Does Mental Health Literacy Predict Help-Seeking Behaviors Among Depressed Asian International Students?

Authors

DOI:

https://doi.org/10.32674/jis.v14i3.5090

Keywords:

college students, international students, Asian, Mental health literacy, help-seeking

Abstract

This study aimed to examine whether Asian international students’ mental health literacy predicts mental health help-seeking behaviors above and beyond known influencing factors. Hierarchical logistic regression was conducted in analyzing a national sample of 460 Asian international students who reported depressive symptomatology. Results indicated that students who identified as female and experienced more days of academic impairment were more likely to seek counseling. Additionally, having more knowledge on mental disorders and treatments and campus mental health services were positively related to help-seeking behavior. However, the ability to recognize the development of mental disorders in others was negatively associated with seeking mental health help. Implications for administrators, college program planners, and mental health providers are discussed.

 

Author Biographies

Da Hwin Kim, Department of Educational Psychology, Texas A&M University

Da Hwin Kim, M.Ed., M.A., is a doctoral student in the Department of Educational Psychology at Texas A&M University, College Station, Texas, United States. Her major research interests lie in the area of mental health literacy, mental health help-seeking behaviors of Asian populations. Email: kimdahwin@tamu.edu

Emma McWhorter, Department of Educational Psychology, Texas A&M University

Emma C. McWhorter, M.Ed., is a doctoral student in the Department of Educational Psychology at Texas A&M University, College Station, Texas, United States. Her major research interests lie in the area of rural mental health, mental health accessibility, and positive mental health. Email: ecmcwhorter@tamu.edu

Linda Castillo, Department of Educational Psychology, Texas A&M University

Linda G. Castillo, Ph.D., is a professor in the Department of Educational Psychology at Texas A&M University, College Station, Texas, United States. Her major research interests lie in the area of women’s mental health, Relational Cultural Therapy, and Solution Focused Counseling. Email: lcastillo@tamu.edu

References

Akutsu, P. D., Lin, C. H., & Zane, N. W. S. (1990). Predictors of utilization intent of counseling among Chinese and White students: A test of the proximal-distal model. Journal of Counseling Psychology, 37(4), 445–452. https://doi.org/10.1037/0022-0167.37.4.445 DOI: https://doi.org/10.1037/0022-0167.37.4.445

Becker, M., Martin, L., Wajeeh, E., Ward, J., & Shern, D. (2002). Students with mental illnesses in a university setting: Faculty and student attitudes, beliefs, knowledge, and experiences. Psychiatric Rehabilitation Journal, 25(4), 359–368. https://doi.org/10.1037/h0095001 DOI: https://doi.org/10.1037/h0095001

Bonabi, H., Müller, M., Ajdacic-Gross, V., Eisele, J., Rodgers, S., Seifritz, E., Rössler, W., & Rüsch, N. (2016). Mental Health Literacy, Attitudes to Help Seeking, and Perceived Need as Predictors of Mental Health Service Use: A Longitudinal Study. The Journal of Nervous and Mental Disease, 204(4). https://journals.lww.com/jonmd/Fulltext/2016/04000/Mental_Health_Literacy,_Attitudes_to_Help_Seeking,.13.aspx DOI: https://doi.org/10.1097/NMD.0000000000000488

California Department of Justice. (2021). Hate Crime in California. Retrieved from https://oag.ca.gov/system/files/attachments/press-docs/Hate%20Crime%20In%20CA%202021%20FINAL.pdf

Cascamo Jr, J. A. (2013). Gatekeeper suicide prevention training and its impact on attitudes toward help seeking (Doctoral dissertation, Walden University).

Cheah, C. S. L., Wang, C., Ren, H., Zong, X., Cho, H. S., & Xue, X. (2020). COVID-19 Racism and Mental Health in Chinese American Families. Pediatrics, 146(5). https://doi.org/10.1542/peds.2020-021816 DOI: https://doi.org/10.1542/peds.2020-021816

Chen, H.-M., & Lewis, D. C. (2011). Approaching the “Resistant:” Exploring East Asian International Students’ Perceptions of Therapy and Help-Seeking Behavior Before and After They Arrived in the United States. Contemporary Family Therapy, 33(3), 310. https://doi.org/10.1007/s10591-011-9154-6 DOI: https://doi.org/10.1007/s10591-011-9154-6

Cheng, H.-L., Wang, C., McDermott, R. C., Kridel, M., & Rislin, J. L. (2018). Self-Stigma, Mental Health Literacy, and Attitudes Toward Seeking Psychological Help. Journal of Counseling & Development, 96(1), 64–74. https://doi.org/10.1002/jcad.12178 DOI: https://doi.org/10.1002/jcad.12178

Clough, B. A., Nazareth, S. M., & Casey, L. M. (2020). Making the grade: A pilot investigation of an e-intervention to increase mental health literacy and help-seeking intentions among international university students. British Journal of Guidance & Counselling, 48(3), 347–359. https://doi.org/10.1080/03069885.2019.1673312 DOI: https://doi.org/10.1080/03069885.2019.1673312

Dong, F., Hwang, Y., & Hodgson, N. A. (2022). Relationships between racial discrimination, social isolation, and mental health among international Asian graduate students during the COVID-19 pandemic. Journal of American College Health, 1–8. https://doi.org/10.1080/07448481.2022.2052076 DOI: https://doi.org/10.1080/07448481.2022.2052076

Ee, J. (2013). “He’s an idiot!” Experiences of International Students in the United States. Journal of International Students, 2013 Vol. 3 (1), 72. DOI: https://doi.org/10.32674/jis.v3i1.522

Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-Seeking and Access to Mental Health Care in a University Student Population. Medical Care, 45(7), 594–601. https://doi.org/10.1097/MLR.0b013e31803bb4c1 DOI: https://doi.org/10.1097/MLR.0b013e31803bb4c1

Farrer, L., Leach, L., Griffiths, K. M., Christensen, H., & Jorm, A. F. (2008). Age differences in mental health literacy. BMC Public Health, 8(1), 125. https://doi.org/10.1186/1471-2458-8-125 DOI: https://doi.org/10.1186/1471-2458-8-125

Federal Bureau of Investigation. (July, 2022). Hate Crime in the United States Incident Analysis, 2020. Retrieved from https://crime-data-explorer.fr.cloud.gov/pages/explorer/crime/hate-crime

Flum, M. E. (1998). Attitudes toward mental health and help-seeking preferences of chinese, japanese, and korean international college students. Dissertation Abstracts International Section A: Humanities and Social Sciences, 59(5-A), 1470.

Fritz, M. V., Chin, D., & DeMarinis, V. (2008). Stressors, anxiety, acculturation and adjustment among international and North American students. International Journal of Intercultural Relations, 32(3), 244–259. https://doi.org/10.1016/j.ijintrel.2008.01.001 DOI: https://doi.org/10.1016/j.ijintrel.2008.01.001

Furnham, A., Cook, R., Martin, N., & Batey, M. (2011). Mental health literacy among university students. Journal of Public Mental Health, 10(4), 198–210. https://doi.org/10.1108/17465721111188223 DOI: https://doi.org/10.1108/17465721111188223

Gorczynski, P., & Sims-Schouten, W. (2022). Evaluating mental health literacy amongst US college students: A cross sectional study. Journal of American College Health, 1–4. https://doi.org/10.1080/07448481.2022.2063690 DOI: https://doi.org/10.1080/07448481.2022.2063690

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 DOI: https://doi.org/10.1108/JMHTEP-05-2016-0027

Hamamura, T., & Laird, P. G. (2014). The Effect of Perfectionism and Acculturative Stress on Levels of Depression Experienced by East Asian International Students. Journal of Multicultural Counseling and Development, 42(4), 205–217. https://doi.org/10.1002/j.2161-1912.2014.00055.x DOI: https://doi.org/10.1002/j.2161-1912.2014.00055.x

Healthy Minds Network (2022). Healthy Minds Study among Colleges and Universities, year (2018-2019) [Data set]. Healthy Minds Network, University of Michigan, University of California Los Angeles, Boston University, and Wayne State University. https://healthymindsnetwork.org/reserach/data-for-researchers

Hwang, W.-C., & Goto, S. (2008). The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cultural Diversity and Ethnic Minority Psychology, 14(4), 326–335. https://doi.org/10.1037/1099-9809.14.4.326 DOI: https://doi.org/10.1037/1099-9809.14.4.326

Hyun, J., Quinn, B., Madon, T., & Lustig, S. (2007). Mental Health Need, Awareness, and Use of Counseling Services Among International Graduate Students. Journal of American College Health, 56(2), 109–118. https://doi.org/10.3200/JACH.56.2.109-118 DOI: https://doi.org/10.3200/JACH.56.2.109-118

Jang, Y., Gum, A.M., & Chiriboga, D.A. (2011). Knowledge of depression among Korean American older adults. Journal of Applied Gerontology, 30, 655–665. DOI: https://doi.org/10.1177/0733464810374468

Jin, L., & Acharya, L. (2022). Developing Tailored Messages to Improve Mental Health and Adjustment of Asian International Students . Journal of International Students, 12(4), 817–842. https://doi.org/10.32674/jis.v12i4.3934 DOI: https://doi.org/10.32674/jis.v12i4.3934

Jochman, J. C., Cheadle, J. E., Goosby, B. J., Tomaso, C., Kozikowski, C., & Nelson, T. (2019). Mental Health Outcomes of Discrimination among College Students on a Predominately White Campus: A Prospective Study. Socius, 5, 2378023119842728. https://doi.org/10.1177/2378023119842728 DOI: https://doi.org/10.1177/2378023119842728

Johnson, L. R., Seifen-Adkins, T., Singh Sandhu, D., Arbles, N., & Makino, H. (2018). Developing Culturally Responsive Programs to Promote International Student Adjustment: A Participatory Approach. Journal of International Students, 8(4), 1865–1878. https://doi.org/10.32674/jis.v8i4.235 DOI: https://doi.org/10.32674/jis.v8i4.235

Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177(5), 396–401. Cambridge Core. https://doi.org/10.1192/bjp.177.5.396 DOI: 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 DOI: https://doi.org/10.1037/a0025957

Jorm, A. F., Christensen, H., & Griffiths, K. M. (2005). Public beliefs about causes and risk factors for mental disorders. Social Psychiatry and Psychiatric Epidemiology, 40(9), 764–767. https://doi.org/10.1007/s00127-005-0940-z DOI: https://doi.org/10.1007/s00127-005-0940-z

Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “Mental health literacy”: A survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182–186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x DOI: https://doi.org/10.5694/j.1326-5377.1997.tb140071.x

Jung, H., von Sternberg, K., & Davis, K. (2017). The impact of mental health literacy, stigma, and social support on attitudes toward mental health help-seeking. International Journal of Mental Health Promotion, 19(5), 252–267. https://doi.org/10.1080/14623730.2017.1345687 DOI: https://doi.org/10.1080/14623730.2017.1345687

Kim, J. E., & Zane, N. (2016). Help-seeking intentions among Asian American and White American students in psychological distress: Application of the health belief model. Cultural Diversity and Ethnic Minority Psychology, 22(3), 311–321. APA PsycArticles. https://doi.org/10.1037/cdp0000056 DOI: https://doi.org/10.1037/cdp0000056

Koo, K., Kim, Y. W., Lee, J., & Nyunt, G. (2021). “It’s My Fault”: Exploring Experiences and Mental Wellness Among Korean International Graduate Students. Journal of International Students, 11(4), Article 4. https://doi.org/10.32674/jis.v11i4.2801 DOI: https://doi.org/10.32674/jis.v11i4.2801

Koo, K., & Nyunt, G. (2022). Pandemic in a Foreign Country: Barriers to International Students’ Well-being during COVID-19. Journal of Student Affairs Research and Practice, 1–14. https://doi.org/10.1080/19496591.2022.2056476 DOI: https://doi.org/10.1080/19496591.2022.2056476

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Lam, A. Y., Jorm, A. F., & Wong, D. F. (2010). Mental health first aid training for the Chinese community in Melbourne, Australia: Effects on knowledge about and attitudes toward people with mental illness. International Journal of Mental Health Systems, 4(1), 18. https://doi.org/10.1186/1752-4458-4-18 DOI: https://doi.org/10.1186/1752-4458-4-18

Lee, D. L., & Ahn, S. (2011). Racial Discrimination and Asian Mental Health: A Meta-Analysis. The Counseling Psychologist, 39(3), 463–489. https://doi.org/10.1177/0011000010381791 DOI: https://doi.org/10.1177/0011000010381791

Li, J., Wang, Y., Liu, X., Xu, Y., & Cui, T. (2018). Academic Adaptation Among International Students from East Asian Countries: A Consensual Qualitative Research. Journal of International Students, 8(1), Article 1. https://doi.org/10.32674/jis.v8i1.160 DOI: https://doi.org/10.32674/jis.v8i1.160

Li, P., Wong, Y. J., & Toth, P. (2013). Asian International Students’ Willingness to Seek Counseling: A Mixed-Methods Study. International Journal for the Advancement of Counselling, 35(1), 1–15. https://doi.org/10.1007/s10447-012-9163-7 DOI: https://doi.org/10.1007/s10447-012-9163-7

Lian, Z., & Wallace, B. C. (2020). Prevalence of past-year mental disorders and its correlates among Chinese international students in US higher education. Journal of American College Health, 68(2), 176–184. https://doi.org/10.1080/07448481.2018.1538147 DOI: https://doi.org/10.1080/07448481.2018.1538147

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. https://doi.org/10.1037/0022-0167.52.3.400 DOI: https://doi.org/10.1037/0022-0167.52.3.400

Liu, H., Wong, Y. J., Mitts, N. G., Li, P. F. J., & Cheng, J. (2020). A Phenomenological Study of East Asian International Students’ Experience of Counseling. International Journal for the Advancement of Counselling, 42(3), 269–291. https://doi.org/10.1007/s10447-020-09399-6 DOI: https://doi.org/10.1007/s10447-020-09399-6

Ma, K. (2021). Facilitating Recovery through Building an Interconnected Community: From Awareness to Action. Journal of International Students, 11(4), Article 4. https://doi.org/10.32674/jis.v11i4.3303 DOI: https://doi.org/10.32674/jis.v11i4.3303

Ma-Kellams, C. (2014). Cross-cultural differences in somatic awareness and interoceptive accuracy: A review of the literature and directions for future research. Frontiers in Psychology, 5, 1379. DOI: https://doi.org/10.3389/fpsyg.2014.01379

Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging & Mental Health, 10(6), 574–582. https://doi.org/10.1080/13607860600641200 DOI: https://doi.org/10.1080/13607860600641200

Maeshima, L. S., & Parent, M. C. (2020). Mental health stigma and professional help-seeking behaviors among Asian American and Asian international students. Journal of American College Health, 70(6), 1761-1767. https://doi.org/10.1080/07448481.2020.1819820 DOI: https://doi.org/10.1080/07448481.2020.1819820

Marangell, S., & Baik, C. (2022). International Students’ Suggestions for What Universities Can Do to Better Support Their Mental Wellbeing. Journal of International Students, 12(4), 933–954. https://doi.org/10.32674/jis.v12i4.3877 DOI: https://doi.org/10.32674/jis.v12i4.3877

Milin, R., Kutcher, S., Lewis, S. P., Walker, S., Wei, Y., Ferrill, N., & Armstrong, M. A. (2016). Impact of a Mental Health Curriculum on Knowledge and Stigma Among High School Students: A Randomized Controlled Trial. Journal of the American Academy of Child & Adolescent Psychiatry, 55(5), 383-391.e1. https://doi.org/10.1016/j.jaac.2016.02.018 DOI: https://doi.org/10.1016/j.jaac.2016.02.018

Mojtabai, R., Evans-Lacko, S., Schomerus, G., & Thornicroft, G. (2016). Attitudes Toward Mental Health Help Seeking as Predictors of Future Help-Seeking Behavior and Use of Mental Health Treatments. Psychiatric Services, 67(6), 650–657. https://doi.org/10.1176/appi.ps.201500164 DOI: https://doi.org/10.1176/appi.ps.201500164

Morgan, N. T., & Robinson, M. (2003). Students’ Help-Seeking Behaviours by Gender, Racial Background, and Student Status. Canadian Journal of Counselling, 37(2), 151–166.

Mori, S. C. (2000). Addressing the Mental Health Concerns of International Students. Journal of Counseling & Development, 78(2), 137–144. https://doi.org/10.1002/j.1556-6676.2000.tb02571.x DOI: https://doi.org/10.1002/j.1556-6676.2000.tb02571.x

Mosher, D. K., Hook, J. N., Captari, L. E., Davis, D. E., DeBlaere, C., & Owen, J. (2017). Cultural humility: A therapeutic framework for engaging diverse clients. Practice Innovations, 2(4), 221–233. https://doi.org/10.1037/pri0000055 DOI: https://doi.org/10.1037/pri0000055

National Center for Education Statistics. (2020) Digest of Educational statistics. Washington, D.C: National Center for Education Statistics, Office of Educational Research and Improvement, U.S. Dept. of Education.

Nilsson, J. E., Berkel, L. A., Flores, L. Y., & Lucas, M. S. (2004). Utilization Rate and Presenting Concerns of International Students at a University Counseling Center. Journal of College Student Psychotherapy, 19(2), 49–59. https://doi.org/10.1300/J035v19n02_05 DOI: https://doi.org/10.1300/J035v19n02_05

Nilsson, J. E., Butler, J., Shouse, S., & Joshi, C. (2008). The relationships among perfectionism, acculturation, and stress in Asian international students. Journal of College Counseling, 11(2), 147–158. https://doi.org/10.1002/j.2161-1882.2008.tb00031.x DOI: https://doi.org/10.1002/j.2161-1882.2008.tb00031.x

Penman, J., Malik, G., Chu, E., Kett, G., Hampton, K., Thomacos, N., Ebrahimi-Zanjani, M., Zhong, Y., & McKenzie, W. (2021). Empowering International Students to Succeed: An Innovative and Beneficial Initiative for Health Professions . Journal of International Students, 11(4), 832–852. https://doi.org/10.32674/jis.v11i4.2226 DOI: https://doi.org/10.32674/jis.v11i4.2226

Poyrazli, S., Kavanaugh, P. R., Baker, A., & Al-Timimi, N. (2004). Social Support and Demographic Correlates of Acculturative Stress in International Students. Journal of College Counseling, 7(1), 73–82. https://doi.org/10.1002/j.2161-1882.2004.tb00261.x DOI: https://doi.org/10.1002/j.2161-1882.2004.tb00261.x

Reavley, N. J., McCann, T. V., & Jorm, A. F. (2012). Mental health literacy in higher education students. Early Intervention in Psychiatry, 6(1), 45–52. https://doi.org/10.1111/j.1751-7893.2011.00314.x DOI: https://doi.org/10.1111/j.1751-7893.2011.00314.x

Smith, C. L., & Shochet, I. M. (2011). The Impact of Mental Health Literacy on Help-Seeking Intentions: Results of a Pilot Study with First Year Psychology Students. International Journal of Mental Health Promotion, 13(2), 14–20. https://doi.org/10.1080/14623730.2011.9715652 DOI: https://doi.org/10.1080/14623730.2011.9715652

Summers, L. M., & Nelson, L. (2022). Multicultural Counseling: Responding With Cultural Humility, Empathy, and Advocacy (1st ed., pp. 978-0-8261-3953–3955). Springer Publishing Company. https://doi.org/10.1891/9780826139535 DOI: https://doi.org/10.1891/9780826139535.0003

Surapaneni, S. (2018). The Role of Parental Stigma on Self-Stigma and Help-Seeking Intentions: Differences Between Asian, Asian American, and Caucasian American Populations (Order No. 10826636). Available from ProQuest Dissertations & Theses Global. (2121083422)

Tan, J. B., & Yates, S. (2011). Academic expectations as sources of stress in Asian students. Social Psychology of Education, 14(3), 389–407. https://doi.org/10.1007/s11218-010-9146-7 DOI: https://doi.org/10.1007/s11218-010-9146-7

Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117-125. DOI: https://doi.org/10.1353/hpu.2010.0233

Wendt, D., & Shafer, K. (2016). Gender and Attitudes about Mental Health Help Seeking: Results from National Data. Health & Social Work, 41(1), e20–e28. https://doi.org/10.1093/hsw/hlv089 DOI: https://doi.org/10.1093/hsw/hlv089

Wong, D. F. K., Lam, A. Y. K., Poon, A., & Chow, A. Y. M. (2012). Gender differences in mental health literacy among Chinese-speaking Australians in Melbourne, Australia. International Journal of Social Psychiatry, 58(2), 178-185. DOI: https://doi.org/10.1177/0020764010390431

Xiong, Y. (2018). An Exploration of Asian International Students’ Mental Health: Comparisons to American Students and Other International Students in the United States [Ohio University]. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou152595195493441

Xiong, Y., & Pillay, Y. (2022). A national study of the mental health status of Asian international students in the United States. Journal of Multicultural Counseling and Development, n/a(n/a). https://doi.org/10.1002/jmcd.12238 DOI: https://doi.org/10.1002/jmcd.12238

Xiong, Y., Rose Parasath, P., Zhang, Q., & Jeon, L. (2022). International students’ perceived discrimination and psychological distress during the COVID-19 pandemic. Journal of American College Health, 1–12. https://doi.org/10.1080/07448481.2022.2059376 DOI: https://doi.org/10.1080/07448481.2022.2059376

Xiong, Y., & Yang, L. (2021). Asian international students’ help-seeking intentions and behavior in American Postsecondary Institutions. International Journal of Intercultural Relations, 80, 170–185. https://doi.org/10.1016/j.ijintrel.2020.11.007 DOI: https://doi.org/10.1016/j.ijintrel.2020.11.007

Yakunina, E. S., & Weigold, I. K. (2011). Asian international students’ intentions to seek counseling: Integrating cognitive and cultural predictors. Asian American Journal of Psychology, 2(3), 219–224. https://doi.org/10.1037/a0024821 DOI: https://doi.org/10.1037/a0024821

Yao, C. W., & Mwangi, C. A. G. (2022). Yellow Peril and cash cows: The social positioning of Asian international students in the USA. Higher Education. https://doi.org/10.1007/s10734-022-00814-y DOI: https://doi.org/10.1007/s10734-022-00814-y

Yeh, E., Sharma, R., Jaiswal-Oliver, M., & Wan, G. (2021). Culturally Responsive Social Emotional Learning for International Students: Professional Development for Higher Education. Journal of International Students, 12(1), 19–41. https://doi.org/10.32674/jis.v12i1.2976 DOI: https://doi.org/10.32674/jis.v12i1.2976

Yoon, E., & Jepsen, D. A. (2008). Expectations of and Attitudes toward Counseling: A Comparison of Asian International and U.S. Graduate Students. International Journal for the Advancement of Counselling, 30(2), 116–127. https://doi.org/10.1007/s10447-008-9050-4 DOI: https://doi.org/10.1007/s10447-008-9050-4

Young, J. T. (2017). Confucianism and accents: Understanding the plight of the Asian international student in the US. Journal of International Students, 7(3), 433–448. DOI: https://doi.org/10.32674/jis.v7i3.202

Zhang, N., & Dixon, D. N. (2003). Acculturation and Attitudes of Asian International Students Toward Seeking Psychological Help. Journal of Multicultural Counseling and Development, 31(3), 205–222. https://doi.org/10.1002/j.2161-1912.2003.tb00544.x DOI: https://doi.org/10.1002/j.2161-1912.2003.tb00544.x

Zhang, N., & Dixon, D. N. (2001). Multiculturally responsive counseling: Effects on Asian students' ratings of counselors. Journal of Multicultural Counseling and Development, 29(4), 253-262. https://doi.org/10.1002/j.2161-1912.2001.tb00468.x DOI: https://doi.org/10.1002/j.2161-1912.2001.tb00468.x

Zhou, X., Zhou, A. Q., & Sun, X. (2022). Prevalence of common mental concerns and service utilization among international students studying in the U.S. Counselling Psychology Quarterly, 35(3), 483–502. https://doi.org/10.1080/09515070.2021.1875400 DOI: https://doi.org/10.1080/09515070.2021.1875400

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2023-06-14

How to Cite

Kim, D. H., McWhorter, E., & Castillo, L. (2023). Does Mental Health Literacy Predict Help-Seeking Behaviors Among Depressed Asian International Students?. Journal of International Students, 13(4), 202–220. https://doi.org/10.32674/jis.v14i3.5090