{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:28:16Z","timestamp":1792042096419,"version":"4.4.0"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T00:00:00Z","timestamp":1580860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002465","name":"Daejeon University","doi-asserted-by":"publisher","award":["20160109"],"award-info":[{"award-number":["20160109"]}],"id":[{"id":"10.13039\/501100002465","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2020,8]]},"abstract":"Accessible summary<\/jats:title>\n \n What is known on the subject?<\/jats:title>\n \n \n \n People in their twenties, including college students, experience a high level of stress and prevalence of related mental health problems including depression, anxiety and alcohol addiction, but they are the least likely age group in Korea to utilize professional help for mental health issues.<\/jats:p>\n <\/jats:list-item>\n \n Mental health literacy (MHL) refers to the knowledge and abilities necessary for maintaining mental health and preventing mental health problems. MHL also plays an important role in help\u2010seeking for mental health issues. Therefore, studying MHL and other variables related to help\u2010seeking is likely to enhance our overall understanding of students\u2019 mental health.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What this study adds to existing knowledge?<\/jats:title>\n \n \n \n Although there have been some studies of college students\u2019 MHL in Korea, this is the first study to identify the paths and relationships between MHL and help\u2010seeking intentions in Korean college students. Additionally, this study examined the mediating role of stigma in the relationship between MHL and attitudes toward help\u2010seeking.<\/jats:p>\n <\/jats:list-item>\n \n The findings of this study suggest that MHL promotion can have a positive impact on the mental health of Korean college students by improving their attitudes toward help\u2010seeking and increasing their help\u2010seeking intentions.<\/jats:p>\n <\/jats:list-item>\n \n This study supports the idea that increased social support among Korean college students may reduce stigma and facilitate their seeking of professional help.<\/jats:p>\n <\/jats:list-item>\n \n The paths and relationships found in the present study provide evidence that a nursing intervention on\u2010campus that improves students\u2019 MHL and reduces stigma may facilitate more effective use of help\u2010seeking services among college students.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What are the implications for practice?<\/jats:title>\n \n \n \n MHL plays a significant role in how college students manage their mental health and the likelihood that they will seek professional help for mental health issues. Increasing MHL reduces mental health\u2010related stigma and promotes positive attitudes toward help\u2010seeking. A mental health nursing intervention that includes MHL improvement strategies would likely enhance students\u2019 utilization of mental health services on campus.<\/jats:p>\n <\/jats:list-item>\n \n Although students\u2019 MHL is improved by existing campus programmes and educational efforts to raise awareness of mental health, interventions should also address campus culture and stigma to facilitate mental health help\u2010seeking. Ultimately, enhancing MHL will contribute to the prevention of mental health problems and protect the deterioration of mental health among college students.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n There is a high prevalence of mental health problems among college students in Korea. Although the usage rate for mental health services among Korean college students was not reported, it is known that the usage rate for Koreans is low compared to that in the United States.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To explore the relationships linking mental health literacy (MHL) to intentions of help\u2010seeking in a sample of Korean college students.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n Using a cross\u2010sectional study, data from 200 participants were analysed using a structural equation modelling approach.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Mental health literacy had both direct and indirect effects on attitudes toward help\u2010seeking and an indirect effect on attitudes toward help\u2010seeking through stigma. The direct effect of MHL on attitudes toward help\u2010seeking was fully mediated by stigma.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Mental health nursing professionals have a responsibility and a challenge to enhance MHL in college students through individual or group interventions.<\/jats:p>\n <\/jats:sec>\n \n Implications for practice<\/jats:title>\n MHL plays a significant role in individuals\u2019 willingness to seek professional help when in need of mental health care. Thus, mental health nursing interventions that include MHL improvement strategies would favourably enhance students\u2019 use of adequate sources of care and contribute to the prevention of mental health problems in college students.<\/jats:p>\n <\/jats:sec>\n <\/jats:sec>","DOI":"10.1111\/jpm.12593","type":"journal-article","created":{"date-parts":[[2020,1,18]],"date-time":"2020-01-18T14:39:32Z","timestamp":1579358372000},"page":"393-405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":95,"title":["Pathways linking mental health literacy to professional help\u2010seeking intentions in Korean college students"],"prefix":"10.1111","volume":"27","author":[{"given":"Eun Joo","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Nursing Daejeon University Daejeon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Hee","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Nursing Taegu Science University Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5067-970X","authenticated-orcid":false,"given":"Eun Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Psychotherapy Kyungil University Kyungsan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716001665"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000362"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02723327"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.01.097"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2016.1207646"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315757421"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0076730"},{"key":"e_1_2_9_9_1","first-page":"165","article-title":"Mental health literacy among people with mental disorder: Correlations with socio\u2010demographic factors, self\u2010esteem, family support","volume":"44","author":"Cho S. Y.","year":"2017","journal-title":"Korean Association of Health and Medical Sociology"},{"issue":"3","key":"e_1_2_9_10_1","first-page":"251","article-title":"The relationship between health literacy and mental health of older adults: Focusing on the moderating effect of social support","volume":"72","author":"Choi E. Y.","year":"2017","journal-title":"Korean Journal of Gerontological Social Welfare"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.15703\/kjc.12.4.201108.1321"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000129"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/03069885.2018.1459473"},{"key":"e_1_2_9_14_1","volume-title":"Mental health help seeking in schools: The impact of mental health literacy, stigma, and barriers to care","author":"Cramer K.","year":"2016"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1761"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000075"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2011.619611"},{"issue":"4","key":"e_1_2_9_18_1","first-page":"368","article-title":"Attitudes toward seeking professional psychological help: A shortened form and considerations for research","volume":"36","author":"Fischer E. H.","year":"1995","journal-title":"Journal of College Student Development"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.58.110405.085530"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-013-9108-2"},{"key":"e_1_2_9_21_1","volume-title":"Multivariate data analysis","author":"Hair J. F.","year":"2014"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2017.08.001"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000138"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025957"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/14623730.2017.1345687"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000283"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.24301\/MHSW.2018.03.46.1.5"},{"key":"e_1_2_9_28_1","volume-title":"Principles and practice of structural equation modeling","author":"Kline R. B.","year":"2011"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0840470416679413"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.35185\/KJET.11.2.7"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.47.1.138"},{"key":"e_1_2_9_32_1","volume-title":"Korea National Health & Nutrition Examination Survey","author":"Korea Centers for Disease Control and Prevention","year":"2019"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743715616609"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-016-0082-6"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.21643"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.15753\/aje.2008.9.1.002"},{"issue":"4","key":"e_1_2_9_37_1","first-page":"949","article-title":"Perceived stigma and the intention of seeking professional help: Mediating roles of the attitude toward seeking professional help","volume":"19","author":"Lee M. J.","year":"2007","journal-title":"Korean Journal of Counseling and Psychology"},{"key":"e_1_2_9_38_1","volume-title":"Factors influencing on mental health literacy among university students","author":"Lee S.","year":"2018"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.53.3.372"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.25115\/psye.v4i2.490"},{"key":"e_1_2_9_41_1","volume-title":"Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey","author":"Ministry of Health and Welfare","year":"2014"},{"key":"e_1_2_9_42_1","volume-title":"Mental Illness Epidemiological Survery 2016","author":"Ministry of Health and Welfare","year":"2017"},{"key":"e_1_2_9_43_1","first-page":"211","volume-title":"Design and analysis of ecological experiments","author":"Mitchell R. J.","year":"1993"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.15703\/kjc.11.3.201009.1007"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.05.064"},{"key":"e_1_2_9_46_1","volume-title":"Korean College students\u2019 anxiety, is it okay?","author":"Oh H. Y.","year":"2018"},{"key":"e_1_2_9_47_1","volume-title":"A study on the development of Social Support Scale","author":"Park J. W.","year":"1985"},{"issue":"1","key":"e_1_2_9_48_1","first-page":"19","article-title":"Suppression of emotional expression as a mediator in the relationship between perfectionism and help\u2010seeking attitudes","volume":"35","author":"Park J.","year":"2014","journal-title":"Journal of Human Understanding and Counseling"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40596-014-0205-9"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2018.1434780"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/373857"},{"issue":"2","key":"e_1_2_9_52_1","first-page":"371","article-title":"The relationships between stress, self\u2010control and facebook addiction among college students","volume":"25","author":"Shin S.","year":"2018","journal-title":"Journal of Rehabilitation Psychology"},{"issue":"1","key":"e_1_2_9_53_1","first-page":"177","article-title":"The relative importance of approach factors and avoidance factors in predicting professional help seeking behavior","volume":"17","author":"Shin Y. H.","year":"2005","journal-title":"Korean Journal of Counseling and Psychotherapy"},{"issue":"3","key":"e_1_2_9_54_1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1002\/jclp.22022","article-title":"Specific attitudes which predict psychology students' intentions to seek help for psychological distress","volume":"70","author":"Thomas S. J.","year":"2014","journal-title":"Journal of Clinical Child and Adolescent Psychology"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.53.3.325"},{"key":"e_1_2_9_56_1","first-page":"56","volume-title":"Structure equation modeling: Concepts, issues, and application","author":"West S. G.","year":"1995"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0829573512468852"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpm.12593","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.12593","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpm.12593","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.12593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T05:39:08Z","timestamp":1722317948000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.12593"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,5]]},"references-count":56,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/jpm.12593"],"URL":"https:\/\/doi.org\/10.1111\/jpm.12593","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,5]]},"assertion":[{"value":"2019-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}