Research in Psychology and Behavioral Sciences
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Research in Psychology and Behavioral Sciences. 2016, 4(1), 7-14
DOI: 10.12691/rpbs-4-1-2
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Stigma of Mental Illness and Attitudes Toward Psychological Help-seeking in Jordanian University Students

Ahmad Rayan1, and Amani Jaradat2

1Zarqa University, Faculty of Nursing, Zarqa, Jordan

2Irbid National University, Faculty of Nursing, Irbid, Jordan

Pub. Date: March 11, 2016

Cite this paper:
Ahmad Rayan and Amani Jaradat. Stigma of Mental Illness and Attitudes Toward Psychological Help-seeking in Jordanian University Students. Research in Psychology and Behavioral Sciences. 2016; 4(1):7-14. doi: 10.12691/rpbs-4-1-2


Background. Avoiding seeking professional help for psychological problems may have a devastating impact on the life of university students. Data about stigma toward mental illness and attitudes toward seeking professional psychological help (ATSPPH) in Arab university students are rare. This study aims to examine the correlates of ATSPPH in Jordanian university students. Method. A cross-sectional correlational design was used for this study. Using an online survey, a sample of 519 Jordanian university students completed measures of demographic and clinical variables, stigma toward mental illness and ATSPPH. Stigma toward mental illness was tested as a correlate of ATSPPH using a series of hierarchical multiple regression analyses, controlling for demographic and clinical variables. Results. The results showed that Jordanian students have relatively less favorable ATSPPH than other study groups. Female gender, medically-related specialities, students with a previous history of receiving mental health counseling services and students who reported low scores on measures of stigma toward mental illness were more likely to have favorable ATSPPH. The stigma toward mental illness was the strongest correlate of ATSPPH in students and accounted for 13% additional variance above and beyond the 3% accounted for by all other independent variables. Conclusions. Combating stigma toward mental illness in Arab students is an important step toward promoting their ATSPPH. There is a crucial need to provide professional and culturally competent psychological care for this population in particular.

stigma mental illness attitudes toward seeking professional psychological help student university Jordan

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[1]  Abujilban, S. K., Abuidhail, J., Al-Modallal, H., Hamaideh, S., &Mosemli, O. (2014). Predictors of antenatal depression among Jordanian pregnant women in their third trimester. Health Care for Women International, 35(2), 200-215.‏
[2]  Ahmad, M., Saleh, A., Rayan, A., Bdair, I., Batarseh, K., Abuadas, F., Elayyan, R., Najjar, Y., Al-Hawamdih, S., Ratrout, H., Abu-Abboud, N. (2014).Web-based research using Delphi methodology to explore the discrepancy in qualitative research. International Journal of Nursing and Health Sciences, 1(6), 60-68.
[3]  Ahmed, M., Touama, H., Rayan, A. (2015). Students' Perspectives about Nursing Education. American Journal of Educational Research, 3(1), 4-7.
[4]  Al-Krenawi, A. (2005). Mental health practice in Arab countries. Current Opinion in Psychiatry, 18(5), 560-564.‏
[5]  Al Matarneh, A. J., & Altrawneh, A. (2014). Constructing a scale of future anxiety for the students at public Jordanian universities. International Journal of Academic Research, 6(5).‏
[6]  Aloud N. (2004) Factors affecting attitudes toward seeking and using formal mental health and psychological services among Arab-Muslims population. ProQuest Information & Learning.
[7]  Al-Qutob L. (2005) Barriers to the diagnosis and treatment of depression in Jordan. Family medicin. The Journal of the American Board of Family Practice 18, 125-131.
[8]  Barakat, Z. & Hassan, K. (2006). Coping strategies among adolescents diagnosed with depression in Lebanon and societal attitudes toward treatment. Research and Studies Journal, 2, 22-34.
[9]  Barney, L. J., Griffiths, K. M., Jorm, A. F., & Christensen, H. (2006). Stigma about depression and its impact on help-seeking intentions. Australian and New Zealand Journal of Psychiatry, 40(1), 51-54.‏
[10]  Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S. M., &Olfson, M. (2008). Mental health of college students and their non–college-attending peers: Results from the national epidemiologic study on alcohol and related Conditions. Archives of general psychiatry, 65(12), 1429-1437.‏
[11]  Bostancı, N. (2005). The Stigma Towards to Individual with Mentally Ili Patients and Practices About Reducing this Situation. Düşünen Adam: The Journal of Psychiatry and Neurological Sciences, 18(1), 32-38.‏
[12]  Birnbaum, M. H. (2004). Human research and data collection via the Internet.Annu. Rev. Psychol., 55, 803-832.
[13]  Brislin, R. W. (1970). Back translation for the cross-cultural research. Journal of Cross Cultural Research, 1(13).
[14]  Carini, R. M., Hayek, J. C., Kuh, G. D., Kennedy, J. M., & Ouimet, J. A. (2003). College student responses to web and paper surveys: Does mode matter?. Research in Higher Education, 44(1), 1-19.‏
[15]  Chapman, D. W., & Carter, J. F. (1979). Translation procedures for the cross cultural use of measurement instrument. Education Evaluation and Public Analysis, 1(3).
[16]  Cohen , J. , Cohen , P. , West , S. G. , & Aiken , L. S . (2003) . Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.) . London, UK: Erlbaum .
[17]  Corrigan, P. (2004). How stigma interferes with mental health care. AmericanPsychologist, 59, 614-625.
[18]  Corrigan, P. (Ed.). (2005). On the stigma of mental illness: Practical strategies for research and social change. Washington, D.C: American Psychological Association.
[19]  Dadfar, S., & Friedlander, M. L. (1982). Differential attitudes of international students toward seeking professional psychological help. Journal of Counseling Psychology, 29(3), 335.
[20]  Dardas, L. A., & Simmons, L. A. (2015). The stigma of mental illness in Arab families: a concept analysis. Journal of psychiatric and mental health nursing, 22(9), 668-679.‏
[21]  Eisenberg, D., Downs, M. F., Golberstein, E., &Zivin, K. (2009). Stigma and helpseeking for mental health among college students. Medical Care Research and Review, 66, 522-541.
[22]  Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534-542.‏
[23]  Eshah, N., & Rayan, A. H. (2015). The pyschological burden of a relative's CICU admission. British Journal of Cardiac Nursing, 10(4), 194-200.‏
[24]  Eshah, N., & Rayan, A., H. (2015). Predicting the Negative Emotional Symptoms in Relatives of Patients Residing in Intensive Care Unit. Global Journal on Advances in Pure & Applied Sciences, 7, 21-28.
[25]  Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychologicalhelp: A shortened form and considerations for research. Journal of CollegeStudent Development, 36, 368-373.
[26]  Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help:Development and research utility of an attitude scale. Journal of Consulting andClinical Psychology, 35, 79-90.
[27]  Gearing, R. E., MacKenzie, M. J., Ibrahim, R. W., Brewer, K. B., Batayneh, J. S., & Schwalbe, C. S. (2015). Stigma and mental health treatment of adolescents with depression in Jordan. Community mental health journal, 51(1), 111-117.‏
[28]  Gilat I., Ezer H. & Sagee R. (2010) Help-seeking attitudes among Arab and Jewish adolescents in Israel. British Journal of Guidance & Counselling 38, 205-218.
[29]  Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students.Journal of psychiatric research, 47(3), 391-400.‏
[30]  Ismayilova, L., Hmoud, O., Alkhasawneh, E., Shaw, S., & El-Bassel, N. (2013). Depressive symptoms among Jordanian youth: results of a national survey. Community Mental Health Journal, 49(1), 133-140.‏
[31]  Hamid, A., & Furnham, A. (2013). Factors affecting attitude towards seeking professional help for mental illness: a UK Arab perspective. Mental Health, Religion & Culture, 16(7), 741-758.
[32]  Karataş, Z., & Çakar, F. S. (2014). The university students life satisfactions: Psychological help-seeking attitude and hopelessness. Cypriot Journal of Educational Sciences, 9(3), 184-193.‏
[33]  Kessler, R. C., Berglund, P. A., Demler, O., Jin, R., & Walters, E. E. (2005).Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62, 593-602.
[34]  Karam, E. G., Mneimneh, Z. N., Karam, A. N., Fayyad, J. A., Nasser, S. C., Chatterji, S., & Kessler, R. C. (2006). Prevalence and treatment of mental disorders in Lebanon: a national epidemiological survey. The Lancet, 367(9515), 1000-1006.‏
[35]  Komiya, N., & Eells, G. T. (2001). Predictors of attitudes toward seeking counseling among international students. Journal of College Counseling, 4(2), 153-160.‏
[36]  Link, B. G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejections. American Sociological Review, 52, 96-112. doi: 10.2307/2095395
[37]  Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30, 511-541. Retrieved from
[38]  Martin, J. K., Pescosolido, B. A., &Tuch, S. A. (2000). Of fear and loathing: the role of'disturbingbehavior,'labels, and causal attributions in shaping public attitudes toward people with mental illness. Journal of Health and Social Behavior, 208-223.‏
[39]  Menke, R., & Flynn, H. (2009). Relationships between stigma, depression, and treatment in white and African American primary care patients. The Journal of nervous and mental disease, 197(6), 407-411.‏
[40]  Patton, G. C., Coffey, C., Sawyer, S. M., Viner, R. M., Haller, D. M., Bose, K., ...&Mathers, C. D. (2009). Global patterns of mortality in young people: a systematic analysis of population health data. The Lancet, 374(9693), 881-892.
[41]  Rayan, A., Qurneh, A., Elayyan, R., & Baker, O. (2016). Developing a policy for workplace violence against nurses and health care professionals in Jordan: A plan of action. American Journal of Public Health Research, 4 (2), 47-55.
[42]  Rayan, A., H., Alzayyat A. & Khalil, M., M. (2015). Euthanasia: Analysis for the Concept from Islamic Perception. Global Journal on Advances in Pure & Applied Sciences, 7, 175-182.
[43]  Rayan, A., & Dadoul, A. (2015). Decrease the length of hospital stay in depressed cancer patients: Nurses should be involved. American Journal of Nursing Research 3(1) 4-7
[44]  Romero, A. J., Edwards, L. M., Bauman, S., & Ritter, M. K. (2013).Preventing adolescent depression and suicide among Latinas: Resilience research and theory.Springer Science & Business Media.
[45]  Thornicroft, G. (2006). Shunned: Discrimination against people with mental illness. New York, NY: Oxford University Press.
[46]  Vogel, D. L., Wade, N. G., & Hackler, A. 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(1), 40.‏
[47]  Wang, P. S., Angermeyer, M., Borges, G., Bruffaerts, R., Chiu, W. T., De Girolamo, G., ... & Kessler, R. C. (2007). Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry, 6(3), 177.‏
[48]  Weatherhead, S., & Daiches, A. (2010). Muslim views on mental health and psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, 83(1), 75-89.‏
[49]  WHO. (2011). WHO-Aims Report On Mental Health System In Jordan. Retrieved from
[50]  World Health Organization. (2001). Atlas: Child and Adolescent Mental Health Resources: Global Concerns, Implications for the Future. World Health Organization, Geneva, Switzerland.
[51]  Zawawi, J. A., & Hamaideh, S. H. (2009). Depressive symptoms and their correlates with locus of control and satisfaction with life among Jordanian college students. Europe’s Journal of Psychology, 5(4), 71-103.‏