy: A review of the literature. Melbourne: Centre for Health Program Evaluation, University of Melbourne. 2002.
Perry Y, Petrie K, Buckley H, Cavanagh L, Clarke D, Winslade M, et al. Effects of a classroom-based educational resource on adolescent mental health literacy: a cluster randomised controlled trial. Journal of adolescence. 2014;37(7):1143-51.
Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Social science & medicine. 2011;72(12).
Jorm AF, Griffiths K, Christensen H, Korten A, Parslow R, Rodgers B. Providing information about the effectiveness of treatment options to depressed people in the community: a randomized controlled trial of effects on mental health literacy, help-seeking and symptoms. Psychological Medicine. 2003;33(6):1071-9.
Jung H, von Sternberg K, Davis K. The impact of mental health literacy, stigma, and social support on attitudes toward mental health help-seeking. International Journal of Mental Health Promotion. 2017;19(5):252-67.
Reavley NJ, Jorm AF. Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma. Australian & New Zealand Journal of Psychiatry. 2011;45(11):947-56.
Bilge A, Çam O. Ruhsal Hastalığa Yönelik Damgalama ile Mücadele. TAF Preventive Medicine Bulletin. 2010;9(1).
Soygür H, Özalp E. Şizofreni ve damgalanma sorunu. Turkiye Klinikleri Journal of Internal Medical Sciences. 2005;1(12):74-80.
Kelly CM, Jorm AF, Wright A. Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Medical Journal of Australia. 2007;187(7):S26.
Jorm AF, Christensen H, Griffiths KM. The impact of beyondblue: the national depression initiative on the Australian public's recognition of depression and beliefs about treatments. Australian and New Zealand Journal of Psychiatry. 2005;39(4):248-54.
Yap MB, Reavley NJ, Jorm AF. Associations between awareness of beyondblue and mental health literacy in Australian youth: Results from a national survey. Australian & New Zealand Journal of Psychiatry. 2012;46(6):541-52.
Evans-Lacko S, Malcolm E, West K, Rose D, London J, Rüsch N, et al. Influence of Time to Change’s social marketing interventions on stigma in England 2009-2011. The British Journal of Psychiatry. 2013;202(s55):s77-s88.
Corrigan PW, Powell KJ, Al-Khouja MA. Examining the impact of public service announcements on help seeking and stigma: Results of a randomized controlled trial. The Journal of Nervous and Mental Disease. 2015;203(11):836-42.
Goldney R, Fisher L, DalGrande E, Taylor A. Changes in mental health literacy about depression: South Australia, 1998 to 2004. 2005.
Brijnath B, Protheroe J, Mahtani KR, Antoniades J. Do web-based mental health literacy interventions improve the mental health literacy of adult consumers? Results from a systematic review. Journal of Medical Internet Research. 2016;18(6).
Refback'ler
- Şu halde refbacks yoktur.