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

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dc.authoridSahin, Ertugrul/0000-0003-3341-8887
dc.authoridZhao, Nan/0000-0003-3498-4741
dc.contributor.authorVogel, David L.
dc.contributor.authorZhao, Nan
dc.contributor.authorVidales, Carlos A.
dc.contributor.authorAl-Darmaki, Fatima R.
dc.contributor.authorBaptista, Makilim N.
dc.contributor.authorBrenner, Rachel E.
dc.contributor.authorErtl, Melissa M.
dc.date.accessioned2025-01-27T20:22:25Z
dc.date.available2025-01-27T20:22:25Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAlthough 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, T & uuml;rkiye, 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. Public Significance Statement Stigma remains an obstacle to mental health care. This study examined the reliability and validity of a new scale of interdependent stigma associated with seeking mental health services across eight countries and regions (i.e., Australia, Brazil, Germany, Hong Kong, Taiwan, T & uuml;rkiye, the UAE, and the United States) that expands on the theoretical assertions of self-construal theory and will assist in the development of culturally responsive interventions to combat stigma around the world.
dc.identifier.doi10.1037/cou0000757
dc.identifier.endpage368
dc.identifier.issn0022-0167
dc.identifier.issn1939-2168
dc.identifier.issue5
dc.identifier.pmid39115907
dc.identifier.scopus2-s2.0-85202675877
dc.identifier.scopusqualityQ1
dc.identifier.startpage356
dc.identifier.urihttps://doi.org/10.1037/cou0000757
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21875
dc.identifier.volume71
dc.identifier.wosWOS:001300869300001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAmer Psychological Assoc
dc.relation.ispartofJournal of Counseling Psychology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectstigma
dc.subjectmental health
dc.subjectself-construal
dc.subjecthelp seeking
dc.subjectcross-cultural
dc.titleInterdependent Stigma of Seeking Mental Health Services: Examining a New Scale Across Eight Countries/Regions
dc.typeArticle

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