{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:48Z","timestamp":1787014128317,"version":"build-2736575974"},"reference-count":60,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Early interventions have great impact on reducing burden of mental illness. Young people are however the least likely to seek help for psychological issues. Resilience and stigma towards mental illness have been identified as contributing factors, although previous findings were mixed with potentially complex interaction with symptom severity. We investigated the relationship between stigma, resilience, depressive symptom severity, and help\u2010seeking behaviours in undergraduate students in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional online survey was conducted among undergraduates from a university in Hong Kong (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009945). The 21\u2010item Stigma and Acceptance Scale, Connor\u2010Davidson Resilience Scale, and the Patient Health Questionnaire\u20109 were used. History of help\u2010seeking for psychological issues was self\u2010reported. Path analysis was conducted to test a conceptual model of their relationships.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among those with moderate\u2010to\u2010severe depressive symptoms (39.5%), only one\u2010fourth had sought professional help. The path model showed that depressive symptom severity and stigma were positively associated with help\u2010seeking behaviours, while resilience was negatively associated with help\u2010seeking behaviours independently (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Subgroup analyses showed differential contribution of stigma and resilience to a history of help\u2010seeking in those with minimal\u2010to\u2010mild symptoms compared with moderate\u2010to\u2010severe symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stigma may be a barrier for help\u2010seeking particularly in students with moderate\u2010to\u2010severe depression. Higher levels of resilience in young people may be protective and reduce the unnecessary seeking of professional help. Therefore, enhancing resilience among students in general, and reducing stigma and promoting help\u2010seeking behaviours for those who have moderate\u2010to\u2010severe symptoms should be consider in parallel as strategies to enhance mental wellbeing of students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.13455","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:52:58Z","timestamp":1689209578000},"page":"181-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Stigma towards mental illness, resilience, and help\u2010seeking behaviours in undergraduate students in Hong Kong"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9354-8766","authenticated-orcid":false,"given":"Min Yi","family":"Sum","sequence":"first","affiliation":[{"name":"Department of Psychiatry The University of Hong Kong  Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2712-5826","authenticated-orcid":false,"given":"Sherry Kit Wa","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Hong Kong  Hong Kong People's Republic of China"},{"name":"The State Key Laboratory of Brain and Cognitive Sciences The University of Hong Kong  Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry Kan Hung","family":"Tsui","sequence":"additional","affiliation":[{"name":"Department of Psychiatry The University of Hong Kong  Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1331-942X","authenticated-orcid":false,"given":"Gloria Hoi Yan","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Social Work and Social Administration The University of Hong Kong  Hong Kong People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgpopen17X101025"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1614.2006.01741.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674379704200904"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0790-0"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/002076409904500203"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20271"},{"key":"e_1_2_11_9_1","unstructured":"CEDARS. 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