Behavioral acculturation and enculturation and psychological functioning among Asian American college students

The purpose of this study was to examine Asian American college students' behavioral acculturation to U.S. cultural norms and behavioral enculturation to Asian cultural norms and their relationships to ratings on measures of cognitive flexibility, general self-efficacy, collective self-esteem, acculturative stress, and attitudes toward seeking professional psychological help. As hypothesized, the results indicated that both acculturation and enculturation were positively related to the membership dimension of collective self-esteem. Although not hypothesized, the results indicated that acculturation was positively related to cognitive flexibility, general self-efficacy, and the public dimension of collective self-esteem. In addition, enculturation was positively related to the private dimension and the importance of identity dimension of collective self-esteem.     

Asian Australian acculturation and attitudes toward seeking professional psychological help

Research with 112 Asian Australian university students found that adherence to Asian cultural values inversely predicted attitudes toward seeking professional psychological help. Students completed demographic questions, the Asian Values Scale, the Suinn – Lew Asian Self‐Identity Scale, (which is a measure of acculturation), and the Attitudes Toward Seeking Professional Psychological Help Scale. There was a significant positive relationship between the Asian Australian students' level of behavioural acculturation and their attitudes toward seeking professional psychological help. Significant differences were found between male and female participants in their attitudes, with female participants indicating greater willingness to seek help. Results also demonstrated a significant difference in gender on acculturation level as well as a significant difference in generational status and acculturation level.     

The Relationships Between Mexican American Acculturation,Cultural Values,Gender, and Help‐Seeking Intentions

This study examined the relationships between Mexican acculturation, cultural values, gender, and help‐seeking intentions among Mexican American community college students. Findings suggest that as Mexican Americans lose their culture of origin and increase their generational status, their attitudes toward help seeking become less favorable. This contradicts cultural barrier theory as an explanation for underuse of mental health services by Mexican Americans. Furthermore, adherence to traditional Mexican culture and cultural values may actually encourage help seeking.     

Self‐Stigma,Mental Health Literacy,and Attitudes Toward Seeking Psychological Help

This study examined self‐stigma of seeking psychological help and mental health literacy as predictors of college students’ (N = 1,535) help‐seeking attitudes, with additional attention to psychological and demographic correlates. Results indicated that mental health literacy predicted help‐seeking attitudes above and beyond self‐stigma. Asian American race/ethnicity, male gender, current psychological distress, and help‐seeking history were also significant predictors. Implications for addressing mental health literacy and self‐stigma while attending to demographic and psychological variations in help seeking are discussed.     

Acculturation and Attitudes of Asian International Students Toward Seeking Psychological Help

Relationships between acculturation and attitudes toward psychological help seeking were studied with 170 Asian international students. Results showed a significant relationship between levels of acculturation and attitudes toward seeking professional psychological help. Significant correlations were found between students' levels of acculturation and stigma tolerance and confidence in mental health practitioners. La relación entre la aculturación y las actitudes hacia la busqueda de ayuda psicológica se estudió con 170 estudiantes internacionales de orígen asiático. Los resultados demostraron una relación significante entre los niveles de aculturación y las actitudes hacia la solicitación de ayuda psicológica profesional. Correlaciones significantes se encontraron entre los niveles de aculturación y la tolerancia hacia las estigmas de los estudiantes y la confianza que ellos les tienen a los médicos psiquiátricos.     

Psychological distress and help-seeking among Taiwanese college students: role of gender and student status

This study investigated the relationship between psychological distress and attitudes toward seeking professional help and whether the relationship was moderated by gender and student status (traditional vs. non-traditional) among Chinese college students in Taiwan. 961 first-year university students completed standardised measures of depression, anxiety, attitudes toward seeking professional psychological help, and a demographic questionnaire. Results from the multiple regression analysis found that while higher levels of depression were adversely correlated with help-seeking attitudes, gender was positively correlated with help-seeking attitudes. Chinese female students held more favourable attitudes toward seeking psychological help than their male counterparts. Additionally, gender interacted with depression and anxiety in affecting attitudes toward help-seeking. These results were discussed within the Chinese cultural context and recommendations were given for student outreach programme aimed at increasing utilisation of mental health services on campus.     

United States and Japanese college students' attitudes toward seeking professional psychological help

The purpose of the study was to find how nationality, sex, and past experience of seeking professional psychological services are related to attitudes toward seeking professional psychological help. Three hundred Japanese college students and 300 US college students responded to the Attitudes Toward Seeking Professional Psychological Help (ATSPPH) questionnaire. The ATSPPH consists of four subscales: Need (recognition of need), Stigma Tolerance (the degree of tolerance against stigma associated with help‐seeking action), Openness (interpersonal openness), and Confidence (confidence in mental health professionals). As predicted, past experience of seeking professional psychological service and sex were important predictor variables of performance on the ATSPPH scales. Those who had past experience of seeking professional psychological help had more favourable attitudes toward seeking professional psychological help than those who never consulted psychological professionals. Similarly, in testing the past experience separately with the two nation groups, past experience with seeking professional psychological services was found to be a predictor of the overall attitudes toward seeking professional psychological help among Japanese and US participants. Furthermore, Japanese participants with past experience also showed greater recognition of need for professional psychological help and confidence in psychological health professions than Japanese without past experience. The degree of stigma tolerance associated with help‐seeking behaviour and the tendency of interpersonal openness, however, did not differ between Japanese participants with and without the past experience of seeking professional psychological services. The same results were also found among the US participants. In terms of sex as a predictor variable, females tended to have more positive attitudes toward seeking professional psychological help than males. There was a significant nationality by sex interaction effect. US females had significantly more favourable attitudes than the other three groups, indicating that there was sex difference in help‐seeking attitudes in the US group, but not in the Japanese group. If the sex variable is ignored, Japanese students have less favourable overall attitudes toward seeking professional psychological services than US students. Other results and limitations of the study are discussed.     

Social connectedness, discrimination, and social status as mediators of acculturation/enculturation and well-being

The present study proposed and tested a conceptual model of acculturation/enculturation and subjective well-being (SWB) by including social connectedness in mainstream society, social connectedness in the ethnic community, perceived discrimination, and expected social status as mediators. Survey data from 273 Asian American college students in the midwest were analyzed by using structural equation modeling. Results indicated that the effect of acculturation on SWB was mediated by social connectedness in mainstream and ethnic communities and expected social status, whereas the effect of enculturation on SWB was mediated by social connectedness in the ethnic community and expected social status. Contrary to the authors' hypothesis, perceived discrimination did not mediate the relation of acculturation and SWB, but indirectly influenced SWB via a lowered sense of connectedness to mainstream society. Approximately 46% of the variance in SWB was accounted for by the variables included in this model. Implications for theory, research, and practice are discussed.     

Asian and European American Cultural Values,Bicultural Competence,and Attitudes Toward Seeking Professional Psychological Help Among Asian American Adolescents

The authors examined the extent to which Asian American adolescents who were living in Hawaii adhered to Asian and European American cultural values in relation to mental health variables including collective self‐esteem (membership, private, public, importance to identity), cognitive flexibility, general self‐efficacy, and attitudes toward seeking professional psychological help. Results and implications for counselors are discussed. Los autores examinaron hasta qué medida los adolescentes Asiaticoamericanos residentes en Hawai se adhieren a los valores culturales Asiáticos y Euroamericanos en relación a ciertas variables de salud mental que incluyen la autoestima colectiva (pertenencia, privada, pública, su importancia para la identidad), flexibilidad cognitiva, autoeficacia general y actitudes hacia la búsqueda de ayuda psicológica profesional. Se discuten los resultados y las implicaciones para los consejeros.     

Testing a bilinear domain-specific model of acculturation and enculturation across generational status

This study attempted to replicate Miller's (2007) finding that a bilinear domain-specific model of Asian American acculturation demonstrated superior model fit when compared to unilinear and bilinear domain-generic models. Current confirmatory factor analytic tests of competing acculturation models in a cross-validation sample of 306 participants were consistent with Miller's findings. In addition, this study provided novel findings regarding the nature of the acculturation process by testing the bilinear domain-specific model across 1st and 2nd generation samples. Specifically, the generational status moderator hypothesis-that a unilinear model of acculturation would be most appropriate for 1st generation individuals and a bilinear model of acculturation would be most appropriate for 2nd generation individuals-was tested with 494 1st and 2nd generation Asian Americans. Contrary to the assumptions of the generational status moderator hypothesis, present findings demonstrated the appropriateness of the bilinear domain-specific model for both 1st and 2nd generation Asian Americans. Present findings also revealed a pattern of shared and unique relationships between cultural orientations and acculturation domains across generations. Implications for research and counseling are explored.     

Depressive symptom manifestation and help‐seeking among Chinese college students in Taiwan

One longstanding hypothesis in the research of depression among Chinese populations is that they tend to express depressive symptoms in somatic terms, which, in turn, prevent them from seeking assistance from mental health services. This study aimed to examine the manifestation of depressive symptoms and its relationship to help‐seeking attitudes among Chinese college students. The Chinese Beck Depression Inventory‐II (BDI‐II; Beck, Steer, & Brown, 1996 ) and the Attitudes Toward Seeking Professional Psychological Help: Shortened Form (ATSPPH‐SF; Fischer & Farina, 1995 ) were administered to 1039 Chinese college students in a private university in Taiwan. Factor ratio scores analyses revealed that Chinese college students generally emphasized somatic complaints compared to cognitive‐affective complaints in expressing depressive symptoms. Probably‐depressed Chinese students (BDI‐II scores?16), however, placed significantly less emphasis on somatic symptoms than did nondepressed students. Additionally, multiple regression analyses showed that while Chinese students with elevated BDI‐II scores were less likely to seek professional psychological help, neither somatic nor cognitive‐affective symptoms were correlated with their attitudes toward seeking and avoiding professional psychological help. These findings seem to run counter to the common assumption that Chinese people tend to express depression in somatic terms and that somatic complaints help to explain their reluctance to seek professional psychological assistance. The current results suggest that Chinese students with elevated depressive symptoms readily acknowledged and expressed cognitive‐affective symptoms of depression and they were likely to distance themselves from professional psychological help. However, somatic symptoms did not explain their reluctance to utilize mental health services.     

Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans

This study examines the impact of level of acculturation and acculturative stress on the mental health of Asian American college students. Hierarchical regression analyses were used to clarify the relation between level of acculturation, acculturative stress, and mental health outcomes (psychological distress and clinical depression). Being less identified with mainstream United States culture was associated with higher psychological distress and clinical depression, but lost significance when acculturative stress was introduced into the model. Retention or relinquishing of identification with one's heritage culture was not associated with mental health outcomes. Although understanding level of acculturation can help us identify those at risk, findings suggest that acculturative stress is a more proximal risk factor and increases risk for mental health problems independently of global perceptions of stress.     

Acculturation,Enculturation, Perceived Racism,and Psychological Symptoms Among Asian American College Students

This study examined the potential moderating influences of behavioral and values acculturation and enculturation in a sample of 113 Asian Americans. Findings from regression analyses revealed that acculturation to European American cultural values, alone and in interaction with perceived racism, was related to less psychological symptoms, whereas enculturation to Asian American values alone was associated with more psychological symptoms. Findings, which partially supported the authors' hypotheses, are discussed in light of the cultural adaptation literature. Este estudio examinó las potenciales influencias moderadoras de la aculturación y enculturación de comportamiento y valores en una muestra de 113 americanos asiáticos. Los resultados de análisis de regresión revelaron que la aculturación a los valores culturales euro‐americanos, por sí sola y en interacción con el racismo percibido, estaba relacionada con una menor incidencia de síntomas psicológicos, mientras que la enculturación a los valores asiático‐americanos por sí sola estaba relacionada con una mayor incidencia de síntomas psicológicos. Los resultados, que confirmaron parcialmente nuestras hipótesis, se discuten teniendo en cuenta la literatura sobre adaptación cultural.     

Comparing educational interventions: Correcting misperceived norms improves college students' mental health attitudes

This research targeted potential psychological contributors to college students' low levels of help‐seeking for mental distress using a field experiment. Researchers randomly assigned 520 undergraduates to 15‐min interventions: a novel, theory‐driven social norms intervention correcting misperceived distress, stigma, and help‐seeking norms; a general education intervention increasing mental health awareness; and a stress management active control condition. The norms intervention instilled more accurate perceptions of mental health norms and temporarily reduced perceived public stigma compared to other conditions. The norms and general education interventions improved attitudes toward seeking help for mental distress for at least 2 months, relative to the control. Effects on help‐seeking behavior were not observed in this timeframe. This research elucidates the robustness of brief social psychological mental health interventions on college campuses.     

Attitudes Toward Professional Psychological Help Seeking in South Asian Students: Role of Stigma and Gender

This study examined (a) the roles of perceived and personal stigma on attitudes toward professional psychological help seeking and (b) the effects of these constructs across gender in South Asians. Personal stigma and being male was negatively associated with attitudes toward professional psychological help seeking; no difference in the association between personal and perceived stigma and attitudes across genders was found. These findings have implications for the engagement of South Asians in mental health services in the United States. Este estudio examinó (a) los roles de estigmas percibidos y personales en las actitudes hacia la búsqueda de ayuda psicológica profesional y (b) los efectos de estos constructos en indiviuos sudasiáticos según su sexo. El estigma personal y la identidad masculina se asociaron negativamente con las actitudes hacia la búsqueda de ayuda psicológica profesional; no se halló diferencia en la asociación entre estigmas personales y percibidos y las actitudes de los distintos sexos. Estos hallazgos tienen implicaciones para la participación de los individuos sudasiáticos en los servicios de salud mental en Estados Unidos.     

Attitudes toward seeking professional psychological help among Chinese students at a UK university

Aim: In this study we aimed to investigate whether Chinese international and British home students at a university in the United Kingdom differed in their attitudes towards seeking psychological help. Method: The total sample comprised 323 participants. Participants completed measures to assess their attitudes toward seeking professional psychological help (recognition of need for psychological help, stigma tolerance, interpersonal openness, confidence in mental health practitioners). Results: Chinese students reported significantly less interpersonal openness than that reported by British students. Contrary to prediction, however, no significant group differences were found on any of the other mental health attitudes (i.e. recognition of need for psychological help, confidence in mental health practitioners or stigma tolerance). Within‐group contrasts also showed that Chinese students reported lower scores on interpersonal openness than on stigma tolerance and confidence in mental health practitioners. In contrast, British participants reported less confidence in mental health practitioners and recognition of the need for psychological help than reported for stigma tolerance and interpersonal openness. Conclusion: The findings highlight the need for a greater understanding of students' cultural inclinations toward mental health issues and cultural attitudes that may hinder and/or facilitate students' access and engagement with psychological services in higher education institutions.     

Japanese college students' attitudes toward professional psychological services: the role of cultural self-construal and self-concealment

The utilization of professional help is affected by individual factors such as help-seeking attitudes and self-concealment as well as the availability of mental health services. The present study examined the role of cultural self-construal and self-concealment on attitudes toward professional psychological services. A survey was conducted with 214 Japanese college students. Multiple regression analyses found that interdependent self-construal significantly predicted the Recognition of Need for Psychological Services. Self-concealment was predictive of two different facets of help-seeking attitudes: Interpersonal Openness and Stigma Tolerance. Future studies are recommended to refine the model that was tested.     

The impact of perceived racial discrimination on the mental health of Asian American and Latino college students

The authors examined the impact of perceived racial discrimination on various mental health outcomes for Asian American and Latino college students within an emic and etic framework. Results indicate that Asian American and Latino college students experienced similar exposure and reactions to various kinds of discrimination. However, Latino students were more likely than Asian American students to have been accused of doing something wrong, such as cheating and breaking the law, and more likely to appraise these experiences as stressful. Asian Americans evidenced higher risk for trait anxiety. Regardless of ethnicity, perceived racial discrimination was associated with several negative mental health outcomes, including higher psychological distress, suicidal ideation, state anxiety, trait anxiety, and depression. Findings highlight the need to address discrimination across multiple social and professional settings and to understand the broad array of mental health outcomes.     

Help-seeking behavior and attitude of Chinese Americans regarding psychological problems

Investigated the help-seeking behavior and attitude regarding psychological problems as mediated by mental health status, acculturation level, and sociodemographic characteristics in a community sample of Chinese Americans. Of the 128 respondents, 17 (13.3%) had consulted professional help for a nervous or emotional problem. Compared to the others, they reported significantly poorer mental health status (i.e., had more physical symptoms, had once come close to experiencing a "nervous breakdown," and had a relative who had been in treatment), and were more likely to be American-born. For those who had not previously sought help, attitude toward help seeking was examined. A positive attitude was mediated by superior English ability, being younger, married, and from a lower SES background. The findings suggested help-seeking behavior is primarily mediated by presence of need, whereas attitude reflected a general propensity. Acculturation was an important predictor of both behavior and attitude, with the less acculturated most in need of education about the utility of mental health service.     

基于网络干预的心理健康素养提升有效性研究

研究旨在探索中国文化背景下心理健康素养干预的有效性,以及心理健康素养的提升对专业心理求助意愿、心理健康和幸福感的影响。研究采用实验组对照组前后测设计。结果表明:1.基于网络教育的干预方法能够有效提升心理健康素养,进而促进专业心理求助意愿,改善心理健康状况。但是对大学生的幸福感没有产生明显影响; 2.心理健康素养可以通过专业心理求助意愿分别影响心理健康状况和幸福感,且专业求助意愿和心理健康在心理健康素养和幸福感之间起着完全链式中介作用。总的来说,心理健康素养的有效提升不仅可以改善专业心理求助意愿,提高人们的心理健康水平,还可能增添生活幸福感。