Interdependent Stigma of Seeking Mental Health Services: Examining a New Scale Across Eight Countries/Regions


Vogel D. L., Zhao N., Vidales C. A., Al-Darmaki F. R., Baptista M. N., Brenner R. E., ...More

Journal of Counseling Psychology, 2024 (SSCI) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2024
  • Doi Number: 10.1037/cou0000757
  • Journal Name: Journal of Counseling Psychology
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, IBZ Online, Periodicals Index Online, ABI/INFORM, Business Source Elite, Business Source Premier, Child Development & Adolescent Studies, CINAHL, Communication & Mass Media Index, EBSCO Education Source, Education Abstracts, Educational research abstracts (ERA), Gender Studies Database, Psycinfo
  • Keywords: cross-cultural, help seeking, mental health, self-construal, stigma
  • Çanakkale Onsekiz Mart University Affiliated: Yes

Abstract

Although the presence of mental health stigma associated with seeking help has been demonstrated in many parts of the world, this work has largely been from an independent perspective (i.e., “I will be perceived as crazy”) rather than from an interdependent perspective (i.e., “My family will be viewed negatively”). Interdependent stigma of seeking help (i.e., the extent to which people believe their family would be devalued and shamed if they seek psychological help) may be an important type of stigma that has not been assessed. Based on self-construal theory, the present study sought to develop and evaluate the psychometric properties of an Interdependent Stigma of Seeking Help (ISSH) scale in eight different countries and regions (i.e., Australia, Brazil, Germany, Hong Kong, Taiwan, Türkiye, the UAE, the United States). Findings suggest that the psychometric properties of the eight-item ISSH are adequate for research purposes (a unidimensional scale with full invariance and internal consistency estimates from.84 to.94). The ISSH was moderately related to other measures of stigma and psychological distress. Some differences in the relationship with specific outcomes by country and region were found, and there were notable country differences in the latent mean levels of ISSH, with Hong Kong and Taiwan having the highest means, and Australia, the United States, and Brazil having the lowest levels. Results suggest that the ISSH could be used to help clarify the complex relationships between stigma and other variables of interest and might be useful in developing culturally relevant interventions.