nach oben

Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

10.01.2021 | Original Paper

Help-seeking intention among Chinese college students exposed to a natural disaster: an application of an extended theory of planned behavior (E-TPB)

verfasst von: Wei Shi, Brian J. Hall

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 7/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Professional mental health help-seeking is generally low among Chinese populations with mental problems, and this may also the case following natural disasters. The help-seeking intention within Chinese populations exposed to natural disaster remain unclear. This study aims to explore the intention to seek professional mental health help utilizing an extended theory of planned behavior (E-TPB) model among Chinese college students exposed to Typhoon Hato.

Methods

In total, 1876 Chinese participants were recruited using convenience sampling at baseline and 817 participants (mean age = 20.9 years, SD = 2.8, 28.4% male) were followed up 6 months later. The online questionnaire was applied to measure six constructs including help-seeking intention, attitude, subjective norm, perceived behavioral control, self-stigma, and social stigma.

Results

Structural equation modeling showed the subjective norm (β = 0.374, p < 0.001) was the strongest predictor of help-seeking intention, followed by attitude (β = 0.271, p < 0.001) and perceived behavioral control (β = 0.213, p < 0.001), and self-stigma (β = − 0.117, p = 0.006). Unexpectedly, public stigma was not significantly associated with help-seeking intention. Moreover, multi-group analyses revealed paths of the E-TPB model were invariant across gender.

Conclusion

These results supported the efficacy of the E-TPB model in explaining help-seeking intention and emphasized the importance of subjective norm (e.g., support or disproval from significant others or society) in influencing help-seeking intention among Chinese young adults exposed to a natural disaster.

Hall BJ, Xiong YX, Yip PS et al (2019) The association between disaster exposure and media use on post-traumatic stress disorder following Typhoon Hato in Macao, China. Eur J Psychotraumatol 10:1558709. https://doi.org/10.1080/20008198.2018.1558709CrossRefPubMedPubMedCentral

Neria Y, Galea S, Horris FH (2009) Mental health and disasters. Cambridge University Press, CambridgeCrossRef

Wang W, Fu W, Wu J et al (2012) Prevalence of PTSD and depression among junior middle school students in a rural town far from the epicenter of the Wenchuan earthquake in China. PLoS ONE 7:e41665. https://doi.org/10.1371/journal.pone.0041665CrossRefPubMedPubMedCentral

Zhen Y, Huang ZQ, Jin J et al (2012) Posttraumatic stress disorder of Red Cross nurses in the aftermath of the 2008 Wenchuan China earthquake. Arch Psychiatr Nurs 26:63–70. https://doi.org/10.1016/j.apnu.2011.02.004CrossRefPubMed

Jia Z, Tian W, He X et al (2010) Mental health and quality of life survey among child survivors of the 2008 Sichuan earthquake. Qual Life Res 19:1381–1391. https://doi.org/10.1007/s11136-010-9703-8CrossRefPubMed

Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50:179–211. https://doi.org/10.1016/0749-5978(91)90020-TCrossRef

Armitage CJ, Conner M (2001) Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol 40:471–499. https://doi.org/10.1348/014466601164939CrossRefPubMed

Conner M, Armitage CJ (1998) Extending the theory of planned behavior: a review and avenues for further research. J Appl Soc Psychol 28:1429–1464. https://doi.org/10.1111/j.1559-1816.1998.tb01685.xCrossRef

Mak HW, Davis JM (2014) The application of the theory of planned behavior to help-seeking intention in a Chinese society. Soc Psychiatry Psychiatr Epidemiol 49:1501–1515. https://doi.org/10.1007/s00127-013-0792-xCrossRefPubMed

10.

Mo PK, Mak WW (2009) Help-seeking for mental health problems among Chinese: the application and extension of the theory of planned behavior. Soc Psychiatry Psychiatr Epidemiol 44:675–684. https://doi.org/10.1007/s00127-008-0484-0CrossRefPubMed

11.

Corrigan P (2004) How stigma interferes with mental health care. Am Psychol 59:614–625. https://doi.org/10.1037/0003-066X.59.7.614CrossRefPubMed

12.

Vogel DL, Wade NG, Haake S (2006) Measuring the self-stigma associated with seeking psychological help. J Couns Psychol 53:325–337. https://doi.org/10.1037/0022-0167.53.3.325CrossRef

13.

Vogel DL, Bitman RL, Hammer JH, Wade NG (2013) Is stigma internalized? The longitudinal impact of public stigma on self-stigma. J Couns Psychol 60:311–316. https://doi.org/10.1037/a0031889CrossRefPubMed

14.

Yang J (2013) “Fake happiness”: counseling, potentiality, and psycho-politics in China. Ethos 41:292–312. https://doi.org/10.1111/etho.12023CrossRef

15.

Nam SK, Choi SI, Lee JH et al (2013) Psychological factors in college students’ attitudes toward seeking professional psychological help: a meta-analysis. Prof Psychol Res Pract 44:37–45. https://doi.org/10.1037/a0029562CrossRef

16.

Cheang SI, Davis JM (2014) Influences of face, stigma, and psychological symptoms on help-seeking attitudes in Macao. PsyCh J 3:222–230. https://doi.org/10.1002/pchj.61CrossRefPubMed

17.

Pheko MM, Chilisa R, Balogun SK, Kgathi C (2013) Predicting intentions to seek psychological help among Botswana university students: the role of stigma and help-seeking attitudes. Sage Open 3:1–11. https://doi.org/10.1177/2158244013494655CrossRef

18.

Bathje G, Pryor J (2011) The relationships of public and self-stigma to seeking mental health services. J Ment Health Couns 33:161–176. https://doi.org/10.17744/mehc.33.2.g6320392741604l1CrossRef

19.

Nam SK, Chu HJ, Lee MK et al (2010) A meta-analysis of gender differences in attitudes toward seeking professional psychological help. J Am Coll Health 59:110–116. https://doi.org/10.1080/07448481.2010.483714CrossRefPubMed

20.

Addis ME, Mahalik JR (2003) Men, masculinity, and the contexts of help seeking. Am Psychol 58:5–14. https://doi.org/10.1037/0003-066X.58.1.5CrossRefPubMed

21.

Levant RF, Wu R, Fischer J (1996) Masculinity ideology: a comparison between US and Chinese young men and women. J Gend Cult Health 1:207–220. https://doi.org/10.1037/men0000196CrossRef

22.

The Government of the Macau Special Administrative Region of the People’s Republic of China (GMSAR) (2017) Annual report about Typhoon Hato in Macao. Government Web. https://images.io.gov.mo/bo/ii/2017/48/despce-417-2017.pdf. Accessed 10 Jun 2020

23.

World Health Organization (WHO) (2000) Process of translation and adaptation of instruments. WHO Web. https://www.who.int/substance_abuse. Accessed 10 Jun 2020

24.

Komiya N, Good GE, Sherrod NB (2000) Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. J Couns Psychol 47:138–143. https://doi.org/10.1037/0022-0167.47.1.138CrossRef

25.

Miville ML, Constantine MG (2007) Cultural values, counseling stigma, and intentions to seek counseling among Asian American college women. Couns Values 52:2–11. https://doi.org/10.1002/j.2161-007X.2007.tb00083.xCrossRef

26.

Zhou Y, Lemmer G, Xu J, Rief W (2019) Cross-cultural measurement invariance of scales assessing stigma and attitude to seeking professional psychological help. Front Psychol 10:1249. https://doi.org/10.3389/fpsyg.2019.01249CrossRefPubMedPubMedCentral

27.

Chen H, Fang X, Liu C et al (2014) Associations among the number of mental health problems, stigma, and seeking help from psychological services: a path analysis model among Chinese adolescents. Child Youth Serv Rev 44:356–362. https://doi.org/10.1016/j.childyouth.2014.07.003CrossRef

28.

Anderson JC, Gerbing DW (1988) Structural equation modeling in practice: a review and recommended two-step approach. Psychol Bull 103:1–411. https://psycnet.apa.org/buy/1989-14190-001

29.

Byrne BM (2001) Structural equation modeling with AMOS: basic concepts. Applications, and Programming. Mahwah, New Jersey

30.

Hair JF Jr, Black WC, Babin BJ, Anderson RE (2010) Multivariate data analysis, 7th edn. Prentice Hall, Upper Saddle River

31.

Benesty J, Chen J, Huang Y, Cohen I (2009) Pearson correlation coefficient. In: Israel C (ed) Noise reduction in speech processing. Springer, Heidelberg, pp 1-4

32.

Nunnally JC, Bernstein IH (1994) Psychometric theory. McGraw Hill, New York

33.

Fornell C, Larcker DF (1981) Evaluating structural equation models with unobservable variables and measurement error. J Mark Res 18:39–50. https://doi.org/10.1177/002224378101800104CrossRef

34.

Hair JF, Black WC, Babin BJ et al (2006) Multivariate data analysis, 6th edn. Prentice-Hall International, New Jersey

35.

Hou KT, Wen ZL, Cheng ZJ (2002) Structural equation model and its application. Educational Science Publishing House, Beijing

36.

Kenny DA, Kaniskan B, McCoach DB (2015) The performance of RMSEA in models with small degrees of freedom. Sociol Methods Res 44:486–507. https://doi.org/10.1177/0049124114543236CrossRef

37.

Deng L, Yuan KH (2015) Multiple-group analysis for structural equation modeling with dependent samples. Struct Equ Model Multidiscip J 22:552–567. https://doi.org/10.1080/10705511.2014.950534CrossRef

38.

StataCorp (2017) Stata statistical software: release 15. StataCorp LLC, College Station

39.

Kline RB (2015) Principles and practice of structural equation modeling. Guilford Publications, New York

40.

Mesidor JK, Sly KF (2014) Mental health help-seeking intentions among international and African American college students: an application of the theory of planned behavior. J Int Stud 4:137–149. https://files.eric.ed.gov/

41.

Cheung FM (1987) Conceptualization of psychiatric illness and help-seeking behavior among Chinese. Cult Med Psychiatry 11:97–106. https://doi.org/10.1007/BF00055011CrossRefPubMed

42.

Choi NY, Miller MJ (2014) AAPI college students’ willingness to seek counseling: the role of culture, stigma, and attitudes. J Couns Psychol 61:340–351. https://doi.org/10.1037/cou0000027CrossRefPubMed

43.

Markanday S, Brennan SL, Gould H, Pasco JA (2013) Sex-differences in reasons for non-participation at recruitment: Geelong Osteoporosis Study. BMC Res Notes 6:104. https://doi.org/10.1186/1756-0500-6-104CrossRefPubMedPubMedCentral

44.

Shi W, Shen Z, Wang S, Hall BJ (2020) Barriers to professional mental health help-seeking among Chinese adults: a systematic review. Front Psychiatry 11:442. https://doi.org/10.3389/fpsyt.2020.00442CrossRefPubMedPubMedCentral

45.

Higher Education Bureau (2018) Summary of higher education data 2017. In: Macau Tertiary Education Services Office. https://www.dses.gov.mo/publish/p1. Accessed 12 Aug 2020

46.

Clarke RM, Allen G, McBay S, Heaney S (2010) Improving the quality of community health surveys and community health promotion campaigns by feedback from the community: experience from the Wallsend Community and Health Project. Community Health Stud 14:27–34. https://doi.org/10.1111/j.1753-6405.1990.tb00017.xCrossRef

47.

Bartel Sheehan K (1999) An investigation of gender differences in on-line privacy concerns and resultant behaviors. J Interact Mark 13:24–38. https://doi.org/10.1002/(SICI)1520-6653(199923)13:4%3c24::AID-DIR3%3e3.0.CO;2-OCrossRef

Titel: Help-seeking intention among Chinese college students exposed to a natural disaster: an application of an extended theory of planned behavior (E-TPB)
verfasst von: Wei Shi
Brian J. Hall
Publikationsdatum: 10.01.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 7/2021
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-020-01993-8

Experience of child welfare services and long-term adult mental health outcomes: a scoping review

Open Access
Review

Prevalence of trauma- and stress-related symptoms in psychiatrists and trainees following patient suicide in the United States

Original Paper

An epidemiological survey of mental disorders 5 years after the Lushan earthquake in Ya’an, China

Original Paper

ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) in treatment seeking veterans: risk factors and comorbidity

Original Paper

Childhood maltreatment and poor functional outcomes at the transition to adulthood: a comparison of prospective informant- and retrospective self-reports of maltreatment

Open Access
Original Paper

Savings, home ownership, and depression in low-income US adults

Original Paper

Neu im Fachgebiet Psychiatrie

Medikamente verändern wohl Nährstoffzusammensetzung der Muttermilch

Medikamente in Schwangerschaft und Stillzeit
Nachrichten

Einige Medikamente wie selektive Serotonin-Wiederaufnahmehemmer können offenbar die Makronährstoffzusammensetzung der Muttermilch verändern. Das birgt möglicherweise gesundheitliche Risiken für manche gestillte Kinder.

Psychologische Interventionen können Depressionen oft verhindern

16.12.2024
Depressive Störungen
Nachrichten

Gespräche, Telefonate, internetbasierte Verfahren: Mit solchen Methoden lässt sich der Beginn einer Depression bei gefährdeten Personen oft vermeiden. Sie funktionieren vor allem dann, wenn die Betroffenen deutliche Symptome aufweisen und noch keine Psychotherapie hatten.

Die beste Medizin gegen Altersdepression: Laufen, Lernen, Lachen, Lieben

13.12.2024
Altersdepression
Nachrichten

Depressionen im Alter haben vielfältige Ursachen und verlaufen anders als bei jungen Menschen. Ohne einen multimodalen Ansatz kommt man oft nicht weit: Neben Medikamenten und Psychotherapien ist die physische, kognitive und soziale Aktivierung entscheidend.

Wir sozio-emotionalen Blobs

13.12.2024
DGPPN 2024
Nachrichten

Entscheidungen sollten rational erfolgen – in der Politik wie im Leben. So wünschen wir uns das. Letztlich werden sie aber von Emotionen bestimmt. Wer das nicht versteht und anerkennt, wird kaum Wege aus Krisen finden. Die Neurowissenschaftlerin Maren Urner fordert daher eine „Reifeprüfung“ zur Krisenbewältigung.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Help-seeking intention among Chinese college students exposed to a natural disaster: an application of an extended theory of planned behavior (E-TPB)

Abstract

Purpose

Methods

Results

Conclusion

Weitere Artikel der Ausgabe 7/2021

Experience of child welfare services and long-term adult mental health outcomes: a scoping review

Prevalence of trauma- and stress-related symptoms in psychiatrists and trainees following patient suicide in the United States

An epidemiological survey of mental disorders 5 years after the Lushan earthquake in Ya’an, China

ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) in treatment seeking veterans: risk factors and comorbidity

Childhood maltreatment and poor functional outcomes at the transition to adulthood: a comparison of prospective informant- and retrospective self-reports of maltreatment

Savings, home ownership, and depression in low-income US adults

Neu im Fachgebiet Psychiatrie

Medikamente verändern wohl Nährstoffzusammensetzung der Muttermilch

Psychologische Interventionen können Depressionen oft verhindern

Die beste Medizin gegen Altersdepression: Laufen, Lernen, Lachen, Lieben

Wir sozio-emotionalen Blobs

Update Psychiatrie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten