Multicultural Psychology Commons^™

Role Of Stigma On Engagement In Mental Health Services For Latinxs With First-Episode Psychosis (Fep), Livia J. Padron Briceno

Electronic Theses, Projects, and Dissertations

Psychotic patients often endure stigma in their daily lives (Corrigan, 2018). Psychotic patients are understood as individuals who are experiencing psychotic symptoms such as hallucinations, delusions and disorganized speech (Arciniegas, 2015; Breitborde et al., 2017; Moskowitz et al., 2019) and have been diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria with a psychotic disorder (e.g. Schizophrenia, Schizoaffective Disorder). Stigma refers to negative perceptions held about an individual experiencing mental illness. While public stigma refers to the negative views adhered to by members of communities (e.g., sociocultural group, family units) about people with mental illness, self-stigma …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Assessing Middle Eastern American Attitudes Towards Substance Use Disorders, Hazem Alata, Hussein Bazzi, Saleh Al-Juburi, Angie Achkar, Liam Browning, Nicole Oska, Adam Chaban, Arash Javanbakht

Medical Student Research Symposium

Assessing Middle Eastern American Attitudes Towards Substance Use Disorders

Introduction:

Substance use disorders (SUD) among Middle Eastern and North African (MENA) populations remain largely understudied, despite evidence of high prevalence rates and lower rates of treatment engagement. Unique cultural conceptualizations and beliefs surrounding substance use disorders may perpetuate stigma, further contributing to disparities in access to and utilization of treatment services. This study aims to explore the attitudes and perspectives of individuals from MENA communities regarding substance use disorders, with the goal of identifying and addressing barriers to treatment.

Methods:

An anonymous bilingual Qualtrics survey was administered, gathering responses from …

Afro-Caribbean/Afro-Caribbean Descendant Students' Attitudes Towards Mental Healthcare, Imani Tucker

Theses and Dissertations

The low mental healthcare utilization rates for Afro-Caribbean College students living in the USA has been seldom studied. This study sought to add to the literature by measuring if Afro-Caribbean cultural affiliation, an Afrocentric worldview, and/or student generation influences mental health seeking actions and mental illness stigma in this group.

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Intergenerational Influences On Mental Health Help-Seeking: The Role Of Parental Attitudes On Asian American College Students, Janet Cen

CMC Senior Theses

Asian American college students experience disproportionately high psychological distress yet underutilize mental health services. This study examined how demographic factors (gender, acculturation), psychological symptoms, personal stigma, and perceived parental attitudes predict help-seeking attitudes among 69 Asian American undergraduate students. Hierarchical regression analysis revealed that greater acculturation and more positive perceived parental attitudes were associated with more favorable help-seeking attitudes, while higher personal stigma predicted less favorable attitudes. Although psychological distress initially negatively predicted help-seeking attitudes, its effect became nonsignificant after accounting for personal stigma and perceived parental attitudes. Personal stigma and perceived parental attitudes remained robust predictors even after controlling …

The Cultural Mechanisms Of Mental Health Stigma In Asian Americans, Vaishnavi Suren

UNF Graduate Theses and Dissertations

Asian Americans show hesitation seeking professional mental health services, as well as stigmatized attitudes towards help-seeking for mental health treatment in general. While the link between this stigma and lack of help-seeking is clear in past studies, there is a gap in the literature in looking at how various cultural mechanisms important to traditional Asian cultures interact with one another to contribute to mental health stigma. The goal of the current study was to examine intergenerational conflict, saving face, and temporal orientation to predict mental health stigma among Asian Americans. Participants (N = 208) were all second-generation Asian American …

Measuring Intersectional Strength And Stigma Among Racially Minoritized Gender Diverse Young Adults, Joseph Carter

Dissertations, Theses, and Capstone Projects

Background: Racially minoritized transgender and gender expansive young adults (RMTGEYA; aged 18-26) experience mental health inequities due to intersectional, multilevel stigma. RMTGEYA communities embody intersectional strength and resilience that can mitigate the impact of stigma. Understanding and capturing strength and stigma factors to address these inequities has significant implications for clinical science research and practice. There is, however, a complete absence of instruments that are validated to do so. Objective: The goal of this study is to conduct a three-phase, mixed methods study that centers intersectional and community engaged methods of psychometric development for a measure that captures daily experiences …

Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman

Doctoral Dissertations

Autism Spectrum Disorder (ASD) has become more widely understood and accepted by the general and professional populations. However, self and social stigma related to ASD persist and continue to negatively impact help-seeking behaviors. This qualitative study used semi-structured interviews guided by an ecological systems model, to explore the lived experiences of 11 Asian American (AsAm) parents residing in the greater San Francisco Bay Area with a child with ASD. A thematic analysis framework was utilized. A total of six themes and six subthemes emerged from this study and included: (1) comparisons, (2) stigma, (3) resilience, (4) support for services, (5) …

The Relationship Between Mental Health, Self And Other Stigma, And Help-Seeking Behaviors In Ethnic Minority Undergraduate Students, Briane Souki

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

Racial and ethnic minority undergraduate students are disproportionately affected by mental health challenges and are less likely to seek support due to self-stigma and stigma from others, cultural perceptions of mental health, and help-seeking behaviors (Tucker et al., 2013). It is critical to understand mental health in cultural contexts because they influence help seeking behaviors for ethnic minority college students. These stigmas are thoughts that influence the help-seeking behaviors of students. Many ethnic minority students have internalized self-stigma toward help seeking. Part of overcoming minority student hesitancy toward help-seeking is to promote culturally aware mental health practices. In predominantly white …

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

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

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 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 …

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 …

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. …

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) …

Mental Health Stigma And Law Enforcement Officers, Moses Park

Dissertations

Purpose: The purpose of this phenomenological research was to describe the perception of law enforcement officers (LEOs) about the stigmatizing behavior they experienced from fellow officers in their organization, after they sought mental health services, following a traumatic event they were involved in.

Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. Data was collected via semi-structured interviews with a purposive sample of 12 active and retired LEOs who served in southern California.

Findings: After the analysis, seven major findings were yielded. The major findings of the study are: (a) Within the law enforcement …

Making Mental Health Information Accessible To Latinxs Through The Use Of Internet Forums, April Martinez

Undergraduate Distinction Papers

This study was conducted to explore the use of Internet memes as a way to address mental health stigma within the Latinx community. The study measured participants’ mental health prejudice both before and after exposure to a series of memes over a two-week span. The control group was shown memes that did not relate to mental health and the experimental group was shown mental health memes. The results were analyzed both quantitatively, for significant between group differences in posttest prejudice, and qualitatively for emerging themes in the participants’ comments on the memes. Results showed no significant decrease of stigma between …

Xenophobia And Racism Against Asian Americans During The Covid-19 Pandemic: Mental Health Implications, Hsiu-Lan Cheng

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Loss, Grief, And Racial Health Disparities During Covid-19: Same Storm, Different Boats, Joyce Yang, Sierra Carter

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

Introduction To The Issue: Evaluating The Psychological Impact Of Covid 19, Saera R. Khan, Christine J. Yeh

Journal of Interdisciplinary Perspectives and Scholarship

Evaluating COVID 19 in its entirety is an enormous undertaking--one which will take many years and many scholars from every academic discipline to fully convey the impact of this disaster. In this three-part Special Issue of the Journal of Interdisciplinary Perspectives and Scholarship, we present current understandings of the immediate impact of COVID 19. The authors of these contributions participated in a webinar series produced by the University of San Francisco’s Center for Teaching Excellence and Center for Research, Artistic, and Scholarly Excellence in March through May 2020. Scholars from various academic sub-disciplines were invited to discuss the impact of …

Resilience Among Survivors Of Adverse Childhood Experiences In Appalachia, Bridget Jeter

Electronic Theses and Dissertations

The empirical investigation of adverse childhood events (ACEs) and their relationship with health and well-being outcomes in later life is increasing. Less is known about factors that may promote resilience for those who have survived such challenges, such as how resilience may be facilitated for those with ACEs residing in a marginalized region such as South Central Appalachia. Multidimensional spirituality, social support, stigma related to ACEs, and Appalachian acculturation may serve as both valid cultural factors and potential indicators of resilience. Cross-sectional, simultaneous multiple regression analysis was performed on data collected from 272 adult patients of a South Central Appalachian …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

Decreasing Stigma Against Depression In Chinese International Students, Elizabeth Trader

Mahurin Honors College Capstone Experience/Thesis Projects

Higher levels of stress and a shift in support systems during the transition to another culture can put international students at risk for mood disorders like depression. Previous research supports there is also a higher level of depression stigma within Eastern cultures in comparison to Western cultures (Rao, Feinglass, & Corrigan, 2007). This may account for the strikingly low numbers from the Chinese population that seek and maintain professional counseling services while studying in the U.S. (Yakushko, Davidson, & Sandford-Martens, 2008). The present study sought to determine whether two self-produced Chinese videos regarding information about stigma, symptoms, and treatment of …

Race, Stigma, And The Politics Of Black Girls Hair, Vanessa King

All Graduate Theses, Dissertations, and Other Capstone Projects

Historically, black girls and women has been subjected to high public scrutiny that represents their bodies and hair styles as deviant from a European standard of beauty and respectability. Black women have endured many social pressures that have shaped their hair choices in various ways. I will explore assimilation theories of culture and the construction of dominant ideals of worth and respectability within K-12 settings, to document the ways in which black girls' hairstyles have been stigmatized. For this this study, I conducted a media and discourse analysis to document the language that is used to stigmatize black women's hair, …

The Effect Of Gender And Veteran Status On The Level Of Perceived Stigma Surrounding Ptsd, Ryan E. Lubock

Master's Theses

This paper explores how gender and veteran status effects the level of stigmatization around Posttraumatic Stress Disorder (PTSD). Participants were randomly assigned to one of four vignette conditions, which were distinguished by gender and veteran status. Participants were then asked to rate how they perceived the individual depicted in the vignette. The researchers analyzed the results by examining how the participants own report of gender, and masculinity, effected how each of the vignettes were judged. This paper addresses the stigma surrounding mental health in general, and more specifically how that stigma affects individuals suffering from PTSD across multiple domains. For …

“I Wonder What You Think Of Me”: A Qualitative Approach To Examining Stereotype Awareness In Appalachian Students, Chelsea G. Adams

Theses and Dissertations--Educational, School, and Counseling Psychology

Historically, Appalachia has been stereotyped as being a culture bred in poverty and ignorance. Much research has shown that stereotyping reveals a pattern of behavioral change and an impact on psychological well-being for the stereotyped (e.g., Pinel, 1999; Woodcock, Jernandez, Estrada, & Schultz, 2012), and has largely been centered on race and gender (e.g., Byrnes, 2008; Tuckman & Monetti, 2011). Less is known about the development of culture-specific stereotypes such as those related to Appalachians – a highly stigmatized group (Daniels, 2014; Otto, 2002). The purpose of this study was to gain an understanding of how adolescents in rural Appalachia …

The Effects Of Brief, Passive Psychoeducation On Suicide Literacy, Stigma, And Attitudes Toward Help-Seeking Among Latino Immigrants Living In The United States, Aubrey Renee Dueweke

Graduate Theses and Dissertations

Latino immigrants drastically underutilize mental health treatment services compared to other ethnic groups, despite rates of mental illness that are comparable to those observed among the general population. With regards to suicidal behavior specifically, twice as many Latino suicide attempters do not seek or receive psychiatric services in the year prior to attempting suicide, compared to non-Latino White attempters. The main objective of this study was to investigate whether provision of brief, passive psychoeducation in the form of a brochure could increase suicide literacy (i.e., recognizing suicidal behavior, understanding risk factors and causes of suicidal behavior), reduce stigma toward suicidal …

Gender Nonconformity, Psychosocial Stressors, And Psychopathology: Looking Beyond Sexual Orientation, Kathryn M. Oost

Graduate Student Theses, Dissertations, & Professional Papers

LGBT individuals experience disproportionately more victimization than their heterosexual and cisgender counterparts. Within these populations, perceived gender nonconformity predicts even higher rates of victimization. The current investigation examined relationships between gender nonconformity, experiences with victimization, and psychopathology among 671 students from the University of Montana, including 64 LGBT-identified individuals, who took part in an online study as part of course requirements. Hierarchical regressions were calculated to examine the relationships between gender expression, victimization, and psychopathology while controlling for sexual orientation, gender identity, and ethnicity. Gender nonconformity was a significant predictor of reported victimization, beyond sexual orientation and ethnicity (ΔR …