Wang Yi, Qiao Tianrui, Liu Chao
College of Journalism and Communication, Huaqiao University, Xiamen, 361021, China.
Sci Rep. 2025 Mar 25;15(1):10274. doi: 10.1038/s41598-025-94326-1.
Psychological health is a prominent social issue worldwide and in China. Simultaneously, the rapid development of internet medical services in China provides a solid foundation for online psychological counseling. However, the cultural values of Chinese people often lead to a reluctance to pursue psychological counseling, adding to the complexity of the issue. The purpose of this study is to explore how information exposure, trait mindfulness, public stigma, and self-stigma among Chinese youth affect their intentions of seeking online psychological counseling. Based on the SOR (stimulus-organism-response) theory, combined with a mindful coping model, a structural equation model was constructed to analyze the path of the effects of information exposure, trait mindfulness, public stigma, and self-stigma on behavioral intention. A total of 671 valid questionnaires were collected through online surveys. First, SPSS 26.0 was used for questionnaire reliability and validity analysis, demographic characteristic difference testing, and correlation testing between variables. Secondly, Amos 26.0 was used to construct the structural equation model, verify the model fitting, identify the relationship between latent variables, and perform path testing. The study results indicate that (1) The intention of online psychological counseling among Chinese youth has significant differences in terms of age, occupation, monthly income, and previous counseling experiences. (2) Information exposure positively affects counseling intention (β = 0.434, P < 0.001), Trait mindfulness positively affects counseling intention (β = 0.100, P < 0.05), information exposure doesn't significantly affect public stigma (β = 0.015, P = 0.727), information exposure negatively affects self-stigma (β = -0.079, P < 0.05), mindfulness character negatively affects public stigma (β = -0.421, P < 0.001), mindfulness character negatively affects self-stigma (β = -0.115, P < 0.001), public stigma positively affects self-stigma (β = -0.766, P < 0.001), public stigma negatively affects counseling intention (β = -0.234, P < 0.01), and self-stigma negatively affects counseling intention (β = -0.248, P < 0.001). Combining the SOR theory with the mindful coping model, it has been found that information exposure and trait mindfulness positively affect counseling intention, information exposure doesn't affect public stigma but negatively affects self-stigma, trait mindfulness negatively affects both public and self-stigma, and both public stigma and self-stigma negatively affect counseling intention. This study provides a sample for the SOR theory and the mindful coping model, and provides new insights and path support for individuals resisting the stigma of psychological illness and seeking professional help under Eastern cultural values.
心理健康是一个在全球和中国都备受瞩目的社会问题。与此同时，中国互联网医疗服务的快速发展为在线心理咨询提供了坚实基础。然而，中国人的文化价值观常常导致他们不愿寻求心理咨询，这使得该问题变得更加复杂。本研究旨在探讨中国青年中的信息暴露、特质正念、公众污名和自我污名如何影响他们寻求在线心理咨询的意愿。基于刺激-机体-反应（SOR）理论，结合正念应对模型，构建了一个结构方程模型，以分析信息暴露、特质正念、公众污名和自我污名对行为意愿的影响路径。通过在线调查共收集到671份有效问卷。首先，使用SPSS 26.0进行问卷的信效度分析、人口统计学特征差异检验以及变量间的相关性检验。其次，使用Amos 26.0构建结构方程模型，验证模型拟合度，识别潜在变量之间的关系，并进行路径检验。研究结果表明：（1）中国青年的在线心理咨询意愿在年龄、职业、月收入和以往咨询经历方面存在显著差异。（2）信息暴露正向影响咨询意愿（β = 0.434，P < 0.001），特质正念正向影响咨询意愿（β = 0.100，P < 0.05），信息暴露对公众污名没有显著影响（β = 0.015，P = 0.727），信息暴露负向影响自我污名（β = -0.079，P < 0.05），正念特质负向影响公众污名（β = -0.421，P < 0.001），正念特质负向影响自我污名（β = -0.115，P < 0.001），公众污名正向影响自我污名（β = -0.766，P < 0.001），公众污名负向影响咨询意愿（β = -0.234，P < 0.01），自我污名负向影响咨询意愿（β = -0.248，P < 0.001）。将SOR理论与正念应对模型相结合发现，信息暴露和特质正念正向影响咨询意愿，信息暴露不影响公众污名但负向影响自我污名，特质正念负向影响公众污名和自我污名，公众污名和自我污名都负向影响咨询意愿。本研究为SOR理论和正念应对模型提供了一个样本，并为个体在东方文化价值观下抵抗心理疾病污名并寻求专业帮助提供了新的见解和路径支持。
