Ruiying Zhao, Yagmur Amanvermez, Julia Pei, Franchesca Castro-Ramirez, Charlene Rapsey, Claudia Garcia, David D. Ebert, Josep Maria Haro, Liviu A. Fodor, Oana A. David, Osiris Rankin, Sook Ning Chua, Vania Martínez, Ronny Bruffaerts, Ronald C. Kessler, Pim Cuijpers
{"title":"研究综述：大学生寻求帮助的意图、行为和障碍——系统综述和荟萃分析。","authors":"Ruiying Zhao, Yagmur Amanvermez, Julia Pei, Franchesca Castro-Ramirez, Charlene Rapsey, Claudia Garcia, David D. Ebert, Josep Maria Haro, Liviu A. Fodor, Oana A. David, Osiris Rankin, Sook Ning Chua, Vania Martínez, Ronny Bruffaerts, Ronald C. Kessler, Pim Cuijpers","doi":"10.1111/jcpp.14145","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Background</h3>\n \n <p>The prevalence of mental health problems among college students has increased over the past decade. Even when mental health services are available, many students still struggle to access these services. This systematic review and meta-analysis aimed to identify the rates at which students actively seek or consider using formal help and to determine the main reasons for not seeking help.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A comprehensive literature search was conducted on PubMed, PsycINFO, and Embase to identify studies on help-seeking behaviors, intentions, and barriers to help-seeking among college students with mental health problems. Random effect models were used to calculate the pooled proportions.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Of the 8,919 identified studies, 62 met the inclusion criteria and were included (<i>n</i> = 53 on help-seeking behaviors, <i>n</i> = 21 on help-seeking intentions, and <i>n</i> = 14 on treatment barriers). The pooled prevalence of active help-seeking behaviors was 28% (179,915/435,768 individuals; 95% CI: 23%–33%, <i>I</i><sup>2</sup> = 99.6%), and the aggregated prevalence of help-seeking intentions was 41% (62,456/80161 individuals; 95% CI: 26%–58%, <i>I</i><sup>2</sup> = 99.8%). Common barriers reported by students included a preference to address issues on their own, time constraints, insufficient knowledge of accessible resources, and a perceived lack of need for professional help.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The findings highlight the gap between the mental health needs of the students and their actual help-seeking rates. Although personal barriers are common, systemic or contextual challenges also affect college students' help-seeking behaviors.</p>\n </section>\n </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"66 10","pages":"1593-1605"},"PeriodicalIF":7.0000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.14145","citationCount":"0","resultStr":"{\"title\":\"Research Review: Help-seeking intentions, behaviors, and barriers in college students – a systematic review and meta-analysis\",\"authors\":\"Ruiying Zhao, Yagmur Amanvermez, Julia Pei, Franchesca Castro-Ramirez, Charlene Rapsey, Claudia Garcia, David D. Ebert, Josep Maria Haro, Liviu A. Fodor, Oana A. David, Osiris Rankin, Sook Ning Chua, Vania Martínez, Ronny Bruffaerts, Ronald C. Kessler, Pim Cuijpers\",\"doi\":\"10.1111/jcpp.14145\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>The prevalence of mental health problems among college students has increased over the past decade. Even when mental health services are available, many students still struggle to access these services. This systematic review and meta-analysis aimed to identify the rates at which students actively seek or consider using formal help and to determine the main reasons for not seeking help.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A comprehensive literature search was conducted on PubMed, PsycINFO, and Embase to identify studies on help-seeking behaviors, intentions, and barriers to help-seeking among college students with mental health problems. Random effect models were used to calculate the pooled proportions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Of the 8,919 identified studies, 62 met the inclusion criteria and were included (<i>n</i> = 53 on help-seeking behaviors, <i>n</i> = 21 on help-seeking intentions, and <i>n</i> = 14 on treatment barriers). The pooled prevalence of active help-seeking behaviors was 28% (179,915/435,768 individuals; 95% CI: 23%–33%, <i>I</i><sup>2</sup> = 99.6%), and the aggregated prevalence of help-seeking intentions was 41% (62,456/80161 individuals; 95% CI: 26%–58%, <i>I</i><sup>2</sup> = 99.8%). 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Research Review: Help-seeking intentions, behaviors, and barriers in college students – a systematic review and meta-analysis
Background
The prevalence of mental health problems among college students has increased over the past decade. Even when mental health services are available, many students still struggle to access these services. This systematic review and meta-analysis aimed to identify the rates at which students actively seek or consider using formal help and to determine the main reasons for not seeking help.
Methods
A comprehensive literature search was conducted on PubMed, PsycINFO, and Embase to identify studies on help-seeking behaviors, intentions, and barriers to help-seeking among college students with mental health problems. Random effect models were used to calculate the pooled proportions.
Results
Of the 8,919 identified studies, 62 met the inclusion criteria and were included (n = 53 on help-seeking behaviors, n = 21 on help-seeking intentions, and n = 14 on treatment barriers). The pooled prevalence of active help-seeking behaviors was 28% (179,915/435,768 individuals; 95% CI: 23%–33%, I2 = 99.6%), and the aggregated prevalence of help-seeking intentions was 41% (62,456/80161 individuals; 95% CI: 26%–58%, I2 = 99.8%). Common barriers reported by students included a preference to address issues on their own, time constraints, insufficient knowledge of accessible resources, and a perceived lack of need for professional help.
Conclusions
The findings highlight the gap between the mental health needs of the students and their actual help-seeking rates. Although personal barriers are common, systemic or contextual challenges also affect college students' help-seeking behaviors.
期刊介绍：
The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including:
Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents.
Diagnosis: Research on the identification and classification of childhood disorders.
Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health.
Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders.
Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health.
Genetics: Genetic factors contributing to the development of childhood disorders.
JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health.
The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
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