Between Knowing and Doing: Examining Mental Health Literacy, Stigma, and Social Support in Professional Help-Seeking Among College Students

Authors

  • Cempaka Putrie Dimala Department of Psychology, Faculty of Psychology, Universitas Buana Perjuangan Karawang, Indonesia
  • Dinda Aisha Department of Psychology, Faculty of Psychology, Universitas Buana Perjuangan Karawang, Indonesia
  • Puspa Rahayu Utami Rahman Department of Psychology, Faculty of Psychology, Universitas Buana Perjuangan Karawang, Indonesia
  • Haryanti Mustika Department of Psychology, Faculty of Psychology, Universitas Buana Perjuangan Karawang, Indonesia

DOI:

https://doi.org/10.25217/0020269802000

Keywords:

Mental Health, Professional help-seeking, Self-stigma, Social Support, Collage student

Abstract

In the context of increasing mental health concerns among university students, understanding professional help-seeking behavior has become increasingly important. This study examined the relationships among mental health literacy, self-stigma, stigma of mental illness, social support, and professional help-seeking behavior among Indonesian college students experiencing psychological difficulties. A quantitative cross-sectional survey was conducted with 408 participants recruited through purposive sampling. Data were analyzed using JASP version 0.19.1, applying a regression-based model to examine direct, mediating, and moderating effects. Mental health literacy was tested as a mediator, while social support was examined as a moderator. The results indicated that mental health literacy was positively associated with professional help-seeking behavior. Stigma of mental illness was positively related to both mental health literacy and help-seeking, whereas self-stigma was not significantly associated with either variable. Mediation analysis showed that mental health literacy partially mediated the relationship between stigma of mental illness and help-seeking, but not between self-stigma and help-seeking. Social support did not significantly moderate the relationships between stigma variables and help-seeking behavior. These findings suggest that mental health literacy may represent one contributing factor associated with professional help-seeking among university students. However, given the cross-sectional design and modest explanatory power of the model, the results should be interpreted with caution. Future research is needed to further examine the underlying mechanisms of help-seeking behavior in this population.

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., & Bruffaerts, R. (2018). Mental disorders among college students in the World Health Organization world mental health surveys. Psychological Medicine, 48(7), 1127–1141. https://doi.org/10.1017/s0033291716001665

Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14(4), 413–445. https://doi.org/10.1007/BF00922627

Barrera, M., Sandler, I.N. & Ramsay, T.B. (1981). Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology, 9 (4), 435–447. https://doi.org/10.1007/BF00918174

Biddle, L., Donovan, J., Sharp, D., & Gunnell, D. (2007). Explaining non-help-seeking amongst young adults with mental distress: A dynamic interpretive model of illness behaviour. Sociology of Health & Illness, 29(7), 983–1002. https://doi.org/10.1111/j.1467-9566.2007.01030.x

Bienvenu, O. J., & Ginsburg, G. S. (2007). Prevention of anxiety disorders. International Review of Psychiatry, 19(6), 6475–654. https://doi.org/10.1080/09540260701797837

Bjørnsen, H. N., Eilertsen, M. E. B., Ringdal, R., Espnes, G. A., & Moksnes, U. K. (2017). Positive mental health literacy: Development and validation of a measure among Norwegian adolescents. BMC Public Health, 17 (1), 717. https://doi.org/10.1186/s12889-017-4733-6

Cheng, H. L., Kwan, K. K., & Sevig, T. (2013). Racial and ethnic minority college students' stigma associated with seeking psychological help: Examining psychocultural correlates. Journal of Counseling Psychology, 60(1), 98-111. https://doi.org/10.1037/a0031169

Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking?. Psychological Medicine, 45(1), 11–27. https://doi.org/10.1017/S0033291714000129

Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614–625. https://doi.org/10.1037/0003-066X.59.7.614

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. https://doi.org/10.1037/t05375-000

Fleary, S. A., Joseph, P. L., Gonçalves, C., Somogie, J., & Angeles, J. (2022). The relationship between health literacy and mental health attitudes and beliefs. HLRP: Health Literacy Research and Practice, 6(4), e270–e279. https://doi.org/10.3928/24748307-20221018-01

Furnham, A., & Swami, V. (2018). Mental health literacy: A review. International Perspectives in Psychology, 7(4), 240-257. https://doi.org/10.1037/ipp0000094

Gorczynski, P., Sims-Schouten, W., Hill, D., & Wilson, J. C. (2017). Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students. The Journal of Mental Health Training, Education and Practice, 12(2), 111–120. https://doi.org/10.1108/JMHTEP-05-2016-0027

Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, 113. https://doi.org/10.1186/1471-244X-10-113

Ho, V. C., Gee, C. B., & Khera, G. S. (2025). Asian Indian male international graduate students’ help-seeking intentions toward formal and informal supports: The role of cultural and familial factors. Asian American Journal of Psychology, 16(2), 101–109. https://doi.org/10.1037/aap0000355

Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177(5), 396–401. https://doi.org/10.1192/bjp.177.5.396

Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231–243. https://doi.org/10.1037/a0025957

Jorm, A. F., Wright, A., & Morgan, A. J. (2007). Beliefs about appropriate first aid for young people with mental disorders. BMC Psychiatry, 7, 42. https://doi.org/10.1111/j.1751-7893.2007.00012.x

Jung, H., von Sternberg, K., & Davis, K. (2016). Expanding a measure of mental health literacy: Development and validation of a multicomponent mental health literacy measure. Psychiatry Research, 243, 278–286. https://doi.org/10.1016/j.psychres.2016.06.034

Kim, E. J., Yu, J. H., & Kim, E. Y. (2020). Pathways linking mental health literacy to professional help-seeking intentions in Korean college students. Journal of Psychiatric and Mental Health Nursing, 27(4), 393–405. https://doi.org/10.1111/jpm.12593

Kim, H. C. (2021). Mediating effect of stigma on the relationship between mental health literacy and help-seeking attitudes among university students in South Korea. International Journal of Mental Health, 52(2), 163–178. https://doi.org/10.1080/00207411.2021.1965397

Kim, N., Kim, I., & Taylor, D. D. (2025). Stigma among college students: Associations with help-seeking and social support. International Journal for the Advancement of Counselling, 47(4), 852–867. https://doi.org/10.1007/s10447-025-09614-2

King, M., Dinos, S., Shaw, J., Watson, R., Stevens, S., Passetti, F., Weich, S., & Serfaty, M. (2007). The stigma scale: Development of a standardised measure of the stigma of mental illness. British Journal of Psychiatry, 190, 248–254. https://doi.org/10.1192/bjp.bp.106.024638

Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82(11), 858–866. https://pmc.ncbi.nlm.nih.gov/articles/PMC2623050

Lei, X.-Y., Xiao, L.-M., Liu, Y.-N., & Li, Y.-M. (2016). Prevalence of depression among Chinese university students: A meta-analysis. PLOS ONE, 11(4), e0153454. https://doi.org/10.1371/journal.pone.0153454

Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71(12), 2150–2161. https://doi.org/10.1016/j.socscimed.2010.09.030

Maulik, P. K., Eaton, W. W., & Bradshaw, C. P. (2009). The role of social network and support in mental health service use: Findings from the Baltimore ECA study. Psychiatric Services, 60(9), 1222–1229. https://doi.org/10.1176/ps.2009.60.9.1222

Ning, X., Wong, J. P.-H., Huang, S., Fu, Y., Gong, X., Zhang, L., Hilario, C., Fung, K. P.-L., Yu, M., Poon, M. K.-L., Cheng, S., Gao, J., & Jia, C.-X. (2022). Chinese university students’ perspectives on help-seeking and mental health counseling. International Journal of Environmental Research and Public Health, 19(14), 8259. https://doi.org/10.3390/ijerph19148259

Radez, J., Reardon, T., Creswell, C., Lawrence, P. J., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. European Child & Adolescent Psychiatry, 30(2), 183–211. https://doi.org/10.1007/s00787-019-01469-4

Rickwood, D., Deane, F., & Wilson, C. (2005). Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4(3), 1–34. https://doi.org/10.5172/jamh.4.3.218

Ruihua, L., Che Hassan, N., Qiuxia, Z., Sha, O., & Jingyi, D. (2025). A systematic review on the impact of social support on college students’ wellbeing and mental health. PLOS ONE, 20(7), e0325212. https://doi.org/10.1371/journal.pone.0325212

Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529–539. https://doi.org/10.1016/j.eurpsy.2005.04.004

Schnyder, N., Panczak, R., Groth, N., & Schultze-Lutter, F. (2017). Association between mental health-related stigma and help-seeking behaviour. British Journal of Psychiatry, 210(4), 261-268. https://doi.org/10.1192/bjp.bp.116.189464

Shahwan, S., Lau, J. H., Goh, C. M. J., Ong, W. J., Tan, G. T. H., Samari, E., Lee, Y. Y., Teh, W. L., Seet, V., Chang, S., Chong, S. A., & Subramaniam, M. (2020). The potential impact of an anti-stigma intervention on mental health help-seeking attitudes among university students. BMC Psychiatry, 20(1), 562. https://doi.org/10.1186/s12888-020-02960-y

Shechtman, Z., Vogel, D. L., Strass, H. A., & Heath, P. J. (2018). Stigma in help-seeking: the case of adolescents. British Journal of Guidance & Counselling, 46(1), 104–119. https://doi.org/10.1080/03069885.2016.1255717

Snowden, L. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181-188. https://doi.org/10.1023/A:1013172913880

Vidourek, R. A., King, K. A., Nabors, L. A., & Merianos, A. L. (2014). Students’ benefits and barriers to mental health help-seeking. Health Psychology and Behavioral Medicine, 2(1), 1009-1022. htpps://doi.org/ 10.1080/21642850.2014.963586

Villatoro, A. P., DuPont-Reyes, M. J., Phelan, J. C., & Link, B. G. (2022). ‘Me’ vs. ‘them’: How mental illness stigma influences adolescent help-seeking behaviors for oneself and recommendations for peers. Stigma and Health, 7(3), 300–310. https://doi.org/10.1037/sah0000392

Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325–337. https://doi.org/10.1037/0022-0167.53.3.325

Wang, X., & Liu, Q. (2022). Prevalence of anxiety symptoms among Chinese university students amid the COVID-19 pandemic: A systematic review and meta-analysis. Heliyon, 8(8), e10117. https://doi.org/10.1016/j.heliyon.2022.e10117

Yang, X., Hu, J., Zhang, B., Ding, H., Hu, D., & Li, H. (2024). The relationship between mental health literacy and professional psychological help-seeking behavior among Chinese college students: Mediating roles of perceived social support and psychological help-seeking stigma. Frontiers in Psychology, 15, 1356435. https://doi.org/10.3389/fpsyg.2024.1356435

Yin, H., Wardenaar, K. J., Xu, G., Tian, H., & Schoevers, R. A. (2020). Mental health stigma and mental health knowledge in Chinese population: A cross-sectional study. BMC Psychiatry, 20, Article 323. https://doi.org/10.1186/s12888-020-02705-x

Zhao, R., Amanvermez, Y., Pei, J., Castro-Ramirez, F., Rapsey, C., Garcia, C., Ebert, D. D., Haro, J. M., Fodor, L. A., David, O. A., Rankin, O., Chua, S. N., Martínez, V., Bruffaerts, R., Kessler, R. C., & Cuijpers, P. (2025). Research Review: Help-seeking intentions, behaviors, and barriers in college students – a systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 66(10), 1593–1605. https://doi.org/10.1111/jcpp.14145

Zhao, T. (2023). Self-stigmatization of high-school students seeking professional psychological help: The chain-mediating effect of perceived social support and optimism. Frontiers in Psychiatry, 14, Article 1289511. https://doi.org/10.3389/fpsyt.2023.1289511

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2

Downloads

Published

2026-07-22

How to Cite

Dimala, C. P., Aisha, D., Rahman, P. R. U., & Mustika, H. (2026). Between Knowing and Doing: Examining Mental Health Literacy, Stigma, and Social Support in Professional Help-Seeking Among College Students. Islamic Guidance and Counseling Journal, 9(2). https://doi.org/10.25217/0020269802000

Issue

Section

Articles

Most read articles by the same author(s)

Similar Articles

<< < 2 3 4 5 6 7 8 9 10 11 > >> 

You may also start an advanced similarity search for this article.