Stigma of Seeking Psychological Services: Examining College Students Across Ten Countries/Regions

David L. Vogel; Haley A. Strass; Patrick J. Heath; Fatima R. Al-Darmaki; Patrick I. Armstrong; Makilim N. Baptista; Rachel E. Brenner; Marta Gonçalves; Daniel G. Lannin; Hsin Ya Liao; Corey S. Mackenzie; Winnie W.S. Mak; Mark Rubin; Nursel Topkaya; Nathaniel G. Wade; Ying Fen Wang; Alina Zlati

doi:10.1177/0011000016671411

Stigma of Seeking Psychological Services: Examining College Students Across Ten Countries/Regions

David L. Vogel^*, Haley A. Strass, Patrick J. Heath, Fatima R. Al-Darmaki, Patrick I. Armstrong, Makilim N. Baptista, Rachel E. Brenner, Marta Gonçalves, Daniel G. Lannin, Hsin Ya Liao, Corey S. Mackenzie, Winnie W.S. Mak, Mark Rubin, Nursel Topkaya, Nathaniel G. Wade, Ying Fen Wang, Alina Zlati

^*Corresponding author for this work

Department of Educational Psychology and Counseling

Research output: Contribution to journal › Article › peer-review

54 Citations (Scopus)

Abstract

Stigma is an important barrier to seeking psychological services worldwide. Two types of stigma exist: public stigma and self-stigma. Scholars have argued that public stigma leads to self-stigma, and then self-stigma is the primary predictor of attitudes toward seeking psychological services. However, this assertion is largely limited to U.S. samples. The goal of this research was to provide a first step in understanding the relationship between public stigma, self-stigma, and attitudes toward seeking psychological services in international contexts (N = 3,276; Australia, Brazil, Canada, Hong Kong, Portugal, Romania, Taiwan, Turkey, United Arab Emirates, and United States). Using structural equation modeling, we found that self-stigma mediated the relationship between public stigma and attitudes toward seeking services among college students in each country and region. However, differences in path strengths emphasize the need to pay attention to the role of public and self-stigma on attitudes toward seeking psychological services throughout the world.

Original language	English
Pages (from-to)	170-192
Number of pages	23
Journal	Counseling Psychologist
Volume	45
Issue number	2
DOIs	https://doi.org/10.1177/0011000016671411
Publication status	Published - 2017 Feb 1

Keywords

cross-cultural
help seeking
stigma
therapy

ASJC Scopus subject areas

Applied Psychology

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10.1177/0011000016671411

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Vogel, D. L., Strass, H. A., Heath, P. J., Al-Darmaki, F. R., Armstrong, P. I., Baptista, M. N., Brenner, R. E., Gonçalves, M., Lannin, D. G., Liao, H. Y., Mackenzie, C. S., Mak, W. W. S., Rubin, M., Topkaya, N., Wade, N. G., Wang, Y. F., & Zlati, A. (2017). Stigma of Seeking Psychological Services: Examining College Students Across Ten Countries/Regions. Counseling Psychologist, 45(2), 170-192. https://doi.org/10.1177/0011000016671411

Vogel, DL, Strass, HA, Heath, PJ, Al-Darmaki, FR, Armstrong, PI, Baptista, MN, Brenner, RE, Gonçalves, M, Lannin, DG, Liao, HY, Mackenzie, CS, Mak, WWS, Rubin, M, Topkaya, N, Wade, NG, Wang, YF & Zlati, A 2017, 'Stigma of Seeking Psychological Services: Examining College Students Across Ten Countries/Regions', Counseling Psychologist, vol. 45, no. 2, pp. 170-192. https://doi.org/10.1177/0011000016671411

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abstract = "Stigma is an important barrier to seeking psychological services worldwide. Two types of stigma exist: public stigma and self-stigma. Scholars have argued that public stigma leads to self-stigma, and then self-stigma is the primary predictor of attitudes toward seeking psychological services. However, this assertion is largely limited to U.S. samples. The goal of this research was to provide a first step in understanding the relationship between public stigma, self-stigma, and attitudes toward seeking psychological services in international contexts (N = 3,276; Australia, Brazil, Canada, Hong Kong, Portugal, Romania, Taiwan, Turkey, United Arab Emirates, and United States). Using structural equation modeling, we found that self-stigma mediated the relationship between public stigma and attitudes toward seeking services among college students in each country and region. However, differences in path strengths emphasize the need to pay attention to the role of public and self-stigma on attitudes toward seeking psychological services throughout the world.",

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Stigma of Seeking Psychological Services: Examining College Students Across Ten Countries/Regions

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