Psychological Help‐Seeking Intention Among College Students Across Three Problem Areas
Abstract
The theory of planned behavior (TPB) was used to understand psychological help‐seeking intention for 3 common concerns: anxiety or depression, career choice concerns, and alcohol or drug use. Eight hundred eighty‐nine university students completed surveys for the TPB variables plus belief in personal efficacy and control to solve the problems. Path analysis demonstrated path invariance, indicating that the importance of TPB variables do not vary based on concern in the decision‐making process.
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From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Hess & Tracey, 2013
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From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [78]
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
The theory of planned behavior
Ajzen, I. (1991) · Organizational Behavior and Human Decision Processes · doi:10.1016/0749-5978(91)90020-t · Cited by 90,587 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
(1975) · PhilPapers (PhilPapers Foundation) · Cited by 36,737 · see citing works
(1998) · Cited by 36,049 · see citing works
From Intentions to Actions: A Theory of Planned Behavior
Ajzen, I. (1985) · Action Control · doi:10.1007/978-3-642-69746-3_2 · Cited by 19,057 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
Efficacy of the Theory of Planned Behaviour: A meta‐analytic review
Armitage, C. J., & Conner, M. (2001) · British Journal of Social Psychology · doi:10.1348/014466601164939 · Cited by 9,970 · see citing works
(2010) · Cited by 7,034 · see citing works
(2005) · Cited by 6,097 · see citing works
A Brief Guide to Structural Equation Modeling
Weston, R., & Gore, P. A. (2006) · The Counseling Psychologist · doi:10.1177/0011000006286345 · Cited by 2,718 · see citing works
A Comparison of the Theory of Planned Behavior and the Theory of Reasoned Action
Madden, T. J., Ellen, P. S., & Ajzen, I. (1992) · Personality and Social Psychology Bulletin · doi:10.1177/0146167292181001 · Cited by 2,198 · see citing works
The Influence of Attitudes on Behavior
Albarracin, D., Johnson, B. T., & Zanna, M. P. (2014) · Psychology Press eBooks · doi:10.4324/9781410612823-13 · Cited by 1,933 · see citing works
Help-Seeking and Access to Mental Health Care in a University Student Population
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007) · Medical Care · doi:10.1097/mlr.0b013e31803bb4c1 · Cited by 1,131 · see citing works
The Influence of Attitudes on Behavior
Ajzen, I., Fishbein, M., Lohmann, S., & Albarracín, D. (2018) · Dialnet (Universidad de la Rioja) · doi:10.4324/9781315178103-5 · Cited by 1,060 · see citing works
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007) · Journal of Counseling Psychology · doi:10.1037/0022-0167.54.1.40 · Cited by 965 · see citing works
Seeking help from a mental health professional: The influence of one's social network
Vogel, D. L., Wade, N. G., Wester, S. R., Larson, L., & Hackler, A. H. (2007) · Journal of Clinical Psychology · doi:10.1002/jclp.20345 · Cited by 414 · see citing works
Vogel, D. L., & Wei, M. (2005) · Journal of Counseling Psychology · doi:10.1037/0022-0167.52.3.347 · Cited by 363 · see citing works
Cepeda-Benito, A., & Short, P. (1998) · Journal of Counseling Psychology · doi:10.1037/0022-0167.45.1.58 · Cited by 346 · see citing works
Avoidance of Counseling: Psychological Factors That Inhibit Seeking Help
Vogel, D. L., Wester, S. R., & Larson, L. M. (2007) · Journal of Counseling & Development · doi:10.1002/j.1556-6678.2007.tb00609.x · Cited by 325 · see citing works
Pederson, E. L., & Vogel, D. L. (2007) · Journal of Counseling Psychology · doi:10.1037/0022-0167.54.4.373 · Cited by 278 · see citing works
Suicidal ideation and help‐negation: Not just hopelessness or prior help
Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001) · Journal of Clinical Psychology · doi:10.1002/jclp.1058 · Cited by 260 · see citing works
Sheu, H.-B., & Sedlacek, W. H. (2004) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.2004.11909755 · Cited by 141 · see citing works
Tolma, E. L., Reininger, B. M., Evans, A., & Ureda, J. R. (2006) · Health Education & Behavior · doi:10.1177/1090198105277393 · Cited by 135 · see citing works
Liao, H.-Y., Rounds, J., & Klein, A. G. (2005) · Journal of Counseling Psychology · doi:10.1037/0022-0167.52.3.400 · Cited by 117 · see citing works
Attitudes toward career counseling: The role of public and self-stigma.
Ludwikowski, W. M. A., Vogel, D. L., & Armstrong, P. I. (2009) · Journal of Counseling Psychology · doi:10.1037/a0016180 · Cited by 111 · see citing works
Depressive symptoms and help-seeking intentions in young people
Wilson, C. J., Rickwood, D., & Deane, F. P. (2007) · Clinical Psychologist · doi:10.1080/13284200701870954 · Cited by 103 · see citing works
Rhodes, R. E., & Courneya, K. S. (2005) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2004.04.002 · Cited by 100 · see citing works
Help Seeking for Alcohol Problems in a College Population
Cellucci, T. J., Krogh, J., & Vik, P. W. (2006) · The Journal of General Psychology · doi:10.3200/genp.133.4.421-433 · Cited by 81 · see citing works
Rochlen, A. B., & O'Brien, K. M. (2002) · Psychology of Men & Masculinity · doi:10.1037/1524-9220.3.1.9 · Cited by 59 · see citing works
Black Undergraduate Students Attitude toward Counseling and Counselor Preference.
Duncan, L. E., & Johnson, D. (2007) · College student journal · Cited by 54 · see citing works
The help-seeking in career counseling
Fabio, A. D., & Bernaud, J. (2007) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2007.10.006 · Cited by 53 · see citing works
Predicting College Student Intention to Seek Help for Alcohol Abuse
Codd, R. T., & Cohen, B. N. (2003) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.22.2.168.22877 · Cited by 52 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
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Adams, C., Gringart, E., & Strobel, N. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02034-y · Cited by 115 · see citing works
Help-seeking behaviors and mental well-being of first year undergraduate university students
Goodwin, J., Behan, L., Kelly, P., McCarthy, K., & Horgan, A. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.09.015 · Cited by 103 · see citing works
The relationship of perceived campus culture to mental health help-seeking intentions.
Chen, J. I., Romero, G. D., & Karver, M. S. (2015) · Journal of Counseling Psychology · doi:10.1037/cou0000095 · Cited by 97 · see citing works
Exploring poor sleep, mental health, and help‐seeking intention in university students
Zochil, M. L., & Thorsteinsson, E. (2017) · Australian Journal of Psychology · doi:10.1111/ajpy.12160 · Cited by 87 · see citing works
Depression and Help-Seeking Intention Among Young Adults: The Theory of Planned Behavior
Zorrilla, M. M., Modeste, N., Gleason, P. C., Sealy, D.-A., Banta, J. E., & Trieu, S. L. (2019) · American Journal of Health Education · doi:10.1080/19325037.2019.1616014 · Cited by 53 · see citing works
Bornschlegl, M., Meldrum, K., & Caltabiano, N. J. (2020) · Review of Education · doi:10.1002/rev3.3196 · Cited by 47 · see citing works
Helping older adults to help themselves: the role of mental health literacy in family members
White, M., & Casey, L. M. (2016) · Aging & Mental Health · doi:10.1080/13607863.2016.1206513 · Cited by 46 · see citing works
Examination of the Stigmas Toward Help Seeking Among Turkish College Students
Topkaya, N., Vogel, D. L., & Brenner, R. E. (2017) · Journal of Counseling & Development · doi:10.1002/jcad.12133 · Cited by 37 · see citing works
Using the Theory of Planned Behavior to Predict Korean College Students’ Help-Seeking Intention
Lee, J., & Shin, Y. (2020) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-020-09735-z · Cited by 30 · see citing works
Determinants of Psychological Help-Seeking Intentions of University Students in Ghana
Andoh–Arthur, J., Asante, K. O., & Osafo, J. (2015) · International Journal for the Advancement of Counselling · doi:10.1007/s10447-015-9247-2 · Cited by 28 · see citing works
Deciding on couple therapy: The role of masculinity in relationship help-seeking.
Parnell, K. J., & Hammer, J. H. (2017) · Psychology of Men & Masculinity · doi:10.1037/men0000098 · Cited by 26 · see citing works
Carney, J. V., Liu, Y., & Hazler, R. J. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.07.029 · Cited by 26 · see citing works
Ward‐Ciesielski, E. F., Limowski, A. R., Kreper, S. N., & McDermott, M. J. (2019) · Journal of Counseling & Development · doi:10.1002/jcad.12265 · Cited by 25 · see citing works
Fleming, C. J. E., Lynch, K. A., Hakas, M. B., & Belanger, E. A. (2018) · Journal of Interpersonal Violence · doi:10.1177/0886260518780408 · Cited by 25 · see citing works
Crans, S., Gerken, M., Beausaert, S. A. J., & Segers, M. S. R. (2021) · Career Development International · doi:10.1108/cdi-09-2020-0234 · Cited by 23 · see citing works
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Zhang, Z., & Peng, P. (2023) · Child Development · doi:10.1111/cdev.13962 · Cited by 20 · see citing works
Adams, C., Gringart, E., Strobel, N., & Masterman, P. W. (2021) · Australian Journal of Psychology · doi:10.1080/00049530.2021.1952850 · Cited by 18 · see citing works
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Aruta, J. J. B. R., Maria, A., & Mascarenhas, J. (2022) · Current Psychology · doi:10.1007/s12144-022-03054-6 · Cited by 18 · see citing works
Shea, M., Wong, Y. J., Nguyen, K. K., & Baghdasarian, S. (2017) · The Counseling Psychologist · doi:10.1177/0011000017701820 · Cited by 17 · see citing works
Sandoval-Lucero, E. (2014) · Journal of Educational and Developmental Psychology · doi:10.5539/jedp.v4n2p47 · Cited by 17 · see citing works
Basile, V. T., Newton‐John, T., & Wootton, B. M. (2024) · Journal of Clinical Psychology · doi:10.1002/jclp.23665 · Cited by 15 · see citing works
Hilts, D. N., Park, E., & Liu, Y. (2025) · Journal of Counseling & Development · doi:10.1002/jcad.12555 · Cited by 15 · see citing works
Men in unhappy relationships: Perceptions of couple therapy
Spiker, D. A., Hammer, J. H., & Parnell, K. J. (2018) · Journal of Social and Personal Relationships · doi:10.1177/0265407518775537 · Cited by 14 · see citing works
Ford, P. A., & Keane, C. A. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e29114 · Cited by 11 · see citing works
Hagler, M., Johnson, R., Boags, J., & Snipe, L. (2023) · Journal of College Student Retention Research Theory & Practice · doi:10.1177/15210251231198006 · Cited by 10 · see citing works
Physician referral to a psychologist: Testing alternative behavioral healthcare seeking models
Hammer, J. H., Spiker, D. A., & Perrin, P. B. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22729 · Cited by 10 · see citing works
Mlyakado, B. P., & Li, J. C. M. (2021) · Journal of Interpersonal Violence · doi:10.1177/08862605211023494 · Cited by 9 · see citing works
Наумова, К. (2022) · Psihologija · doi:10.2298/psi210812006n · Cited by 8 · see citing works
White, A. J., Ball, H., & LaBelle, S. (2022) · Journal of American College Health · doi:10.1080/07448481.2022.2060710 · Cited by 8 · see citing works
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Kimura, M. (2017) · The Annual Report of Educational Psychology in Japan · doi:10.5926/arepj.56.186 · Cited by 8 · see citing works
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Fredericks, J., & Samuel, E. (2014) · Cited by 8 · see citing works
Watts, J. R., Lazzareschi, N. R., Warwick, L., & Gaa, M. (2024) · Journal of Counseling & Development · doi:10.1002/jcad.12534 · Cited by 7 · see citing works
Saunders, V., & McArthur, M. (2017) · doi:10.24268/fhs.8339 · Cited by 6 · see citing works
Impact of integrated care and co-location of care on mental help-seeking perceptions
Hammer, J. H., Perrin, P. B., & Spiker, D. A. (2019) · Journal of Mental Health · doi:10.1080/09638237.2019.1581334 · Cited by 6 · see citing works
Asad, S., & Dawood, S. (2024) · International Journal for the Advancement of Counselling · doi:10.1007/s10447-024-09584-x · Cited by 5 · see citing works
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Bamgbade, B. A., Barner, J. C., Ford, K. H., Brown, C. M., Lawson, W. B., & Burdine, K. (2019) · JMIR Research Protocols · doi:10.2196/16267 · Cited by 5 · see citing works
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Parnell, K. J., Spiker, D. A., Johnson, T. A. K., & May, M. B. (2022) · The Journal of Sex Research · doi:10.1080/00224499.2022.2029808 · Cited by 5 · see citing works
– The IAFOR Conference on Educational Research and Innovation: 2022 Official Conference Proceedings
(2022) · IAFOR Conference on Educational Research & Innovation official conference proceedings · doi:10.22492/issn.2435-1202.2022 · Cited by 5 · see citing works
Николаевна, К. С., Zinovyeva, E. V., & Beykina, A. (2015) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2014.12.606 · Cited by 4 · see citing works
Fleming, C. E., Belanger, E. A., & Bonanno, K. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1776295 · Cited by 4 · see citing works
Shaikh, A. N., Flynn, L., Isaac, A. J., Prince, A., Burgan, M., & Coleman, J. S. (2024) · Journal of Addictions & Offender Counseling · doi:10.1002/jaoc.12131 · Cited by 4 · see citing works
Yee, T., & Smith, R. P. (2021) · Journal of International Students · doi:10.32674/jis.v12i1.3327 · Cited by 4 · see citing works
Tingzhen, Y., Zubir, A., & Faudzi, F. N. M. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.106021 · Cited by 3 · see citing works
Jung, M. S., & Dlamini, N. S. (2024) · Public Health Nursing · doi:10.1111/phn.13477 · Cited by 3 · see citing works
Olagoke, A. A., Caskey, R. N., Floyd, B., Hebert‐Beirne, J., Boyd, A. D., & Molina, Y. (2021) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2021.2006027 · Cited by 3 · see citing works
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Castillo, L. P. D., & Alicia, L. (2017) · Cited by 3 · see citing works
Psychometric Properties of the Mental Health Help-Seeking Scale Among Nursing Students
Almogheer, Z. S., Okoli, C. T. C., Schuman, D. L., Rayens, M. K., & Moser, D. K. (2025) · Nursing Education Perspectives · doi:10.1097/01.nep.0000000000001486 · Cited by 2 · see citing works
Mlyakado, B. P., Li, J. C. M., & Jia, C. X. (2023) · Children and Youth Services Review · doi:10.1016/j.childyouth.2023.107129 · Cited by 2 · see citing works
The Support to Improve Self Efficacy and Healing of Drugs Addict
Rosdiana, R., Murti, B., Wijaya, M., & Suwarto, S. (2016) · International Journal of Public Health Science (IJPHS) · doi:10.11591/.v5i4.4830 · Cited by 2 · see citing works
Understanding the social side of learning
Crans, S. (2023) · doi:10.26481/dis.20230921sc · Cited by 2 · see citing works
Alcohol help-seeking intentions among sexual minority college students
Owens, C., Flores, S. A., & Montemayor, B. N. (2026) · Journal of American College Health · doi:10.1080/07448481.2025.2603406 · Cited by 1 · see citing works
THE EFFECT OF PARENTING STYLES ON ACADEMIC SELF-EFFFICACY, RESILIENCE, AND HELP SEEKING
González, A. S. (2017) · ScholarWorks (Central Washington University) · Cited by 1 · see citing works
Monahan, M. F. (2018) · Digital Commons - University of South Florida (University of South Florida) · Cited by 1 · see citing works
Help-Seeking Behavior for Mental Health Concerns among Indian young adultsPreprint
Jindal, S., Budhraja, M., & Ghosh, S. (2024) · doi:10.31234/osf.io/gavuw · Cited by 1 · see citing works
Kang, J. Y. (2016) · Purdue e-Pubs (Purdue University System)
The Influence of Living Situation on Help-Seeking Behaviors of Undergraduate Students.
Pierce, E., & Palmer, K. (2019) · Undergraduate Research Journal
Indovina, T. P. O., Ægisdóttir, S., & Lee, N. A. (2025) · Journal of Couple & Relationship Therapy · doi:10.1080/15332691.2025.2500945
Vatandoost, S., Baetens, I., Azadfar, Z., & Heel, M. V. (2025) · Youth Justice · doi:10.1177/14732254251369835
Adams, C., Gringart, E., & Strobel, N. (2022) · Figshare · doi:10.6084/m9.figshare.20462200
Adams, C., Gringart, E., & Strobel, N. (2022) · Figshare · doi:10.6084/m9.figshare.20462203
Syakarofath, N. A., & Widyasari, D. C. (2026) · Jurnal Ilmiah Psikologi Terapan · doi:10.22219/jipt.v14i1.41099
Park, E., Hilts, D. N., & Liu, Y. (2026) · Journal of Psychologists and Counsellors in Schools · doi:10.1177/20556365261450639
Anugrah, M. R., Ispa Rimadanti, M., & Alwiah, N. (2026) · School Mental Health · doi:10.1007/s12310-026-09890-2
Responding to Trauma: Help-Seeking Behavior and Posttraumatic Growth in a College Sample
Burrick, A. J. (2014) · OpenCommons - UConn (University of Connecticut)
- Authors
- Hess, T. R., & Tracey, T. J. G.
- Affiliations
- Ball State University (US)
- Arizona State University (US)
- Corresponding author
- Hess, Timothy R.
- Venue
- Journal of Counseling & Development
- Publisher
- Wiley
- Published
- 2013-06-07
- Volume
- 91
- Issue
- 3
- Pages
- 321-330
- ISSN
- 0748-9633 (ISSN-L)
- 1556-6676
- OpenAlex
- W2036820628
- Cited by
- 65
- References
- 34
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 4 · 2022: 8 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 8 · 2016: 4 · 2015: 3 · 2014: 3
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Counseling & Development (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- theory of planned behavior, university students, anxiety, depression, alcohol consumption, drug use, perceived behavioral control
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