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A study in Singapore will explore the potential of pop culture, particularly Taylor Swift's music, in influencing young adults' attitudes toward mental health. With the highest prevalence of mental illness among this age group, the study will aim to investigate whether engagement with Swift's songs and social media will be associated with attitudes crucial for help-seeking, such as recognizing mental health issues and being open to professional services. Conducting a survey of over 600 young adults, the researchers will assess participants' mental health symptoms, engagement with Swift's content, social media and demographics, mental health help-seeking attitude and mental health self-diagnosing behavior.
Background: Epidemiological surveys suggest that young adulthood is the age group with the highest prevalence of mental illness. However, many young adults have negative views towards help-seeking and do not access professional services. To address this gap, popular culture may provide population-level levers to improve mental health outcomes.
Objective: In this study, we will focus on Taylor Swift - a singer whose songs explore themes related to mental health. As the first objective, we will seek to understand whether young adults will feel a personal connection to her mental health-themed songs and follow her on social media. We will then examine whether these forms of engagement will predict attitudes critical for help-seeking: namely, acknowledgement that one may have a mental illness, and willingness to seek professional services as needed.
Methods: In the months leading up to Taylor Swift's concerts, we will conduct a survey of over 600 young adults in Singapore (aged 18 to 34). As the primary outcome measures, participants will complete the Self-Identification as Having Mental Illness Scale (SELFI) and the Inventory of Attitudes toward Seeking Mental Health Services scale (IASMHS). As predictor variables, participants will answer questions related to: (i) their baseline symptoms of depression, anxiety, and stress; (ii) their engagement with Taylor Swift's songs and social media content; and (iii) their demographics.
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| Measure | Description | Time Frame |
|---|---|---|
| Help-Seeking Behaviors | Inventory of Attitudes toward Seeking Mental Health Services (IASMHS). Items were on a 5-point Likert scale ranging from 0 ("Somewhat Disagree") to 4 ("Agree"). | Through study completion, an average of 1 year |
| Self-Diagnosing Behaviors for Mental Health | Self-identification as having a Mental Illness (SELF-I) scale. Items were on 5-point Likert scale ranging from 1 (Not true at all) to 5 (Completely True) | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Recruiting a representative sample of around 600 people through the National University of Singapore (NUS) and the general public in Singapore through physical posters or online platforms (e.g., the university's Work Scheme website, and research groups on Telegram).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sundarimaa Erdembileg | Contact | +65 6601-1000 | sundarimaa.e@u.yale-nus.edu.sg |
| Name | Affiliation | Role |
|---|---|---|
| Sundarimaa Erdembileg | Yale-NUS College | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale-NUS | Recruiting | Singapore | Singapore |
Given the sensitivity of mental health disclosures and the age of the population, no individual participant data will be shared as agreed upon with the IRB. Results will be published by the investigators in academic journals. Sharing of generated study data can be made available upon request by writing to the investigator(s).
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| ID | Term |
|---|---|
| D057545 | Social Stigma |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D012919 | Social Behavior |
| D001519 | Behavior |
| D001526 | Behavioral Symptoms |
| D001523 | Mental Disorders |
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