Mental Health, Self-Stigma, and Help-Seeking Intentions Among Emerging Adults: An Attachment Perspective
Mental Health, Self-Stigma, and Help-Seeking Intentions Among Emerging Adults: An Attachment Perspective
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DOI：
10.1177/0011000014568203
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发表时间：
2015-04-01
影响因子：
3.4
通讯作者：
Lopez, Frederick G.
中科院分区：
文献类型：
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作者：
Cheng, Hsiu-Lan;McDermott, Ryon C.;Lopez, Frederick G.
许多大学生都有常见的心理健康问题，比如焦虑和抑郁，但却不寻求心理帮助。本研究以1682名大学生为研究对象，提出了一个依恋理论驱动的模型，将成人依恋、心理健康问题和自我耻辱感相互关联，预测大学生的心理咨询意向。结构方程模型显示，依恋焦虑而非依恋回避直接正向预测心理咨询意向。然而，中介分析表明，依恋焦虑也通过自我耻辱感与求助意图间接负相关。具体来说，更高水平的依恋焦虑，或者依恋焦虑和心理健康问题的结合，预示着更高水平的自我耻辱，这反过来又预示着更弱的寻求咨询的意愿。研究结果指出，在理解寻求帮助的过程中，考虑依恋维度、心理健康问题水平、自我耻辱和寻求帮助意图等个体差异的综合贡献是很重要的。
Many college students experience common mental health concerns, such as anxiety and depression, but do not seek psychological help. The present study proposed an attachment theory-driven model interrelating adult attachment, mental health concerns, and self-stigma in predicting intentions to seek counseling with a college student sample (N = 1,682). Structural equation modeling revealed that attachment anxiety, but not attachment avoidance, directly and positively predicted intentions to seek counseling. However, mediation analyses indicated that attachment anxiety was also indirectly and negatively linked to help-seeking intentions through self-stigma. Specifically, higher levels of attachment anxiety, or the combination of attachment anxiety and mental health concerns, predicted greater levels of self-stigma, which in turn predicted weaker intentions to seek counseling. The findings point to the importance of considering the combined contributions of individual differences in attachment dimensions, levels of mental health concerns, self-stigma, and help-seeking intentions in understanding the help-seeking process.