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Record W4408174355 · doi:10.1016/j.actpsy.2025.104858

Understanding the reasons to avoid seeking mental health professionals: Validation of the MITOS-MENTAL questionnaire in Peru population

2025· article· en· W4408174355 on OpenAlexaff
Christian R. Mejía, Medally C. Paucar, Óscar Mamani-Benito, Tatiana Requena, Nino Castillo-Vilela, Aldo Álvarez-Risco, Teresa Ramos-Quispe, Víctor Palomino-Vargas, Neal M. Davies, Shyla Del-Aguila-Arcentales, Jaime A. Yáñez

Bibliographic record

VenueActa Psychologica · 2025
Typearticle
Languageen
FieldPsychology
TopicMental Health Treatment and Access
Canadian institutionsUniversity of Alberta
Fundersnot available
KeywordsMental healthPsychologyPopulationPsychiatryClinical psychologyMedicineEnvironmental health

Abstract

fetched live from OpenAlex

There is still much resistance, myths, beliefs, and misconceptions regarding the seeking of mental health services for diagnosis and treatment. The objective was to validate an instrument to determine why Peruvian workers would not seek mental health professionals. In an instrumental study, literature was searched, and mental health professionals were asked about the most common reasons for not attending consultations. An expert panel undertook exploratory and confirmatory factor analyses (CFA), which were applied to a large population. Descriptive and instrumental statistics were used for the data. The 20 experts gave excellent ratings to the initial questions. In the pilot (250 people), it was confirmed that all questions had saturations >0.40. The item modification technique was also performed, eliminating six questions. With the CFA in 1312 respondents, it was seen that the goodness-of-fit indices were not adequate for three questions, then the index modification technique was used, achieving a satisfactory factorial structure model (χ2 = 61.497; df = 9; p < 0.001; RMR = 0.015; TLI = 0.984; CFI = 0.990, and RMSEA = 0.067). A scale of six questions was validated to measure the most important reasons why Peruvian workers do not want to attend mental health consultations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.074
Threshold uncertainty score0.527

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.104
GPT teacher head0.440
Teacher spread0.335 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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