Help-seeking for mental health services in Asian American college students: an exploratory qualitative study

Dong, Heidi; Dai, Jane; Lipson, Sarah Ketchen; Curry, Leslie

doi:10.1080/07448481.2020.1851234

Cited by 12 publications

(12 citation statements)

References 37 publications

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“…Moreover, an Australian study that analyzed the attitudes of university students on the Internet in search for mental health assistance reported that about 30% of the students had symptoms of a mental illness, yet very few sought professional help [ 8 ]. This is similar to the finding of an American study that reported mental health problems to range between 32% and 46% among college students, despite the fact that many campuses provided free or heavily subsidized mental health services [ 9 ]. Chan et al [ 8 ] also discussed how simple online interventions could be utilized in private, cost-effective, and less time-consuming ways compared to in-person therapy.…”

Section: Introductionsupporting

confidence: 87%

“…This could be linked to Vidourek and Burbage’s [ 7 ] study, which revealed that individuals consistently listed awareness as a component of education, leading to improved mental health and a reduction in stigma [ 7 ]. Sources of external support were also a category that was mentioned in other studies, some of which belonged to Hassett, Dong, and Stunden, who stressed upon the fact that in any situation, individuals such as friends, parents, teachers, job supervisors, counselors, coaches, and semi-formal relationships recognized one’s need for assistance [ 7 , 9 , 26 ]. Social support offered by other students and campuses, typically via increased visibility of resources or more information about mental health, was one aspect that encouraged people to seek treatment [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sources of external support were also a category that was mentioned in other studies, some of which belonged to Hassett, Dong, and Stunden, who stressed upon the fact that in any situation, individuals such as friends, parents, teachers, job supervisors, counselors, coaches, and semi-formal relationships recognized one’s need for assistance [ 7 , 9 , 26 ]. Social support offered by other students and campuses, typically via increased visibility of resources or more information about mental health, was one aspect that encouraged people to seek treatment [ 9 ]. Promoting the accessibility of services and receiving mental health care for free made it easier to seek treatment.…”

Section: Discussionmentioning

confidence: 99%

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Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study

Noorwali

Almotairy

Akhder

et al. 2022

IJERPH

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While young Saudi adults are reportedly prone to experiencing a variety of mental health problems, they tend to delay seeking mental health support. Therefore, this study aimed to explore the barriers and facilitators of seeking mental health support among young adults in Saudi Arabia. A qualitative research design was implemented using semi-structured interviews with 12 young adult participants in Saudi Arabia, recruited through social media platforms, and the interviews were then analyzed using thematic analysis. Two major themes emerged: barriers that impede the process of mental health help-seeking and facilitators that assist individuals in seeking mental health support. The barriers included public stigma and lack of awareness, unprofessional mental health practitioners, lack of accessibility to services and information, unsupportive families, intrapersonal dilemmas, and misconceptions based on religious beliefs. Facilitators of help-seeking included increasing societal and family awareness, promoting the accessibility of services, enhancing sources of external support, personal motivation to change, and online therapy. The findings of this study emphasize the importance of promoting mental health literacy among the Saudi public, particularly with regard to young adults and their unique mental health needs. Exploring facilitators and barriers may also assist mental health providers in developing tailored mental health campaigns and interventions directed at young adults.

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Section: Introductionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study

Noorwali

Almotairy

Akhder

et al. 2022

IJERPH

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“…Among students with one or more mental health problems, we find that rates of mental health service utilization are, on average, significantly lower among cisgender males, international students, first-generation and low-income students, and Students of Color (Dong et al, 2020;Lipson et al, 2018). Lower rates of service utilization in these groups have also been noted in other studies (Sontag-Padilla et al, 2016).…”

Section: Variation Across Student Populationssupporting

confidence: 74%

Mental Health in College Populations: A Multidisciplinary Review of What Works, Evidence Gaps, and Paths Forward

Abelson

Lipson

Eisenberg

2021

Higher Education: Handbook of Theory and Research

Self Cite

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The mental health of students has become one of the top concerns in higher education. The number of students reporting distress and seeking services has dramatically increased, and colleges and universities are struggling to address these challenges. A rich and growing body of research documents the scope of the problem and potential interventions to address it, but this literature is scattered across a variety of academic fields. This chapter aims to bring coherence to this large volume of information through a detailed review of programs, services, practices, and policies that influence student mental health. The review is organized around a socioecological framework, considering interventions at the individual, interpersonal, community, institutional, and public policy levels. It highlights strengths, weaknesses, and gaps in the evidence. The chapter concludes with recommendations for enhancing how research and data can inform practice moving forward. A more evidence-informed approach is needed to address the growing challenges of student mental health in higher education.

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“…Barriers that these students discussed included family dysfunction, cultural factors and stigma (Dong et al, 2020).…”

Section: International Studentsmentioning

confidence: 99%

Factors that influence Asian American college students use of mental health services: A systematic mixed studies review

Nguyen,

Kim,

Aronowitz

2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Only 8.6% Asian Americans (AAs) report seeking mental health services compared to nearly 18% of the general population. There is a stigma against seeking mental health services among AAs. Mental illness is thought to be caused by a lack of harmony of emotions or evil spirits leading to delay in treatment among AAs. What the paper adds to existing knowledge? Asian students are hesitant to use mental health services because they are balancing their desire to be part of the two cultures. Concepts used to define culture were found to have overlapping aspects of how researchers operationally define them, and few studies examined a combination of these concepts as a means of examining interactions between the concepts. AA emerging adults feel pressure through personal stigma from elders to ‘save face’ by keeping their problems to themselves or within the family to maintain a positive reputation for the family. What are the implications for practice? The overlap of conceptual definitions to understand cultural beliefs and values affecting measurement have complicated the interpretation of the research. Future research should include a multidimensional operationalization of culture that includes acculturation, ethnic identity, personal stigma and their effect on mental health help‐seeking attitudes. Differences between South Asian and East Asian philosophical and cultural perspectives could influence access to mental health services; therefore, future studies should consider sampling that would allow for comparison of the groups. Understanding the factors that influence mental health help‐seeking behaviours can determine intervention strategies to improve AA emerging adult mental health. AbstractIntroductionOnly 8.6% of Asian Americans (AA) sought mental health services compared to 18% of United States population. AA college students report higher levels of mental health concerns compared to White students.AimThe purpose of this systematic review was to identify the factors that influence AA students' mental health help‐seeking behaviours.MethodEmploying a data‐based convergent synthesis design. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the sample. Inclusion criteria were peer‐reviewed studies published in English, focused on AA college students' mental health seeking attitudes in United States.ResultsThe final sample was forty‐four studies. Four themes emerged: acculturation, ethnic identity, racism and stigma. There were discrepant findings regarding how acculturation affects mental health help‐seeking attitudes. Several studies included more than one theme in their analyses. The different concepts included across studies make it difficult to compare the findings.DiscussionThere is some overlap between acculturation and ethnic identity that could affect the analysis in studies where both concepts are included. Personal stigma negatively influences mental health help‐seeking attitudes.Implications for PracticeDefining culture to include acculturation, ethnic identity, personal stigma can help in understanding their effect on mental health help‐seeking attitudes.

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Help-seeking for mental health services in Asian American college students: an exploratory qualitative study

Cited by 12 publications

References 37 publications

Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study

Barriers and Facilitators to Mental Health Help-Seeking among Young Adults in Saudi Arabia: A Qualitative Study

Mental Health in College Populations: A Multidisciplinary Review of What Works, Evidence Gaps, and Paths Forward

Factors that influence Asian American college students use of mental health services: A systematic mixed studies review

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