{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T22:29:39Z","timestamp":1766356179189,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Mental health literacy (MHL) refers to lay people\u2019s knowledge and beliefs about the diagnosis and treatment of mental illness. The current study aimed at investigating MHL regarding personality disorders (PDs) multiculturally, comparing Turkish and Italian populations. In total, 262 participants responded to an online vignette identification task that required them to label the PDs of seven hypothetical subjects and rate various dimensions of their disorders. Narcissistic (25%), obsessive-compulsive (13%), and paranoid (12%) PDs were the most correctly labeled, while the average accuracy values for other PDs were below 0.04%. Compared to Turkish participants, Italian participants were more accurate in labeling narcissistic PD. Additionally, of the seven PDs, narcissistic PD was associated with the most happiness and success at work. Subjects with borderline and avoidant PDs were the most recognized as having psychological problems (&gt;90%), yet their PDs were among the least correctly identified. Overall, participants from both cultures were generally successful at recognizing the presence of a mental illness, but they rarely labeled it correctly. Only limited cultural differences emerged. The present findings may inform the design of outreach programs to promote MHL regarding PDs, thereby facilitating early recognition of PDs and help-seeking behaviors for affected individuals.<\/jats:p>","DOI":"10.3390\/bs13070605","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T01:15:45Z","timestamp":1690161345000},"page":"605","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Mental Health Literacy about Personality Disorders: A Multicultural Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4395-1895","authenticated-orcid":false,"given":"Kerim Alp","family":"Altuncu","sequence":"first","affiliation":[{"name":"Department of General Psychology, University of Padova, 35131 Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arianna Schiano","family":"Lomoriello","sequence":"additional","affiliation":[{"name":"Department of Cognitive System, Denmark Technical University (DTU), 2800 Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Lo Buglio","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovica","family":"Martino","sequence":"additional","affiliation":[{"name":"Department of Developmental Psychology and Socialization, University of Padova, 35131 Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3361-5031","authenticated-orcid":false,"given":"Asrin","family":"Yenihayat","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Psychology for Individuals, Families and Organizations, Faculty of Human Sciences, University of Bergamo, 24122 Bergamo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Teresa","family":"Belfiore","sequence":"additional","affiliation":[{"name":"Department of Developmental Psychology and Socialization, University of Padova, 35131 Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3381-9445","authenticated-orcid":false,"given":"Tommaso","family":"Boldrini","sequence":"additional","affiliation":[{"name":"Department of Developmental Psychology and Socialization, University of Padova, 35131 Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.5694\/j.1326-5377.1997.tb140071.x","article-title":"\u201cMental Health Literacy\u201d: A Survey of the Public\u2019s Ability to Recognise Mental Disorders and Their Beliefs about the Effectiveness of Treatment","volume":"166","author":"Jorm","year":"1997","journal-title":"Med. J. Aust."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.euroneuro.2019.12.105","article-title":"What Is Good Mental Health? A Scoping Review","volume":"31","author":"Nieman","year":"2020","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5694\/j.1326-5377.2007.tb01332.x","article-title":"Improving Mental Health Literacy as a Strategy to Facilitate Early Intervention for Mental Disorders","volume":"187","author":"Kelly","year":"2007","journal-title":"Med. J. Aust."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1192\/bjp.177.5.396","article-title":"Mental Health Literacy: Public Knowledge and Beliefs about Mental Disorders","volume":"177","author":"Jorm","year":"2000","journal-title":"Br. J. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s43045-021-00125-5","article-title":"Global Research Activity on Mental Health Literacy","volume":"28","author":"Sweileh","year":"2021","journal-title":"Middle East Curr. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1080\/j.1440-1614.2006.01738.x","article-title":"The Public\u2019s Ability to Recognize Mental Disorders and Their Beliefs about Treatment: Changes in Australia over 8 Years","volume":"40","author":"Jorm","year":"2006","journal-title":"Aust. N. Z. J. Psychiatry"},{"doi-asserted-by":"crossref","unstructured":"Wei, Y., McGrath, P.J., Hayden, J., and Kutcher, S. (2015). Mental Health Literacy Measures Evaluating Knowledge, Attitudes and Help-Seeking: A Scoping Review. BMC Psychiatry, 15.","key":"ref_7","DOI":"10.1186\/s12888-015-0681-9"},{"doi-asserted-by":"crossref","unstructured":"Nobre, J., Oliveira, A.P., Monteiro, F., Sequeira, C., and Ferr\u00e9-Grau, C. (2021). Promotion of Mental Health Literacy in Adolescents: A Scoping Review. Int. J. Environ. Res. Public Health, 18.","key":"ref_8","DOI":"10.3390\/ijerph18189500"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/eip.12793","article-title":"Mental Health Literacy Programs for School Teachers: A Systematic Review and Narrative Synthesis","volume":"14","author":"Yamaguchi","year":"2020","journal-title":"Early Interv. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1007\/s00127-009-0084-7","article-title":"The Prevalence of Personality Disorder, Its Comorbidity with Mental State Disorders, and Its Clinical Significance in Community Mental Health Teams","volume":"45","author":"Tyrer","year":"2010","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.copsyc.2018.02.012","article-title":"Early Intervention for Personality Disorder","volume":"21","author":"Chanen","year":"2018","journal-title":"Curr. Opin. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s11920-015-0654-1","article-title":"The Stigma of Personality Disorders","volume":"18","author":"Sheehan","year":"2016","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1002\/pmh.150","article-title":"Non-Expert\u2019s Theories of Three Major Personality Disorders","volume":"5","author":"Furnham","year":"2011","journal-title":"Personal. Ment. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1159\/000325885","article-title":"Psychiatric Literacy and the Personality Disorders","volume":"45","author":"Furnham","year":"2011","journal-title":"Psychopathology"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1007\/s00127-008-0459-1","article-title":"\u201cHow to Spot a Psychopath\u201d Lay Theories of Psychopathy","volume":"44","author":"Furnham","year":"2009","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1177\/0020764013511958","article-title":"The Recognition of the Personality Disorders among Young People","volume":"60","author":"Furnham","year":"2014","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.psychres.2013.10.027","article-title":"Mental Health Literacy and Obsessive-Compulsive Personality Disorder","volume":"215","author":"Koutoufa","year":"2014","journal-title":"Psychiatry Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/s11920-018-0889-8","article-title":"Cultural Aspects in Symptomatology, Assessment, and Treatment of Personality Disorders","volume":"20","author":"Ronningstam","year":"2018","journal-title":"Curr. Psychiatry Rep."},{"unstructured":"Hofstede, G. (1980). Culture\u2019s Consequences: International Differences in Work-Related Values, Sage Publications.","key":"ref_19"},{"unstructured":"Hofstede, G. (1991). Cultures and Organizations: Software of the Mind, McGraw-Hill. Available online: https:\/\/www.worldcat.org\/zh-cn\/title\/Cultures-and-organizations-:-software-of-the-mind\/oclc\/23015181.","key":"ref_20"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1037\/a0018938","article-title":"Examining the Impact of Culture\u2019s Consequences: A Three-Decade, Multilevel, Meta-Analytic Review of Hofstede\u2019s Cultural Value Dimensions","volume":"95","author":"Taras","year":"2010","journal-title":"J. Appl. Psychol."},{"unstructured":"Hofstede, G., Hofstede, G.J., and Minkov, M. (2010). Cultures and Organizations: Software of the Mind, McGraw-Hill Professional. [3rd ed.].","key":"ref_22"},{"unstructured":"Hofstede, G. (2001). Culture\u2019s Consequences: Comparing Values, Behaviors, Institutions, and Organizations across Nations, Sage. [2nd ed.].","key":"ref_23"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1177\/0706743715616609","article-title":"Mental Health Literacy: Past, Present, and Future","volume":"61","author":"Kutcher","year":"2016","journal-title":"Can. J. Psychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1097\/CHI.0b013e318160e3a0","article-title":"Public Knowledge and Assessment of Child Mental Health Problems: Findings from the National Stigma Study-Children","volume":"47","author":"Pescosolido","year":"2008","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1098452","DOI":"10.3389\/fpsyt.2023.1098452","article-title":"Dimensional Models of Personality Disorders: Challenges and Opportunities","volume":"14","author":"Monaghan","year":"2023","journal-title":"Front. Psychiatry"},{"doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","key":"ref_27","DOI":"10.1176\/appi.books.9780890425787"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1192\/bjp.2018.202","article-title":"Prevalence of Personality Disorders in the General Adult Population in Western Countries: Systematic Review and Meta-Analysis","volume":"213","author":"Volkert","year":"2018","journal-title":"Br. J. Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1162\/jocn_a_01841","article-title":"Shared Attention Amplifies the Neural Processing of Emotional Faces","volume":"34","author":"Sessa","year":"2022","journal-title":"J. Cogn. Neurosci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"105678","DOI":"10.1016\/j.bandc.2020.105678","article-title":"Altering Sensorimotor Simulation Impacts Early Stages of Facial Expression Processing Depending on Individual Differences in Alexithymic Traits","volume":"148","author":"Maffei","year":"2021","journal-title":"Brain Cogn."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1002\/ajmg.b.30318","article-title":"Genetic Overlap between P300, P50, and Duration Mismatch Negativity","volume":"141","author":"Hall","year":"2006","journal-title":"Am. J. Med. Genet. Part B Neuropsychiatr. Genet."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1080\/01690965.2012.758297","article-title":"Clearing the Garden-Path: Improving Sentence Processing through Cognitive Control Training","volume":"29","author":"Novick","year":"2013","journal-title":"Lang. Cogn. Neurosci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"591170","DOI":"10.3389\/fpsyg.2020.591170","article-title":"Psychotherapy During COVID-19: How the Clinical Practice of Italian Psychotherapists Changed During the Pandemic","volume":"11","author":"Boldrini","year":"2020","journal-title":"Front. Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"20210190","DOI":"10.1098\/rstb.2021.0190","article-title":"Degenerate Pathway for Processing Smile and Other Emotional Expressions in Congenital Facial Palsy: An HdEEG Investigation","volume":"377","author":"Sessa","year":"2022","journal-title":"Philos. Trans. R. Soc. B Biol. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v067.i01","article-title":"Fitting Linear Mixed-Effects Models Using Lme4","volume":"67","author":"Bates","year":"2015","journal-title":"J. Stat. Softw."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J. R. Stat. Soc. Ser. B (Methodol.)"},{"doi-asserted-by":"crossref","unstructured":"Cumming, G. (2013). Understanding the New Statistics: Effect Sizes, Confidence Intervals, and Meta-Analysis, Routledge.","key":"ref_37","DOI":"10.4324\/9780203807002"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1037\/a0028580","article-title":"Modernity and Narcissistic Personality Disorder","volume":"5","author":"Paris","year":"2014","journal-title":"Personal. Disord. Theory Res. Treat."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"107","DOI":"10.12700\/APH.14.8.2017.8.6","article-title":"The X and Y Generations\u2019 Characteristics Comparison","volume":"14","author":"Reicher","year":"2017","journal-title":"Acta Polytech. Hung."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.4088\/JCP.v65n1211","article-title":"The Association between Borderline Personality Disorder and Chronic Medical Illnesses, Poor Health-Related Lifestyle Choices, and Costly Forms of Health Care Utilization","volume":"65","author":"Frankenburg","year":"2004","journal-title":"J. Clin. Psychiatry"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"s24","DOI":"10.1192\/bjp.bp.112.119180","article-title":"Prevention and Early Intervention for Borderline Personality Disorder: Current Status and Recent Evidence","volume":"202","author":"Chanen","year":"2013","journal-title":"Br. J. Psychiatry"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1177\/0706743720907505","article-title":"Guidelines for Training in Cultural Psychiatry","volume":"66","author":"Kirmayer","year":"2021","journal-title":"Can. J. Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/YCO.0000000000000120","article-title":"Culture and Personality Disorder: From a Fragmented Literature to a Contextually Grounded Alternative","volume":"28","author":"Rydera","year":"2015","journal-title":"Curr. Opin. Psychiatry"},{"unstructured":"Lasch, C. (1979). The Culture of Narcissism, Warner.","key":"ref_44"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1159\/000525678","article-title":"Homo \u0152conomicus: A Key for Understanding Late Modernity Narcissism?","volume":"56","author":"Stanghellini","year":"2023","journal-title":"Psychopathology"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.euroneuro.2020.10.007","article-title":"Universal and Selective Interventions to Promote Good Mental Health in Young People: Systematic Review and Meta-Analysis","volume":"41","author":"Nieman","year":"2020","journal-title":"Eur. Neuropsychopharmacol."}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/13\/7\/605\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:16:20Z","timestamp":1760127380000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/13\/7\/605"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,21]]},"references-count":46,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["bs13070605"],"URL":"https:\/\/doi.org\/10.3390\/bs13070605","relation":{},"ISSN":["2076-328X"],"issn-type":[{"type":"electronic","value":"2076-328X"}],"subject":[],"published":{"date-parts":[[2023,7,21]]}}}