Help-Seeking Stigma in Asian American College Women: the Role of Disordered Eating Cognitions and Psychological Inflexibility

Help-seeking stigma is considered a major obstacle to seeking professional psychological services in Asian American college women. Informed in part by objectification theory and the psychological flexibility model of behavior change, the present cross-sectional study examines the role of disordered eating cognition and psychological inflexibility in help-seeking stigma among a sample of Asian American college women (N = 257). More specifically, this study examined whether disordered eating cognitions and psychological inflexibility would mediate the association between psychological distress and stigma tolerance for seeking psychological services in this group. Results revealed that both greater disordered eating cognition and greater psychological inflexibility were associated with lower stigma tolerance, and each of them uniquely mediated the association between greater psychological distress and lower stigma tolerance. These findings suggest that disordered eating cognitions and avoidance-based coping and beliefs may contribute to help-seeking stigma and its association with psychological distress. Limitations of the study and the directions of future research are discussed.     

Mental Health Stigma,Self-Concealment,and Help-Seeking Attitudes among Asian American and European American College Students with No Help-Seeking Experience

The present study examined whether mental health stigma (i.e., negative attitudes toward people with a psychological disorder) and self-concealment are unique predictors of help-seeking attitudes in Asian American and European American college students with no history of seeking professional psychological services. The Asian American group had less favorable help-seeking attitudes overall, lower levels of stigma tolerance and interpersonal openness, greater mental health stigma, and greater self-concealment than the European American group. Mental health stigma and self-concealment were unique predictors of help-seeking attitudes overall in both groups. However, mental health stigma was not a unique predictor of recognition of need for psychotherapeutic help and confidence in mental health practitioners, the components of help-seeking attitudes theorized to be most associated with actual help-seeking behavior. Self-concealment was a unique predictor of confidence in mental health practitioners in the Asian American group, but not in the European American group.     

Chinese Students’ Attitudes Toward Seeking Professional Psychological Help

In this study 1,453 Chinese high school and college students’ attitudes toward seeking professional psychological help and factors contributing to attitude differences were examined. Results revealed that Chinese students possessed generally positive attitudes and their attitudes were significantly associated with gender, prior counseling contact and prior knowledge about counseling and psychology. Previous help-seeking behavior for a major problem was predictive of respondent attitudes. Students with a broad range of help-seeking preferences had more positive attitudes than students with a narrower range. Students who sought help from parents or teachers perceived counseling more positively than students not seeking such help; this result was more significant for high school students. College students’ attitudes differed more in the area of whether or not to seek help. In addition, family structure was related to two dimensions of attitudes toward help seeking—interpersonal openness and stigma tolerance, but not to attitudes toward seeking psychological help.     

Help-Seeking Experiences and Attitudes among African American, Asian American, and European American College Students

The study examined African American, Asian American, and European American college students’ previous direct and indirect experiences of seeking professional psychological services and related attitudes. Survey data were collected from 254 European American, 182 African American and 82 Asian American college students. Results revealed that fewer African American and Asian American college students had sought professional psychological services, knew someone who had sought psychological services, and knew a close person who was diagnosed with a psychological disorder, relative to European American students. Furthermore, African American and Asian American participants showed less favorable attitudes on a variety of help-seeking attitudes, compared to the European American group.     

Predictors of Help‐Seeking Attitudes in College Student Service Members and Veterans

We explored predictors of attitudes toward psychological help seeking among 103 student service members and veterans (SSM/V). Results showed that self‐stigma, public stigma, and gender significantly predicted attitudes toward psychological help seeking. A test of mediation revealed that self‐stigma fully mediated the relationship between public stigma and attitudes toward psychological help seeking. Implications for college counseling professionals who serve SSM/V are discussed.     

大学生寻求专业心理援助的影响因素分析

采用问卷调查的方法,以650名在校大学生为研究对象,调查结果证明,处理心理问题的自我效能越低,求助意愿越强烈;对心理学的接纳程度、作为咨询当事人的自我效能和对咨询师的评价越高的个体,越倾向于寻求专业心理援助。因此,提高大学生对心理学的接纳程度和作为咨询当事人的自我效能以及使大学生正确评价自己处理心理问题的能力,应成为对大学生进行相关宣传教育的入手点。提高咨询服务的质量是使大学生对专业心理援助产生信任的根本保证。     

Depressive Symptoms and Help-Negation among Chinese University Students in Taiwan: The Role of Gender,Anxiety and Help-seeking Attitudes

This study extended the consideration of help-negation in regard to suicide to that of depressive symptoms in a large sample of 981 Chinese university students in Taiwan. The study examined the help-negation effects of depression and the impact of gender, anxiety, and help-seeking attitudes on that relationship. Chinese students, aged 17 to 27 years, completed a self-report survey that included measures of help-seeking behavior, depression, anxiety, and help-seeking attitudes. Results revealed higher levels of depressive symptoms were related to decreased likelihood of seeking help from friends and parents, indicating a possible help-negation effect of depression. In regard to the impact of gender, anxiety, and help-seeking attitudes, results showed that help-seeking attitudes were consistently positively correlated with seeking help from friends, parents, and professional helpers. Gender significantly moderated the relationship between depression and professional help-seeking. Implications for intervention are discussed within the Chinese cultural context.     

Perceived parent goals and student goal orientations as predictors of seeking or not seeking help: Does age matter?

To study the contribution of perceived parent achievement goals to students' attitudes towards academic help seeking, 4th, 6th, 7th, and 9th grade students in Greece (n = 712) reported perceptions of their parents' achievement goals, personal achievement goal orientations, and help-seeking beliefs and intentions. Students' mastery goal orientation positively predicted their help-seeking attitudes (perceived benefits and intentions to seek help) and negatively predicted their help-seeking avoidance attitudes (perceived costs and intentions to avoid seeking help), whereas performance-avoidance orientation directly predicted their help-seeking avoidance attitudes. Multiple-group path analysis indicated that perceived parent goals predicted student help seeking and help avoidance attitudes through students' own achievement goal orientations. Further, the pattern of relations varied by grade level. Results are discussed in light of current theory and research on the developmental phases of parental influence on student motivation and self-regulated learning.     

Psychological distress and help seeking amongst higher education students: findings from a mixed method study of undergraduate nursing/midwifery and teacher education students in Ireland

Psychological distress as experienced by higher education students is of major concern because of its potential to adversely impact academic performance, retention, mental health and lifestyle. This paper reports a mixed method investigation of student self-reported psychological distress and help-seeking behaviour. The sample comprised all students (n?=?1557) registered on undergraduate nursing/midwifery and teacher education programmes at an Irish university. Participants (n?=?1112) completed the General Health Questionnaire (GHQ) to determine their self-reported psychological distress and the Lifestyle Behaviour Questionnaire to examine sources of distress, lifestyle and demographic variables. Individual interviews (n?=?59) explored student experiences of psychological distress and their help-seeking behaviours. Forty two percent of respondents exceeded the GHQ threshold ≥5, which signifies risk of mental or physical health problems. Sources of distress included academic, financial and psychosocial stressors. Regression analysis identified that demographic, programmatic and lifestyle variables predicted GHQ scores. Despite the distress experienced, students were reluctant users of support services. Many actively avoided seeking help. These findings raise serious concerns about the extent of psychological distress among this population. They also alert education providers to be vigilant for student psychological distress and to provide effective interventions, cognisant of the impact of stigma on help seeking.     

Counseling and the Internet: Asian American and Asian International College Students' Attitudes Toward Seeking Online Professional Psychological Help

This study examined Asian American and Asian international college students' attitudes toward seeking online professional psychological help as well as traditional face‐to‐face professional psychological help. Results suggest that students had less favorable attitudes toward seeking help online than toward seeking help by traditional face‐to‐face means. Implications for counseling center services for Asian American and Asian international college students are discussed.     

Perceived Causes of Mental Health Problems and Help-Seeking Behavior among University Students in Ethiopia

The study examined perceived causes of mental health problems and professional help-seeking behavior among university students in Ethiopia. Data were collected from 370 students from four randomly selected colleges. The results revealed that the majority of the participants were able to recognize major mental health problems such as schizophrenia and major depressive disorder. They attributed mental health problems to psychosocial and biomedical factors and most of the participants had positive attitudes toward seeking professional psychological help.     

The Impact of Prior Counseling on Predictors of College Counseling Center Use

Path analyses revealed that one's tendency to conceal distressing information, social support, psychological distress, and attitudes toward seeking help predicted intended use of counseling services for college students who had and had not previously been in counseling. Prospective analyses revealed that attitudes toward seeking help predicted actual use of the campus counseling center. These findings have implications for campus outreach programs and in‐session work with clients.     

The Influence of Afrocentric Spirituality on Counselling Stigma and Help-Seeking Perceptions among Nigerian Americans

This empirical study examined the relations between Afrocentric spirituality and psychological help-seeking attitudes, intentions, and stigma among Nigerian adults living in the United States of America (N = 122). Participants completed a demographic questionnaire, the Spirituality Scale (Jagers and Smith in Journal of Black Psychology, 22, 429–442, 1996), the Perception of Stigmatization by Others for Seeking Psychological Help Scale (Vogel et al. in Journal of Counseling Psychiatry, 56, 301–308, 2009), the Self-Stigma of Seeking Help Scale (Vogel et al. in Journal of Counseling Psychology, 53, 325–337, 2006), the Intention to Seek Counselling Inventory (Cash et al. in Journal of Counseling Psychology, 6, 111–112, 1975), and the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (Fischer and Turner in Journal of Consulting and Clinical Psychology, 1, 79–90, 1970). Results from multiple regression analyses indicated that there was no relation between Afrocentric spirituality and help-seeking attitudes or self-stigma about seeking counselling. However, there was a positive correlation between Afrocentric spirituality and other-perceived stigma, demonstrating that increased Afrocentric spirituality predicted increased perceived stigma from others about seeking counselling services. Contrary to expectations, there was a positive correlation between Afrocentric spirituality and intentions to seek counselling. Implications for counselling practice and theory are presented.     

Psychological Correlates of Help Seeking for Eating‐Disorder Symptoms in Female College Students

This study investigated the psychological correlates of treatment seeking for eating disorders in female college students. Results indicated that 56% of the 106 participants with eating‐disorder symptomatology did not believe their behaviors warranted therapy. Women with eating‐disorder symptoms who did not believe their behaviors warranted therapy exhibited higher levels of immature defenses and lower endorsement of sociocultural norms concerning attractiveness than did women who believed treatment was needed. These findings hold implications for the prevention and treatment of college women's disordered eating.     

Examining Personal,Perceived, Treatment,and Self-Stigma in College Students: The Role of Parent Beliefs and Mental Health Literacy

ABSTRACT

Although college student mental health concerns are on the rise, many struggling students do not seek psychological treatment when needed. Stigma toward psychological treatment has been demonstrated to influence intent to seek treatment in college student populations. This study aimed to identify factors that predict treatment stigma in college students by examining other forms of student-held stigma, parent-held stigma, and mental health literacy. Results indicated that student-held personal, perceived, and self-stigma all predicted student attitudes toward treatment, while parent-held personal stigma was found to predict self-stigma in students. Those individuals who had received previous education about psychological disorders had lower levels of personal stigma, and, surprisingly, higher levels of self-stigma. Implications for campus outreach programming are discussed.     

Childhood trauma,dissociation, and the internal eating disorder ‘voice’

Many individuals diagnosed with eating disorders describe their disorder as being represented by an internal ‘voice’. In line with cognitive models of voice-hearing, previous research has identified associations between voice appraisals and eating psychopathology in anorexia nervosa. Whether these findings generalise to other eating disorder subtypes remains unknown. The aetiology of the internal eating disorder voice also remains unclear. Traumatic-dissociative models of voice-hearing, which link such experiences to decontexualised material arising from early traumatic events, might also be relevant to eating disorder groups. To determine whether cognitive models of trauma and voice-hearing apply across eating disorder subtypes, 85 individuals fulfilling ICD-10 criteria for an eating disorder completed self-report measures regarding eating disorder cognitions, voice-related appraisals, childhood trauma, and dissociation. The relative power of the eating disorder voice was found to be positively associated with experiences of childhood emotional abuse, and this relationship was partly mediated by dissociation. In addition, eating disorder voices appraised as powerful and benevolent predicted more negative attitudes towards eating across diagnostic groups, but were unrelated to disordered eating behaviours or weight. These findings suggest that the eating disorder voice plays a meaningful role in eating pathology across diagnoses and that this experience might be related, in part, to experiences of childhood maltreatment. Therapeutic implications are discussed.     

Mental Health Help-Seeking Experience and Attitudes in Asian American,Multiracial American,and White American Emerging Adults

In this cross-sectional survey, we examined the direct and indirect mental health help-seeking experiences and relevant psychological factors in Asian American, multiracial American, and White American emerging adults aged 18–25 years old. The study sample consisted of 384 Asian American (249 women, 135 men), 244 multiracial American (172 women, 72 men), and 245 White American (190 women, 55 men) emerging adults, who were recruited from a four-year public university in the state of Hawai?i of the United States (U.S.). Results revealed that Asian American and multiracial American emerging adults were less likely to: (a) have previous experience of seeking professional psychological services: (b) have been prescribed, or are currently taking, a psychotropic medication; (c) know someone close to them who had sought psychological services; or (d) know someone close to them who was diagnosed with a psychological disorder, compared to their White American peers. We also discuss implications of the present findings, limitations of the study, and future directions in this line of research.

     

Attitudes Toward Counseling Among Asian International and Native Caucasian Students

Asian international and native born Caucasian students indicated the source of help they would go to first if they had a personal problem; rated the importance of four counselor characteristics: ethnicity, university degree, age, and gender; and completed Fischer and Turner's scale of attitudes about seeking professional psychological help. There was no difference between Asian and Caucasian Students in the sources of help they would seek. Asian students indicated it was more important that a conselor be or similar ethnicity and older. There were no ethnic differences in attitudes toward professional help. Women were no ethnic differences in attituses toward professional help. Women were more likely to report indicate a need for help regardless of ethnic group. Caucasian women were more tolerant of the stigma of being a client, likely to report interpersonal openness, and to express confidence in mental health practitioners than Asian women or men form either group. Colleges should consider the use of older paraprofessional counselors of the same nationality as interantional student clients.     

International student use of university health and counselling services

A large sample of international students attending an Australian metropolitan university provided data concerning use of university health and counselling services—their perceived need for help, resultant help-seeking, satisfaction with help given, explanations for not seeking help when in need, and variables that predicted help-seeking. Using as criterion the individual’s perceived need for help, we found students were under-utilizing both health and counselling services. Those who did seek help evaluated their experiences positively. The gap between need and action is a concern. Students explained failure to act in terms of insufficient seriousness of problems, lack of information about services and, to a lesser extent, doubts and discomfort about the services. Contrary to views commonly expressed in the literature, student perceptions and responses showed few differences based on cultural background. Within-person variables played a stronger role than culture in accounting for students’ help-seeking decisions.     

高校心理咨询现状调查与对策分析

采用问卷调查法对900名大学生进行测量并访谈。结果表明,大学生在寻求专业性心理帮助的态度总分和各维度上,均存在显著民族差异;在寻求专业性心理帮助的态度总分和需要维度上存在性别差异;长期处于心理困惑、内心冲突的人是咨询首选对象;面对心理困难时,大学生倾向选择好友、父母进行求助,部分自己承受;对心理咨询师的首要要求是思想品德好,希望咨询室放松、安静、舒适、温馨;大学生会根据不同的咨询内容选择不同性别、年龄的咨询师,且面谈咨询成为首选咨询方式;大部分人希望高校心理咨询免费,但认为测量和治疗可适当收费。研究初步结论认为,大学生对高校心理咨询的态度与要求将为西北地区高校更优质地开展心理咨询服务提供一定的理论支持与实践基础。