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7 - Self-Stigma of Seeking Help

A Meta-Analysis

from Part II - Impact of Stigma on Mental Health

Published online by Cambridge University Press:  28 July 2022

David L. Vogel
Affiliation:
Iowa State University
Nathaniel G. Wade
Affiliation:
Iowa State University
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Summary

An expansive body of research has investigated the adverse consequences of self-stigma of seeking psychological help on help-seeking tendencies. Therefore, this chapter provides a meta-analysis of the extant literature regarding the empirical relationship between self-stigma and help-seeking attitudes and intentions. An exhaustive review of the research literature was performed on all articles published in English that assessed a statistical relationship between self-stigma and at least one other help-seeking variable such as help-seeking attitudes, intentions, willingness, or future help-seeking behaviors. We extracted data from 145 articles and included them in the meta-analyses, of which, 120 were utilized to examine the relationship between self-stigma and help-seeking attitudes, 74 were utilized to examine the relationship between self-stigma and help-seeking intentions, 3 were utilized to examine the relationship between self-stigma and future help-seeking behaviors, and 4 were utilized to examine the relationship between self-stigma and decisions to seek online help-seeking information. The meta-analyses uncovered a strong negative relationship between help-seeking self-stigma and help-seeking attitudes, moderate negative relationships between self-stigma and help-seeking intentions as well as between self-stigma and actual future help-seeking behaviors, and a small effect size for the negative relationship between self-stigma and decisions to seek online help-seeking information.

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Publisher: Cambridge University Press
Print publication year: 2022

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References

Aegisdottir, S., & Gerstein, L. H. (2009). Beliefs About Psychological Services (BAPS): Development and psychometric properties. Counselling Psychology Quarterly, 22(2), 197219. https://doi.org/10.1080/09515070903157347CrossRefGoogle Scholar
*Allen, G. K., Kim, B. S., Smith, T. B., & Hafoka, O. (2016). Counseling attitudes and stigma among Polynesian Americans. The Counseling Psychologist, 44(1), 627. https://doi.org/10.1177/0011000015618762CrossRefGoogle Scholar
*Altiere, M. J. (2009). Intentions to seek therapy, attitudes, and stigma: An analysis of the theory of reasoned action. Doctoral dissertation, Eastern Michigan University. Digital Commons @ EMU. https://commons.emich.edu/cgi/viewcontent.cgi?article=1888&context=thesesGoogle Scholar
*Andoh-Arthur, J., Oppong Asante, K., & Osafo, J. (2015). Determinants of psychological help-seeking intentions of university students in Ghana. International Journal for the Advancement of Counselling, 37(4), 330345. https://doi.org/10.1007/s10447-015-9247-2Google Scholar
*Ballesteros, J., & Hilliard, R. (2016). U.S.- based Latina/o college students’ attitudes toward online counseling. International Journal for the Advancement of Counselling, 38(4), 269285. https://doi.org/10.1007/s10447-016-9271-xCrossRefGoogle Scholar
Bathje, G. J., Kim, E., Rau, E., Bassiouny, M. A., & Kim, T. (2014). Attitudes toward face-to-face and online counseling: Roles of self-concealment, openness to experience, loss of face, stigma, and disclosure expectations among Korean college students. International Journal for the Advancement of Counselling, 36(4), 408422. https://doi.org/10.1007/s10447-014-9215-2CrossRefGoogle Scholar
Beatie, B. E., Stewart, D. W., & Walker, J. R. (2016). A moderator analysis of the relationship between mental health help-seeking attitudes and behaviours among young adults. Canadian Journal of Counselling and Psychotherapy, 50(3), 290314.Google Scholar
Ben-Porath, D. (2002). Stigmatization of individuals who receive psychotherapy: An interaction between help-seeking behavior and the presence of depression. Journal of Social & Clinical Psychology, 21, 400413. https://doi.org/10.1521/jscp.21.4.400.22594CrossRefGoogle Scholar
Bernstein, M. T. (2016). A randomized control trial evaluating the effects of a depression information decision aid. Master’s thesis, University of Manitoba. FGS- Electronic Theses and Dissertations (Public). https://mspace.lib.umanitoba.ca/xmlui/bitstream/handle/1993/31599/Bernstein_Matthew_MA%20Thesis.Aug23.pdf?sequence=2&isAllowed=yGoogle Scholar
Bird, M. D., Chow, G. M., Meir, G., & Freeman, J. (2018). Student-athlete and student non-athletes’ stigma and attitudes toward seeking online and face-to-face counseling. Journal of Clinical Sport Psychology, 12(3), 347364. https://doi.org/10.1123/jcsp.2017-0010Google Scholar
Bird, M. D., Chow, G. M., Meir, G., & Freeman, J. (2019). The influence of stigma on college students’ attitudes toward online video counseling and face‐to‐face counseling. Journal of College Counseling, 22(3), 256269. https://doi.org/10.1002/jocc.12141CrossRefGoogle Scholar
Bitman-Heinrichs, R. L. (2017). From attitude to intent to action: Predictors of psychological help-seeking behavior among clinically distressed adults. Doctoral dissertation, Iowa State University. Iowa State University Digital Repository. https://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=7105&context=etdGoogle Scholar
Blais, R. K., & Renshaw, K. D. (2013). Stigma and demographic correlates of help‐seeking intentions in returning service members. Journal of Traumatic Stress, 26(1), 7785. https://doi.org/10.1002/jts.21772Google Scholar
Blais, R. K., & Renshaw, K. D. (2014). Self-stigma full mediates the association of anticipated enacted stigma and help-seeking intentions in national guard service members. Military Psychology, 23(2), 114119. https://doi.org/10.1037/mil0000036CrossRefGoogle Scholar
Blake, J. P. (2009). Psychological distress, masculinity ideology, and self-threat: A model of men’s attitudes toward help seeking. Doctoral dissertation, Fordham University. Fordham Research Commons. www.proquest.com/docview/304642019Google Scholar
Boafo-Arthur, S. (2014). Self-stigma, social stigma, and attitudes toward seeking professional counseling: International students at Mississippi State University (Publication No. 3631699). Doctoral dissertation, Mississippi State University. ProQuest Dissertations & Theses.Google Scholar
Boudreaux, D. J., Dahlen, E. R., Madson, M. B., & Bullock-Yowell, E. (2014). Attitudes toward anger management scale: Development and initial validation. Measurement and Evaluation in Counseling and Development, 47(1), 1426. https://doi.org/10.1037/e593982013-001CrossRefGoogle Scholar
Brenner, R. E., Cornish, M. A., Heath, P. J., Lannin, D. G., & Losby, M. M. (2020). Seeking help despite the stigma: Experiential avoidance as a moderated mediator. Journal of Counseling Psychology, 67(1), 132140. https://doi.org/10.1037/cou0000365Google Scholar
Brenner, R. E., Engel, K. E., Vogel, D. L., Tucker, J. R., Yamawaki, N., & Lannin, D. G. (2018). Intersecting cultural identities and help-seeking attitudes: The role of religious commitment, gender, and self-stigma of seeking help. Mental Health, Religion & Culture, 21(6), 578587. https://doi.org/10.1080/13674676.2018.1519782Google Scholar
Cadaret, M. C., & Speight, S. L. (2018). An exploratory study of attitudes toward psychological help seeking among African American men. Journal of Black Psychology, 44(4), 347370. https://doi.org/10.1177/0095798418774655Google Scholar
Cage, E., Stock, M., Sharpington, A., Pitman, E., & Batchelor, R. (2020). Barriers to accessing support for mental health issues at university. Studies in Higher Education, 45(8), 16371649. https://doi.org/10.1080/03075079.2018.1544237Google Scholar
Cameron, J. (2019). Fictional portrayals of therapy affect attitudes toward mental health treatment. Proceedings of GREAT Day, 2018(1), 26.Google Scholar
Cantazaro, A. E. (2009). Predicting help-seeking attitudes and intentions in a Latino/a sample. Doctoral dissertation, Iowa State University. Iowa State University Digital Repository. https://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=1682&context=etdGoogle Scholar
Card, N. A. (2012). Applied Meta-Analysis for Social Science Research. Guilford Publications.Google Scholar
Cash, T. F., Begley, P. J., McCown, D. A., & Weise, B. C. (1975). When counselors are heard but not seen: Initial impact of physical attractiveness. Journal of Counseling Psychology, 22(4), 273279. https://doi.org/10.1037/h0076730Google Scholar
Cheang, S. I., & Davis, J. M. (2014). Influences of face, stigma, and psychological symptoms on help‐seeking attitudes in Macao. PsyCh Journal, 3(3), 222230. https://doi.org/10.1002/pchj.61Google Scholar
Chen, H., Fang, X., Liu, C., et al. (2014). Associations among the number of mental health problems, stigma, and seeking help from psychological services: A path analysis model among Chinese adolescents. Children and Youth Services Review, 44, 356362. https://doi.org/10.1016/j.childyouth.2014.07.003Google Scholar
Cheng, H.-L., McDermott, R. C., & Lopez, F. G. (2015). Mental health, self-stigma, and help-seeking intentions among emerging adults: An attachment perspective. The Counseling Psychologist, 43(3), 463487. https://doi.org/10.1177/0011000014568203CrossRefGoogle Scholar
Cheng, H.‐L., Wang, C., McDermott, R. C., Kridel, M., & Rislin, J. L. (2018). Self‐stigma, mental health literacy, and attitudes toward seeking psychological help. Journal of Counseling & Development, 96(1), 6474. https://doi.org/10.1002/jcad.12178Google Scholar
Choi, N.-Y., Kim, H. Y., & Gruber, E. (2019). Mexican American women college students’ willingness to seek counseling: The role of religious cultural values, etiology beliefs, and stigma. Journal of Counseling Psychology, 66(5), 577587. https://doi.org/10.1037/cou0000366Google Scholar
Choi, N.-Y., & Miller, M. J. (2014). AAPI college students’ willingness to seek counseling: The role of culture, stigma, and attitudes. Journal of Counseling Psychology, 61(3), 340351. https://doi.org/10.1037/cou0000027CrossRefGoogle ScholarPubMed
Chong, S. S. (2015). Help-seeking models for Asian International and American students. Doctoral dissertation, Arizona State University. Arizona State University Repository. https://repository.asu.edu/attachments/158054/content/Chong_asu_0010E_15279.pdfGoogle Scholar
Cole, B. P., & Ingram, P. B. (2020). Where do I turn for help? Gender role conflict, self-stigma, and college men’s help-seeking for depression. Psychology of Men & Masculinities, 21(3), 441452. https://doi.org/10.1037/men0000245CrossRefGoogle Scholar
Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614625. https://doi.org/10.1037/0003-066X.59.7.614Google Scholar
del Castillo, L. A. P. (2017). Dominican college students’ experiences of distress, help-seeking, and stigma. Doctoral dissertation, Western Michigan University. Scholarworks@WMU. https://scholarworks.wmich.edu/cgi/viewcontent.cgi?article=4111&context=dissertationsGoogle Scholar
Dschaak, Z. A., & Juntunen, C. L. (2018). Stigma, substance use, and help-seeking attitudes among rural and urban individuals. Journal of Rural Mental Health, 42(3-4), 184195. https://doi.org/10.1037/rmh0000097Google Scholar
Ege, S., & Lannin, D.G. (2021). Deciding to disclose: The role of identity when “coming out proud.” Stigma & Health. Advance online publication.Google Scholar
Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36(4), 368373.Google Scholar
Fischer, E. H., & Turner, J. I. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35(1, Pt.1), 7990. https://doi.org/10.1037/h0029636CrossRefGoogle ScholarPubMed
Fox, A. B., Smith, B. N., & Vogt, D. (2018). How long does mental illness stigma impact treatment seeking? Longitudinal examination of relationships between anticipated and internalized stigma, symptom severity, and mental health service use. Psychiatry Research, 268, 1520. https://doi.org/10.1016/j.psychres.2018.06.036Google Scholar
Freitas-Murrell, B. & Swift, J. K. (2015). Predicting attitudes toward seeking professional psychological help among Alaska Natives. American Indian and Alaska Native Mental Health Research, 22(3), 2135. https://doi.org/10.5820/aian.2203.2015.21Google Scholar
Fripp, J. A., & Carlson, R. G. (2017). Exploring the influence of attitude and stigma on participation of African American and Latino populations in mental health services. Journal of Multicultural Counseling and Development, 45(2), 8094. https://doi.org/10.1002/jmcd.12066Google Scholar
Garriott, P. O., Raque-Bogdan, T. L., Yalango, K., Ziemer, K. S., & Utley, J. (2017). Intentions to seek counseling in first-generation and continuing-generation college students. Journal of Counseling Psychology, 64(4), 432442. https://doi.org/10.1037/cou0000210CrossRefGoogle ScholarPubMed
Gim, R. H., Atkinson, D. R., & Whiteley, S. (1990). Asian American acculturation, severity of concerns, and willingness to see a counselor. Journal of Counseling Psychology, 37(3), 281285. https://doi.org/10.1037/0022-0167.37.3.281Google Scholar
Giroux, D. & Geiss, E. (2019). Evaluating a student-led mental health awareness campaign. Psi Chi Journal of Psychological Research, 24(1), 6166. https://doi.org/10.24839/2325-7342.JN24.1.61Google Scholar
Gochicoa, E. (2019). A quantitative study exploring the effect of attitudes on help-seeking behavior for mental health among military personnel (Publication No. 13813271). Doctoral dissertation, Northcentral University. ProQuest Dissertations and Theses.Google Scholar
Hackler, A. H., Vogel, D. L., & Wade, N. G. (2010). Attitudes toward seeking professional help for an eating disorder: The role of stigma and anticipated outcomes. Journal of Counseling & Development, 88(4), 424431. https://doi.org/10.1002/j.1556-6678.2010.tb00042.xGoogle Scholar
Hamidi, E. (2014). Using the theory of planned behavior to predict international students’ help-seeking intentions and behaviors. Master’s thesis, Virginia Tech. ETDs: Virginia Tech Electronic Theses and Dissertations. https://vtechworks.lib.vt.edu/bitstream/handle/10919/48593/Hamidi_E_T_2014.pdf?sequence=1Google Scholar
Hammer, J. H., Parent, M. C., & Spiker, D. A. (2018). Mental Help Seeking Attitudes Scale (MHSAS): Development, reliability, validity, and comparison with the ATSPPH-SF and IASMHS-PO. Journal of Counseling Psychology, 65(1), 7485. https://doi.org/10.1037/cou0000248Google Scholar
Hammer, J. H., Perrin, P. B., & Spiker, D. A. (2019). Impact of integrated care and co-location of care on mental help-seeking perceptions. Journal of Mental Health, 1–6. https://doi.org/10.1080/09638237.2019.1581334CrossRefGoogle Scholar
Hammer, J. H., Spiker, D. A., & Perrin, P. B. (2019). Physician referral to a psychologist: Testing alternative behavioral healthcare seeking models. Journal of Clinical Psychology, 75(4), 726741. https://doi.org/10.1002/jclp.22729CrossRefGoogle ScholarPubMed
Hammer, J. H., & Vogel, D. L. (2010). Men’s help seeking for depression: The efficacy of a male-sensitive brochure about counseling. The Counseling Psychologist, 38(2), 296313. https://doi.org/10.1177/0011000009351937Google Scholar
Hammer, J. H., & Vogel, D. L. (2013). Assessing the utility of the willingness/prototype model in predicting help-seeking decisions. Journal of Counseling Psychology, 60(1), 8397. https://doi.org/10.1037/a0030449Google Scholar
Hammer, J. H., & Vogel, D. V. (2017). Development of the Help-Seeker Stereotype Scale. Stigma and Health, 2(2), 121136. https//doi.org/10.1037/sah0000048Google Scholar
Harewood, J. E. (2009). Social and personal determinants of help-seeking intensions among black college students. Doctoral dissertation, SUNY Albany. University Libraries University at Albany, State University of New York. www.albany.edu/~yc0770/education/dissertations.htmlGoogle Scholar
Hassan, F. Y. (2015). Attitudes toward help-seeking behavior in a sample of university student in Lebanon (Publication No. 195573318). Doctoral dissertation, American University of Beirut. Semantic Scholar.Google Scholar
Heath, P. (2019). Masculinity and psychological help seeking: An application of Social Identity Theory. Doctoral dissertation, Iowa State University. Iowa State University Digital Repository. https://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=8469&context=etdGoogle Scholar
Heath, P. J., Brenner, R. E., Lannin, D. G., & Vogel, D. L. (2018). Self-compassion moderates the relationship of perceived public and anticipated self-stigma of seeking help. Stigma and Health, 3(1), 6568. https://doi.org/10.1037/sah0000072Google Scholar
Heffren, C. D., & Hausdorf, P. A. (2016). Post-traumatic effects in policing: Perceptions, stigmas and help seeking behaviours. Police Practice and Research, 17(5), 420433. https://doi.org/10.1080/15614263.2014.958488Google Scholar
Held, P., & Owens, G. P. (2013). Stigmas and attitudes toward seeking mental health treatment in a sample of veterans and active duty service members. Traumatology, 19(2), 136143. https://doi.org/10.1177/1534765612455227Google Scholar
Hillard, R. C. (2019). Stigma, attitudes, and intention to seek mental health services in college student-athletes. Doctoral dissertation, West Virginia University. The Research Repository @ WVU. https://researchrepository.wvu.edu/cgi/viewcontent.cgi?article=4982&context=etdGoogle Scholar
Hilliard, R. C., Redmond, L. A., & Watson, J. C. (2019). The relationships among self-compassion, stigma, and attitudes toward counseling in student-athletes. Journal of Clinical Sport Psychology, 13(3), 374389. https://doi.org/10.1123/jcsp.2018-0027Google Scholar
Hobson, H. L. (2008). The effects of mental health education on reducing stigma and increasing positive attitudes toward seeking therapy (Publication No. 74221005). Master’s thesis, Humboldt State University. Semantics Scholar.Google Scholar
Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I² index? Psychological Methods, 11(2), 193206. https://doi.org/10.1037/1082-989X.11.2.193Google Scholar
Ina, M., & Morita, M. (2015). Japanese university students’ stigma and attitudes toward seeking professional psychological help. Online Journal of Japanese Clinical Psychology, 2(1), 1018.Google Scholar
Jean-Michel, K. (2014). Exploring help-seeking intentions among Black American church-goers. Doctoral dissertation, Western Michigan University. ScholarWorks@WMU. https://scholarworks.wmich.edu/cgi/viewcontent.cgi?article=1309&context=dissertationsGoogle Scholar
Jennings, K. S., Cheung, J. H., Britt, T. W., et al. (2015). How are perceived stigma, self-stigma, and self-reliance related to treatment-seeking? A three-path model. Psychiatric Rehabilitation Journal, 38(2), 109116. https://doi.org/10.1037/prj0000138Google Scholar
Jennings, K. S., Goguen, K. N., Britt, T. W., et al. (2017). The role of personality traits and barriers to mental health treatment seeking among college students. Psychological Services, 14(4), 513523. https://doi.org/10.1037/ser0000157Google Scholar
Kaplan, S. A., Vogel, D. L., Gentile, D. A., & Wade, N. G. (2012). Increasing positive perceptions of counseling: The importance of repeated exposures. The Counseling Psychologist, 40(3), 409442. https://doi.org/10.1177/0011000011414211Google Scholar
Karaffa, K. M., & Koch, J. M. (2016). Stigma, pluralistic ignorance, and attitudes toward seeking mental health services among police officers. Criminal Justice and Behavior, 43(6), 759777. https://doi.org/10.1177/0093854815613103Google Scholar
Kashima, Y., Yamaguchi, S., Kim, U., et al. (1995). Culture, gender, and self: A perspective from individualism-collectivism research. Journal of Personality and Social Psychology, 69(5), 925937. https://doi.org/10.1037/0022-3514.69.5.925Google Scholar
Kearns, M., Muldoon, O. T., Msetfi, R. M., & Surgenor, P. W. (2019). The impact of community-based mental health service provision on stigma and attitudes towards professional help-seeking. Journal of Mental Health, 28(3), 289295. https://doi.org/10.1080/09638237.2018.1521928Google Scholar
King, P., Newton, F., Osterlund, B., & Baber, B. (1973). A counseling center studies itself. Journal of College Student Personnel, 14, 338344.Google Scholar
Knowles, S. R., & Apputhurai, P. (2018). Development and validation of the mental health seeking apprehension scale (MHSAS). Journal of Psychology and Psychotherapy Research, 5(1), 19. https://doi.org/10.12974/2313-1047.2018.05.1Google Scholar
Koleoso, O. N. & Odunmayowa, A. I. (2017). Consequences of psychological and demographic features on attitudes toward seeking professional psychological help of undergraduate students. African Journal for the Psychological Studies of Social Issues, 20(2), 242256.Google Scholar
Kristensen, S. (2015). Therapy taboo in Sweden? A study investigating perceived public stigma, self-stigma, and attitudes toward seeking professional therapy. Undergraduate thesis, Lunds Universitet. LUP Student Papers. http://lup.lub.lu.se/luur/download?func=downloadFile&recordOId=7856677&fileOId=7856707Google Scholar
Kuok, A. C., & Rashidnia, J. (2019). College students’ attitudes toward counseling for mental health issues in two developing Asian countries. Spiritual Psychology and Counseling, 4(1), 6784. https://doi.org/10.37898/spc.2019.4.1.0056Google Scholar
Lannin, D. G., Barrowclough, M., & Vogel, D. L. (2020). An examination of help‐seeking preferences via best–worst scaling. Journal of Clinical Psychology, 76(9), 16771695. https://doi.org/10.1002/jclp.22945Google Scholar
Lannin, D. G., Guyll, M., Vogel, D. L., & Madon, S. (2013). Reducing the stigma associated with seeking psychotherapy through self-affirmation. Journal of Counseling Psychology, 60(4), 508519. https://doi.org/10.1037/a0033789Google Scholar
Lannin, D. G., Kanter, J. B., Russell, L., Parris, L., & Yazedjian, A. (2020). Why do adolescents seek online mental health information? Journal of Adolescent and Family Health, 11(1), 5. https://scholar.utc.edu/jafh/vol11/iss1/5Google Scholar
Lannin, D. G., Ludwikowski, W. M., Heath, P. J., et al. (2020). How are personal values linked to help-seeking stigma? The Counseling Psychologist, 48(2), 249276. https://doi.org/10.1177%2F0011000019884815CrossRefGoogle Scholar
Lannin, D. G., Ludwikowski, W. M. A., Vogel, D. L., Seidman, A. J., & Anello, K. (2019). Reducing psychological barriers to therapy via contemplation and self-affirmation. Stigma and Health, 4(3), 247255. https://doi.org/10.1037/sah0000139Google Scholar
Lannin, D. G., Vogel, D. L., Brenner, R. E., Abraham, W. T., & Heath, P. J. (2016). Does self-stigma reduce the probability of seeking mental health information? Journal of Counseling Psychology, 63(3), 351358. https://doi.org/10.1037/cou0000108Google Scholar
Lannin, D. G., Vogel, D. L., Brenner, R. E., & Tucker, J. R. (2015). Predicting self-esteem and intentions to seek counseling: The internalized stigma model. The Counseling Psychologist, 43(1), 6493. https://doi.org/10.1177/0011000014541550Google Scholar
Lee, E., Ditchman, N., Fong, M. W. M., Piper, L., & Feignon, M. (2014). Mental health service seeking among Korean international students in the United States: A path analysis. Journal of Community Psychology, 42(6), 639655. https://doi.org/10.1002/jcop.21643Google Scholar
Levant, R. F., Stefanov, D. G., Rankin, T. J., et al. (2013). Moderated path analysis of the relationships between masculinity and men’s attitudes toward seeking psychological help. Journal of Counseling Psychology, 60(3), 392406. https://doi.org/10.1037/a0033014Google Scholar
Levin, M. E., Krafft, J., & Levin, C. (2018). Does self-help increase rates of help seeking for student mental health problems by minimizing stigma as a barrier? Journal of American College Health, 66(4), 302309. https://doi.org/10.1080/07448481.2018.1440580CrossRefGoogle ScholarPubMed
Li, W., Denson, L. A., & Dorstyn, D. S. (2017). Help-seeking intentions and behaviors among Mainland Chinese college students: Integrating the theory of planned behavior and behavioral model of health services use. International Journal for the Advancement of Counselling, 39(2), 125148. https://doi.org/10.1007/s10447-017-9287-xGoogle Scholar
Li, W., Dorstyn, D. S., & Denson, L. A. (2014). Psychosocial correlates of college students’ help-seeking intention: A meta-analysis. Professional Psychology: Research and Practice, 45(3), 163170. https://doi.org/10.1037/a0037118Google Scholar
Lienemann, B. A., & Siegel, J. T. (2016). State psychological reactance to depression public service announcements among people with varying levels of depressive symptomatology. Health Communication, 31(1), 102116. https://doi.org/10.1080/10410236.2014.940668Google Scholar
Lienemann, B. A., Siegel, J. T., & Crano, W. D. (2013). Persuading people with depression to seek help: Respect the boomerang. Health Communication, 28(7), 718728. https://doi.org/10.1080/10410236.2012.712091Google Scholar
Luc, I. C. (2018). Examining the relationship between acculturation level and self-stigma toward seeking professional psychological help among Vietnamese Americans (Publication No. 10842035). Doctoral dissertation, California Lutheran University. ProQuest Dissertations & Theses.Google Scholar
Ludwikowski, W., Vogel, D. L., & Armstrong, P. I. (2009). Attitudes towards career counseling: The role of public and self-stigma. Journal of Counseling Psychology, 56(3), 408416. https://doi.org/10.1037/a0016180Google Scholar
Lueck, J. A. (2018). Examining determinants of seeking help for depression: Implications for effective health promotion messages. Journal of Communication in Healthcare, 11(1), 1929. https://doi.org/10.1080/17538068.2017.1417957CrossRefGoogle Scholar
Mackenzie, C. S., Knox, V. J., Gekoski, W. L., Macaulay, H. L. (2004). An adaptation and extension of the attitudes toward seeking professional psychological help scale. Journal of Applied Social Psychology, 34(11), 24102433. https://doi.org/10.1111/j.1559-1816.2004.tb01984.xGoogle Scholar
Madden, T. J., Ellen, P. S., & Ajzen, I. (1992). A comparison of the theory of planned behavior and the theory of reasoned action. Personality and social psychology Bulletin, 18(1), 39. https://doi.org/10.1177%2F0146167292181001Google Scholar
Miller, P. J. (2009). Personality as a potential moderator of the relationship between stigma and help-seeking. Doctoral dissertation, Iowa State University. Iowa State University Digital Repository. https://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=1726&context=etdGoogle Scholar
Mills, N. P. (2009). Relationship of acculturation and age to Native American people’s attitudes about mental health service (Order No. 3373080). Available from ProQuest Dissertations & Theses Global. (304915962). www.proquest.com/dissertations-theses/relationship-acculturation-age-native-american/docview/304915962Google Scholar
Mittal, D., Sullivan, G., Chekuri, L., Allee, E., & Corrigan, P. W. (2012). Empirical studies of self-stigma reduction strategies: A critical review of the literature. Psychiatric Services, 63(10), 974981. https://doi.org/10.1176/appi.ps.201100459Google Scholar
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 6(7): e1000097. https://doi.org/10.1371/journal.pmed1000097Google Scholar
Montaño, D. E., & Kasprzyk, D. (2015). Theory of reasoned action, theory of planned behavior and the integrated behavioral model. In Glanz, K., & Rimer, B. K., & Viswanath, K. “V.” (Eds.), Health Behavior: Theory, Research and Practice. San Francisco: Jossey Bass/Wiley; pp. 95124.Google Scholar
Murphy, T. M. (2018). Support and barriers to help-seeking attitudes of college students regarding sexual assault: Rape myth acceptance as a moderator of compassion and stigma (Order No. 10810569). Available from ProQuest Dissertations & Theses Global. (2124417924). www.proquest.com/dissertations-theses/support-barriers-help-seeking-attitudes-college/docview/2124417924Google Scholar
Nagai, S. (2015). Predictors of help‐seeking behavior: Distinction between help‐seeking intentions and help‐seeking behavior. Japanese Psychological Research, 57(4), 313322. https://doi.org/10.1111/jpr.12091Google Scholar
Nam, S. K., & In Park, H. (2015). The construct validity of attitudes toward career counseling scale for Korean college students. Journal of Career Development, 42(6), 478492. https://doi.org/10.1177/0894845315575735Google Scholar
Nam, S. K., & Lee, S. M. (2015). The role of attachment and stigma in the relationship between stress and attitudes toward counseling in South Korea. Journal of Counseling & Development, 93(2), 212224. https://doi.org/10.1002/j.1556-6676.2015.00197.xGoogle Scholar
Nitzarim, R. S., & Thompson, M. N. (2019). Vicarious experiences of unemployment scale development: Relationships to mental health and help-seeking among undergraduate students. Journal of Career Assessment, 27(2), 289305. https://doi.org/10.1177/1069072717748678Google Scholar
Noble, M. A. (2018). From service member to student: Predictors of psychological help-seeking attitudes in student service members and veterans. Doctoral dissertation, West Virginia University. The Research Repository @ WVU. https://researchrepository.wvu.edu/cgi/viewcontent.cgi?article=8264&context=etdGoogle Scholar
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan – a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210. https://doi.org/10.1186/s13643-016-0384-4Google Scholar
Pasupuleti, R. V. (2013). Cultural factors, stigma, stress, and help-seeking attitudes among college students. Doctoral dissertation, University of Rhode Island. DigitalCommons@URI. https://digitalcommons.uri.edu/cgi/viewcontent.cgi?article=1133&context=oa_dissGoogle Scholar
Pederson, E. L., & Vogel, D. L. (2007). Male gender role conflict and willingness to seek counseling: Testing a mediation model on college-aged men. Journal of Counseling Psychology, 54(4), 373384. https://doi.org/10.1037/0022-0167.54.4.373Google Scholar
Pfohl, A. H. (2010). Factors influencing psychological help seeking attitudes and behavior in counseling trainees. Doctoral dissertation, Ohio State University. OhioLINK Electronic Theses and Dissertations Center. https://etd.ohiolink.edu/apexprod/rws_olink/r/1501/10?clear=10&p10_accession_num=osu1293557571Google Scholar
Pheko, M. M., Chilisa, R., Balogun, S. K., & Kgathi, C. (2013). Predicting intentions to seek psychological help among Botswana University students: The role of stigma and help-seeking attitudes. SAGE Open, 1–11. https://doi.org/10.1177/2158244013494655Google Scholar
Pheng, T. L., Jaafar, W. M. W., & Noor, N. M. (2019). Stigma and attitudes toward seeking counseling among undergraduate students. GJAT. www.gjat.my.Google Scholar
Polanin, J. R., Hennessy, E. A., & Tanner-Smith, E. E. (2017). A review of meta-analysis packages in R. Journal of Educational and Behavioral Statistics, 42(2), 206242. https://doi.org/10.3102%2F1076998616674315Google Scholar
Polanin, J. R., Tanner-Smith, E. E., & Hennessy, E. A. (2016). Estimating the difference between published and unpublished effect sizes: A meta-review. Review of Educational Research, 86(1), 207236. https://doi.org/10.3102%2F0034654315582067Google Scholar
Porcari, C., Koch, E. I., Racuh, S. A. M., et al. (2017). Predictors of help-seeking intentions in Operation Enduring Freedom and Operation Iraqi Freedom veterans and service members. Military Medicine, 182(5–6), e1640e1647. https://doi.org/10.7205/MILMED-D-16-00105Google Scholar
Rauch, L. (2017). Stigma, negative attitudes, and help-seeking behaviors among military service members (Order No. 10190684). Available from ProQuest Dissertations & Theses Global. (1964842296). www.proquest.com/dissertations-theses/stigma-negative-attitudes-help-seeking-behaviors/docview/1964842296Google Scholar
Reynders, A., Kerkhof, A. J. F. M., Molenberghs, G., & Van Audenhove, C. (2014). Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Social Psychiatry and Psychiatric Epidemiology, 49(2), 231239. https://doi.org/10.1007/s00127-013-0745-4Google Scholar
Rochlen, A. B., Beretvas, S. N., & Zack, J. S. (2004). The online and face-to-face counseling attitudes scales: A validation study. Measurement and Evaluation in Counseling and Development, 37(2), 95111. https://doi.org/10.1080/07481756.2004.11909753Google Scholar
Rogers, T. E. (2009). Using the theory of reasoned action to predict college men’s intentions to seek psychological help (Publication No.147139905). Doctoral dissertation, University of Akron. Semantic Scholar.Google Scholar
Schomerus, G., & Angermeyer, M. C. (2008). Stigma and its impact on help-seeking for mental disorders: What do we know? Epidemiologia e Psichiatria Sociale, 17(1), 3137. https://doi.org/10.1017/s1121189x00002669Google Scholar
Schwarz, N., & Bohner, G. (2001). The construction of attitudes. In Blackwell Handbook of Social Psychology: Intraindividual Processes (pp. 436447). Oxford: Blackwell. https://doi.org/10.1002/9780470998519.ch20Google Scholar
Seidman, A. J., Wade, N. G., Lannin, D. G., et al. (2018). Self-affirming values to increase student veterans’ intentions to seek counseling. Journal of Counseling Psychology, 65(5), 653660. https://doi.org/10.1037/cou0000289Google Scholar
Seidman, A. J., Wade, N. G., Vogel, D. L., & Armistead-Jehle, P. (2019). The impact of stigma on behavioral health care utilization among active duty service members. Military Psychology, 31(1), 1117. https://doi.org/10.1080/08995605.2018.1522927Google Scholar
Shea, M., Wong, Y. J., Nguyen, K. K., & Gonzalez, P. D. (2019). College students’ barriers to seeking mental health counseling: Scale development and psychometric evaluation. Journal of Counseling Psychology, 66(5), 626639. https://doi.org/10.1037/cou0000356Google Scholar
Sheperd, C. B. (2012). Development and evaluations of a psychoeducational internet intervention to increase men’s help-seeking for body image and disordered eating/exercise concerns. Doctoral dissertation, Colorado State University. Mountain Scholar Digital Collections of Colorado & Wyoming. https://mountainscholar.org/bitstream/handle/10217/69293/Shepherd_colostate_0053A_11121.pdf?sequence=1&isAllowed=yGoogle Scholar
Shepherd, C. B., & Rickard, K. M. (2012). Drive for muscularity and help-seeking: The mediational role of gender role conflict, self-stigma, and attitudes. Psychology of Men & Masculinity, 13(4), 379392. https://doi.org/10.1037/a0025923Google Scholar
Sibicky, M., & Dovidio, J. (1986). Stigma of psychological therapy: Stereotypes, interpersonal reactions, and the self-fulfilling prophecy. Journal of Counseling Psychology, 33, 148154. https://doi.org/10.1037/0022-0167.33.2.148Google Scholar
Soheilian, S. S., & Inman, A. G. (2009). Middle Eastern Americans: The effects of stigma on attitudes toward counseling. Journal of Muslim Mental Health, 4(2), 139158. https://doi.org/10.1080/15564900903245766Google Scholar
Spiker, D. A., Hammer, J. H., & Parnell, K. J. (2019). Men in unhappy relationships: Perceptions of couple therapy. Journal of Social and Personal Relationships, 36(7), 20152035. https://doi.org/10.1177/0265407518775537Google Scholar
Stewart, H., Jameson, J. P., & Curtin, L. (2015). The relationship between stigma and self-reported willingness to use mental health services among rural and urban older adults. Psychological Services, 12(2), 141148. https://doi.org/10.1037/a0038651Google Scholar
Topkaya, N., Sahin, E., & Meydan, B. (2017). The development, validity, and reliability of the barriers to seeking psychological help scale for college students. International Journal of Higher Education, 6(1), 4862. https://doi.org/10.5430/ijhe.v6n1p48Google Scholar
Topkaya, N., Vogel, D. L., & Brenner, R. E. (2017). Examination of the stigmas toward help seeking among Turkish college students. Journal of Counseling and Development, 95(2), 213-225. https://doi.org/10.1002/jcad.12133Google Scholar
Tsang, Y. T., Franklin, M., Sala-Hamrick, K., et al. (2020). Caregivers as gatekeepers: Professional mental health service use among urban minority adolescents. American Journal of Orthopsychiatry, 90(3), 328339. https://doi.org/10.1037/ort0000432Google Scholar
Tucker, J. R., Hammer, J. H., Vogel, D. L., et al. (2013). Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different? Journal of Counseling Psychology, 60(4), 520531. https://doi.org/10.1037/a0033555Google Scholar
Tuliao, A. P., & Velasquez, P. A. E. (2017). Online counselling among Filipinos: Do Internet-related variables matter? Asia Pacific Journal of Counselling and Psychotherapy, 8(1), 5365. https://doi.org/10.1080/21507686.2016.1260613CrossRefGoogle Scholar
Vally, Z., Cody, B. L., Albloshi, M. A., & Alsheraifi, S. N. (2018). Public stigma and attitudes toward psychological help‐seeking in the United Arab Emirates: The mediational role of self‐stigma. Perspectives in Psychiatric Care, 54(4), 571579. https://doi.org/10.1111/ppc.12282Google Scholar
Vasilescu, V. (2012). Cloud therapy: Predicting intent to seek computer mediated therapy (Publication No. 10262389). Master’s thesis, Adler School of Professional Psychology. ProQuest Dissertations & Theses.Google Scholar
Viechtbauer, W. (2010 ). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 148. https://doi.org/10.18637/jss.v036.i03Google Scholar
Vogel, D. L., Bitman, R. L., Hammer, J. H., & Wade, N. G. (2013). Is stigma internalized? The longitudinal impact of public stigma on self-stigma. Journal of Counseling Psychology, 60, 311316. https://doi.org/10.1037/a0031889Google Scholar
Vogel, D. L., Heimerdinger-Edwards, S. R., Hammer, J. H., & Hubbard, A. (2011). “Boys don’t cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology, 58(3), 368-382. https://doi.org/10.1037/a0023688Google Scholar
Vogel, D. L., Michaels, M. L., & Gruss, N. J. (2009). Parental attitudes and college students’ intentions to seek therapy. Journal of Social and Clinical Psychology, 28(6), 689713. https://doi.org/10.1521/jscp.2009.28.6.689Google Scholar
Vogel, D. L., Shechtman, Z., & Wade, N. G. (2010). The role of public and self-stigma in predicting attitudes toward group counseling. The Counseling Psychologist, 38(7), 904922. https://doi.org/10.1177/0011000010368297Google Scholar
Vogel, D. L., Strass, H. A., Heath, P. J., et al. (2017). Stigma of seeking psychological services: Examining college students across ten countries/regions. The Counseling Psychologist, 45(2), 170192. https://doi.org/10.1177/0011000016671411CrossRefGoogle Scholar
Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325337. https://doi.org/10.1037/0022-0167.53.3.325Google Scholar
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 4050. https://doi.org/10.1037/0022-0167.54.1.40Google Scholar
Wade, N. G., Post, B. C., Cornish, M. A., Vogel, D. L., & Tucker, J. R. (2011). Predictors of the change in self-stigma following a single session of group counseling. Journal of Counseling Psychology, 58(2), 170182. https://doi.org/10.1037/a0022630Google Scholar
Wade, N. G., Vogel, D. L., Armistead-Jehle, P., et al. (2015). Modeling stigma, help-seeking attitudes, and intentions to seek behavioral healthcare in a clinical military sample. Psychiatric Rehabilitation Journal, 38(2), 135141. https://doi.org/10.1037/prj0000131Google Scholar
Wahto, R. S. (2017). Predictors of therapists’ attitudes, outcome expectation, and preferences for therapy (Publication No. 10642906). Doctoral dissertation, University of Alaska Anchorage. ProQuest Dissertations & Theses.Google Scholar
Wang, H. (2013). Barriers to Chinese college students seeking psychological help from professionals (Publication No. 3590994). Doctoral dissertation, University of Nebraska. ProQuest Dissertations & Theses.Google Scholar
Wasylkiw, L., & Clairo, J. (2018). Help seeking in men: When masculinity and self-compassion collide. Psychology of Men & Masculinity, 19(2), 234242. https://doi.org/10.1037/men0000086Google Scholar
Weatherhead, G. V. (2015). Impact of athletic identity and emotional competence on athletes’ attitudes toward seeking professional psychological help. Doctoral dissertation, Western Michigan University. ScholarWorks@WMU. https://scholarworks.wmich.edu/cgi/viewcontent.cgi?article=1751&context=dissertationsGoogle Scholar
Whato, R., & Swift, J. K. (2016). Labels, gender-role conflict, stigma, and attitudes toward seeking psychological help in men. American Journal of Men’s Health, 10(3), 181191. https://doi.org/10.1177/1557988314561491Google Scholar
White, M. M., Clough, B. A., & Casey, L. M. (2018). What do help-seeking measures assess? Building a conceptualization framework for help-seeking intentions through a systematic review of measure content. Clinical Psychology Review, 59, 6177. https://doi.org/10.1016/j.cpr.2017.11.001Google Scholar
Wilson, C. J., Deane, F. P., Ciarrochi, J., & Rickwood, D. (2005). Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire. Canadian Journal of Counselling, 39(1), 1528. https://doi.org/10.1037/t42876-000Google Scholar
Yakunina, E. S., Rogers, J. R., Waehler, C. A., & Werth, J. L. Jr (2010). College students’ intentions to seek help for suicidal ideation: Accounting for the help-negation effect. Suicide and Life-Threatening Behavior, 40(5), 438450. https://doi.org/10.1521/suli.2010.40.5.438Google Scholar
Yee, T., Ceballos, P., & Lawless, A. (2020). Help‐seeking attitudes of Chinese Americans and Chinese immigrants in the United States: The mediating role of self‐stigma. Journal of Multicultural Counseling and Development, 48(1), 3043. https://doi.org/10.1002/jmcd.12162Google Scholar

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