Stigma and Help Seeking for Mental Health Among College Students

Stigma and Help Seeking for Mental Health Among College Students
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DOI:
10.1177/1077558709335173
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发表时间:
2009-10-01
影响因子:
2.5
通讯作者:
Zivin, Kara
Zivin, Kara
中科院分区:
医学3区
文献类型:
--
作者:
Eisenberg, Daniel;Downs, Marilyn F.;Zivin, Kara

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国家政策制定者已将精神疾病污名化确定为寻求心理健康帮助的重要障碍。我们从13所大学的5,555名学生中随机抽取样本,对求助行为与公众污名化和人们自己的污名化态度(个人污名化)之间的关系进行了第一次实证研究。研究结果发现:(a)学生对公众污名的感知显著高于个人污名;(B)具有以下特征的学生对个人污名的感知更高:男性、年轻、亚裔、国际化、宗教信仰更强或来自贫困家庭;(c)个人污名与求助方式呈显著负相关(感知需要和使用精神药物,治疗和非临床来源的支持),而感知的耻辱与寻求帮助没有显着相关。这些发现有助于为减少污名作为寻求帮助的障碍的作用提供信息。
Mental illness stigma has been identified by national policy makers as an important barrier to help seeking for mental health. Using a random sample of 5,555 students from a diverse set of 13 universities, we conducted one of the first empirical studies of the association of help-seeking behavior with both perceived public stigma and people's own stigmatizing attitudes (personal stigma). There were three main findings: (a) Perceived public stigma was considerably higher than personal stigma; (b) personal stigma was higher among students with any of the following characteristics: male, younger, Asian, international, more religious, or from a poor family; and (c) personal stigma was significantly and negatively associated with measures of help seeking (perceived need and use of psychotropic medication, therapy, and nonclinical sources of support), whereas perceived stigma was not significantly associated with help seeking. These findings can help inform efforts to reduce the role of stigma as a barrier to help seeking.