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Mental Health Stigma and Mental Health Literacy in Russia: Their Prevalence and Associations with Somatic, Anxiety, and Depressive SymptomsPDF HTML1581
Zolotareva, A., Maltseva, N., Belousova, S., Smirnikova, O. (2024). Mental Health Stigma and Mental Health Literacy in Russia: Their Prevalence and Associations with Somatic, Anxiety, and Depressive Symptoms, Psychology in Russia: State of the Art, 17(1), 23-33. DOI: 10.11621/pir.2024.0202
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Background. Mental health stigma and mental health literacy can be potential targets of public education and health development. These areas are culturally specific and have so far been almost unexplored in Russia.
Objective. This study aimed at examining mental health stigma and mental health literacy in Russia, their prevalence, and their associations with somatic, anxiety, and depressive symptoms.
Design. The participants were 1,068 Russian adults. They completed the online questionnaire with measures assessing their mental health stigma (Perceived Devaluation and Discrimination Scale; Link et al., 2001); somatic symptoms (Somatic Symptom Scale-8; Gierk et al., 2014); anxiety symptoms (Generalized Anxiety Disorder-7; Spitzer et al., 2006); and depressive symptoms (Patient Health Questionnaire-9; Kroenke et al., 2001). To examine their mental health literacy, we used a series of questions exploring a person’s awareness of mental health and mental health problems.
Results. Mental health stigma was found in 67% of the participants, who were less confident that most mental disorders can be prevented and more confident that mental disorders can be cured in most cases. Higher devaluation, discrimination, and mental health stigma were related to more severe somatic symptoms. Lower mental health literacy and higher devaluation, discrimination, and mental health stigma were associated with more severe anxiety and depressive symptoms. These associations were the same when adding covariates such as sex, age, partnership, parenthood, and educational background.
Conclusion. This study highlighted the obvious need for measures to reduce mental health stigma and improve mental health literacy in Russian society. In general, these measures can contribute to the promotion of better mental health in Russia.
DOI: 10.11621/pir.2024.0202
Keywords: mental health stigma/ mental health literacy/ somatic symptoms/ anxiety symptoms/ depressive symptoms
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Medically Unexplained Symptoms among Adults from Russia: An Assessment Using the Patient Health Questionnaire-15
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Background. The Patient Health Questionnaire-15 (PHQ-15) is one of the most frequently used instruments to measure medically unexplained symptoms in the general population as well as in groups of patients with mental and physical health problems.
Objective. This study aimed to examine the psychometric properties of the PHQ-15 in assessing a Russian community sample.
Design. A total of 1153 Russian adults age 18 or older participated in this cross-sectional study. They completed the Russian versions of the PHQ-15 and Symptom Check List-90-Revised, SCL-90-R (SCL-90-R). Exploratory and confirmatory factor analyses were used to examine the factor structure of the Russian PHQ-15, and multi-group confirmatory factor analyses were used to test measurement invariance across sex and age. Cronbach’s alpha coefficients and Pearson’s correlation coefficients were used to evaluate the internal reliability and convergent validity of the Russian PHQ-15.
Results. Exploratory factor analysis revealed a three-factor solution highlighting pain-fatigue, gastrointestinal, and cardiopulmonary symptoms. Confirmatory factor analysis confirmed a bifactor structure for the Russian PHQ-15 merging general and specific somatic symptoms. A multi-group confirmatory factor analysis showed partial invariance across sex and age. The Russian PHQ-15 demonstrated acceptable Cronbach’s alpha coefficients ranging from 0.72 to 0.75 for specific factors and a good Cronbach’s alpha for the total score (α = 0.85), proving the questionnaire’s internal reliability. Finally, positive correlations between the PHQ-15 and SCL-90-R dimensions, and positive intercorrelations between PHQ-15 specific factors, suggested convergent validity.
Conclusion. The Russian PHQ-15 is a reliable and valid instrument for assessing medically unexplained symptoms in the general population. This instrument can be used in diagnostic and counseling settings.
DOI: 10.11621/pir.2023.0203
Keywords: Patient Health Questionnaire-15/ factor structure/ measurement invariance/ psychometric properties/ medically unexplained symptoms
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A Pilot Study to Assess the Psychometric Properties of the Job Apathy Scale with Russian Employees
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Background. The Job Apathy Scale (JAS), developed by G.B. Schmidt (2017), has been widely used in industrial and organizational psychology. This scale examines two dimensions of job apathy, namely apathetic thought (weak interest in the job processes and unwillingness to develop strategies for the promotion of job efficacy) and apathetic action (investing little emotional energy in job tasks, coworkers, or the organization).
Objectives. 1) To examine the psychometric properties of the JAS with Russian employees; 2) to assess the influence of sociodemographic characteristics on job apathy.
Design. The sample was recruited using the convenience sampling method. Two hundred and seventy-five Russian employees were included in this cross-sectional study. In addition to the JAS, all participants completed measures assessing professional burnout, work engagement, and job satisfaction.Cronbach’s alpha values were used to assess the internal consistency of the JAS. Exploratory and confirmatory factor analyses were employed to examine the factor structure of the JAS. The nonparametric Spearman rank order correlation coefficient was used to examine the convergent and divergent validity of the JAS. The Student’s t-test and one-way analysis of variance (ANOVA) were used to assess the sociodemographic differences in job apathy.
Results. Exploratory and confirmatory factor analyses supported a two-dimensional structure of the JAS. The Cronbach’s alpha values were .86 and .73 for the apathetic thought scale and the apathetic action scale, respectively. Job apathy was positively correlated with professional burnout and was negatively correlated with work engagement and job satisfaction. There is evidence of convergent and divergent validity of the JAS. The analysis using a one-way ANOVA revealed a significant effect of age and marital status on job apathy: Younger and married employees are more prone to apathetic action than their older and single colleagues.
Conclusion. The JAS with the Russian employees is psychometrically reliable and valid, which argues for its scientific and practice-oriented applications.
DOI: 10.11621/pir.2020.0304
Keywords: JAS; job apathy; psychometric properties; factor structure; reliability; validity; sociodemographic characteristics
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