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Articles 91 - 120 of 439
Full-Text Articles in Psychology
Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard
Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard
Dissertations (1934 -)
Lesbian, gay, bisexual, and queer individuals have been shown to experience significantly more negative health outcomes than do heterosexuals, commonly attributed to sexual minority stress. Research to date has insufficiently explained the processes by which stigma exposure becomes felt, internalized stigma and has not accounted for resemblance between presentation of mental health effects of sexual minority stress and of post-traumatic responses. Researchers have posited traumatic invalidation may partially explain the development and manifestations of reactions to sexual minority stress. The current study proposed and tested a measure of traumatic invalidation, conceptualized as instances of interpersonal, identity-based invalidation among sexual minorities. …
Past Experiences And Current Attitudes: Is Everything Connected?, Miranda Oddy
Past Experiences And Current Attitudes: Is Everything Connected?, Miranda Oddy
Honors Projects
The purpose of this study was to explore the ways past experiences with mental health issues affect current stigma and outlook on life. I investigated whether a personal experience or the experience of someone close (e.g., family, friend) with mental health issues impacted stigma and outlook more than other. The sample included 242 participants who were 18 to 86 years old (Mage = 27.44, SDage = 16.58), 51.7% white, and 77.3% female. Surveys were advertised on a small liberal arts university offering class credit for students and online. The survey included questions on life satisfaction, optimism, stigma, and …
Mental Health Among Collegiate Athletes, Stella Elise Fairbanks
Mental Health Among Collegiate Athletes, Stella Elise Fairbanks
Honors Thesis
Mental health has become increasingly more linked with athletics, especially collegiate athletics. There has been an increase in public acknowledgment of the presence of mental health in sports, specifically, more athletes are speaking about their mental health struggles as well as more research is being conducted in order to gain a greater understanding of the relationship between mental health and athletics. This literature review discusses athletes’ personal experiences of their mental health struggles, the presence of stigma associated with mental health and athletics, and the results of the recent NCAA, National Collegiate Athletic Association, research. This thesis aims to uncover …
An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley
An Experimental Test Of Mental Health Help-Seeking Intentions As A Function Of Demographics And Disorder Type, Alyssa Hartley
Psychological Science Undergraduate Honors Theses
The current study sought to understand help-seeking behaviors for diverse psychological disorders across different demographic groups. Previous literature finds that help-seeking behaviors are greater in non-minority women in higher socioeconomic statuses, and greater for neurocognitive disorders. This study focuses specifically on university students (N= 276). Participants took diagnostic measures and then were told their scores were clinically elevated for either anxiety or ADHD. Participants were then asked qualitative questions regarding their help-seeking intentions. Findings that were consistent with previous literature are that women were more likely to help-seek than men, and participants in the ADHD condition were more likely to …
Race, Severe Mental Illness, And Crime: An Intersectional Look Into Stigma And Policy Implications, Elena Therese Vaudreuil
Race, Severe Mental Illness, And Crime: An Intersectional Look Into Stigma And Policy Implications, Elena Therese Vaudreuil
Open Access Theses & Dissertations
Criminal behavior has been a long-discussed topic in the United States and often is tied to characteristics such as race and mental illness. The presumed connection between criminal behavior and being a member of a racial minority group or having a mental illness have been researched for years, however few researchers have sought to take an intersectional approach to investigate the unique experiences of people belonging to both groups in the criminal legal system. Using the lenses of attribution and intersectionality theories, the proposed studies sought to understand the effect of race that influences policy support of justice-involved people with …
Positive Psychology In The Ncaa: Amplifying The Power And Uplifting The Voices Of Student Athletes In Multiple Mental Health Studies, Ashley C. Green
Positive Psychology In The Ncaa: Amplifying The Power And Uplifting The Voices Of Student Athletes In Multiple Mental Health Studies, Ashley C. Green
Dissertations
Mental health resources and programming in the National Collegiate Athletics Association (NCAA) continues to expand in research and implementation in collegiate athletic departments of all institutions. This study sought to respond to and expand on dissertation research conducted by Dr. Heather Ryan (2021), an administrator in the athletic department at Duke University, and Dr. Chelsi Day (2011) previously the sport psychologist from Ohio State University athletics, and currently for the National Basketball Association (NBA) team, the Memphis Grizzlies. Both are identified as experts regarding student-athlete research regarding mental health needs and accessibility within the NCAA. Topics of research evaluated for …
Breaking The Silence: Family Conversations On Suicide, Alexa Diaz
Breaking The Silence: Family Conversations On Suicide, Alexa Diaz
Student Works
Suicide is the second leading cause of death for youth in the United States. Suicide remains to be a stigmatized topic. There is a necessary need for families to openly communicate about suicide as well as knowing what measures they need to take to prevent them from occurring. Providing a child with a secure attachment and an authoritative parenting style decreases the likelihood of suicidal ideation as well as engaging in suicide-related behaviors (Diamond et al., 2022). Media exposure may serve as a resource for parents to enhance their knowledge on mental health literacy (Abesinghe et al., 2023; Cingel et …
Suicide And Sermons: Perceptions Of Pastors And Congregant Members Regarding Suicide, Hope W. Callahan
Suicide And Sermons: Perceptions Of Pastors And Congregant Members Regarding Suicide, Hope W. Callahan
Doctoral Dissertations and Projects
The ongoing global crisis of suicide underscores the imperative for effective prevention measures addressing the mental health struggles of individuals, offering hope, and facilitating access to essential services. Research is vast when considering suicide in general; however, the gap in research lies in understanding the perceptions of pastors and congregant members regarding the topic. Pastors, by integrating the topic of suicide into their sermons, can play a crucial role in prevention through messages of hope and encouragement. This approach fosters open dialogue and reduces stigma within congregations. The purpose of this qualitative case study was to gain a deeper understanding …
The Prevalence And Perceptions Of Self-Relevant Research (“Me-Search”) In Psychological Science, Andrew R. Devendorf
The Prevalence And Perceptions Of Self-Relevant Research (“Me-Search”) In Psychological Science, Andrew R. Devendorf
USF Tampa Graduate Theses and Dissertations
Self-relevant research (i.e., me-search; SRR) is research that is informed by lived experience or having close connections to a topic. The disclosure of SRR may impact how a researcher is viewed in professional contexts, like an application to graduate school, and thus can impact who is recruited and retained in psychology. Although SRR appears to be common in psychology, little systematic research exists on its prevalence by subfield of psychology or how SRR is perceived. This study examined SRR across psychology disciplines. An online survey was administered to faculty and graduate students (N = 1313) affiliated with accredited doctoral programs …
Exploring Arab Americans’ Preferences Towards Telemedicine As A Mental Health Treatment, George G. Kidess, Liam Browning, Nicole Oska, Liza Hinchey, Arwa Saleem, Sadie Knill, Malaak Elhage, Arash Javanbakht
Exploring Arab Americans’ Preferences Towards Telemedicine As A Mental Health Treatment, George G. Kidess, Liam Browning, Nicole Oska, Liza Hinchey, Arwa Saleem, Sadie Knill, Malaak Elhage, Arash Javanbakht
Medical Student Research Symposium
Introduction
Arab Americans—a large minority group in the United States—experience higher rates of mental illness and relatively lower rates of treatment compared to the general population. While some factors leading to this disparity have been proposed, data in the literature remains lacking. This study aims to explore Arab-American mental health perspectives with regards to their preferences towards telemental health as a treatment option.
Methods
Responses were collected through an anonymous bilingual Qualtrics survey from both Arab and non-Arab participants (n=294, ages 18+). Participants’ perceptions towards telemental health and mental illness stigma were assessed, performing comparisons between Arabs and non-Arabs, as …
Mental Health Attitudes And Perspectives Of Arab Americans: Beliefs Associated With Stigma, Treatment, And The Origins Of Pathology, Sadie Knill, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Arwa Saleem, Malaak Elhage, Arash Javanbakht
Mental Health Attitudes And Perspectives Of Arab Americans: Beliefs Associated With Stigma, Treatment, And The Origins Of Pathology, Sadie Knill, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Arwa Saleem, Malaak Elhage, Arash Javanbakht
Medical Student Research Symposium
Purpose:
Arab Americans are one of the largest ethnic groups in the United States. Despite elevated incidence of mental illness and diminished rates of treatment within this community, the mental health of Arab Americans, along with their attitudes towards mental health, has not received adequate study. Unique cultural interpretations of mental illness may engender stigma, exacerbating disparities in treatment. This study aimed to assess the attitudes and perspectives of Arab Americans concerning mental illness, with the goal of identifying and addressing barriers to treatment.
Methods:
Using an anonymous bilingual Qualtrics survey, we assessed Arab and non-Arab participants (n = 294; …
Investigating Arab American Perspectives On Barriers To Mental Health Treatment, Arwa Saleem, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Sadie Knill, Malaak Elhage, Arash Javanbakht
Investigating Arab American Perspectives On Barriers To Mental Health Treatment, Arwa Saleem, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Sadie Knill, Malaak Elhage, Arash Javanbakht
Medical Student Research Symposium
Purpose: Compared to the general population, Arab Americans experience higher rates of mental illness and lower rates of mental health treatment. While some causes of this discrepancy have been suggested, there are many gaps in the literature since Arab Americans are not recognized as an ethnic group in the United States. This study aims to analyze Arab-Americans’ outlook on mental health by identifying and addressing the barriers to receiving mental health treatment.
Methods: An anonymous bilingual Qualtrics survey was conducted and responses were collected from Arab and non-Arab participants (n=294, ages 18+). The participants’ viewpoints on barriers between Arabs and …
Examining Help-Seeking Attitudes In College Student-Athletes: Mental Health Literacy And Stigma, Philip Mullins, Jason Li, Jaime Scherer, Rachel Valentine
Examining Help-Seeking Attitudes In College Student-Athletes: Mental Health Literacy And Stigma, Philip Mullins, Jason Li, Jaime Scherer, Rachel Valentine
Journal of Counseling and Psychology
This study aimed to investigate the predictors of the attitudes of student-athletes toward seeking psychological help. Results from data collected from a sample of 79 college students in a Midwestern university indicated that mental health literacy, self-stigma, and public stigma combined significantly predicted attitudes toward help-seeking. However, when self-stigma and public stigma were controlled, only mental health literacy significantly predicted attitudes toward help-seeking. These findings suggest that mental health literacy is a crucial factor in predicting help-seeking behaviors among college student-athletes, and that stigma can impact help-seeking behaviors. Additionally, mental health literacy was positively correlated with attitudes toward help-seeking, indicating …
Resisting Internalized Stigma (Ris): Acceptability And Feasibility Of A Cognitive Behavioral Stigma Intervention For Early Psychosis, Francesca Maria Crump
Resisting Internalized Stigma (Ris): Acceptability And Feasibility Of A Cognitive Behavioral Stigma Intervention For Early Psychosis, Francesca Maria Crump
Theses and Dissertations
The clinical high-risk state for psychosis (CHR-P) was created to help identify individuals experiencing early signs of psychosis to help forestall worsening symptoms. CHR-P individuals may experience stigma that may stem from internal or external processes, including from receiving specialized care. Research has demonstrated associations between internalized stigma and psychosocial and functional outcomes, which underscores the need for interventions to help mitigate the impact of stigma while balancing the need for treatment. To date, there is only one stigma intervention specifically designed for individuals designated as CHR-P, which is psychoeducational in nature. Based on the recent call to action that …
Identifying Barriers To Mental Health Services Utilization For Black Youth In The United States: A Qualitative Study, Emily Stein, Matthew Hutnyan, Neely Myers
Identifying Barriers To Mental Health Services Utilization For Black Youth In The United States: A Qualitative Study, Emily Stein, Matthew Hutnyan, Neely Myers
SMU Journal of Undergraduate Research
Mental health in Black communities and racial/ethnic disparities in mental health service utilization remain growing concerns. Evidence suggests that psychotic disorders may be more prevalent among Black individuals than white individuals and the Black community faces barriers to care that can negatively influence outcomes. To better understand these barriers, we interviewed mental healthcare providers (n = 11) and Black young adults with first-person experience of psychosis (n = 13) about the experiences of minority young adults with mental health treatment. We analyzed interview transcripts and, consistent with constructivist grounded theory methods, identified iterative patterns across individuals about barriers to care. …
Examining The Role Of Mononormative Beliefs, Stigma, And Internalized Consensual Non-Monogamy Negativity For Dehumanization, David L. Rodrigues, Thomas R. Brooks, Rhonda N. Balzarini, Amy C. Moors, Diniz Lopes
Examining The Role Of Mononormative Beliefs, Stigma, And Internalized Consensual Non-Monogamy Negativity For Dehumanization, David L. Rodrigues, Thomas R. Brooks, Rhonda N. Balzarini, Amy C. Moors, Diniz Lopes
Psychology Faculty Articles and Research
Interest in consensually non-monogamous (CNM) relationships has been increasing in the general population in recent years. However, given the cultural dominance of monogamy and the normative expectations often imposed through socialization (i.e., mononormativity), people in CNM relationships may experience negativity, which can become internalized and harm their individual and relationship health. The present study investigated if mononormativity beliefs and CNM relationship stigma were associated with more dehumanization and if internalized CNM negativity was an underlying mechanism for these associations. Results showed that participants who endorsed more mononormative beliefs and CNM relationship stigma also reported more internalized CNM negativity. In turn, …
Mental Health Portrayals In Video Games And Their Impacts: Horror Games And Their Reliance On The Mentally Ill, Jordan Hightower
Mental Health Portrayals In Video Games And Their Impacts: Horror Games And Their Reliance On The Mentally Ill, Jordan Hightower
Mahurin Honors College Capstone Experience/Thesis Projects
This thesis seeks to address the representation of mental illnesses within the video game genre, specifically within horror video games. Horror video games have a history of relying on the mentally ill to increase the “fear factor” of games, though often do not seem to do proper research, as the portrayals often rely on stigmas and misconstruals on the mental illness being portrayed. This can lead to those who play aforementioned video games to develop subconscious stigmas and biases towards those who are mentally ill. Through a literary analysis of Danganronpa: Trigger Happy Havoc and Omori, examples of negative and …
Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker
Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker
Murray State Theses and Dissertations
More than half of Americans will be diagnosed with a mental illness in their lifetime (CDC, 2021), yet stigma towards mental health affects both patients and providers. Although programs exist to address stigma, improve cultural competency among providers, and educate families on the importance of support, facilities are often limited on programs they provide due to allocation of resources and funds. Without a shift in treatment and programing, stigma will continue to impact patient care and outcome.
This study explored stigma among mental health providers in rural communities, while exploring potential differences in treatment among patients due to race. Mental …
Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield
Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield
College of Graduate Studies: Theses & Dissertations
Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …
Sleep Disturbance As A Mediator Of Lung Cancer Stigma On Health-Related Adjustment, Timothy J. Williamson Phd, Mph, Edward B. Garon, Michael R. Irwin, Alyssa K. Choi, Jonathan W. Goldman, Annette L. Stanton
Sleep Disturbance As A Mediator Of Lung Cancer Stigma On Health-Related Adjustment, Timothy J. Williamson Phd, Mph, Edward B. Garon, Michael R. Irwin, Alyssa K. Choi, Jonathan W. Goldman, Annette L. Stanton
Psychological Science Faculty Works
Objective:
This study tested sleep disturbance as a mediator through which stigma and discrimination predict psychological distress and physical symptom burden in adults with lung cancer.
Methods:
Lung cancer patients on active oncological treatment (N=108; 74.1% Stage IV) completed questionnaires on lung cancer stigma, sleep, distress, and physical symptoms at study entry and at 6- and 12-week follow-up. Mediation analyses were conducted to investigate whether stigma and discrimination predicted distress and physical symptoms at study entry and across 12 weeks through disrupted sleep.
Results:
Higher discrimination (b = 5.52, 95% CI [2.10, 8.94]) and constrained disclosure (b = …
Centering Veg*Ns Of Color: An Intersectional Imperative To Anti-Veg*N Stigma, Caitlin M. Mercier
Centering Veg*Ns Of Color: An Intersectional Imperative To Anti-Veg*N Stigma, Caitlin M. Mercier
Faculty Publications – Psychology
Veg*ns of color continue to be underrepresented with their health less understood in veg*n scholarship. As intersectionality and health outcomes remain an understudied focus in anti-veg*n scholarship, the concealable stigmatized identity (CSI) framework offers a way to identify the link between stigmatization and health outcomes for VOC. Using the CSI framework, the paper provides a review of multilevel manifestations of anti-veg*n stigmatization in previous and current veg*n scholarship. The paper offers future directions for researchers to examine stigmatization and its impact on VOC. Recommendations are provided to generate knowledge about the experiences and health of VOC.
Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw
Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw
Doctor of Psychology (PsyD)
There are a variety of factors that prevent people from seeking mental health treatment. The stigma associated with mental health disorders or seeking treatment is a primary deterrent. This stigma is particularly impactful within the armed forces when they are assessed for fitness for duty. Because most research examines stigma’s impact on male military members, this study aims to identify the type of stigma that creates the most significant barrier to female service members seeking mental health treatment. Results indicate that stigmatizing perceptions of service members significantly impact female service members holding negative views towards seeking treatment.
Promoting Caregiver Mental Health Literacy: A Pilot Study Of The Online Program “Mental Wellness At The Lake”, Erika Baylis
Promoting Caregiver Mental Health Literacy: A Pilot Study Of The Online Program “Mental Wellness At The Lake”, Erika Baylis
PCOM Psychology Dissertations
The mental health needs of children are growing in the United States. Caregiver’s mental health knowledge and attitudes about help-seeking can impede the awareness of help-seeking behaviors. The Baylis Model is a framework for caregivers to increase their mental health knowledge. This research is a pilot study to provide elementary caregivers with mental health knowledge to increase their awareness to access treatments for their children. Participants completed a pre-test to determine mental health knowledge to begin the study. A total of 14 families completed a 10-module course (Mental Wellness At The Lake) on canvas, a web-based learning management system. Throughout …
Attitudes And Perceptions Of Mental Health In The Vietnamese Community: A Comprehensive Analysis, Mai Ly Nguyen-Luu
Attitudes And Perceptions Of Mental Health In The Vietnamese Community: A Comprehensive Analysis, Mai Ly Nguyen-Luu
Honors Undergraduate Theses
This thesis explores the complex and multifaceted landscape of attitudes and perceptions toward mental health within the Vietnamese community. Mental health issues remain a significant global concern, and understanding how these issues are perceived and addressed within specific cultural contexts is vital for effective mental health promotion and intervention. In the case of the Vietnamese community, the interplay of cultural values, stigmatization, and access to mental healthcare services makes this study particularly relevant.
The research investigates the cultural factors that shape attitudes and perceptions toward mental health in the Vietnamese community, including traditional beliefs, familial roles, and the influence of …
Stigma And Help-Seeking Differences: Mental Health In The Us And The Uk, Ashley Mcgettrick
Stigma And Help-Seeking Differences: Mental Health In The Us And The Uk, Ashley Mcgettrick
Psychology Theses
The cultures and healthcare systems in the United States and the United Kingdom are very different from each other, though citizens in both of these countries are exposed to stigma surrounding mental health and help-seeking. Examining the differences in stigma predictors and help-seeking behaviors between the two countries offers valuable insight into what cultural and structural factors play a role in whether or not a person in need seeks help. This study involved an online survey that asked college students in both countries to answer questions about their personal experience regarding mental health stigma and help-seeking. Multiple regressions were used …
A Phenomenological Exploration Of Intracommunity Attitudinal And Experiential Barriers To The Utilization Of Psychotherapeutic Services In Bipoc Populations, Jade Turner
Calvert Undergraduate Research Awards
This study used Interpretative Phenomenological Analysis to explore the role that intracommunity attitudes and beliefs and negative mental healthcare experiences play in determining treatment-seeking behavior in BIPOC communities. Through in-depth semistructured interviews, five participants shared their perspectives and experiences, providing rich and nuanced insight into the subjective landscape of mental healthcare avoidance among racial and ethnic minority populations. The analysis revealed five overarching themes (pray it away, isolated and invisible, fear, perceived importance of racial matching, and therapeutic experiences profoundly impact treatment-seeking) shedding light on the nuanced ways in which BIPOC individuals make sense of and navigate mental health within …
Male Collegiate Student-Athletes Masculinity And Attitudes Toward Mental Health Seeking, Jennifer L. Mayette
Male Collegiate Student-Athletes Masculinity And Attitudes Toward Mental Health Seeking, Jennifer L. Mayette
Antioch University Dissertations & Theses
The mental health and well-being of college student-athletes has recently come to the attention of the general public with the increase in current and past athletes speaking out about the stressors they faced during their collegiate careers. With this increase in attention, higher education institutions and larger athletic associations have turned towards research to identify factors that are contributing to the struggles of student-athletes. One factor that has consistently been identified as a barrier for athletes seeking help for mental health concerns is stigma. For male student-athletes in particular, perception of the stigma associated with receiving psychological help due to …
From East To West: Exploring The Mental Health Of Punjabi Immigrants Residing In British Columbia, Jasleen Kaur
From East To West: Exploring The Mental Health Of Punjabi Immigrants Residing In British Columbia, Jasleen Kaur
Antioch University Dissertations & Theses
Mental health has been a topic that is slowly gaining more acknowledgement and awareness over time. However, despite the elevation in awareness, there are many cultures where mental health issues remain subject to stigma, which discourages an individual from seeking, or even acknowledging, mental health treatment and services. This study focuses upon varying perceptions of mental health by exploring in-depth the perception of mental health within the Punjabi community and how Punjabi culture affects such perceptions. Specifically, this research study examines how young adults who immigrated from Punjab, India to British Columbia (B.C.) perceive and respond to mental health concerns. …
Differences In Mental Health Attitudes, Symptoms, And Help-Seeking Behaviors Between College Student-Athletes And Non-Athletes, Cristian Miralles
Differences In Mental Health Attitudes, Symptoms, And Help-Seeking Behaviors Between College Student-Athletes And Non-Athletes, Cristian Miralles
Honors College Theses
This study examined differences in mental health stigma, attitudes, and help-seeking behaviors between student-athletes and non-athletes. 8 student-athletes and 231 non-athletes from a rural college in southeastern USA took an online survey, and independent samples t-tests were conducted to examine group differences. There were no statistically significant differences in any measure between student-athletes and nonathletes. However, exploratory sex analyses found females had lower stigma and used services more frequently compared to males. Participants then explained any mental health resources they utilize, with most using ‘Personal Relationships’ when needed. ‘No need’, or participants who's mental health concerns were not significant enough …
Engagement In Mental Health Research: The Role Of Mental Health Awareness And Perceived Intervention Stigma In Clinical Research Engagement Among African American Faith Communities, Camelia Harb
Dissertations
The dearth of participation in clinical research by marginalized racial and ethnic groups is a commonly cited limitation of research studies. To better understand research engagement among marginalized groups, this study proposed a mixed methods design examining the roles of mental health awareness and perceived intervention stigma on the capacity to engage in clinical research among a sample of African American faith community members. The primary aims were to: 1) examine the associations between and predictive roles of mental health awareness and perceived intervention stigma on clinical research engagement; 2) evaluate the moderating role of perceived intervention stigma; and 3) …