Abstract :
Mental health literacy (MHL) is essential for university students, particularly in art institutions where psychological stressors are prevalent. However, limited awareness and stigma toward mental illness persist, impacting help-seeking behaviors. This study examines the effectiveness of a Mental Health Education Program (MHEP) in improving MHL, recognition of mental illness, and attitudes toward individuals with mental illness among art university students in Guangxi, China. A quasi-experimental research design with pre-test and post-test measures was used, involving 390 students divided into experimental and control groups. A mixed-methods approach was adopted, with survey questionnaires for quantitative analysis and semi-structured interviews for qualitative insights. Findings indicate that the MHEP significantly improved mental health literacy and illness recognition (p < .001), but attitudinal changes were minimal, suggesting the need for long-term stigma-reduction efforts. The study supports the integration of structured mental health education programs in universities and highlights the importance of experiential learning strategies for deeper attitude transformation.
Keywords :
Mental health literacy, quasi-experimental study, mental health education, university students, Guangxi, China.References :
- Ajzen, I. (2005). Attitudes, personality, and behavior (2da ed.) Berkshire.
- Aller, T. B., Kelley, H. H., Barrett, T. S., & Fauth, E. B. (2024). An exploratory analysis of moderating effects in a non-randomized, quasi-experimental evaluation of a college-based mental health literacy curriculum. Journal of American College Health, 1-9.
- Beasley, L., Hoffman, S., & Houtz, J. (2024). Health literacy and mental well-being among university students in the United States. Journal of American College Health, 72(9), 3811-3817.
- Chiodelli, R., Jesus, S. N. D., Mello, L. T. N. D., Andretta, I., Oliveira, D. F., Costa, M. E. S., & Russell, T. (2022). Effects of the interculturality and mindfulness program (PIM) on university students: a quasi-experimental study. European journal of investigation in health, psychology and education, 12(10), 1500-1515.
- Conley, C. S., Durlak, J. A., & Kirsch, A. C. (2015). A meta-analysis of universal mental health prevention programs for higher education students. Prevention science, 16, 487-507.
- Daniele, K., Gambacorti Passerini, M. B., Palmieri, C., & Zannini, L. (2022). Educational interventions to promote adolescents’ mental health: A scoping review. Health Education Journal, 81(5), 597-613.
- DeBate, R. D., Gatto, A., & Rafal, G. (2018). The effects of stigma on determinants of mental health help-seeking behaviors among male college students: An application of the information-motivation-behavioral skills model. American journal of men’s health, 12(5), 1286-1296.
- Fung, K., Cheng, S. L., Ning, X., Li, A. T. W., Zhang, J., Liu, J. J. W., … & Wong, J. P. H. (2021). Mental health promotion and stigma reduction among university students using the reach, efficacy, adoption, implementation, and maintenance (RE-AIM) framework: protocol for a mixed methods study. JMIR Research Protocols, 10(8), e25592.
- Furnham, A., Cook, R., Martin, N., & Batey, M. (2011). Mental health literacy among university students. Journal of Public Mental Health, 10(4), 198-210.
- Gorczynski, P., Sims-Schouten, W., & Wilson, C. (2020). Evaluating mental health literacy and help-seeking behaviours in UK university students: a country wide study. Journal of public mental health, 19(4), 311-319.
- Guo, S., Yang, Y., Liu, F., & Li, F. (2020). The awareness rate of mental health knowledge Among Chinese adolescent: A systematic review and meta-analysis. Medicine, 99(7), e19148.
- Hankir, A., Zaman, R., Geers, B., Rosie, G., Breslin, G., Barr, L., … & Anderson, S. (2017). The Wounded Healer film: a London College of Communication event to challenge mental health stigma through the power of motion picture. Psychiatria Danubina, 29(suppl. 3), 307-312.
- Hyseni Duraku, Z., Davis, H., Blakaj, A., Ahmedi Seferi, A., Mullaj, K., & Greiçevci, V. (2024). Mental health awareness, stigma, and help-seeking attitudes among Albanian university students in the Western Balkans: a qualitative study. Frontiers in Public Health, 12, 1434389.
- Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical journal of Australia, 166(4), 182-186.
- Kim, H. C. (2023). Mediating effect of stigma on the relationship between mental health literacy and help-seeking attitudes among university students in South Korea. International Journal of Mental Health, 52(2), 163-178.
- Kinzie, M. B. (2005). Instructional design strategies for health behavior change. Patient Education and Counseling, 56(1), 3-15.
- Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: Past, present, and future. The Canadian Journal of Psychiatry, 61(3), 154-158.
- Liu, Z., Yin, P., & Sun, K. (2023). The Penetration Path of Mental Health Education in College Students’ Career Planning. International Journal of New Developments in Education, 5(15).
- Martineau, M., Beauchamp, G., & Marcotte, D. (2017). Efficacy of mental health prevention and promotion strategies in higher education. Santé mentale au Québec, 42(1), 165-182.
- Moro, G. L., Gualano, M. R., Vicentini, C., Marengo, N., Bert, F., & Siliquini, R. (2024). Effectiveness of university-provided individual counselling for healthcare students: A systematic review. Student Success, 15(1), 22-34.
- Murray-Johnson, L., Witte, K., Boulay, M., Figueroa, M. E., Storey, D., & Tweedie, I. (2005). Using health education theories to explain behavior change: a cross-country analysis. International Quarterly of Community Health Education, 25(1), 185-207.
- Naal, H., Tavitian-Elmadjian, L. R., & Yacoubian, H. A. (2022). Predictors of mental health literacy in a sample of university students in Lebanon. International Journal of Mental Health, 51(4), 381-403.
- Niu, L., Zhang, J., Lu, C. L., Zhang, Y., Mo, X. X., Xu, R., & Luo, H. Y. (2025). Anxiety, depression, and their association with unintentional injury risk among older adult populations in Guangxi, China: a cross-sectional study. Frontiers in Public Health, 12, 1466083.Chicago
- Ong, H. C., Ibrahim, N., & Wahab, S. (2016). Psychological distress, perceived stigma, and coping among caregivers of patients with schizophrenia. Psychology research and behavior management, 211-218.
- Reis, A. C., Saheb, R., Moyo, T., Smith, C., & Sperandei, S. (2022). The impact of mental health literacy training programs on the mental health literacy of university students: A systematic review. Prevention Science, 23(4), 648-662.
- Singh, S., Melendez, K., & Sezginis, N. (2023). Examining the effect of discrimination and stigma on utilization of mental health services among college students. Journal of American college health, 71(8), 2398-2405.
- Smith-Osborne, A. (2007). Life span and resiliency theory: A critical review. Advances in social work, 8(1), 152-168.
- Sreehari, R., Thomas, J. R., Nair, A. R., & Rathakrishnan, B. (2013). Fostering resilience among children: a life skills intervention. Indian Journal of Positive Psychology, 4(4), 518.
- Tan, G. T. H., Shahwan, S., Abdin, E., Lau, J. H., Goh, C. M. J., Ong, W. J., … & Subramaniam, M. (2021). Recognition of depression and help-seeking preference among university students in Singapore: an evaluation of the impact of advancing research to eliminate mental illness stigma an education and contact intervention. Frontiers in Psychiatry, 12, 582730.
- Wagner, B., Snoubar, Y., & Mahdi, Y. S. (2023). Access and efficacy of university mental health services during the COVID-19 pandemic. Frontiers in Public Health, 11, 1269010.
- Waqas, A., Malik, S., Fida, A., Abbas, N., Mian, N., Miryala, S., … & Naveed, S. (2020). Interventions to reduce stigma related to mental illnesses in educational institutes: A systematic review. Psychiatric Quarterly, 91(3), 887-903.
- Yang, W., Lin, L., Zhu, W., & Liang, S. (2015). An introduction to mental health services at universities in China. Mental Health & Prevention, 3(1-2), 11-16.
- Yang, X., Hu, J., Zhang, B., Ding, H., Hu, D., & Li, H. (2024). The relationship between mental health literacy and professional psychological help-seeking behavior among Chinese college students: mediating roles of perceived social support and psychological help-seeking stigma. Frontiers in Psychology, 15, 1356435.
- Zhang, J. J., & Chen, J. J. (2021). Effectiveness of the mental health education courses for freshmen in Jiangsu colleges.

