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health literacy hl considered key concept positively address relevant decisions concerning physical mental health according integrated model european consortium process access understand appraise apply health information centre practising hl study examine hl population early onset mental disorder md results based crosssectional survey among people md n 310 sought help early detection centre md cologne dresden munich helpseekers filled european health literacy survey questionnaire hlseuq perceptionbased hl sociodemographic data general health status psychopathology assessed separately trained specialists data compared representative sample german population overall hl lower sample md compared general population diseasespecific limitations present accessing appraising applying health information whereas understanding perceived fairly easy statistical analysis limited hl revealed correlations diagnosis affective disorders anxiety disorders increase depressive symptoms well presence one md line findings low levels hl associated worse general health status population md accessing appraising applying health information seemed particularly challenging therefore educational programmes mainly focus increasing knowledge might sufficient improving hl people md research concentrate contextspecific hl foster behavioural change improve overall health