Examination of the Stigmas Toward Help Seeking Among Turkish College Students

This study builds on previous help‐seeking research in the United States by examining the role of counseling stigma in Turkey. Undergraduate students in Turkey (N = 520) completed self‐report measures of attitudes and intentions to seek counseling and 3 forms of help‐seeking stigma. Results indicated that perceptions of public and social network stigma each uniquely contributed to the experience of self‐stigma, which, in turn, influenced attitudes toward seeking counseling and then help‐seeking intentions.     

The Role of Attachment and Stigma in the Relationship Between Stress and Attitudes Toward Counseling in South Korea

Using structural equation modeling, the authors investigated the mediators between stress and attitudes toward seeking professional help among 298 undergraduate students in South Korea. Results indicated that attachment styles (avoidance and anxiety) and stigma (public and self‐stigma) mediated the relationship between stress and attitudes toward seeking help. Furthermore, public and self‐stigma had different paths depending on attachment styles related to help seeking. Regarding previous counseling experience, differences in the relationships between stress, attachment styles, stigma, and attitudes toward seeking help were evident.     

Reexamination of the Five‐Factor Model and College Students' Treatment‐Seeking Attitudes

This study was an attempt to replicate and extend the previous research by Puma ( 1996 ) and Kakhnovets ( 2011 ) on the relationships between the 5‐factor model of personality (FFM) and college students' attitudes toward seeking counseling. With a sample of 458 undergraduate students, the authors found that participant sex, prior treatment experiences, and 3 of the FFM factors (openness, agreeableness, and conscientiousness) predicted college students' attitudes toward counseling, but there was no evidence of moderator effects.     

Adherence to Asian Cultural Values and Cultural Fit in Korean American Undergraduates' Help‐Seeking Attitudes

Differences in and relationships of Asian cultural values, cultural congruity, perception of the university environment, and help‐seeking attitudes for 1st‐and 2nd‐generation Korean American undergraduates (N = 228) were examined. Women reported significantly higher cultural congruity and more positive help‐seeking attitudes than did men. Asian values adherence negatively predicted help‐seeking attitudes for women and 2nd‐generation students only. Implications for Korean American undergraduate support services are discussed, and suggestions are presented for future research.     

Counseling Expectations Among Students in an Opportunity Program: Dispositional and Cultural Influences

College students (N = 102) from African American and Latino backgrounds who participated in an opportunity program completed H. E. A. Tinsley's (1982) Expectations About Counseling‐Brief Form (EAC‐B) and measures of self‐esteem, attributional style, problem‐solving appraisal, acculturation, and cultural congruity. Lower self‐esteem and a more depressive attributional style were linked to lower counseling expectations. All 3 dispositional variables were more strongly related to counseling expectations among students reporting higher levels of immersion in their ethnic group of origin. Implications for help‐seeking and the counseling relationship are discussed.     

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.     

Colonial Mentality and Mental Health Help‐Seeking of Filipino Americans

Filipino Americans present with very low rates of mental health help‐seeking. Because of the colonial history between the Philippines and the United States, the authors examined how colonial mentality and internalized oppression, along with ethnic identity, acculturation, and social support, were related to mental health help‐seeking attitudes of Filipino Americans (N = 410). Furthermore, the authors investigated how colonial mentality affects the ethnic identity of Filipino Americans. Major findings included that colonial mentality was negatively related to ethnic identity development and social support, and higher levels of colonial mentality significantly predicted negative mental health help‐seeking attitudes above and beyond ethnic identity, acculturation, social support, and demographic variables. Implications for the counseling profession are considered.     

Self‐criticism and self‐reassurance as mediators between mental health attitudes and symptoms: Attitudes toward mental health problems in Japanese workers

Japanese workers suffer high rates of mental health symptoms, recognised recently by the Japanese government, which has enacted workplace well‐being initiatives. One reason for poor mental health concerns negative attitudes about mental health problems such as shame, which may be mediated by self‐reassurance and self‐criticism. This study aimed to evaluate shame‐based attitudes toward mental health problems and explore the relationship between mental health attitudes, self‐criticism, self‐reassurance, and mental health symptoms. Japanese workers (n = 131) completed three measures: attitudes toward mental health problems, mental health symptoms, and self‐criticism/reassurance. A high proportion of workers reported negative attitudes about mental health problems. There were strong relationships between mental health attitudes, mental health symptoms, self‐criticism, and self‐reassurance. Path analyses revealed that the total and indirect effects (through self‐criticism and self‐reassurance) of mental health attitudes on mental health were larger than the direct effect alone. Hated‐self and family reflected shame were identified as predictors for mental health symptoms. The findings suggest the importance of self‐criticism and self‐reassurance in mental health and mental health attitudes. Implications for help‐seeking behaviours also are discussed. Interventions aimed at reducing self‐criticism and enhancing self‐reassurance are recommended to improve mental health attitudes and increase help‐seeking in Japanese workers.     

Latino and Latina Adolescents' Help‐seeking Behaviors and Attitudes Regarding Suicide Compared to Peers with Recent Suicidal Ideation

Although Latinas have consistently reported higher rates of suicidal behavior for the past 20 years (CDC, 1996), there is a dearth of information regarding their help‐seeking attitudes and behaviors when dealing with distress and suicide. Associations between adolescents' ideation and help‐seeking from adults were different for non‐Hispanic Whites and Latinos from 14 high schools (N = 4,983). Among females, ideators and Latinas reported lower levels of help‐seeking attitudes than nonideators and non‐Hispanic Whites. Males showed interaction effects of ideation by race/ethnicity on help‐seeking. Within sex by race/ethnicity, differences showed that while non‐Hispanic White students reported consistent differences between suicidal ideation and no reported suicidal ideation, Latinos were more similar between these groups, particularly with having support from friends and family to seek help from adults. Research should clarify how culture contributes to decreased help‐seeking norms among those with suicidal ideation.     

Icelandic and American Students' Expectations About Counseling

The Expectations About Counseling‐Brief Form (H. E. A. Tinsley, 1982) was administered to 261 Icelandic and 225 American undergraduates. A 2 (Nationality: Icelandic & American) x 2 (Sex: men & women) x 3 (Holland Type: A, S, E) between subjects multivariate analysis of covariance (MANCOVA) was calculated with prior counseling experience as a covariate and expectations about counseling as dependent variables. Icelanders had higher expectations about counselor expertise than did Americans. In addition, women expected to be more personally committed in counseling than did men. Results are discussed in terms of counselor roles and functions and the role of help seeking in Iceland.     

Relationships Between Treatment Attitudes,Psychological Symptoms,Emotional Competence,and Help‐Seeking Intentions

The authors examined whether emotional competence (i.e., awareness, coping strategies) predicted help‐seeking intentions above and beyond previously identified factors (i.e., attitudes and perceived stigma toward professional help, psychological symptom severity) in an undergraduate sample (N = 531). Emotional awareness predicted help‐seeking intentions for personal/emotional problems and suicidal thoughts. Emotional coping strategies predicted help‐seeking intentions for suicidal thoughts and moderated the relationship between symptom severity and help‐seeking intentions for suicidal thoughts. Efforts to increase help‐seeking should address students' emotional competence.     

Taiwanese students' gender,age, interdependent and independent self-construal,and collective self-esteem as predictors of professional psychological help-seeking attitudes

Interdependent self-construal, collective self-esteem, age, and gender were used to predict attitudes toward seeking professional psychological help among a sample of junior high, high school, and college students in Taiwan (N = 594). Self-construal, collective self-esteem, and help-seeking attitudes were measured by the Self-Construal Scale (T. M. Singelis, 1994), the Collective Self-Esteem Scale Revised (R. Luhtanen & J. Crocker, 1992), and the Attitudes Towards Seeking Professional Psychological Help Scale (E. H. Fischer & J. L. Turner, 1970), respectively. By using stepwise regression, each of the independent factors with the exception of age significantly predicted the dependent variable, professional psychological help-seeking attitudes. Implications for counseling and future research are addressed.     

Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed.     

Attitudes towards psychological treatment among older Australians

Reasons behind older adults' under‐utilisation of mental health services are complex. Barriers to access to mental health services for this group include service access and availability, attitudes of medical and mental health professionals, and attitudes of older people themselves. This questionnaire‐based study sought to investigate variables that may influence attitudes towards psychological help seeking among a late mid‐age–young‐old Australian sample of 159 community‐dwelling adults. The results suggest that attitudes towards seeking psychological help in this population were relatively positive. In addition, >50% of participants in the sample indicated that they had sought treatment for emotional or psychological difficulties in the past, with the greatest proportion of those who sought help noting that it was for “family problems” (56%). The findings suggest that negative attitudes to help seeking in this age group may not be as pervasive as previously assumed, and that help‐seeking behaviours may be high among those with positive attitudes towards help seeking.     

The intervening role of social worldviews in the relationship between the five‐factor model of personality and social attitudes

The present research investigates in a student (N = 183) and a voter sample (N = 276) whether the relationships between the Five‐Factor Model (FFM) personality dimensions and social attitudes (i.e. Right‐Wing Authoritarianism [RWA] and Social Dominance Orientation [SDO]) are mediated by social worldviews (i.e. dangerous and jungle worldviews). Two important results were obtained. First, the perception of the world as inherently dangerous and chaotic partially mediated the relationships of the personality dimensions Openness and Neuroticism and the social attitude RWA. Second, the jungle worldview completely mediated the relationships between Agreeableness and SDO, but considerable item overlap between the jungle worldview and SDO was also noted. It was further revealed that acquiescence response set and item overlap had an impact on social worldviews and attitudes, but that their relationships were hardly affected by these biases. The discussion focuses on the status of social worldviews to explain social attitudes. Copyright © 2006 John Wiley & Sons, Ltd.     

Self appraisal and behavioural activation in the prediction of hypomanic personality and depressive symptoms

Hypomanic personality is characterised by increased positive mood and energy but also more depression and greater risk of bipolar disorder. It is linked with positive self-appraisals for hypomania-relevant events and Behavioural Activation System (BAS) sensitivity such that hypomanic individuals tend preferentially towards goal-related activities. This study investigated relationships between positive and negative self-appraisal and BAS functioning and hypomanic personality and depressive symptoms. Participants (N = 231) completed measures of hypomanic personality, mood symptoms, dysfunctional attitudes, self-appraisal and behavioural activation/inhibition.Positive but not negative self-appraisal contributed to prediction of hypomanic personality as did higher BAS fun seeking and lower Behavioural Inhibition System (BIS) scores. Conversely, negative self-appraisal was positively predictive of current depressive mood, whilst BAS reward responsiveness was negatively predictive. There are specific relationships between positive and negative appraisal styles and hypomanic personality and depressive mood, respectively. The findings of complimentary contributions from appraisal style, BAS and BIS to prediction of hypomanic personality are relevant to developing a better understanding of risk factors for bipolar disorder.     

"Boys don't cry": examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds

The role of conformity to dominant U.S. masculine norms as an antecedent to help-seeking attitudes in men has been established using convenience samples made up largely of college-age and European American males. However, the role of conformity to masculine norms on help-seeking attitudes for noncollege-age men or for men from diverse backgrounds is not well understood. To fill this gap in the literature, the present study examined the cross-cultural relevance of a mediational model of the relationships between conformity to dominant U.S. masculine norms and attitudes toward counseling through the mediator of self-stigma of seeking counseling for 4,773 men from both majority and nonmajority populations (race/ethnicity and sexual orientation). Structural equation modeling results showed that the model established using college males from majority groups (European American, heterosexual) may be applicable to a community sample of males from differing racial/ethnic groups and sexual orientations. However, some important differences in the presence and strengths of the relationships between conformity to dominant masculine norms and the other variables in the model were present across different racial/ethnic groups and sexual orientations. These findings suggest the need to pay specific theoretical and clinical attention to how conformity to dominant masculine norms and self-stigma are linked to unfavorable attitudes toward help seeking for these men, in order to encourage underserved men's help-seeking behavior.     

Priming attachment security improves attitudes towards a range of therapies

We sought to understand how attachment orientation influenced attitudes towards different types of psychological therapies. In two studies, we (1) examined attachment orientation as a predictor of attitudes towards different therapies and (2) tested whether attachment security priming could improve attitudes. Study 1 (n = 339) found associations between attachment orientation and attitudes towards, and likelihood of using different therapies. Positive and negative attitudes about different therapies mediated the relationship between attachment avoidance and likelihood of use. Study 2 (n = 412) showed that primed security (vs. neutral prime) improved attitudes towards relational, non‐relational and distanced‐relational therapies for those with a fearful‐avoidant attachment orientation. For relational and distanced‐relational therapies, the mechanism of this effect was increased cognitive openness. Attachment orientation is a determinant of therapy attitudes and anticipated help‐seeking behaviour. Priming security may promote open‐minded decision‐making about some therapies. Findings are discussed with relevance to attachment theory, research and clinical practice.     

Attitudes Toward Seeking Professional Help for an Eating Disorder: The Role of Stigma and Anticipated Outcomes

This study examined the relationship between self‐stigma, anticipated risks and benefits associated with seeking counseling, and attitudes toward seeking counseling among college students with disordered eating attitudes and behaviors. The results of hierarchical regression analyses demonstrated that self‐stigma and the anticipated risks and benefits significantly predicted attitudes toward counseling for people with disordered eating. In addition, self‐stigma had a stronger relationship with men's attitudes toward counseling than with women's, and anticipated benefits had a stronger relationship with women's attitudes toward counseling than with men's.     

Effects of contingencies of self‐worth and sensitivity to indebtedness on optimistic bias in seeking help for depression

The occurrence of the optimistic bias in seeking help for depressive symptoms has been attributed to the threat‐to‐self and equity theories. The current study tested the hierarchical relationships between contingencies of self‐worth (CSW), self‐esteem (SE), sensitivity to indebtedness (SI), and optimistic bias in seeking formal/informal help for depression. An online questionnaire survey was conducted with Japanese university students (n = 1000). Results from structural equation modeling analysis revealed the mediating effect of CSW on SE and optimistic bias. SI was positively related to optimistic bias in symptom recognition and informal help‐seeking. The results suggest that both CSW and SI are responsible for the occurrence of optimistic bias in seeking help for depression. Cognitive patterns in recognizing personal and others' depressive symptoms and needs for seeking help were discussed.