Evidence map›Paper›PMID 42034808›Full record

ArticleScientific reports2026

Revisiting the knowledge concept of mental health literacy and its relationships with stigma.

Yifeng Wei, Li Sha, Robert McWeeny, Kylie Johnston, Okan Bulut, Bo Cao, Yanbo Zhang, Andrew Baxter, Wendy Carr, Andrew Greenshaw and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yifeng WeiDepartment of Psychiatry, University of Alberta, Edmonton, Canada. Yifeng.wei@ualberta.ca.
Li ShaDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Robert McWeenyDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Kylie JohnstonDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Okan BulutFaculty of Education, University of Alberta, Edmonton, Canada.
Bo CaoDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Yanbo ZhangDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Andrew BaxterDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Wendy CarrFaculty of Education, University of British Columbia, Vancouver, Canada.
Andrew GreenshawDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Peter SilverstoneDepartment of Psychiatry, University of Alberta, Edmonton, Canada.
Stan KutcherDepartment of Psychiatry, Dalhousie University, Dalhousie, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health knowledge is a core component of school-based Mental Health Literacy (MHL) programs, yet it is often operationalized as a broad multifaceted construct that may obscure distinctions among different types of knowledge. This study re-examined the internal structure and measurement properties of the 30-item knowledge scale from the Mental Health & High School Curriculum Guide using data from approximately 440 Grade 9 students and 497 Grade 8 students in western Canada. Confirmatory factor analysis (CFA), item response theory (IRT), and regression analyses were conducted. Results indicated that the original scale was not well represented as a single unidimensional construct. Rather than dismissing the measure, theoretical analysis suggested that the items reflect three components: general knowledge, brain knowledge, and disorder-specific knowledge. The general knowledge and brain knowledge subscales demonstrated more coherent psychometric properties and stable measurement across cohorts, time points, and genders, whereas disorder-specific knowledge showed limited support for a unified latent structure. IRT analyses indicated that the general knowledge subscale was most precise at moderate to higher knowledge levels, whereas the brain knowledge subscale was most precise at low to moderate levels. Multiple regression analyses showed that general knowledge was significantly associated with stigma, whereas brain knowledge was not. These findings highlight the importance of distinguishing among different types of mental health knowledge in MHL research and school-based interventions, suggesting that practitioners may select the original scale, the general knowledge scale, or a combination of the general and brain knowledge scales depending on their purposes.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracyMental HealthSocial StigmaAdolescentCanadaFemaleHumansMalePsychometricsStudentsSurveys and QuestionnairesMental health knowledgePsychometricsSchool-based mental health literacyStigma

Identifiers

PMID42034808
PMCPMC13280404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.