The Role of Stigma in Parental Help-Seeking for Child Behavior Problems
Abstract
The present study examined the relationship between stigma and parental help-seeking after controlling for demographics, child behavior, and barriers to treatment. One hundred fifteen parents of children ages 4 to 8 years were surveyed during well-child visits in a rural pediatric primary care practice. Parental perceptions of stigma toward parents and children were both assessed. Parents believe that children are more likely to be stigmatized by the public and personally impacted by stigma. In linear regression analyses, parents rated themselves as more likely to attend parenting classes with lower levels of self-stigma and greater levels of personal impact of stigma. Stigma toward the child was not associated with help-seeking. Child behavior moderated the relationship between stigma and parental help-seeking. When referring parents to treatment, providers should address potential stigma concerns. Future research should assess both the impact of the stigma of attending treatment and the stigma of having a child with behavior problems.
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Stigma associated with receiving mental health intervention is a significant obstacle for children, as children are more likely to be stigmatized by others for help-seeking behaviors compared with parents.
“Stigma associated with receiving mental health intervention is another significant obstacle for children [14, 15], as children are more likely to be stigmatized by others for help-seeking behaviors, compared with parents [14].”
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- Authors
- Dempster, R., Wildman, B., & Keating, A.
- Affiliations
- Nationwide Children's Hospital (US)
- Kent State University (US)
- Cleveland Clinic (US)
- Corresponding author
- Dempster, Robert
- ORCID
- Dempster, Robert
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2013-01
- Volume
- 42
- Issue
- 1
- Pages
- 56-67
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W2025861467
- Cited by
- 96
- References
- 64
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 13 · 2021: 7 · 2020: 9 · 2019: 8 · 2018: 1 · 2017: 10 · 2016: 6 · 2015: 13 · 2014: 4 · 2013: 4
- FWCI
- 13.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- stigma, parental help-seeking, child behavior problems, self-stigma, parenting classes, barriers to treatment, well-child visits
- MeSH terms
- Adult, Attitude to Health, Child, Child Behavior, Child Behavior Disorders, Child, Preschool, Communication Barriers, Female, Humans, Male, Parents, Patient Acceptance of Health Care, Social Perception, Social Support, Parenting, Social Stigma
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