Evidence map›Paper›PMID 41121248›Full record

ArticleBMC psychology2025

Understanding mental health literacy, stigma, and help-seeking attitudes among university students in the Maldives: a mediation analysis.

Mariyam Hudha Hussain, Nur Arfah Binti Zaini

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Family Honor, Gender Norms, and Help-Seeking Shape Mental Health Stigma in Saudi Arabia: A Systematic Review.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mariyam Hudha HussainUniversity of Cyberjaya, Cyberjaya, Malaysia. maryam.hudha09@gmail.com.
Nur Arfah Binti ZainiUniversity of Cyberjaya, Cyberjaya, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite heightened awareness of mental health concerns among university students, considerable disparities remain in their help-seeking behaviors and use of mental health services. Previous research has highlighted the potential role of mental health literacy in shaping help-seeking attitudes and reducing stigma related to seeking mental health help, but there is a lack of empirical data from the Maldives. This study aimed to address this gap by examining the associations between mental health literacy, stigma related to seeking mental health help (self-stigma and societal stigma), and help-seeking attitudes among Maldivian university students. A quantitative cross-sectional design was employed, involving 225 university students aged 18–35 from five tertiary institutions in the Maldives. Data were collected via an online survey comprising demographic questions, the Mental Health Literacy Scale (MHLS), the Stigma Scale for Receiving Psychological Help (SSRPH), the Self-Stigma of Seeking Help Scale (SSOSH), and the Mental Help Seeking Attitudes Scale (MHSAS). Statistical analyses, including multiple linear regression and parallel mediation analysis, were conducted using SPSS. The results showed that higher mental health literacy was positively associated with more favorable help-seeking attitudes and with lower levels of self-stigma and societal stigma related to seeking help. Conversely, greater levels of self-stigma and societal stigma were associated with less favorable help-seeking attitudes. Additionally, self-stigma and societal stigma showed significant statistical mediating associations in the relationship between mental health literacy and help-seeking attitudes. These results underscore the importance of enhancing mental health literacy and addressing help-seeking stigma to support positive attitudes toward seeking help. While the cross-sectional design limits causal inference, this study provides valuable preliminary insights for developing mental health interventions and policies in the Maldives.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracyHelp-Seeking BehaviorMental HealthPatient Acceptance of Health CareSocial StigmaStudentsAdolescentAdultCross-Sectional StudiesFemaleHumansMaldivesMaleMediation AnalysisUniversitiesHelp-seeking attitudesMental health literacyStigmaUniversity students

Identifiers

PMID41121248
PMCPMC12541994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.