The Effect of Mental Health Literacy on Psychological Help-Seeking Intention, Among Thai Undergraduate Students in Bangkok

Authors

  • Davud Shahidi
  • Donald Johnson

DOI:

https://doi.org/10.14456/abacodijournal.2023.5
CITATION
DOI: 10.14456/abacodijournal.2023.5
Published: 2023-04-05

Keywords:

mental health literacy, social stigma, self-stigma, help-seeking attitude, help-seeking intention, Thai undergraduate

Abstract

This study aimed to examine the effect of mental health literacy on psychological help-seeking intention, mediated by social stigma and self-stigma (at level 1) and attitudes toward seeking psychological help (at level 2) as posited in the form of 4 nested models. Based on the data from 1000 young adult Thai undergraduate students from universities across Bangkok, Thailand. The results revealed that the research instruments were psychometrically sound, that the full path model (model number 4) was the best fitting model, and that the students' mental health literacy had a positive effect on their attitudes and psychological help-seeking intention. This literacy level led to the students being highly aware of the stigmas present in their context, which was reflected in their stigma scores. Social stigma and self-stigma negatively mediated the effect of mental health literacy on attitudes and intention. And ultimately, attitudes had a direct positive effect on students' psychological help-seeking intention. The proposed model was adequate in predicting the students' psychological help-seeking intention

References

Armitage, C., & Conner, M. (2001). Efficacy of the Theory of Planned Behaviour: A meta-analytic review. The British journal of social psychology, 40(4), 471-499.

Arnett, J. J. (2004). Emerging adulthood: the winding road from the late teens through the twenties. New York ; Oxford : Oxford University Press, 2004. https://search.library.wisc.edu/catalog/9911036635302121

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M., Demyttenaere, K., Florescu, S., de Girolamo, G., Gureje, O., Haro, J. M., Karam, E. G., Kiejna, A., Kovess-Masfety, V., Lee, S., McGrath, J. J., O'Neill, S., Pennell, B. E., Scott, K., Ten Have, M., Torres, Y., Zaslavsky, A. M., Zarkov, Z., & Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med, 46(14), 2955-2970. https://doi.org/10.1017/s0033291716001665

Brinson, J. A., & Kottler, J. (1995). International students in counseling. Journal of College Student Psychotherapy, 9(3), 57-70. https://doi.org/10.1300/J035v09n03_05

Burnard, P., & Naiyapatana, W. (2004). Culture and communication in Thai nursing: A report of an ethnographic study. International Journal of Nursing Studies, 41, 755-765.

Burnard, P., Naiyapatana, W., & Lloyd, G. (2006). Views of mental illness and mental health care in Thailand: a report of an ethnographic study. Journal of Psychiatric and Mental Health Nursing, 13(6), 742-749. https://doi.org/https://doi.org/10.1111/j.1365-2850.2006.01028.x

Chen, P., Liu, X. J., Wang, X. Q., Yang, B. X., Ruan, J., & Liu, Z. (2020). Attitude Toward Seeking Professional Psychological Help among community-dwelling population in China. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00417

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), 64-74. https://doi.org/https://doi.org/10.1002/jcad.12178

Conrad, C. V., & Johnson, D. A. (2020). Existential therapy in intercultural western-Thai therapeutic relationships. Scholar : Human Sciences, 12(1), 160-180.

Constantine, M., Kindaichi, M. M., Okazaki, S., Gainor, K. A., & Baden, A. (2005). A qualitative investigation of the cultural adjustment experiences of Asian international college women. Cultural diversity & ethnic minority psychology, 11 2, 162-175.

Dias, P., Campos, L., Almeida, H., & Palha, F. (2018). Mental health literacy in young adults: adaptation and psychometric properties of the mental health literacy questionnaire. Int J Environ Res Public Health, 15(7). https://doi.org/10.3390/ijerph15071318

Farrer, L., Leach, L., Griffiths, K. M., Christensen, H., & Jorm, A. F. (2008). Age differences in mental health literacy. BMC Public Health, 8(1), 125. https://doi.org/10.1186/1471-2458-8-125

Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychologial help: A shortened form and considerations for research. Journal of College Student Development, 36(4), 368-373.

Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help: development and research utility of an attitude scale. Journal of consulting and clinical psychology, 35, 79-90.

Godin, G., & Kok, G. (1996). The Theory of Planned Behavior: A review of its applications to health-related behaviors. American Journal of Health Promotion, 11(2), 87 - 98.

Gulliver, A., Griffiths, K., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10, 113 - 113.

Hammer, J., & Spiker, D. A. (2018). Dimensionality, reliability, and predictive evidence of validity for three help-seeking intention instruments: ISCI, GHSQ, and MHSIS. Journal of Counseling Psychology, 65, 39T 401.

Kaya, C., Tansey, T., Chan, F., Bezyak, J., Melekoğlu, M. A., Çakıroğlu, O., & Köse, S. (2015). Dimensionality of the Turkish version of the Self-Stigma of Seeking Help Scale: Results from exploratory and confirmatory factor analyses. International Journal for the Advancement of Counselling, 37(2), 105-116. https://doi.org/10.1007/s10447-014-9230-3

Kim, B. S. K., & Omizo, M. M. (2003). Asian cultural values, attitudes toward seeking professional psychological help, and willingness to see a counselor. The Counseling Psychologist, 31(3), 343-361. https://doi.org/10.1177/0011000003031003008

Kim, P. Y., & Yon, K. J. (2019). Stigma, Loss of Face, and Help-Seeking Attitudes Among South Korean College Students. The Counseling Psychologist, 47(3), 331-357. https://doi.org/10.1177/0011000019872790

Komiya, N., Good, G., & Sherrod, N. (2000). Emotional openness as a predictor of college students' attitudes toward seeking psychological help. Journal of Counseling Psychology, 47, 138-143.

Kongsuk, T., Supanya, S., Kenbubpha, K., Phimtra, S., Sukhawaha, S., & Leejongpermpoon, J. (2017). Services for depression and suicide in Thailand [Perspective]. WHO South-East Asia Journal of Public Health, 6(1), 34-38. https://doi.org/10.4103/2224-3151.206162

Lopez, V., Sanchez, K., Killian, M. O., & Eghaneyan, B. H. (2018). Depression screening and education: an examination of mental health literacy and stigma in a sample of Hispanic women. BMC Public Health, 18(1), 646. https://doi.org/10.1186/s12889-018-5516-4

Maekawa, Y., & Kanai, A. (2015). Effects of Sekentei on seeking psychological help in Japan: The interaction effects of moderating factors based on the theory of reasoned action. Online Journal of Japanese Clinical Psychology, 1, 1-12.

McEachan, R., Conner, M., Taylor, N., & Lawton, R. (2011). Prospective prediction of health-related behaviours with the Theory of Planned Behaviour: A meta-analysis. Health Psychology Review, 5(2), 144 - 197.

Mo, P. K., & Mak, W. W. (2009). Help-seeking for mental health problems among Chinese: The application and extension of the theory of planned behavior. Social Psychiatry and Psychiatric Epidemiology, 44(8), 675-684. https://doi.org/10.1007/s00127-008-0484-0

Nam, S. K., Choi, S., Lee, J., Lee, M. K., Kim, A. R., & Lee, S. (2013). Psychological factors in college students' attitudes toward seeking professional psychological help: A meta-analysis. Professional Psychology: Research and Practice, 44(1), 37-45. https://doi.org/10.1037/a0029562

Olivas, M., & Li, C.-S. (2006). Understanding stressors of international students in higher education: What college counselors and personnel need to know. Journal of Instructional Psychology, 33, 217-222.

Outram, S., Murphy, B., & Cockburn, J. (2004). Factors associated with accessing professional help for psychological distress in midlife Australian women. Journal of Mental Health, 13, 185 - 195.

Picco, L., Abdin, E., Chong, S. A., Pang, S., Shafie, S., Chua, B. Y., Vaingankar, J. A., Ong, L. P., Tay, J., & Subramaniam, M. (2016). Attitudes Toward Seeking Professional Psychological Help: Factor Structure and Socio-Demographic Predictors. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.00547

Pitakchinnapong, N., & Rhein, D. (2019). Exploration of the causation of stigmatization of mental illness in Thailand: Perceptions of Thai university students. Human Behavior, Development and Society, 20(2), 7-19.

Ross, S. G., Bruggeman, B., Maldonado, M., & Deiling, M. (2020). Examining personal, perceived, treatment, and self-stigma in college students: The role of parent beliefs and mental health literacy. Journal of College Student Psychotherapy, 34(3), 183-197. https://doi.org/10.1080/87568225.2019.1580657

Schnyder, N., Panczak, R., Groth, N., & Schultze-Lutter, F. (2017). Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. The British Journal of Psychiatry :The Journal of Mental Science, 210, 261-268.

Schulze, B., Richter-Werling, M., Matschinger, H., & Angermeyer, M. C. (2003). Crazy? So what! Effects of a school project on students' attitudes towards people with schizophrenia. Acta Psychiatr Scand, 107(2), 142-150. https://doi.org/10.1034/j.1600-0447.2003.02444.x

Sheeran, P. (2002). Intention behavior relations: A conceptual and empirical review. In W. Stroebe & M. Hewstone (Eds.), European Review of Social Psychology (Vol. 12, pp. 1 - 36).

Smith, C. L., & Shochet, I. M. (2011). The impact of mental health literacy on help-seeking intentions: Results of a pilot study with first year psychology students. International Journal of Mental Health Promotion, 13(2), 14-20. https://doi.org/10.1080/14623730.2011.9715652

Temcharoenkit, S., & Johnson, D. A. (2021). Factors influencing attitudes toward astrology and making relationship decisions among Thai adults. Scholar: Human Sciences, 13(1), 15-27.

Thornicroft, G. (2007). Most people with mental illness are not treated. Lancet, 370(9590), 807-808. https://doi.org/10.1016/s0140-6736(07)61392-0

Tinto, V. (2006). Research and practice of student retention: What next? Journal of College Student Retention: Research, Theory & Practice, 8(1), 1-19. https://doi.org/10.2190/4YNU-4TMB-22DJ-AN4W

Topkaya, N. (2014). Gender, self-stigma, and public stigma in predicting attitudes toward psychological help-seeking. Educational Sciences: Theory & Practice, 14. https://doi.org/10.12738/estp.2014.2.1799

Vogel, D., Wade, N., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325-337. https://doi.org/10.1037/0022-0167.53.3.325

Vogel, D., Wade, N., & 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, 40-50.

Vogel, D. L., Armstrong, P. I., Tsai, P.-C., Wade, N., Hammer, J., Efstathiou, G., Holtham, E., Kouvaraki, E., Liao, H.-Y., Shechtman, Z., & Topkaya, N. (2013). Cross-cultural validity of the Self-Stigma of Seeking Help (SSOSH) scale: examination across six nations. Journal of Counseling Psychology, 60(2), 303-310. https://doi.org/10.1037/a0031889

Vogel, D. L., Strass, H. A., Heath, P. J., Al-Darmaki, F., Armstrong, P. I., Baptista, M. N., Brenner, R. E., Gonçalves, M., Lannin, D. G., Liao, H.-Y., Mackenzie, C., Mak, W., Rubin, M., Topkaya, N., Wade, N., Wang, Y., & Zlati, A. (2017). Stigma of seeking psychological services: Examining college students across ten countries/regions. The Counseling Psychologist, 45, 170 - 192. https://doi.org/10.1177/0011000016671411

Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., Olesen, J., Allgulander, C., Alonso, J., Faravelli, C., Fratiglioni, L., Jennum, P., Lieb, R., Maercker, A., van Os, J., Preisig, M., Salvador-Carulla, L., Simon, R., & Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol, 21(9), 655-679. https://doi.org/10.1016/j.euroneuro.2011.07.018

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Published

2023-04-05

How to Cite

Shahidi, D., & Johnson, D. (2023). The Effect of Mental Health Literacy on Psychological Help-Seeking Intention, Among Thai Undergraduate Students in Bangkok . ABAC ODI JOURNAL Vision. Action. Outcome, 10(2), 73-94. https://doi.org/10.14456/abacodijournal.2023.5