Department of Psychology, School of Humanities and Social Sciences, Beijing Forestry University, 35 Tsinghua East Road, Haidian District, Beijing, 100083, P. R. China.
Center for Strategic Studies, Qiyuan Laboratory, Building 1st, Yard 58th, Yinhua Road, Zhongguancun Environmental Protection Science and Technology Park, Haidian District, Beijing, 100095, P. R. China.
BMC Psychiatry. 2023 Dec 21;23(1):956. doi: 10.1186/s12888-023-05458-5.
Mental health literacy is considered an important factor in promoting professional psychological help-seeking attitudes. However, it is important to clarify the emotional and behavioral factors that underlie this association. Drawing from the ABC model of attitudes and the Health Disclosure Decision-Making Model, this study aimed to examine the mediating role of psychological help-seeking stigma and distress disclosure in the relationship between mental health literacy and professional psychological help-seeking attitudes.
We collected data from 827 participants in seven regions of China (597 female; M = 26.019, SD = 5.592 years old) using self-report measures, including the Mental Health Literacy Scale, Questionnaire of Stigma for Seeking Professional Psychological Help, Distress Disclosure Index, and Attitudes Toward Seeking Professional Psychological Help-Short Form. A chain mediation model was built to examine the relationships among mental health literacy, psychological help-seeking stigma, distress disclosure, and professional psychological help-seeking attitudes.
The results of the analyses showed a positive association between mental health literacy and professional psychological help-seeking attitudes, with psychological help-seeking stigma and distress disclosure playing mediating roles in this relationship. Furthermore, even after controlling for participants' age, gender, and education, the chain mediation effect of psychological help-seeking stigma and distress disclosure on the relationship between mental health literacy and professional psychological help-seeking attitudes was observed among the Chinese population.
These findings underscore the significance of mental health literacy in shaping professional psychological help-seeking attitudes, while emphasizing the need to account for psychological help-seeking stigma and distress disclosure when examining this association. Additionally, the model proposed in this study provides a valuable framework for promoting the utilization of professional mental health services.
心理健康素养被认为是促进专业心理求助态度的重要因素。然而，厘清这种关联背后的情感和行为因素很重要。本研究借鉴态度的 ABC 模型和健康披露决策模型，旨在检验心理健康素养与专业心理求助态度之间的关系中，心理求助污名和痛苦披露的中介作用。
我们使用自陈式量表从中国七个地区（597 名女性；M=26.019，SD=5.592 岁）收集了 827 名参与者的数据，包括心理健康素养量表、寻求专业心理帮助污名问卷、痛苦披露指数和寻求专业心理帮助态度简表。构建链式中介模型来检验心理健康素养、心理求助污名、痛苦披露与专业心理求助态度之间的关系。
分析结果显示，心理健康素养与专业心理求助态度呈正相关，心理求助污名和痛苦披露在这种关系中起中介作用。此外，即使在控制了参与者的年龄、性别和教育程度后，在中国人群中仍然观察到心理求助污名和痛苦披露对心理健康素养与专业心理求助态度之间关系的链式中介效应。
这些发现强调了心理健康素养在塑造专业心理求助态度方面的重要性，同时也强调了在检验这种关联时需要考虑心理求助污名和痛苦披露。此外，本研究提出的模型为促进专业心理健康服务的利用提供了一个有价值的框架。
