{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T21:39:09Z","timestamp":1765575549857,"version":"3.48.0"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Self-stigma occurs when an individual internalizes and accepts the stereotypes and negative views of mental illness endorsed by the public. High levels of self-stigma negatively predict treatment-seeking intention, but little work has examined how self-stigma functions specifically among individuals with tendencies toward impulsivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The current study implemented structural equation modeling (SEM) to investigate whether self-stigma as operationalized by the MHSIS model mediated the relationship between externalizing proneness and the intention to seek mental health treatment. Data were collected from community participants (\n                      <jats:italic>N<\/jats:italic>\n                      = 394) preselected for the presence of impulse control problems (e.g., ADHD, alcohol use) and mental health concerns.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Externalizing was weakly negatively associated with the intention to seek treatment. Externalizing proneness was associated with higher levels of self-stigma, particularly at the later stages (i.e., application); however, self-stigma did not appear to mediate the association between externalizing and reduced treatment seeking intention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study informs how self-stigma exists across the externalizing spectrum and may serve as a transdiagnostic target for intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1686583","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T21:36:53Z","timestamp":1765575413000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of self-stigma in mediating the association between externalizing and treatment-seeking intention"],"prefix":"10.3389","volume":"16","author":[{"given":"Brianna N.","family":"Davis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura E.","family":"Drislane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"ref1001","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/j.drugalcdep.2006.10.014","article-title":"Stigma, discrimination and the health of illicit drug users","volume":"88","author":"Ahern","year":"2007","journal-title":"Drug Alcohol Depend."},{"key":"ref1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s11414-016-9538-3","article-title":"Reasons for not seeking substance use disorder treatment: Variations by health insurance coverage","volume":"44","author":"Ali","year":"2017","journal-title":"The Journal of Behavioral Health Services & Research,"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.3390\/ijerph15071425","article-title":"Epidemiology of suicide and the psychiatric perspective","volume":"15","author":"Bachmann","year":"2018","journal-title":"Int. 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