Housewives' Mental Health Literacy and Attitudes Towards Psychological Services: A Türkiye Sample

Authors

DOI:

https://doi.org/10.71164/socialmedicine.v19i2.2026.2187

Keywords:

mental health literacy, help-seeking attitude, housewives, public health, Türkiye

Abstract

Objective. This study aims to examine mental health literacy and attitudes toward seeking psychological help among housewives in Türkiye, and to evaluate how these vary across sociodemographic factors. Methods. The study conducted a descriptive, cross-sectional design and included 268 housewives. Data were collected using the Mental Health Literacy Scale (MHLS), the Attitudes Toward Seeking Professional Psychological Help–Short Form (ATSPPH-SF), and a sociodemographic questionnaire. Descriptive statistics, t-tests, ANOVA, and Pearson correlation analyses were used to evaluate the data. Results. The participants showed moderate levels of mental health literacy and neutral help-seeking attitudes. Higher levels of education, number of children, income, and family relationships significantly increased MHL and help-seeking attitudes. A surprising negative correlation was identified between MHL and help-seeking attitudes (r = –0.343, p < 0.01), contrary to expectations based on previous research. Conclusion. While education, income, and training were associated with higher MHL, these did not consistently predict positive help-seeking attitudes. The negative correlation suggests that increased awareness of mental health issues may coexist with greater stigma sensitivity or hesitance in traditional cultural contexts.

References

Arslan Ş, Karabey S. Ruh Sağlığı Okuryazarlığı. Turkiye Klinikleri Public Health-Special Topic. 2021;7(1):16-22.

Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. 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):182–6.

WHO. Mental disorders. World Health Organization. 2022. https://www.who.int/news-room/fact-sheets/detail/mental-disorders Accessed 2025 Jan 23.

Fonseca A, Gorayeb R, Canavarro MC. Women׳s help-seeking behaviours for depressive symptoms during the perinatal period: Socio-demographic and clinical correlates and perceived barriers to seeking professional help. Midwifery. 2015;31(12):1177–85.

Lee HY, Hwang J, Ball JG, Lee J, Yu Y, Albright DL. Mental health literacy affects mental health attitude: Is there a gender difference? Am J Health Behav. 2020;44(3):283–91.

Huang S, Hu Y, Fu B, Tang G, Chen Z, Zhang L, et al. Help-Seeking Intentions for Depression and Associated Factors among Chinese Perinatal Women: A Cross-Sectional Study. Int J Environ Res Public Health. 2023;20(3):2288.

Murray K, Davey J, Dennis M, Harris D, Hayman E, Rieger E. The effect of appearance and functionality concerns on negative body image mental health literacy in women. Body Image. 2024;49:101703.

Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113.

Kılınç ND, Kendirkıran G. Determining the Mental Health Literacy Level of University Students and Examining Their Attitudes Towards Seeking Psychological Help. Int J Ment Health Nurs. 2025;34(1):e13506.

Jorm A. Mental health literacy. Br J Psychiatry. 2000;177:396-401.

Ganasen K, Parker S, Hugo C, Stein D, Emsley R, Seedat S. Ruh sağlığı okuryazarlığı: gelişmekte olan ülkelere odaklanma. Afr J Psychiatry. 2008;11(1):23-8.

Levy H, Janke A. Health Literacy and Access to Care. J Health Commun. 2016;21:43-50.

Williston SK, Bramande EA, Vogt DS, Iverson KM, Fox AB. An Examination of the Roles of Mental Health Literacy, Treatment-Seeking Stigma, and Perceived Need for Care in Female Veterans' Service Use. Psychiatr Serv. 2020;71(2):144–50.

Elshamy F, Hamadeh A, Billings J, Alyafei A. Mental illness and help-seeking behaviours among Middle Eastern cultures: A systematic review and meta-synthesis of qualitative data. PLoS One. 2023;18(10):e0293525.

Baştarcan Ç, Oskay Ü. Toplumsal Cinsiyet Eşitsizliğinin Kadın Sağlığına Etkisi: Sistematik İnceleme. Sağlık ve Toplum. 2022;32(3):48-57.

Tekin B. Kadınların Sağlık Hizmetlerine Erişimi: Etkileyici Faktörler ve Bölgesel Farklılıklar. Şura Akademi. 2024;(7 Kadin ve Aile):111-23.

Zalat MM, Mortada EM, El Seifi OS. Stigma and Attitude of Mental Health Help-Seeking Among a Sample of Working Versus Non-working Egyptian Women. Community Ment Health J. 2019;55(3):519–26.

Karaman ST, Altun Ç, Basat O. Evaluation of Mental Health Literacy Status of Patients Admitted to the Family Medicine Outpatient Clinic. Evaluation. 2022;10(3):241-7.

Furnham A, Swami V. Mental health literacy: A review of what it is and why it matters. Int Perspect Psychol. 2018;7(4):240-57.

Lopez V, Sanchez K, Killian MO, Eghaneyan BH. Depression screening and education: an examination of mental health literacy and stigma in a sample of Hispanic women. BMC Public Health. 2018;18:1-8.

Dain L, Auslander R, Dirnfeld M. The effect of paternal age on assisted reproduction outcome. Fertil Steril. 2011;95(1):1-8.

Fischer EH, Farina A. Attitudes toward seeking professional psychological help: A shortened form and considerations for research. J Coll Stud Dev. 1995;36(4):368–73.

Topkaya N. Psikolojik Yardım Alma Niyetinin Sosyal Damgalanma, Tedavi Korkusu, Beklenen Yarar, Beklenen Risk ve Tutum Faktörleriyle Modellenmesi. [Unpublished doctoral dissertation]. Ege Üniversitesi, İzmir; 2011.

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 Res. 2016;243:278-86.

Göktaş S, Işıklı B, Önsüz MF, Yenilmez Ç, Metintaş S. Ruh sağlığı okuryazarlığı ölçeği’nin (Rsoy Ölçeği) Türkçe geçerlilik ve güvenilirliğinin değerlendirilmesi. Konuralp Med J. 2019;11(3):424-31.

Almanasef M. Mental health literacy and help-seeking behaviours among undergraduate pharmacy students in Abha, Saudi Arabia. Risk Manag Healthc Policy. 2021;14:1281-6.

Doğan R, Mercan N, Coşkun S. Investigation of the relationship between mental health literacy of adults and attitude towards seeking psychological help and stigma by the immediate environment. Perspect Psychiatr Care. 2022;58(4).

Pan J, Xu T, Li D. The Relationship Between Mental Health Literacy and Social Well-Being: A Longitudinal Study in China. Behav Sci. 2024;15(1):29.

Pescosolido BA, Boyer CA. Understanding the context and dynamic social processes of mental health treatment. In: Scheid TL, Brown TN, editors. A Handbook for the Study of Mental Health: Social Contexts, Theories, and Systems. 2nd ed. Cambridge: Cambridge University Press; 2010. p. 420–38.

Nurdiyanto FA, Wodong GMA, Wulandari RM. Analysis on the attitude towards seeking professional psychological help. Unnes J Public Health. 2023;12(1):38-45.

Suwanwong C, Jansem A, Intarakamhang U, et al. Modifiable predictors of mental health literacy in the educational context: a systematic review and meta-analysis. BMC Psychol. 2024;12(1):378.

Kantaş Yılmaz F, Ünkür P. Determination of mental health literacy, help-seeking Behaviours and psychological distress levels of health science students. J Health Literacy. 2023;7(4):9-20.

Chen P, Liu XJ, Wang XQ, Yang BX, Ruan J, Liu Z. Attitude toward seeking professional psychological help among community-dwelling population in China. Front Psychiatry. 2020;11:417.

Yılmaz B. Kadınların sosyal vatandaşlığı ve bakım emeğine yönelik tartışmalar. Kadın Araştırmaları Dergisi. 2013;(12).

Duran S, Ergün Ş. Correlation between mental health literacy levels and attitudes of seeking psychological help of health services vocational school students: Descriptive cross-sectional research. Yükseköğretim ve Bilim Dergisi. 2023;13(2):272-9.

Gulliver A, Farrer L, Bennett K, Griffiths KM. University Staff Mental Health Literacy, Stigma and Their Experience of Students with Mental Health Problems. J Furth High Educ. 2019;43(3):434–42.

Published

2026-05-01

Issue

Section

Original Research