大学生求助行为的文化响应性评估：跨文化背景下文化规范、心理健康污名和数字参与的中介-调节分析
Culturally responsive assessment of help-seeking behavior among university students: a mediation-moderation analysis of cultural norms, mental health stigma, and digital engagement across cross-cultural contexts.
作者信息
Ntumi Simon, Upoalkpajor Joshua-Luther Ndoye, Nimo Daniel Gyapong
机构信息
Department of Educational Foundations, University of Education, Winneba (UEW), Winneba, West Africa, Ghana.
Department of Counselling Psychology, University of Education, Winneba (UEW), Winneba, West Africa, Ghana.
出版信息
BMC Psychol. 2025 Aug 15;13(1):922. doi: 10.1186/s40359-025-03256-0.
Help-seeking behavior for mental health issues among university students is shaped by cultural norms, stigma, and digital engagement. In many African contexts, cultural perceptions of mental illness remain highly stigmatized, posing barriers to seeking support. This study examined the mediating role of mental health stigma and the moderating effect of digital engagement in the relationship between cultural norms and help-seeking behavior among Ghanaian university students. A cross-sectional quantitative design using Structural Equation Modeling (SEM) was employed, with data from 1,067 students across five traditional public universities. Findings revealed that cultural norms significantly increased mental health stigma (β = 0.420, p < .001), which in turn reduced help-seeking behavior (β = -0.370, p < .001). A direct negative effect of cultural norms on help-seeking behavior was also observed (β = -0.210, p < .001). The indirect effect through stigma was significant (β = -0.155, p < .001), confirming the mediating role of stigma. Digital engagement moderated both the direct and indirect relationships. Specifically, it weakened the negative impact of stigma on help-seeking (β = 0.125, p = .002) and buffered the effect of cultural norms (β = 0.098, p = .005). Moderated mediation analysis further showed that digital engagement acted as a protective factor: stronger mediation was observed at lower levels of digital engagement (β = -0.198, p < .001) and weaker mediation at higher levels (β = -0.082, p < .001). These findings underscore the complex interplay of cultural and technological factors in mental health behaviors. The study highlights the need for culturally responsive mental health interventions and supports the integration of digital tools to reduce stigma and enhance help-seeking among university students.
大学生心理健康问题的求助行为受到文化规范、耻辱感和数字参与度的影响。在许多非洲背景下，对精神疾病的文化认知仍然存在高度耻辱感，这对寻求支持构成了障碍。本研究考察了心理健康耻辱感的中介作用以及数字参与度在加纳大学生文化规范与求助行为关系中的调节作用。采用了基于结构方程模型（SEM）的横断面定量设计，数据来自五所传统公立大学的1067名学生。研究结果显示，文化规范显著增加了心理健康耻辱感（β = 0.420，p < 0.001），进而降低了求助行为（β = -0.370，p < 0.001）。还观察到文化规范对求助行为有直接负面影响（β = -0.210，p < 0.001）。通过耻辱感的间接效应显著（β = -0.155，p < 0.001），证实了耻辱感的中介作用。数字参与度调节了直接和间接关系。具体而言，它减弱了耻辱感对求助行为的负面影响（β = 0.125，p = 0.002），并缓冲了文化规范的影响（β = 0.098，p = 0.005）。调节中介分析进一步表明，数字参与度起到了保护作用：在较低数字参与度水平下观察到更强的中介作用（β = -0.198，p < 0.001），而在较高水平下中介作用较弱（β = -0.082，p < 0.001）。这些发现强调了文化和技术因素在心理健康行为中的复杂相互作用。该研究强调了需要开展具有文化适应性的心理健康干预措施，并支持整合数字工具以减少耻辱感并增强大学生的求助行为。
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