Social and Behavioral Sciences Commons^™

Understanding Help-Seeking In Rural Counties: A Serial Mediation Model Of Self-Reliance, Stigma, And Attitudes Toward Psychologists, Emily M. Keller

Doctoral Dissertations

Rural areas in the Southern United States are characterized by certain cultural values, including self-reliance. Prior research has shown that cultural values can affect stigmatizing beliefs about mental health needs and service utilization. The present study examined a four-stage chain of serial mediation where higher levels of general self-reliance would be related to increased levels of public stigma, which would, in turn, be related to greater levels of self-stigma, followed by higher self-reliance about managing mental health problems, and finally, more negative attitudes toward seeking out help from psychologists. Community members who lived in rural counties in the Southern United …