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Articles 31 - 60 of 1581
Full-Text Articles in Multicultural Psychology
A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir
A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir
Dissertations
Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …
Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez
Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez
Dissertations
This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …
Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson
Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson
Dissertations
The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …
Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez
Sense Of Safety And Quality Of Life Among Immigrants, Rachel Gomez
McNair Scholars Research
This study examined the relationship between sense of safety and quality of life among Hispanic/Latinx immigrant communities. The study sought to determine whether perceived sense of safety was associated with quality of life and whether differences existed based on immigration status, gender, and age. A quantitative, non-experimental survey design was used with a convenience sample of 33 first- and second-generation Hispanic immigrants from Arkansas. Participants completed a survey combining the Immigrant Enforcement Fear Scale and the 10-Item Well-being Instrument, which were translated into Spanish to increase accessibility. Data were analyzed using Pearson correlation coefficients and independent-samples t-tests with an alpha …
Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov
Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov
The Interactive Journal of Global Leadership and Learning
Stress is a growing concern among university students worldwide, yet little is known about how stress is conceptualized and experienced within Central Asia, particularly Uzbekistan. This study explores how Uzbek university students understand and experience stress, identifies the primary sources of stress in their daily lives, and examines their perceptions of mindfulness as a potential stress‑reduction strategy. Participants were 60 students, primarily Muslim women, at a large public university in Tashkent, Uzbekistan. Open‑ended questions on a post‑intervention survey were analyzed using a combination of deductive and inductive coding. Students most frequently described stress in emotional terms, including irritability, sadness, and …
Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala
Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala
Dissertations
Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …
Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita
Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita
Doctoral Dissertations
This study is a quantitative correlational analysis that evaluated the relationship between collectivism and self-esteem in Asian American adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 29 Asian American adults with ADHD participated in this study that included a survey of three scales assessing for collectivism, self-esteem, and ADHD symptoms. The results indicated that the correlation between self-esteem and collectivism in participants was not statistically significant. The correlation between self-esteem and ADHD symptoms was also found to be not statistically significant. However, certain correlational analyses regarding collectivism and ADHD symptoms were found to be statistically significant. Specifically, the results …
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Theses and Dissertations
Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …
Life Sustaining Well-Being Practices And Physiological Health Among Black Men, Dakota W. Cintron, Monique N. Golden, Jennifer M. Boylan, Julia K. Boehm, Tomiko Yoneda, Hebi Wang, Erik M. Hines, James L. Moore Iii
Life Sustaining Well-Being Practices And Physiological Health Among Black Men, Dakota W. Cintron, Monique N. Golden, Jennifer M. Boylan, Julia K. Boehm, Tomiko Yoneda, Hebi Wang, Erik M. Hines, James L. Moore Iii
Psychology Faculty Articles and Research
Objective
To identify culturally grounded well-being practices among Black men in midlife and examine their associations with physiological health.
Methods
Analyzing data from the 2004–2005 Midlife in the United States (MIDUS) study, we examined, 116 open-ended responses to the question, “What do you do to make your life go well?” Network topic modeling identified six topics: (1) interpersonal kindness and positive mindset; (2) caring for children; (3) practicing spirituality and faith; (4) maintaining social connections and well-being; (5) avoiding stress; and (6) meaningful work and daily activities. Topic scores, reflecting participants’ tendency to discuss these themes, predicted allostatic load and …
Diverse Families Navigating Mental Health At The Pediatrician’S Office: A Mixed Methods Exploration Of The Interplay Of Stress, Culture, And Child Mental Health In The Primary Care Setting, Sara B. Budowsky
Dissertations
Low-income and ethnic minority youth experience high psychiatric need but persistently low participation in traditional mental health care. General pediatricians are often the first and only healthcare providers with whom many families engage around their child’s emotional and behavioral development. Using both quantitative analysis of retrospective secondary data and Interpretative Phenomenological Analysis (IPA) of in-depth interviews with diverse caregivers, this project explored influencers of child mental health and family utilization of pediatric primary-care-based mental health services in the context of a uniquely multicultural clinic serving a predominantly Medicaid population. Three key findings include: 1) Caregiver Stress was a highly significant, …
Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard
Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard
Doctoral Dissertations
Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.
Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …
Domestic Travelers: Transparent Machines, Hollow Bodies, Hanyi Wang
Domestic Travelers: Transparent Machines, Hollow Bodies, Hanyi Wang
Masters Theses
Digitization is not a modern invention. Derived from the concept of fingers, this mindset of packing information into quantifiable, interchangeable units sounds mechanical, yet eerily physical. Try to imagine: a ghostly hand with millions of fingers with the same length, likeness, and function. Under the worldview of Digital Narrative, we live in a digital simulation: everything is representable with quantifiable units, fluid across media. Yet under this spectacle of convenient abundance, something is missing. The Unknowables are replaced with arbitrary symbols, while the Uncategorizables are omitted. This is a framework that cannot accommodate human subtleties and complexities. One needs to …
Between Cultures: An Expressive Arts Community Engagement Project On Identity, Belonging, And Cultural Transition Among International Students, Shilpa Ivaturi
Between Cultures: An Expressive Arts Community Engagement Project On Identity, Belonging, And Cultural Transition Among International Students, Shilpa Ivaturi
Expressive Therapies Theses
International students navigating cultural transition often experience disruptions not only in social adjustment but also in their sense of identity, belonging, and meaning-making. Grounded in expressive arts therapy, cross-cultural psychology, and mythopoetic frameworks of transformation, this thesis explores how creative processes can support international students in reflecting on and integrating their evolving identities during periods of cultural transition. A four-hour trauma-informed expressive arts workshop, structured around the Hero’s Journey arc of departure, initiation, and return, was facilitated across two sessions at a university in the northeastern United States. Seven international students from diverse cultural backgrounds engaged in multimodal practices including …
Exploring The Potential For Meaning-Making In Expressive Art Therapies Interventions In Treatment Of Complicated Grief For Gun Homicide Survivors: A Literature Review, Ash Landrein
Expressive Therapies Theses
Research shows that the violent nature of homicide and the extreme lethality of firearms in conflict lead to increased psychological impairment for survivors and communities affected. Black and Latinx communities are disproportionately affected by gun violence, yet are historically underresearched and underserved. Social constraints and systemic negligence complicate and stigmatize the bereavement process. This literature review examined culturally relevant grief practices, theories and components of meaning-making (MM) post-loss, and Expressive arts interventions for facilitating meaning, safety, and reconnection for survivors, through an intersection of race, ethnicity, gender, and age. Cumulative research shows that MM can help individuals experiencing complicated grief …
Feasibility Of Staff Training In Facilitating Affirmative Moving With Unhoused Lgbtq+ Individuals, Sujin Ma
Feasibility Of Staff Training In Facilitating Affirmative Moving With Unhoused Lgbtq+ Individuals, Sujin Ma
Expressive Therapies Dissertations
Homelessness-service environments require non-clinical frontline staff to manage frequent crises and provide relational support to sexual and gender minority (SGM) individuals with extensive trauma and minority stress histories. However, staff training often prioritizes didactic knowledge over embodied skills that support emotional regulation, attunement, and identity-affirming engagement. Grounded in trauma-informed care, minority stress theory, and somatic learning, this mixed-methods study examined the feasibility and preliminary patterns of change associated with an embodied staff training designed to prepare non-clinical workers to facilitate Affirmative Moving (AM), a brief movement-based, LGBTQ+-affirming support group model.
The study was conducted between July and September 2025 at …
The Making Of An Extremist: How Do We Become Someone Else’S Nightmare?, María Paula Morales
The Making Of An Extremist: How Do We Become Someone Else’S Nightmare?, María Paula Morales
The Confluence
This article explores how ordinary people can be pulled into extremist movements and what psychological forces drive that process. It looks at three perspectives: social identity theory, which explains how group belonging shapes behavior, identity development, which shows how people searching for meaning may find it in extremist causes; and social neuroscience, which connects radicalization to brain activity linked to fear, loyalty, and moral judgement. Together, these approaches show that radicalization is not simply about ideology but about identity, emotion, and belonging. By understanding these dynamics, we can find better ways to prevent extremism and promote healthier, more inclusive communities.
Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga
Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga
Educational Specialist, 2020-current
Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …
Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams
Black Maternal Mental Health: Counseling Considerations For Prenatal Depression And Anxiety, Morgan Renee Williams
Educational Specialist, 2020-current
The maternal mortality rate of Black women in the United States is four times higher than white women (Centers for Disease Control and Prevention, 2020). The CDC defines a maternal death as “the death of a woman while pregnant or within 42 days of termination of pregnancy… but not from accidental or incidental causes” (Centers for Disease Control and Prevention, 2024, para. 1). This statistic is a consequence of the inequality within and outside of the American healthcare system (National Academies of Sciences, Engineering, and Medicine, 2020). For the purposes of this research, Black women are defined as any women …
An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford
An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford
Perspectives on Early Childhood Psychology and Education
The COVID-19 pandemic exacerbated existing disparities in early intervention (EI) and early childhood special education (ECSE) services for culturally and linguistically diverse (CLD) disabled children, exposing critical gaps in access, services and support. systemic inconsistencies in implementation, training, and funding, remain barriers limit opportunities for CLD students to benefit, despite the aims of the Individuals with Disabilities Improvement Act (IDEA). To address these inequities, this manuscript proposes an expanded and updated Culturally Responsive Equity-Based Bill of Rights for EI and ECSE. Building upon Ford and colleagues' (2018) work, this revised document extends protections to children aged zero to five, emphasizing …
Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D.
Guest Editor's Introduction: Methodological Innovations For Advancing Early Childhood Educational And Psychological Research, Anthony Mangino Ph.D.
Perspectives on Early Childhood Psychology and Education
The goal of this special issue is to provide you, the inquisitive reader and developmental scientist, with some of the methodological tools to aid in augmenting your analytic capacity.
Co-Constituted Mandala-Making In Nature: A Trauma-Sensitive Field Protocol For Investigating Attention, Regulation, And Relational Orientation Toward Place, Merve Kurt
The International Journal of Ecopsychology (IJE)
This article presents a theoretically grounded field protocol for mandala-making in natural settings using only already-fallen materials and intentional dissolution. The mandala is treated as an anthropogenic cultural form whose structural features, including radial organisation around a centre, bounded containment, and provisional totality, are shown to be analytically consequential for the process-level shifts the protocol seeks to foreground. Drawing on posthumanism, new materialism, Buddhist psychology, and ecopsychology, the article conceptualises this process as co-constituted mandala-making, a descriptive term for a field in which human attention and choice operate alongside material and ecological constraints and affordances, without attributing volition to nonhuman …
Identity, Masculinity, And Stigma: Understanding Barriers To Mental Health Care Among African American Men, Landon H. Jones
Identity, Masculinity, And Stigma: Understanding Barriers To Mental Health Care Among African American Men, Landon H. Jones
Honors Theses
African American men are documented to underutilize health care services. Although the reasons for this pattern are complex, research suggests that both historical mistrust of the medical system and sociocultural expectations of strength, rooted in intersecting racial and masculine identities, might play key roles. These same factors may also influence attitudes toward mental health care. In the study, 267 African American men were randomly assigned to listen to a brief pro-health message delivered by either an in-group community member, a religious figure, or a neutral control speaker. Participants completed measures of racial identity importance, conformity to masculine norms, anticipated stigma, …
Alone And Radicalized: The Hidden Link Between Isolationism And Political Violence, Zaina Siddiqui
Alone And Radicalized: The Hidden Link Between Isolationism And Political Violence, Zaina Siddiqui
Student Scholar Symposium Abstracts and Posters
As some socially isolated individuals come to view political violence as legitimate, what exactly draws the line towards political extremism? My findings examine the relationship between loneliness, social marginalization, and support for political violence through psychological theories on radicalization. Using Chapman University’s American Fear Survey Wave 11, I examined the correlation between isolationism and a sense of belonging, with the latter leading to support for political violence and extremism. The project contributes to research on political extremism by focusing on loneliness as a loss of belonging and personal significance rather than on ideology or pathology alone. In my research, I …
Breaking Down A.B.C.D. (American Born Confused Desi): Dual Identity Struggles & Mental Health Outcomes In South Asian American Youth, Sanchi Kohli, Desiree Crevecoeur-Macphail
Breaking Down A.B.C.D. (American Born Confused Desi): Dual Identity Struggles & Mental Health Outcomes In South Asian American Youth, Sanchi Kohli, Desiree Crevecoeur-Macphail
Student Scholar Symposium Abstracts and Posters
South Asian American youth are an understudied population in mental health-related research. When looking at data, we saw that in Asian American youth, suicide is the leading cause of death. The current study examined South Asian youth mental health and the confounding factors that lead to suicidality. Including parental pressures, dual identity struggles, and internalized racism. This was done specifically under the guidance of Benet-Martínez & Haritatos’ (2005) theory of Bicultural identity integration. The study described how individuals with compatible or opposing cultural identities perceived their dual identities. In the case of this study, we identified whether South Asian American …
Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega
Relationships Between Therapists And Diverse Children's Populations And Their Effects, Brenda Sanchez Vega
Undergraduate Honors Theses
Roughly around 13.8% of children and adolescents in the United States receive some sort of counseling or therapy; the main focus of the research is on racial/ethnic minoritized children. Because APA’s ethical codes don’t address all possible situations, positive client-therapist relationships are bound to develop, including dyads or dual relationships, improving treatment progress. With the United States continuing to grow in diversity, there’s still a big gap in the literature surrounding minority children in therapy. Speculating if therapy approaches are used effectively for all children, including minoritized children. Based on past research already conducted, developing a positive client-therapist dual relationship …
Unveiling Embodied White Supremacy: Therapists’ Experiences And Its Imprint On Therapeutic Relationships In Dance/Movement Therapy, Melody E. Gamba
Unveiling Embodied White Supremacy: Therapists’ Experiences And Its Imprint On Therapeutic Relationships In Dance/Movement Therapy, Melody E. Gamba
Counseling and Psychology Dissertations
This qualitative, arts-informed research study explored how White-identifying dance/movement therapists experience and articulate their awareness of embodied White supremacy within therapeutic relationships. Grounded in critical race theory, relational-cultural theory, and embodied critical transformation theory, the study addressed a gap in dance/movement therapy literature concerning how White supremacy is not only cognitively understood, but also somatically felt, relationally enacted, and professionally navigated. The purpose of the study was to understand how White-identifying dance/movement therapists perceive, kinesthetically experience, and make meaning of embodied White supremacy in therapeutic practice, and to explore how these embodied experiences influence therapeutic presence, attunement, and the potential …
The Self-Perception & Identity Of Latino Men: Looking At The 2024 Presidential Election & Its Impact On Latino Communities, Lucia M. Revollo
The Self-Perception & Identity Of Latino Men: Looking At The 2024 Presidential Election & Its Impact On Latino Communities, Lucia M. Revollo
Theses/Capstones/Creative Projects
In the aftermath of the 2024 presidential election and under the second Trump administration, Latino and immigrant community has experienced significant sociopolitical impacts. During the presidential campaigning of the elections, media narratives focused on the male Latino voters as a contributing factor to this presidential election. However, this was not as big of a contributor as the media and research centers are portraying. This study addresses critical gaps in existing research by examining the self-perception and identity of Latino men and how these factors shaped their voting decisions in the 2024 presidential election. Especially looking at the current trends in …
Impact Of Social Worker Bias On African American Fathers With Open Children Family Services Cases, Jenna Espinosa, Cecil Perry, Jasmine Alvarado, Jennifer Garcia, Lacrietia Grate-Dixson
Impact Of Social Worker Bias On African American Fathers With Open Children Family Services Cases, Jenna Espinosa, Cecil Perry, Jasmine Alvarado, Jennifer Garcia, Lacrietia Grate-Dixson
Electronic Theses, Projects, and Dissertations
Systemic barriers and biases within institutions and policies affect how African American fathers engage with Children and Family Services (CFS). According to research, social worker bias, whether overt or covert, can influence case decision-making, affecting fathers' access to resources and overall involvement in their children’s lives. This study aims to quantitatively assess the impact of social worker bias on African American fathers' engagement by evaluating service completion rates at the .21e hearing. A quantitative research design will be utilized by implementing a validated survey to measure social worker bias and case file reviews to assess service completion. Statistical analyses, including …
The Impact Of Traditional Machismo On Mental Health Outcomes: Depression And Suicide Risk Among Latino Immigrant And Non-Immigrant Men, Yesenia A, Romero
The Impact Of Traditional Machismo On Mental Health Outcomes: Depression And Suicide Risk Among Latino Immigrant And Non-Immigrant Men, Yesenia A, Romero
Electronic Theses and Dissertations
Traditional masculine norms have long been recognized as influential factors in men’s psychological well-being. Within Latino cultures, the construct of machismo represents a culturally specific form of masculinity characterized by ideals of masculinity and characterized by ideals of strength, dominance, and emotional restraint. While these norms may promote resilience and family responsibilities, rigid adherence to traditional machismo has also been associated with emotional suppression, reduced help-seeking behaviors, and increased psychological distress. The present study conducted a meta-analysis to examine the relationship between traditional machismo and mental health outcomes among Latino men, with particular attention to depressive symptoms as well as …
Investigating Racial And Ethnic Differences In Help-Seeking Recommendations And Intentions For Posttraumatic Stress Symptoms And Symptom Clusters, Josselyn Yanisbeth Telule
Investigating Racial And Ethnic Differences In Help-Seeking Recommendations And Intentions For Posttraumatic Stress Symptoms And Symptom Clusters, Josselyn Yanisbeth Telule
Master's Theses
Racially and ethnically minoritized (REM) communities experience disproportionate exposure to adverse events, including discrimination, socioeconomic disparities, justice system involvement, and limited access to healthcare. These inequities increase the likelihood of experiencing potentially traumatic events (PTEs) and developing trauma-related mental health concerns such as posttraumatic stress symptoms (PTSS). Despite this elevated risk, REM populations consistently underutilize mental health services. Although several explanations have been proposed—including differences in symptom recognition, perceived need for care, cultural values, mental health literacy, and preferred sources of support—less research has examined racial and ethnic differences in help-seeking intentions (HSI) and help-seeking recommendations (HSR), particularly in response …