Stigma, Depression, and Attitudes Towards Seeking Psychological Help Among Nurses: The Role of Personal Stigma as an Inconsistent Mediator

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dc.contributor.authorErcel, Nihan Ozel
dc.contributor.authorDuru, Hilal Altundal
dc.contributor.authorTemel, Gulhan
dc.contributor.authorYilmaz, Mualla
dc.contributor.authorColak, Cemil
dc.date.accessioned2026-04-04T13:33:22Z
dc.date.available2026-04-04T13:33:22Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractRationale: Identifying whether perceived stigma or personal stigma more significantly affects nurses' attitudes towards seeking psychological help is essential for effectively addressing current challenges and facilitating early intervention for the well-being of nurses and their patients. Aims and Objectives: The aim of this study was to explore the mediating roles of personal stigma and depression in the relationship between perceived stigma among nurses and their attitudes towards seeking psychological help. Methods: The sample of this descriptive cross-sectional study consisted of 302 nurses working in a university hospital in southern Turkey, selected using the purposive sampling method, between April 1 and May 1, 2021. Data collection tools were Personal Information Form, Attitudes Towards Seeking Psychological Help Scale-Short Form, Depression Stigma Scale, and Beck Depression Inventory. The data were analyzed using SPSS version 26.0. Correlation and regression analyzes were used to examine the relationships between attitudes towards seeking psychological help, personal stigma, perceived stigma, and Beck depression levels. Mann-Whitney U and Kruskal-Wallis tests were employed to compare scale scores across socio-demographic variables. The mediation models were tested with variables such as perceived stigma, personal stigma, and Beck depression levels as mediators. Results were presented with 95% confidence intervals, and significance was set at p < 0.05. Results: Attitudes towards seeking psychological help were negatively influenced by nurses' stigma levels, especially, by personal stigma levels. Additionally, nurses' attitudes were positively influenced by their unit of work and the presence of a chronic illness, while being male and experiencing higher levels of personal stigma had a negative impact. No significant relationships were found between perceived stigma, personal stigma, and depression levels. Conclusion: High levels of personal stigma negatively affect attitudes towards seeking psychological help; however, when considered alongside working in oncology and having a chronic illness, the impact of personal stigma becomes positive. Future research should delve deeper into these dynamics to develop targeted strategies for reducing personal stigma and enhancing help-seeking behaviors among nurses. Interventions are necessary to foster positive help-seeking attitudes among nurses and reduce stigma. Aligned with the findings of this study, training and awareness initiatives aimed at improving mental health literacy among nurses can play a pivotal role in reducing stigma and encouraging proactive use of mental health resources.
dc.identifier.doi10.1111/jep.14272
dc.identifier.issn1356-1294
dc.identifier.issn1365-2753
dc.identifier.issue1
dc.identifier.orcid0000-0002-2835-6979
dc.identifier.orcid0000-0001-8506-7623
dc.identifier.orcid0000-0001-6186-0280
dc.identifier.orcid0000-0001-5406-098X
dc.identifier.pmid39764655
dc.identifier.scopus2-s2.0-85214230484
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1111/jep.14272
dc.identifier.urihttps://hdl.handle.net/11616/109094
dc.identifier.volume31
dc.identifier.wosWOS:001391352900001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of Evaluation in Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
dc.subjectdepression
dc.subjectmultiple mediation analysis
dc.subjectnursing
dc.subjectseeking psychological help
dc.subjectstigma
dc.titleStigma, Depression, and Attitudes Towards Seeking Psychological Help Among Nurses: The Role of Personal Stigma as an Inconsistent Mediator
dc.typeArticle

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