The psychological help-seeking patterns of college students in the United Arab Emirates (UAE) have only recently begun to be examined. Initial suggestions indicate that the majority of Emirati students treat help seeking from counselors as a last resort, which may be linked to aspects of Emirati culture including feared loss of societal face, stigma associated with seeking help, and discouragement of self-disclosure to individuals outside of the family. The relationship among fear of losing face, stigma, self-disclosure expectations (i.e., risks and benefits), and help-seeking attitudes was examined using structural equation modeling with 407 Emirati college students. Loss of face and stigma were related to self-disclosure expectations, which in turn were related to help-seeking attitudes. Gender differences were also examined with results indicating significant mean differences across all variables, as well as across two paths of the structural model. These findings are discussed within the cultural context of the UAE.
Abe-KimJ.GongF.TakeuchiD. (2004). Religiosity, spirituality, and help-seeking among Filipino Americans: Religious clergy or mental health professionals?Journal of Community Psychology, 32, 675-689. doi:10.1002/jcop.20026
2.
AddisM. E.MahalikJ. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58, 5-14. doi:10.1037/0003-066X.58.1.5
3.
Al-DarmakiF. R. (2003). Attitudes towards seeking professional psychological help: What really counts for United Arab Emirates University students. Social Behavior and Personality: An International Journal, 31, 497-508. doi:10.2224/sbp.2003.31.5.497
4.
Al-DarmakiF. R. (2004). Counselor training, anxiety, and counseling self-efficacy: Implications for training psychology students from the United Arab Emirates University. Social Behavior and Personality: An International Journal, 32, 429-439.
5.
Al-DarmakiF. R. (2011). Problems and preferences for source of help among United Arab Emirates University students. International Journal for the Advancement of Counselling, 33, 293-308. doi:10.1007/s10447-011-9136-2
6.
Al-DarmakiF. R. (2014). Predictors of counseling center use among college students in the United Arab Emirates. International Perspectives in Psychology: Research, Practice, Consultation, 3, 48-61. doi:10.1037/a0035160
7.
Al-DarmakiF. R.SayedM. (2009). Counseling challenges within the cultural context of the United Arab Emirates. In GersteinL. H.HeppnerP. P.ÆgisdóttirS.LeungS. A.NorsworthyK. L. (Eds.), International handbook of cross-cultural counseling: Cultural assumptions and practices worldwide (pp. 465-474). Thousand Oaks, CA: Sage.
8.
Al-KrenawiA.GrahamJ. R.Al-BedahE.KadriH.SehwailM. (2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45(1), 26-36. doi:10.1007/s10597-008-9175-2
9.
Al-KrenawiA.GrahamJ. R.DeanY.EltaibaN. (2004). Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel. The International Journal of Social Psychiatry, 50, 102-114.
10.
Al-KrenawiA.GrahamJ. R.KanadahJ. (2000). Gendered utilization differences of mental health services in Jordan. Community Mental Health Journal, 36, 501-511.
11.
AndersonJ. C.GerbingD. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103, 411-423.
12.
BaronR. M.KennyD. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
13.
BollenK. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods & Research, 17, 303-316.
14.
CheungG. W.LauR. S. (2012). A direct comparison approach for testing measurement invariance. Organizational Research Methods, 15, 167-198. doi:10.1177/1094428111421987
15.
CheungG. W.RensvoldR. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9, 233-255.
16.
CiftciA.JonesN.CorriganP. W. (2013). Mental health stigma in the Muslim community. Journal of Muslim Mental Health, 7, 17-32. doi:10.3998/jmmh.10381607.0007.102
17.
CorriganP. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614-625. doi:10.1037/0003-066X.59.7.614
18.
CrabtreeS. (2007). Culture, gender and the influence of social change amongst Emirati families in the United Arab Emirates. Journal of Comparative Family Studies, 38, 575-587.
19.
DavidE. J. R. (2010). Cultural mistrust and mental health help-seeking attitudes among Filipino Americans. Asian American Journal of Psychology, 1, 57-66. doi:10.1037/a0018814
20.
DimitrovD. M. (2010). Testing for factorial invariance in the context of construct validation. Measurement and Evaluation in Counseling and Development, 43, 121-149. doi:10.1177/0748175610373459
21.
EapenV.GhubashR. (2004). Help-seeking for mental health problems of children: Preferences and attitudes in the United Arab Emirates. Psychological Reports, 94, 663-667. doi:10.2466/pr0.94.2.663-667
22.
EricksonC. D.Al-TimimiN. R. (2001). Providing mental health services to Arab Americans: Recommendations and considerations. Cultural Diversity & Ethnic Minority Psychology, 7, 308-327. doi:10.1037/1099-9809.7.4.308
23.
FischerE. H.FarinaA. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368-373.
24.
FischerE. H.TurnerJ. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79-90. doi:10.1037/h0029636
25.
FrazierP. A.TixA. P.BarronK. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115-134.
26.
HamdanA. (2009). Mental health needs of Arab women. Health Care for Women International, 30, 595-613. doi:10.1080/07399330902928808
27.
HuL. T.BentlerP. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1-55.
28.
KennyD. A.KashyD. A.BolgerN. (1998). Data analysis in social psychology. In GilbertD. T.FiskeS. T.LindzeyG. (Eds.), The handbook of social psychology (4th ed., pp. 233-265). New York, NY: Oxford University Press.
29.
KimJ. E.ZaneN. (2015). Help-seeking intentions among Asian American and White American students in psychological distress: Application of the health belief model. Cultural Diversity & Ethnic Minority Psychology. Advance online publication. doi:10.1037/cdp0000056
30.
KomiyaN.GoodG. E.SherrodN. B. (2000). Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. Journal of Counseling Psychology, 47, 138-143. doi:10.1037/0022-0167.47.1.138
31.
MacKinnonD. P.LockwoodC. M.HoffmanJ. M.WestS. G.SheetsV. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83-104.
32.
MallinckrodtB.WangC. (2004). Quantitative methods for verifying semantic equivalence of translated research instruments: A Chinese version of the experiences in close relationships scale. Journal of Counseling Psychology, 51, 368-379.
33.
MartensM. P. (2005).The use of structural equation modeling in counseling psychology research. The Counseling Psychologist, 33, 269-298.
34.
McDonaldR. P. (1989). An index of goodness-of-fit based on noncentrality. Journal of Classification, 6, 97-103.
35.
MeadeA. W.JohnsonE. C.BraddyP. W. (2008). Power and sensitivity of alternative fit indices in tests of measurement invariance. Journal of Applied Psychology, 93, 568-592. doi:10.1037/0021-9010.93.3.568
PedersonE. L.VogelD. L. (2007). Male gender role conflict and willingness to seek counseling: Testing a mediation model on college-aged men. Journal of Counseling Psychology, 54, 373-384.
38.
RussellD. W.KahnJ. H.SpothR.AltmaierE. M. (1998). Analyzing data from experimental studies: A latent variable structural equation modeling approach. Journal of Counseling Psychology, 45, 18-29.
39.
SatorraA.BentlerP. M. (1988). Scaling corrections for chi-square statistics in covariance structure analysis. In Proceedings of the American Statistical Association (Vol. 1, pp. 308-313).
40.
SayedM. A. (2003). Conceptualization of mental illness within Arab cultures: Meeting challenges in cross-cultural settings. Social Behavior and Personality: An International Journal, 31, 333-342. doi:10.2224/sbp.2003.31.4.333
41.
ShechtmanZ.VogelD.MamanN. (2010). Seeking psychological help: A comparison of individual and group treatment. Psychotherapy Research, 20, 30-36.
42.
ShroutP. E.BolgerN. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422-445. doi:10.1037//1082-989X.7.4.422
43.
TopkayaN. (2011). Psikolojik yardım alma niyetinin sosyal damgalanma, tedavi korkusu, beklenen yarar, beklenen risk ve tutum faktörleriyle modellenmesi [Structural equation analysis of willingness to seek psychological help by the roles of social stigma, treatment fears, anticipated benefits, risks, and attitudes toward therapy]. Đzmir, Türkiye: Yayımlanmamış doktora tezi, Ege Üniversitesi.
44.
United Arab Emirates University. (2015). Annual report: Academic year 2013-2014. Al-Ain, United Arab Emirates: Author.
45.
VogelD. L.GentileD. A.KaplanS. A. (2008). The influence of television on willingness to seek therapy. Journal of Clinical Psychology, 64, 276-295. doi:10.1002/jclp.20446
46.
VogelD. L.ShechtmanZ.WadeN. G. (2010). The role of public and self-stigma in predicting attitudes toward group counseling. The Counseling Psychologist, 38, 904-922. doi:10.1177/0011000010368297
47.
VogelD. L.WadeN. G.AschemanP. L. (2009). Measuring perceptions of stigmatization by others for seeking psychological help: Reliability and validity of a new stigma scale with college students. Journal of Counseling Psychology, 56, 301-308. doi:10.1037/a0014903
48.
VogelD. L.WadeN. G.HaakeS. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325-337. doi:10.1037/0022-0167.53.3.325s
49.
VogelD. L.WadeN. G.HacklerA. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54, 40-50. doi:10.1037/0022-0167.54.1.40
50.
VogelD. L.WesterS. R. (2003). To seek or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351-361. doi:10.1037/0022-0167.50.3.351
51.
YakuninaE. S.WeigoldI. K. (2011). Asian international students’ intentions to seek counseling: Integrating cognitive and cultural predictors. Asian American Journal of Psychology, 2, 219-224. doi:10.1037/a0024821
52.
YoussefJ.DeaneF. P. (2006). Factors influencing mental-health help-seeking in Arabic-speaking communities in Sydney, Australia. Mental Health, Religion & Culture, 9, 43-66. doi:10.1080/13674670512331335686
53.
ZaneN.YehM. (2002). The use of culturally-based variables in assessment: Studies on loss of face. In KurasakiK. S.OkazakiS.SueS. (Eds.), Asian American mental health (pp. 123-138). New York, NY: Springer.
