Gebhard Sammer, Pia Höhler, Andreas Jung, Christoph Mulert
{"title":"[Mental Health Literacy: German version of a modified Mental Health Literacy Scale (MHLS-DE) - Psychometric evaluation and predictive factors].","authors":"Gebhard Sammer, Pia Höhler, Andreas Jung, Christoph Mulert","doi":"10.1055/a-2694-5684","DOIUrl":null,"url":null,"abstract":"<p><p>Mental health literacy (MHL) is considered a key concept in dealing with mental illness. It encompasses knowledge about illnesses, risk factors, help-seeking behavior, and attitudes toward mental illness. Shame is also associated with these factors. In this study, a modified German version (MHLS-DE) was developed and tested on an online sample (N=533). The psychometric properties of the MHLS-DE and the role of shame as a mediator of MHL were investigated. The MHLS-DE achieved good reliability (Cronbach's χ=0.846) and structural validity. Gender-modulated mediation effects through shame experiences were found for the relationship between psychological flexibility and MHL. Despite ongoing conceptual ambiguities, mental health literacy can be reliably assessed with the MHLS-DE. The mediation analysis highlighted the role of feelings of shame in MHL, which should be considered in interventions to improve MHL.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 7","pages":"379-388"},"PeriodicalIF":0.9000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539947/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatrische Praxis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2694-5684","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/21 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Mental health literacy (MHL) is considered a key concept in dealing with mental illness. It encompasses knowledge about illnesses, risk factors, help-seeking behavior, and attitudes toward mental illness. Shame is also associated with these factors. In this study, a modified German version (MHLS-DE) was developed and tested on an online sample (N=533). The psychometric properties of the MHLS-DE and the role of shame as a mediator of MHL were investigated. The MHLS-DE achieved good reliability (Cronbach's χ=0.846) and structural validity. Gender-modulated mediation effects through shame experiences were found for the relationship between psychological flexibility and MHL. Despite ongoing conceptual ambiguities, mental health literacy can be reliably assessed with the MHLS-DE. The mediation analysis highlighted the role of feelings of shame in MHL, which should be considered in interventions to improve MHL.