研究生: |
張虹雯 Hung-Wen Chang |
---|---|
論文名稱: |
憂鬱情緒、求助態度、自我污名化、社會污名化與自我隱藏對求助行為及求助延宕影響之研究 THe effect of depressed mood, help-seeking attitude, self stigma, social stigma and self concealment on help-seeking behavior and help-seeking delay |
指導教授: |
王麗斐
Wang, Li-Fei |
學位類別: |
博士 Doctor |
系所名稱: |
教育心理與輔導學系 Department of Educational Psychology and Counseling |
論文出版年: | 2011 |
畢業學年度: | 100 |
語文別: | 中文 |
論文頁數: | 152 |
中文關鍵詞: | 憂鬱情緒 、求助態度 、污名化 、求助行為 、求助延宕 |
英文關鍵詞: | depressed mood, help-seeking attitude, stigma, help-seeking behavior, help-seeking delay |
論文種類: | 學術論文 |
相關次數: | 點閱:1025 下載:137 |
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本研究的目的是探討憂鬱情緒、求助態度、自我污名化、社會污名化、自我隱藏及性別等變項是否可以預測大學生「有」、「無」求助行為,及研究變項對求助延宕的影響。本研究以問卷調查法、方便取樣的方式進行資料的蒐集,共蒐集1,262位來自全台大專院校的大學生,其中男、女大學生各有420、842位,平均年齡為20.86歲。
研究結果顯示:(1)在性別方面,男大學生在憂鬱情緒、自我污名化、社會污名化、自我隱藏上的表現顯著高於女大學生,但在求助態度、求助行為及求助延宕上的表現則沒有差異。(2)在求助表現方面,「未求助組」、「考慮求助組」、「已求助組」三種不同求助行為的大學生在所有研究變項上皆達到顯著差異水準,此外,在事後考驗中發現,已求助者在憂鬱情緒與求助態度的得分顯著高於考慮求助與未求助者,顯示已求助者具有高憂鬱情緒及高求助態度之特徵。考慮求助者則在自我污名化、社會污名化、自我隱藏及求助延宕上,多是高於未求助與已求助者,其中在求助延宕上的表現更是遠高於其他兩組,代表考慮求助者具有高求助污名化、高求助延宕的特徵。未求助者則是在憂鬱情緒與求助態度的表現上皆是三組中最低的,未求助者與考慮求助者在自我污名化上一樣高於已求助者,代表未求助者具有低憂鬱情緒、低求助態度、較高污名化的特徵。(3)當大學生具有以下特徵:大四生、人文/社會/教育學院、有過諮商經驗、憂鬱情緒愈嚴重、愈相信心理諮商專業可以解決其困擾、愈不會認為求助會影響其自尊或自我滿意度及愈傾向隱藏與保留負向經驗與秘密時,愈可能「有」求助行為;其中,以過去曾接受諮商經驗為最具關鍵性的指標,而性別與社會污名化的影響力則未達顯著。(4)相似地,在預測求助延宕時,以過去諮商經驗、求助態度、自我污名化與自我隱藏等4個變項具預測性。(5)進一步探討中介效果,自我污名化與自我隱藏在憂鬱情緒與求助延宕的關聯中,具有完全中介的效果,而社會污名化在憂鬱情緒與求助延宕的關聯中具有部分中介的效果。然而,求助態度在憂鬱情緒與求助延宕的關聯中不具有調節效果。本研究並依據研究結果提出對心理諮商實務及未來相關研究的建議。
The purpose of this thesis is to clarify if the target variables including depressed mood, help-seeking attitude, public stigma, self concealment and gender can predict the help-seeking behavior, and the effect on help-seeking delay. This method of data collection of this thesis is survey and convenient sampling. The total sample size is 1,262, consisting of 420 male and 842 female college students from island wide. The average age is 20.86 years old.
The findings are as followed. First, as to the gender difference, male college students are significantly higher than female students on depressed mood, self stigma, public stigma, and self concealment. However, there is no difference in help-seeking attitude, help-seeking behavior and help-seeking delay.
Second, comparing the “never-help-seeker”, the “considering-help-seeker” and the “ever-help-seeker”, the group differences are significant in all research variables. In additions, the results of the Post Hoc multiple comparisons show that the depressive mood and help-seeking attitude of the “ever-help-seeker” are significantly higher than the other two groups, implying the characteristics of the ever-help-seeker are high in depressive mood and help-seeking attitude. The considering-help-seeker is higher than the other tow groups in self stigma, social stigma, self concealment, and help-seeking delay. Their score of the help-seeking delay is much higher than the other two groups, implying the characteristics of the former are high in stigma and help-seeking delay. The never-help-seeker is lowest in depressive mood and help-seeking attitude and higher than the ever-help-seeker in self stigma as the considering-help-seeker. The result implies that the characteristics of this group are low in the depressive mood and help-seeking attitude, as well as high in stigma.
Third, those college students with the following characteristics are more inclined to seek help: the senior, majoring in literature/social/educational institute, with counseling experiences, with more serious depressive mood, having stronger confidence in the effectiveness of counseling professions, with weaker belief that help-seeking will affect the self-esteem and self satisfaction, as well as more inclined to conceal and reserve negative experiences and secrets. Among all, the most critical indicator is having counseling experiences. However, the effect of gender and public stigma is not significant.
Forth, the most powerful predictors of help-seeking delay are, similarly, having counseling experiences, help-seeking attitude, self sigma and self concealment.
Fifth, to further explore the mediation effect, the self concealment has complete mediate effect between depressive mood and help-seek delay. Public stigma has partial mediation effect between depressive mood and help-seek delay. However, help-seek attitude does not moderate the depressive mood and help-seek delay.
According to the results, this thesis has some suggestions about the counseling practice and research in the future.
中文部分
文榮光(1985):精神疾病與求助行為:問題與對策。中華心理衛生學刊,2(1),37-46。
尹瑞生(2008):自我隱藏與工作績效關係之實證研究。清雲科技大學經營管理研究所碩士論文。
王才康(2002):中學生自我隱瞞傾向:因素結構與發展特質。應用心理學,8(2),15-17。
王嘉琪(2010):大學生憂鬱情緒、自尊、汙名化、自我揭露與求助態度之關係。國立台灣師大學教育心理與輔導研究所碩士論文。
王韻齡、許文耀(2006):以”素質-壓力”模式探討中學生自殺危險因子。北市醫學雜誌,3(11),65-77。
孔繁鍾譯(2007):DSM-IV-TR精神疾病診斷準則手冊。台北:合記。APA(2000). Quick reference to the diagnostic criteria from DSM-IV-TR. Washington, DC:APA.
朱岑樓(1972):從社會、個人與文化的關係論中國人性格的恥感取向。中華文化復興月刊,5(4),1-12。
李宇宙等譯(2007):動力取向精神醫學-臨床應用與實務(第四版)。台北:心靈工坊。Gabbard, G.O.(2005). Psychodynamic Psychiatry in Clinical Practice (Fourth Edition).UK:American Psychiatric Publishing.
李美枝(1979):社會心理學。台北:大洋。
李柏英(1985):大學生之求助態度與求助行為及其相關變項。國立台灣大學心理研究所碩士論文,未出版,台北市。
周玉真、蕭文(2003):社區諮商個案應用社會網絡之經驗分析。彰化師大輔導學報,24,107-138。
周志玉(2006):憂鬱症污名研究:可控制性歸因、危險與依賴刻板印象對歧視行為的影響。中原大學心理學研究所碩士論文。
余苗梓、李董平、王才康、謝晰君、周柳梅、鄭小蓓(2007):大學生孤獨感與自我隱藏、自我表露、應對方式和社會支持的關係。中國心理衛生雜誌,21(11),18-21。
余嬪(1998):從「仰臥起坐vs伏地挺身」談平等的兩性休閒。兩性平等教育季刊,4,17-23。
吳元蓉(2005):大學生憂鬱、人際親密與自尊之相關研究。國立彰化師範大學輔導與諮商研究所碩士論文。
吳佳璇、李明濱(2002):憂鬱症。台灣憂鬱症防治協會通訊,1,2-4。
吳明隆(2009):結構方程模式:AMOS的操作與應用(第二版)。台北:五南。
吳政航(2006):大學生家庭功能與壓力因應型態對憂鬱症狀之影響。國立成功大學醫學院行為醫學研究所碩士論文。
吳就君(1981):台灣地區居民社會醫療行為研究。公共衛生,8(1),25-49。
沈楚文(編著)(1987):新編精神醫學。台北:永大。
林幸台(1979):大學生求助態度之研究。輔導學報,2,155-171。
林彥予、郭利百加譯(1994):心理衛生-現代生活的心理適應。台北:桂冠。Derlega, V. J., & Janda, L. H. (1986). Personal adjustment. Harper Collins Publishers.
林家興、王麗文(2000):心理諮商實務。台北:心理。
易政鋒(2007):精神科病患及家屬對臨床心理師的認識、態度及求助意願。長庚大學臨床心理科學研究所碩士論文。
邱文彬(1998):後形式思考的發展及其與人際關係之容忍性、同理心、自我揭露、自主性之關係。國立政治大學心理系博士論文。
邱皓政(2010):量化研究與統計分析:SPSS中文視窗版資料分析範例解析(第三版)。台北:五南。
柯慧貞(2002):憂鬱症的心理因素。學生輔導,80,38-51。
柯慧貞、陸汝斌(2002):認識憂鬱症。學生輔導,80,16-27。
柯慧貞、廖聆岑、林美芳(2003):南區大專院校學生憂鬱與自殺之現況與其成因分析。國立成功大學主辦「南區大專院校學務長諮詢會議-憂鬱與自殺研討會」宣讀之論文(台南)。
范碧玉,李淑宜,葉英昆與林秀霞(1993):精神疾病患者就醫行為研究。公共衛生,20(1),83-98。
孫大川(1994):人的價值感-以孔子論恥感為線索的討論。東吳哲學傳習錄,3,31-46。
徐宗國(1996):社會心理學。台北:五南。
夏敏(2000):大學生對諮商服務的知覺暨影響求助意願因素之探討。國立彰化師範大學輔導研究所碩士論文。
張英熙(1997):男性特質與男性求助。輔導季刊,33(4),12-18。
張春興(2006):張氏心理學辭典。台北:東華。
張虹雯、陳金燕(2004):諮商當事人求助行為之分析研究—以彰師社諮中心為例。彰化師大輔導學報,26(2),57-86。
張虹雯、陳金燕(2005):十年來中部地區社區諮商當事人之人口特徵與求助問題演變之分析研究。中華輔導學報,18(2),37-76。
張虹雯、陳金燕(2010):憂鬱情緒當事人之求助歷程與影響因子研究。中華輔導諮商學報,27(1),1-38。
張雍琳(2000):台灣師大新生適應問題及因應行為之研究。國立台灣師範大學衛生教育所碩士論文。
張聖德(2007):三軍官校學生軍事化與求助態度、求助行為間關係之探析。中華輔導學報,21,99-134。
郭國禎(1986):我國大專學生求助需欲與求助態度之調查研究。輔導學報,9,165-203。
郭靜靜(2004):青少年憂鬱傾向、生活壓力、冒險行為對其婚前性行為影響之研究。中國文化大學生活應用科學研究所碩士在職專班。
陳玉芳(2005):青少年憂鬱概念、憂鬱程度與求助態度之相關研究。國立台灣師範大學教育心理與輔導學系研究所碩士論文。
陳杏佳、許木柱(1992):某教學醫院精神疾病門診病患求醫行為之探討。行政院衛生署委託研究計劃(編號:DOH81-MA-011)。
陳志忠(2003):試論二次大戰時期日本的恥感文化及對台灣處境之應用-以潘乃德及梅監霧作品為例。台灣神學論刊,25,205-221。
陳淑娟(2000):國中學生行為困擾、求助態度與求助偏好之研究。國立高雄師範大學教育學系碩士論文。
陳清泉(1989):大學生生活壓力、認知型態與憂鬱傾向相關之研究。國立台灣師範大學教育心理與輔導研究所碩士論文。
許文耀(2001):青少年憂鬱量表編製研究成果報告。台北:董氏基金會。
許木柱譯(2002):徹底個人主義的省思:心理人類學論文集。台北:國立編譯館。Hsu, F.(1983). Rugged individualism reconsidered. Knoxville:University of Tennessee Press.
程小蘋、賀孝銘、李華璋(1996):彰化師大學生輔導印象之調查研究。國立彰化師範大學輔導學報,19,29-59。
程小蘋、陳珍德(2001):大學生求助心態之分析研究。彰化師大輔導學報,22,49-88。
程玲玲(1978):台灣大學生的心理求助歷程之探討。中華心理衛生學刊,3,128-138。
黃光國(2005):華人社會中的臉面觀。載於楊國樞、黃光國、楊中芳(主編):華人本土心理學(上)(365-406)。台北:遠流。
黃芳銘(2007):結構方程模式理論與應用(第五版)。台北:五南。
黃盛蘭(1998):高中學生行為困擾問題與求助態度之研究。國立台灣師範大學教育研究所碩士論文。
黃惠貞(2003):某大專院校學生靈性健康、知覺壓力與憂鬱之相關研究。國立台灣師大學衛生教育研究所碩士論文。
黃婉君(1998):國小新版國語教科書性別意識型態之內容分析研究。兩性平等教 育季刊,5,26-37。
賀孝銘(1989):中部地區高中生的困擾問題與求助態度。國立彰化教育學院輔導研究所碩士論文。
葉雅馨、林家興(2006):台灣民眾憂鬱程度與求助行為的調查研究。中華心理衛生學刊,19(2),125-148.
楊明仁(2002):台灣的社會與憂鬱。學生輔導,80,52-59。
楊景閔(2004):台灣老人精神抑鬱的狀況、改變及影響因子:10年長期追蹤研究。中山醫學大學營養學研究所碩士論文。
楊語芸譯(1997):九0年代社會心理學。台北:五南。Wrightsman, L.S., Deaux, K., Dane, F.C., & Sigelman, C.K. (1993). Social Psychology in th the ‘90s(6 th edition). Washington, DC: Brooks/cole.
董氏基金會(2007)大學生憂鬱情緒與求助行為調查。取自財團法人董氏基金會:http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=68&Page=1,2007年11月2日。
董華欣、鐘思嘉(1993):影響大學生尋求專業心理輔導意願之因素探討,中華輔導學報,1,158-191。
榮泰生(2007):AMOS與研究方法。台北:五南。
鄭麗芬(2001):大專生專業求助行為之分析研究—以台南女子技術學院為例。台南女子技術學院學報,20,97-109。
謝琇玲(1998):大學新生的生活適應與憂鬱傾向之調查研究。義守大學學報,5,367-380。
劉鎔毓(2003):技專校院學生生活適應之研究。中華技術學院學報,29,323-340。
韓貴香(2005):「道德臉面」威脅對選擇求助對象及考量因素的影響。國立政治大學心理學研究所博士論文。
韓貴香、李美枝(2008):捨近求遠的求助模式:「面子威脅」對華人選擇求助對象的影響。中華心理學刊,50(1),31-48。
韓德彥(2000):華人文化下污名感受、生病行為與情緒對身體化傾向之影響。國立台灣大學心理學研究所碩士論文。
韓德彥(2009):憂鬱污名探究:病因歸因與面子顧慮之影響。國立台灣大學心理學研究所博士論文。
藍菊梅、戴嘉南、汪素真(2006):醫院護理人員情緒經驗與求助態度研究。美和技術學院學報,25(2),123-140。
藍菊梅(2007):大學生困擾揭露、非社會支持反應與焦慮及憂鬱之關係研究。國立高雄師範大學輔導與諮商研究所博士論文。
羅容璧(2006):高中生人際互動與求助需求之研究:以桃園地區國立高中生為例。國立台灣師範大學教育心理與輔導學系在職進修碩士班。
西文部分
Abd-Kim, J., Takeuchi, D., & Hwang, W-C. (2002). Predictors of help seeking for emotional distress among Chinese Americans: Family matters. Journal of Counseling and Clinical Psychology, 70(5), 1186-1190.
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5-14.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. NJ: Prentice-Hall.
Ang, R. P., Lim, K. M., Tan, A-G., & Yan, T. Y. (2004). Effects of gender and sex role orientation on help-seeking attitudes. Current Psychology: Development, 23(3), 203-214.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social pspychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Barney, L. J., Griffiths, K. M., Jorm, A. F. & Christensen, H. (2005). Stigma about depression and its impact on help-seeking intention. Australian and New Zealand Journal of Psychiatry, 40, 51-54.
Bechard-Evans, L., Schmitz, N., Abadi, S., Joober, R., King, S., & Malla, A.(2007). Determinants of help-seeking and system related components of delay in the treatment of first-episode psychosis. Schizophrenia Research, 96, 206-214.
Berg, J.M. ,Levant, R., McMillan, K.K., Kelleher, W., & Sellers, A. (2005). Impact of gender conflict, traditional masculinity ideology, alexithymia, and age on men’s attitudes toward psychological help seeking. Psychology of Men and Masculinity, 6(1), 73-78.
Camerson, L., Leventhsal, E. A., & Leventhsal, H. (1993). Symptom representations and affect as determinants of care seeking in a community-dwelling, adult sample population. Health Psychology, 12, 171-179.
Carter, R. T., & Forsyth, J. (2010). Reactions to racial discrimination: Emotional stress and help-seeking behaviors. Psychological Trauma: theory, Practice, and Policy, 2(3), 183-191.
Cash, T. F., Begley, P. J., McCown, D. A., & Weise, B. C. (1975). When counselors are heard but not seen: Initital impact of physical attractiveness. Journal of Counseling Psychology, 22(4), 273-279.
Cepede-Benito, A., & Short, P. (1998). Self-concealment, avoidance of psychological services, and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45(1), 58-64.
Chang, H. (2007a). Psychological distress and help-seeking among Taiwanese college students: role of gender and student status. British Journal of Guidance and Counseling, 35(3), 347-355.
Chang, H. (2007b). Depressive symptom manifestation and help-seeking among Chinese college students in Taiwan. International Journal of Psychology, 42(3), 200-206.
Chien C. P. & Cheng T. A. (1985). Depression in Taiwan: epidemiological survey utilizing CES-D. Bulletin of Japanese Society of Neurology and Psychiatry, 87, 335-338.
Ciarrochi, J., Deane, F. P., Wilson, L. J., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: The relationship between low emotional competence and low intention to seek help. British Journal of Guidance and Counseling, 30(2), 173-188.
Ciarrochi, J., Wilson, L. J., Deane, F. P., & Rickwood, D. (2003). Do difficulties with emotions inhibit help-seeking in adolescence? the role of age and emotional competence in predicting help-seeking intentions. Counseling Psychology Quarterly, 16(2), 103-120.
Constantine, M. G., & Gainor, K. A.(2004). Depressive symptoms and attitudes toward counseling as predictors of biracial college women’s psychological help-seeking behavior. http://www.haworthpress.com/store/product.asp?sku=j015.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614-625.
Corrigan, P. W., & Kleinlei, P. (2005). The impact of mental illness stigma. In P.W. Corrigan (Ed.): On the stigma of mental illness. Washington, DC: American Psychological Association.
Cramer, K. M. (1999). Psychological antecedents to help-seeking behavior: A reanalysis using path modeling structures. Journal of Counseling Psychology, 46(3), 381-387.
Cramer, K. M., & Barry, J. E. (1999). Psychometric properties and confirmatory factor analysis of the Self-Concealment Scale. Personality and Individual Differences, 27(4), 629-637.
Deane, F. P., & Chamberlain, K. (1994). Treatment fearfulness and distress as predictors of professional psychological help-seeking. British Journal of Guidance and Counselling, 22(2), 207-217.
Deane, F. P., & Todd, D. M. (1996). Attitudes and intentions to seeking professional psychological help for personal problems or suicidal thinking. Journal of College Student Psychotherapy, 10(4), 45-59.
Denise, D. (2002). Stigmatization of individuals who receive psychotherapy: An interaction between help-seeking behavior and the presence of depression. Journal of Social and Clinical Psychology, 21(4), 400-413.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. CA: Addison-Wesley.
Fischer, E. H., & Turner, H. L. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35(1), 79-90.
Fischer, E. H., Grisso, J. T., Beck, G.D., & Winer, D. (1972). Factor-analytic study of student attitudes toward seeking professional help. Proceedings of the 80th Annual American Psychological Convention, 611-612.
Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36(4), 368-373.
Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115-134.
Gim, R. H., Atkinson, D. R., & Whiteley, S. (1990). Asian-American acculturation, severity of concerns, and willingness to see a counselor. Journal of Counseling Psychology, 37(1), 281-285.
Gloria, A. M., Castellanos, J., Park, Y. S. & Kim, D. (2008). Adherence to asian cultural values and cultural fit in Korean American undergraduates’ help-seeking attitudes. Journal of Counseling and Development, 86, 419-428.
Good, G. E., Dell, D. M., & Mintz, L. B. (1989). Male role and gender role conflict: Gloria relations to help seeking in men. Journal of Counseling Psychology, 36(3), 295-300.
Good, G. E., & Wood, P. K.(1995). Male gender role conflict, depression, and help seeking: Do college men face double jeopardy? Journal of Counseling & Development, 74, 70-75.
Greenson, R. R. (1987). The technique and practice of psychoanalysis. Madison, WI: International University Press.
Han, D-Y., Chen, S-H., Hwang, K-K., & Wei, H-L. (2006). Effects of psychoeducation for depression on help-seeking willingness: Biological attribution versus destigmatization. Psychiatry and Clinical Neurosciences, 60, 662-668.
Heppner, P. P., Heppner, M. J., Lee, D-G., Wang, Y-W., Park, H-J., & Wang, L-F. (2006). Development and validation of a collectivist coping styles inventory. Journal of Counseling Psychology, 53(1), 107-125.
Hepworth, N., & Paxton, S. J. (2007). Pathways to help-seeking in bulimia nervosa and binge eating problems: A concept mapping approach. International Journal of Eating Disorder, 40(6), 493-504.
Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46, 3-10.
Hwang, K. K. (2006). Moral face and social face: Contingent self-esteem in Confucian society. International Journal of Psychology, 41, 276-281.
Johnson, M. E. (2001). Influences of gender and sex role orientation on help-seeking attitudes. The Journal of Psychology, 122(3), 237-241.
Jorm, A. F., Medway, J., Christensen, H., Korten, A.E., Jacomb, P.A., & Rodgers, B. (2000). Attitudes towards people with depression: Effects on the public’s help-seeking and outcome when experiencing common psychiatric symptoms. Australian and New Zealand Journal of Psychiatry, 34(6), 612-618.
Judd, F., Jackson, H., Komiti, A., Murrau, G., Fraser, C., Grieve, A., & Gomez, R. (2006). Help-seeking by rural residents for mental health problems: The importance of agrarian values. Australian and New Zealand Journal of Psychiatry, 40, 769-776.
Kadushin, C. (1969). Why people go to psychiatrists. NY: Atherton.
Kanter, J. W., Busch, A. M., & Rusch, L. C. (2009). Distinctive features of beavioral activation. London: Routledge Press.
Kawamura, K. Y., & Frost, R. O. (2004). Self-concealment as a mediator in the relationshipb between perfectionism and psychological distress. Cognitive Therapy and Research, 28(2), 183-191.
Kelly, A. E., & Achter, J.A. (1995). Self-concealment and attitudes toward counseling in university students. Journal of Counseling Psychology, 42(1), 40-46.
Kessler, R. C., Brown, R. L., & Broman, C. L. (1981). Sex differences in psychiatric help-seeking: Evidence from four large-scale surveys. Journal of Health and Social Behavior, 22, 49-64.
Kim, B. S. K. & Abreu, J. M. (2001). Acculturation measurement: Theory, current instruments, and future directions. In J.G. Ponterotto, J. M. Casas, L. A. Suzuki, & C.M. Alexander (Eds.) Handbook of multicultural counseling (2nd ed., pp394-424). Thousand Oaks, CA : Sage.
Kim, B. S. K., Atkinson, D. A., & Yang, P. H. (1999). The Asian value scale: Development, factor analysis, validation, and reliability. Journal of Counseling Psychology, 46(3), 342-352.
Kim, B. S. K., Li, L. C., & Liang, C. T. H. (2002). Effects of Asian American client adherence to asian cultural values, session goal, and counselor emphasis of client expression on career counseling process. Journal of Counseling Psychology, 49(3), 342-354.
Kim, B. S. K., & Omizo, M. M. (2003). Asian cultural values, attitudes toward seeking professional psychological helps, and willingness to see a counselor. The Counseling Psychologist, 31(3), 343-361.
Kim, B. S. K., & Hong, S. (2004). A psychometric revision of the Asian values scale using the rasch model. Measurement and Evaluation in Counseling and Development, 37, 15-27.
Kim, B. S. K. (2007). Adherence to Asian and European American cultural values and attitudes toward seeking professional psychological help among Asian American college student. Journal of Counseling Psychology, 54(4), 474-480.
Kleinman, A. , Wang, W. Z. , Li, S. C. , Cheng, X. M. , Dai, X. Y. , Li, K. T., & Kleinman, J. (1995). The social course of epilepsy: chronic illness as social experience in interior China. Social Science Medicine, 40, 1319-1330.
Komiya, N., Good, G. E., & Sherrod, N. B. (2000). Emotional openness as a predictor of college students’attitudes toward seeking psychological help. Journal of Counseling Psychology, 47(1), 138-143.
Kuo, B. C. H., Kwantes, C. T., Towson, S., & Nanson, K. M. (2006). Social beliefs as determinants of attitudes toward seeking professional psychological help among ethnically diverse university students. Canadian Journal of Counseling, 40(4), 224-241.
Kushner, M. G., & Sher, K. J. (1989). Fear of psychological treatment and its relation to mental health service avoidance. Professional Psychology: Research and Practice, 20(4), 251-257.
Kushner, M. G. & Sher, K. J. (1991).The relation of treatment fearfulness and psychological service utilization: An overview. Professional Psychology:Research and Practice, 22(3), 196-203.
Lane, J. D., & Wegner, D. M. (1995). The cognitive consequences of secrecy. Journal of Personality and Social Psychology, 69(2), 237-253.
Larson, D. G., & Chastain, R. L. (1990). Self-concealment: Conceptualization, measurement and health implications. Journal of Social and Clinical Psychology, 9(4), 439-455.
Lee, Y., Yang, M-J., Lai, T-J., Chiu, N-M., & Chau, T-T. (2000). Development of the Taiwanese Depression Questionnaire. Chang Gung Med J, 23(11), 688-693.
Liao, H. Y., Rounds, J., & Klein, A. G. (2005). A test of Cramer's (1999) help-seeking model and acculturation effects with Asian and Asian American college students. Journal of Counseling Psychology, 52(3), 400-411.
Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151-173.
Ludwikowski, W M. A., Vogel, D., & Armstrong, P. I. (2009). Attitudes toward career counseling: The role of public and self-stigma. Journal of Counseling Psychology, 56(3), 408-416.
Major, B., & Gramzow, R. H. (1999). Abortion as stigma: Cognitive and emotional implications of concealment. Journal of Personality and Social Psychology, 77(4), 735-745.
Manos, R. C., Rusch, L. C., Kanter, J. W., & Clifford, L. M. (2009). Depression self-stigma as mediator of the relationship between depression severity and avoidance. Journal of Social and Clinical Psychological, 28(9), 1128-1143.
Manthei, R. J. (2006). Clients talk about their experience of seeking counseling. British Journal of Guidance and Counseling, 34(4), 519-539.
Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001). Depression in context: Strategies for guided action. New York: Norton.
Mechanic, D. (1976a). Illness, illness behavior, and help-seeking: Implications for increasing the responsiveness of heather services. In D. Mechanic (Eds.) The growth of bureaucratic medicine (pp. 161-176). NY: Wiley Interscience.
Mechanic, D. (1976b). Stress, illness, illness behavior. Journal of Human stress, 2, 2-6.
Monroe, S. M., Simons, A. D., & Thase, M. E. (1991). Onset of depression and time to treatment entry: Roles of life stress. Journal of Consulting and Clinical Psychology, 59, 566-573.
Morgan, K. S. (1992). Caucasian lesbians’ use of psychotherapy: A matter of attitude? Psychology of Women Quarterly, 16, 127-130.
Nadler, A., Mayseless, O., Peri, N., & Chemerinski, A. (1985). Effects of opportunity to reciprocate and self-esteem on help-seeking behavior. Journal of Personality, 53(1), 23-35.
Nadler, A. (1987). Determinants of help seeking behaviour: The effects of helper’s similarity, task centrality and recipient’s self esteem. European Journal of Social Psychology, 17, 57-67.
Nelson, B. J. (1980). Help-seeking from public authorities: Who arrives at the agency door?Policy Sciences, 12, 175-192.
O’Neil, M. K., Lancee, C., & Freeman, W. J. (1984). Help-seeking behaviour of depressed students. Social Science and Medicine, 18(6). 511-514.
Ottenbreit, N., & Dobson, K. (2004). Avoidance and depression: The construction of the cognitive-behavioral avoidance scale. Behaviour Research and Therapy, 42, 293-313.
Ponce, F. Q., & Atkinson, D. R. (1989). Mexican-American acculturation, counselor ethnicity, counseling style, and perceived counselor credibility. Journal of Counseling Psychology, 36(2), 203-208.
Powell, D. H. (1983). Understanding human adjustment: Normal adaptation in the life cycles. Boston: Little-Brown.
Pyne, J. M., Kuc, E. J., Schroeder, P. J., Fortney, J. C., Edlund, M., & Sullivan, G. (2004). Relationship between perceived stigma and depression severity. The Journal of Nervous and Mental Disease, 192(4), 278-283.
Rickwood, D., Braithwaite, V. A. (1994). Social-psychological factors affecting help-seeking for emotional problems. Social Science and Medicine, 39(4), 563-572.
Rickwood, D., Deane, F. P., Wilson, L. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian E-Journal for the Advancement of Mental Health, 4(3), 301-325.
Rogler, L. H., & Cortes, D. E. (1993). Help-seeking pathways: A unifying concept in mental health care. American Journal of Psychiatry, 150(4), 554-561.
Roness, A., Mykletun, A., & Dahl, A. A. (2005). Help-seeking behaviour in patients with anxiety disorder and depression. Acta Psychiatric Scandinavica, 111, 51-58.
Russell, D. W., Kahn, J. H., Spoth, R., & Altmaier, E. M. (1998). Analyzing data from experimental studies: A latent variable structural equation modeling approach. Journal of Counseling Psychology, 45(1), 18-29.
Saunders, S. M. (1993). Applications’ experience of the process of seeking therapy. Psychotherapy, 30(4), 554-564.
Saunders, S. M. (1996). Applications’ experience of social support in the process of seeking psychotherapy. Psychotherapy, 33(4), 617-627.
Shea, M., & Yeh, C. J. (2008). Asian American students’cultural values, stigma, and relational self-construal: Correlates of attitudes toward professional help seeking. Journal of Mental Health Counseling, 30(2), 157-172.
Solberg, V. S., Ritsma, S., Davis, B. J., Tata, S. P., & Jolly, A. (1994). Asian-American students’severity of problems and willingness to seek help from universitiy counseling centers: Role of previous counseling experience, gender, and ethnicity. Journal of Counseling Psychology, 41 (3), 275-279.
Stefl, M. E., & Propsperi, D. C. (1985). Barriers to mental health service utilization. Community Mental Health Journal, 21, 167-178.
Stein, B. D., Elliott, M. N., Jaycox, L. H., Collins, R. L., Berry, S. H., Klein, D. J., & Schuster, M. A. (2004). A national longitudinal study of the psychological consequences of the September 11, 2001 terrorist attacks: Reactions, impairment, and help-seeking. Pschiatry, 67(2), 105-117.
Sue, D. W. (1994). Asian-american mental health and help-seeking behavior: comment on Solberg et al (1994), Tata and Leong (1994), and Lin (1994). Journal of Counseling Psychology, 41(3), 292-295.
Sung-Kyung Y., & Skovholt, T. M. (2001). Cross-cultural Examination of Depression Expression and Help-Seeking Behavior: A Comparative Study of American and Korean College Students. Journal of College Counseling, 4(1), 1-10。
Tata, S. P., & Leong, F. T. L.(1994). Individualism-collectivism, social-network orientation, and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans. Journal of Counseling Psychology, 41(3), 280-287.
Uysal, A., Lee, L. H., & Raymond, K. C. (2010). The role of need satisfaction in self-concealment and well-being. Personality and Social Psychology Bulletin, 36(2), 187-199.
Vessey, J. T., & Howard, K. I. (1993). Who seeks psychotherapy?Psychotherapy, 30(4), 546-553.
Vogel, D. L., & Shechtman, Z., & Wade, N. G. (2010). The role of public and self-stigma in predicting attitudes toward group counseling. The Counseling Psychologist, 38(7), 904-922.
Vogel, D. L., Wade, N.G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325-337.
Vogel, D. L., Wade, N.G., & Hackler, A. H. (2007). Perceived public stigma and willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 40-50.
Vogel, D. L., & Wei, M. (2005). Adult attachment and help-seeking intent: The mediating roles of psychological distress and perceived social support. Journal of Counseliing Psychology, 52(3), 347-357.
Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50(3), 351-361.
Voorbees, B., Fogel, J., Houston, T., Cooper, L., Wang, N. Y., & Ford, D. (2005). Beliefs and attitudes associated with the intention to not accept the diagnosis of depression among young adults. Annals of Family Medicine, 3(1), 38-46.
Wade, N. G., Post, B.C., Cornish, M. A., Vogel, D. L., & Tucker, J. R. (2011). Predictors of the change in self-stigma following a single session of group counseling. Journal of Counseling Psychology, 58(2), 170-182.
Wei, M-F., Russell, D. W., & Zakalik, R. A. (2005). Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college student: A longitudinal study. Journal of Counseling Psychology , 52(4), 602-614.
Williams, M. W., Skogstad, P., & Deane, F. P. (2001). Attitudes of male prisoners toward seeking professional psychological help. Journal of Offender Rehabilitation, 34(2), 49-61.
Wilson, L. J., Deane, F. P., Ciarrochi, J., & Rickwood, D. (2005). Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire. Canadian Journal of Counseling, 39(1), 15-28.
World Health Organization (2001). The world health report: 2001 : Mental health: New understanding, new hope. Retrieved August 16, 2011, from http://www.who.int/whr/2001/en/whr01_en.pdf
Yager, L., Landsverk, J., & Edelstein, C. K. (1989). Help seeking and satisfaction with care in 641 women with eating disorders. Nervous Mental Disorder, 177, 632-637.
Youssef, J., & Deane, F. P. (2006). Factors influencing mental-health help-seeking in Arabic-speaking communities in Syndney, Australia. Mental Health, Religion and Culture, 9(1), 43-66.