IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v44y2014icp356-362.html
   My bibliography  Save this article

Associations among the number of mental health problems, stigma, and seeking help from psychological services: A path analysis model among Chinese adolescents

Author

Listed:
  • Chen, Haide
  • Fang, Xiaoyi
  • Liu, Chaoying
  • Hu, Wei
  • Lan, Jing
  • Deng, Linyuan

Abstract

Adolescents with mental health problems are likely to refuse to seek help from psychological services. The aims of the present study were (1) to examine whether a greater number of mental health problems were associated with a lower level of willingness to seek help from psychological services among adolescents; and (2) to examine whether the relationship between the number of problems and the willingness to seek help was mediated by self-stigma, public stigma, and attitudes toward help-seeking. A sample of 251 middle and high school students who have had at least one mental health problem was used for the analyses involved in this study. The bivariate correlation analyses showed that adolescents with more mental health problems were likely to report more negative attitudes toward help-seeking and to demonstrate less willingness to seek help. Path analyses showed that the number of problems did not directly influence the willingness to seek help; however, the relationship between these two variables was mediated by self-stigma and attitudes toward help-seeking. Furthermore, willingness to seek help was not directly influenced by the number of internalizing and externalizing problems. However, the relationship between the number of internalizing problems and willingness to seek help was mediated by public stigma, self-stigma and attitudes toward help-seeking; additionally, the relationship between the number of externalizing problems and willingness to seek help was mediated by self-stigma and attitudes toward help-seeking, except for public stigma. These findings emphasize the importance of stigma, particularly self-stigma, for adolescents in seeking help from psychological services.

Suggested Citation

  • Chen, Haide & Fang, Xiaoyi & Liu, Chaoying & Hu, Wei & Lan, Jing & Deng, Linyuan, 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, Elsevier, vol. 44(C), pages 356-362.
    • Handle: RePEc:eee:cysrev:v:44:y:2014:i:c:p:356-362
    DOI: 10.1016/j.childyouth.2014.07.003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740914002527
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2014.07.003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    2. Cheng, Tyrone C., 2009. "Factors related to adolescents' seeking help from social workers in mental health settings," Children and Youth Services Review, Elsevier, vol. 31(7), pages 807-812, July.
    3. Slone, Michelle & Meir, Yael & Tarrasch, Ricardo, 2013. "Individual differences in referral for help for severe emotional difficulties in adolescence," Children and Youth Services Review, Elsevier, vol. 35(11), pages 1854-1861.
    4. Leathers, Sonya J. & McMeel, Lorri S. & Prabhughate, Abhijit & Atkins, Marc S., 2009. "Trends in child welfare's focus on children's mental health and services from 1980-2004," Children and Youth Services Review, Elsevier, vol. 31(4), pages 445-450, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Matshabane, Olivia P. & Campbell, Megan M. & Faure, Marlyn C. & Appelbaum, Paul S. & Marshall, Patricia A. & Stein, Dan J. & de Vries, Jantina, 2021. "The role of causal knowledge in stigma considerations in African genomics research: Views of South African Xhosa people," Social Science & Medicine, Elsevier, vol. 277(C).
    2. Schrank, Beate & Bird, Victoria & Rudnick, Abraham & Slade, Mike, 2012. "Determinants, self-management strategies and interventions for hope in people with mental disorders: Systematic search and narrative review," Social Science & Medicine, Elsevier, vol. 74(4), pages 554-564.
    3. Ferrie, Jamie & Miller, Hannah & Hunter, Simon C., 2020. "Psychosocial outcomes of mental illness stigma in children and adolescents: A mixed-methods systematic review," Children and Youth Services Review, Elsevier, vol. 113(C).
    4. Lars Hansson & Henrika Jormfeldt & Petra Svedberg & Bengt Svensson, 2013. "Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness?," International Journal of Social Psychiatry, , vol. 59(1), pages 48-54, February.
    5. Brandon A Gaudiano & Ivan W Miller, 2013. "Self-stigma and attitudes about treatment in depressed patients in a hospital setting," International Journal of Social Psychiatry, , vol. 59(6), pages 586-591, September.
    6. Kvaale, Erlend P. & Gottdiener, William H. & Haslam, Nick, 2013. "Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople," Social Science & Medicine, Elsevier, vol. 96(C), pages 95-103.
    7. Cheng, Tyrone C. & Lo, Celia C., 2021. "With their children placed in kinship care, did parents get the services they needed?," Children and Youth Services Review, Elsevier, vol. 121(C).
    8. Cheng, Tyrone C. & Lo, Celia C., 2020. "Mental health services receipt among caregivers in the child welfare system: A longitudinal analysis," Children and Youth Services Review, Elsevier, vol. 113(C).
    9. James Livingston & Nimesh Patel & Stephanie Bryson & Peter Hoong & Rodrick Lal & Marina Morrow & Sepali Guruge, 2018. "Stigma associated with mental illness among Asian men in Vancouver, Canada," International Journal of Social Psychiatry, , vol. 64(7), pages 679-689, November.
    10. Nuray A Karanci & Aylin Aras & Guler Beril Kumpasoğlu & Demet Can & Ekin Çakır & Cemrenur Karaaslan & Mine Semerci & Duygu Tüzün, 2019. "Living with schizophrenia: Perspectives of Turkish people with schizophrenia from two Patient Associations on how the illness affects their lives," International Journal of Social Psychiatry, , vol. 65(2), pages 98-106, March.
    11. Xu-Hong Li & Tian-Ming Zhang & Yuen Yum Yau & Yi-Zhou Wang & Yin-Ling Irene Wong & Lawrence Yang & Xiao-li Tian & Cecilia Lai-Wan Chan & Mao-Sheng Ran, 2021. "Peer-to-peer contact, social support and self-stigma among people with severe mental illness in Hong Kong," International Journal of Social Psychiatry, , vol. 67(6), pages 622-631, September.
    12. Sharma, Anupam Joya & Subramanyam, Malavika Ambale, 2020. "Psychological responses to reservation-based discrimination: A qualitative study of socially marginalized youth at a premier Indian university," International Journal of Educational Development, Elsevier, vol. 79(C).
    13. Mao-Sheng Ran & Lawrence H Yang & Yu-Jun Liu & Debbie Huang & Wen-Jun Mao & Fu-Rong Lin & Jie Li & Cecilia Lai-Wan Chan, 2017. "The family economic status and outcome of people with schizophrenia in Xinjin, Chengdu, China: 14-year follow-up study," International Journal of Social Psychiatry, , vol. 63(3), pages 203-211, May.
    14. Timmermans, Stefan & Tietbohl, Caroline, 2018. "Fifty years of sociological leadership at Social Science and Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 209-215.
    15. Gaddis, S. Michael & Ramirez, Daniel & Hernandez, Erik L., 2018. "Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses," Social Science & Medicine, Elsevier, vol. 197(C), pages 183-191.
    16. Pavlova, Alina & Berkers, Pauwke, 2020. "Mental health discourse and social media: Which mechanisms of cultural power drive discourse on Twitter," Social Science & Medicine, Elsevier, vol. 263(C).
    17. Melissa Pyle & Anthony P. Morrison, 2017. "Internalised stereotypes across ultra-high risk of psychosis and psychosis populations," Psychosis, Taylor & Francis Journals, vol. 9(2), pages 110-118, April.
    18. Fynbo, Lars & Jensen, Carsten Strøby, 2018. "Antimicrobial stigmatization: Public health concerns about conventional pig farming and pig farmers' experiences with stigmatization," Social Science & Medicine, Elsevier, vol. 201(C), pages 1-8.
    19. Adalberto Campo-Arias & Guillermo A Ceballos-Ospino & Edwin Herazo, 2020. "Barriers to access to mental health services among Colombia outpatients," International Journal of Social Psychiatry, , vol. 66(6), pages 600-606, September.
    20. Melissa Pyle & Alison Brabban & Laura Drage & Helen Spencer & Douglas Turkington & Anthony Morrison, 2015. "Associations between internalised stereotypes of psychosis and emotional dysfunction in people with psychosis not taking antipsychotic medication," Psychosis, Taylor & Francis Journals, vol. 7(3), pages 217-227, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:44:y:2014:i:c:p:356-362. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.