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Youth Adolescence"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Many university students experience mental health difficulties, yet a large proportion do not seek professional psychological support. Although prior research has linked mental health status to help-seeking behavior, it remains unclear whether all help-avoidant students require professional support and how their mental health profiles compare with those of help-seeking students. To address this gap, this study employed a dual-factor model, which integrates subjective well-being and psychopathology to map mental health profiles, and explored demographic predictors of profile membership. Additionally, profiles of help-avoidant students were also compared with those of students currently seeking help or who had sought help previously. The sample included 8,679 university students from seven Dutch universities (\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    = 21.76,\n                    <jats:italic>SD<\/jats:italic>\n                    \u2009=\u20093.31; 69.3% female), including 2,023 students who experienced mental health difficulties but did not seek help (\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    = 21.43,\n                    <jats:italic>SD<\/jats:italic>\n                    \u2009=\u20093.21; 71.7% female). Most of these help-avoidant participants were bachelor\u2019s students (69.1%), freshmen (55.4%), and of Dutch origin (53.8%). Results supported the dual-factor model, identifying four distinct profiles: (1) \u201cComplete mental health\u201d (31.0%), characterized by high well-being and low psychopathology; (2) \u201cSymptomatic but Content\u201d (23.7%), with high-average psychopathology and relatively high well-being; (3) \u201cVulnerable\u201d (27.7%), with low-to-average well-being and moderately low psychopathology; and (4) \u201cTroubled\u201d (17.6%), with low well-being and high psychopathology. Profile structures among help-avoidant students differed from those of current and past help-seeking group. Students in the \u201cComplete Mental Health\u201d Profile were more likely to be younger, female, domestic, master\u2019s students, and non-freshman. Furthermore, insomnia severity increased progressively from the \u201cComplete Mental Health\u201d profile to the \u201cTroubled\u201d profile. These findings highlight the heterogeneity of mental health profiles among help-avoidant students, underscoring the importance of comprehensive screening, which may provide insights for targeted intervention strategies.\n                  <\/jats:p>","DOI":"10.1007\/s10964-026-02380-3","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:43:05Z","timestamp":1783053785000},"page":"2208-2223","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Hidden Majority: Dual-Factor Mental Health Profiles Among Help-Avoidant University Students"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2361-553X","authenticated-orcid":false,"given":"Yuhan","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marloes","family":"Nederhand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Van der Hallen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline W.","family":"Jansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"issue":"1","key":"2380_CR1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1007\/s12144-014-9242-5","volume":"34","author":"K Adamczyk","year":"2015","unstructured":"Adamczyk, K., & Segrin, C. 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