Hurless Nikki, Logos Vladyslav, Aquillo Eduardo J
Washington College, 300 Washington Avenue, Chestertown, MD, 21620, USA.
University of Central Florida, 4000 Central Florida Blvd., Orlando, FL, 32816, USA.
J Racial Ethn Health Disparities. 2025 Sep 5. doi: 10.1007/s40615-025-02626-z.
Cultural identity and the societal context of mental health issues play an important part in the decision to seek help Chan et al (Stigma Health 3:283-93, 2018). Both acculturation or the cultural socialization to mainstream culture by ethnic and racial minorities Sun et al (J Couns Psychol 63:617-32, 2016), and enculturation, or the retention of one's culture of origin, influence a person's perceptions of mental health care and willingness to seek help when needed. Indeed, a range of studies have shown varying levels of help-seeking behaviors between cultural groups linked to identification with dominant or nondominant cultures Seamark D, and Gabriel L (Br J Guid Couns 46:120-31, 2018). Considering past research in this area, the goal of this study is to expand the understanding of the impact of acculturation and enculturation on help-seeking behaviors in various ethnic and racial groups in the USA. In contrast to many findings showing stigma against mental health care and barriers to care among immigrants and people of color in America, our findings showed no significant differences between racial/ethnic identity nor generational status (i.e., first, second, third generation born in the USA) in help-seeking attitudes and behaviors. Other exploratory findings and their implications for counselors are discussed.
文化认同和心理健康问题的社会背景在寻求帮助的决定中起着重要作用（Chan等人，《耻辱与健康》3:283 - 93，2018）。文化适应（即少数族裔和种族群体融入主流文化的文化社会化过程，Sun等人，《咨询心理学杂志》63:617 - 32，2016）以及文化传承（即保留其原生文化），都会影响一个人对心理保健的认知以及在需要时寻求帮助的意愿。事实上，一系列研究表明，与对主流或非主流文化的认同相关的不同文化群体之间，寻求帮助的行为存在不同程度的差异（Seamark D和Gabriel L，《英国指导与咨询杂志》46:120 - 31，2018）。考虑到该领域过去的研究，本研究的目的是扩展对文化适应和文化传承对美国不同种族和族裔群体寻求帮助行为影响的理解。与许多表明美国移民和有色人种对心理保健存在耻辱感以及就医障碍的研究结果不同，我们的研究结果显示，在寻求帮助的态度和行为方面，种族/族裔身份和代际状况（即在美国出生的第一代、第二代、第三代）之间没有显著差异。本文还讨论了其他探索性研究结果及其对咨询师的启示。
