本研究旨在探討大學生「憂鬱情緒」、「自尊」、「揭露預期效益」、「揭露預期風險」、「求助社會污名」、「求助自我污名」等求助內在知覺與「求助態度」之間的關係。並探討 (1)不同性別在各變項之間差異的情形 (2)各變項對「求助態度」分別具有預測力 (3)「自尊」在「憂鬱情緒」與求助內在知覺各變項是否扮演中介角色 (4) 求助內在知覺各變項在「自尊」與「求助態度」是否扮演中介角色 (5)不同性別在「憂鬱情緒」、「自尊」與求助內在知覺各變項對「求助態度」路徑的差異。
以東台灣與北台灣之公私立666位大學生為受測對象，進行問卷調查。研究工具包含自尊量表(SES)、流行病學研究中心憂鬱量表(CES-D)、求助社會污名量表（SSRPH）、求助自我污名量表(SSOSH)、求助態度量表(ATSPPH-SF)與揭露預期量表(DES)等六部份。
研究結果如下：(1)不同性別的大學生只在「揭露預期風險」、「揭露預期效益」、「求助態度」有顯著差異；在「自尊」、「憂鬱情緒」、「求助社會污名」、「求助自我污名」沒有顯著差異 (2)「憂鬱情緒」、「自尊」、「維持自我信心」、「減低自我感」與「揭露預期效益」對「求助態度」分別具有預測力 (3)「自尊」在「憂鬱情緒」與求助內在知覺的「揭露預期效益」、「揭露預期風險」、「求助自我污名化」扮演中介角色 (4) 求助內在知覺的「揭露預期效益」、「揭露預期風險」、「求助社會污名化」「求助自我污名化」在「自尊」與「求助態度」扮演中介角色 (5) 不同性別在「憂鬱情緒」、「自尊」與求助內在知覺的各變項對「求助態度」的影響路徑不同。並提出具體建議，以作為教育、輔導人員及未來研究者的參考。

This present study aims to explore the relationships between help-seeking attitudes and internal perceptions, i.e., depression, self-esteem, anticipated risk/benefit of self-disclosure, social stigma, and self-stigma, in college students in Taiwan. Specifically, this study examined (1) gender differences in the variables, (2) the predictive power of each predictors in help-seeking attitudes, (3) the mediating effect of self-esteem on the relationship between depression and internal perceptions, (4) the mediating effect of internal perceptions on the relationship between depression and self-esteem, and (5) to explore the difference path way of gender on the relationships among depression, self-esteem and internal perceptions how to relate their help-seeking attitudes.
Measurements of all the variables were administered to 666 students from private and public colleges in eastern and northern Taiwan. The scales used included the Center for Epidemiologic Studies Depression ( CES-D ), Rosenberg Self-Esteem Scale, Self-Stigma of Seeking Help ( SSOSH ), Social Stigma for Seeking Psychological Help scale ( SSRPH ), Disclosure Expectations Scale ( DES ), and Attitudes Toward Seeking Professional Psychological Help Scale-Short Form ( ATSPPH-SF ).
The major findings of this study are: (1) there were significant gender differences in anticipated risk/benefit of self-disclosure, and help-seeking attitudes; no gender difference was found for depression, self-esteem, social stigma and self-stigma; (2) depression, self-esteem, self-stigma (include maintaining self-confidence and decreasing self-efficacy) and anticipated benefit of self-disclosure are significant predictors of help-seeking attitudes; (3) self-esteem significantly mediated the effect of depression on anticipated risk/benefit of self-disclosure, and self-stigma; (4) anticipated risk/benefit of self-disclosure, social stigma, and self-stigma mediated the effect of self-esteem on help-seeking attitudes; (5) gender difference was found there were discriminate path way on the relationships among depression, self-esteem and internal perceptions to relate their help-seeking attitudes. Implications of the findings for educators, counselors and future research were discussed.

參 考 文 獻

一、中文部份

孔繁鐘、孔繁錦譯（1999）。精神疾病診斷準則手冊（DSM-IV）。台北：合計圖書出版社。
王韻齡、許文耀（2006）。以「素質-壓力」模式探討中學生自殺危險因子。北市醫學雜誌，3卷，11，65-77。
江逢維（2004）。台北市大學生休閒無聊感與憂鬱傾向之相關研究。國立臺灣師範大學公民訓育研究所碩士論文，未出版，台北市。
行政院衛生署（2008年8月）。96年度死因統計。線上檢索日期：2008年12月。網址：http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=10326&class_no=440&level_no=3
余德慧、古碧玲（1987）。中國人的情面焦慮--中國人的面具性格。台北：張老師出版社。
吳 珍（1995）。大學生對不同性別、不同問題類型受輔者態度研究。國立彰化師範大學輔導研究所碩士論文，未出版，彰化市。
吳元蓉（2005）。大學生憂鬱、人際親密與自尊之相關研究。國立彰化師範大學輔導與諮商學系所碩士論文，未出版，彰化市。
李柏英（1985）。大學生之求助態度與求助行為及其相關變項。國立台灣大學心理研究所碩士論文，未出版，台北市。
周玉真（1998）。社區諮商個案之人口特徵與問題分析－以彰化師大社區心理諮商中心為例。中華輔導學報，6，89-113。
周玉真（2002）。成人個案求助心理諮商之問題內容分析。彰化師大輔導學報，23，49-76。
周立勳（1996）。誰較有可能問問題？國小學童課業尋助相關因素之分析。嘉義師範學報，10，261-295。
林杏足（1997）。諮商中當事人自尊改變歷程之分析研究。國立彰化師範大學輔導學系博士論文，未出版，彰化市。
林幸台（1979）。大學生求助態度之研究。輔導學報，2，155-171。
林清文（2003）。自尊。教育研究月刊，116，142-143。
林渝榛、吳筱婷（2003）。出生序、家庭社經地位、自尊對國小兒童情緒穩定和同儕關係之影響研究。台南師院學生學刊，25，1-26。
林美李 (2003)。台北市高中生憂鬱程度及其相關因素。國立台北護理學院護理研究所碩士論文，未出版，台北市。
林家興、陳玉芳、葉雅馨、徐佳玲與孫正大（2008）。「董氏憂鬱量表（大專版）」編製研究。測驗學刊，55（3），509-533。
夏 敏（2000）。大學生對諮商服務的知覺暨影響求助意願因素之探討。國立彰化師範大學諮商輔導研究所碩士論文，未出版，彰化市。
袁之琦、游恆山（1993）。心理學名詞辭典（第三版）。台北：五南。
郝志紅、梁寶勇（2007）。大學生尋求專業性心理幫助態度的預測因素研究。中國臨床心理學雜誌， 15（3），321-325。
康維芬（2005）。大學生家庭功能、父母教養方式與憂鬱傾向之關係研究。國立高雄師範大學教育學系碩士論文，未出版，高雄市。
張春興（1999）。教育心理學。台灣：東華。
張春興（2004）。張氏心理學辭典（七版）。台北：東華。
張虹雯、陳金燕（2004）。諮商當事人求助行為之分析研究－以彰師社諮中心為例。彰化師大輔導學報，26（2），57-86。
張笠雲（2002）。醫療與社會：醫療社會學的探索。台北：巨流。
張學善（1988）。專科生對心理疾病的概念與求助態度之相關研究。國立彰化師範大學碩士論文，未出版，彰化市。
郭國禎（1986）。我國大專學生求助需欲與求助態度之調查研究。輔導學報，9，165-203。
郭靜靜 (2004)。青少年憂鬱傾向、生活壓力、冒險行為對其婚前性行為影響之研究。中國文化大學生活應用科學研究所碩士論文，未出版，台北市。
陳玉芳（2005）。青少年憂鬱概念、憂鬱程度與求助態度之相關研究。國立臺灣師範大學教育心理與輔導學系碩士論文。
陳若璋（1988）。大學生憂鬱症病理發展模式的探討。中華心理衛生學刊，4（1），75-90。
陳清泉（1989）。大學生生活壓力、認知型態與憂鬱傾向相關之研究。國立台灣師範大學教育心理與輔導研究所碩士論文，未出版，台北市。
陳淑娟（1999）。國中學生行為困擾、求助態度與求助偏好之研究。國立高雄師範大學教育研究所碩士論文，未出版，高雄市。
程小蘋、陳珍德（2001）。大學生求助心態之分析研究。彰化師大輔導學報，22，49-88。
程小蘋、賀孝銘、李華璋（1996）。彰化師大學生輔導印象之調查研究。國立彰化師範大學學報，19，29-59。
程玲玲（1987）。台灣大學生的心理求助歷程之探討。中華心理衛生學刊，3（1），125-138。
賀孝銘（1988）。中部地區高中生的困擾問題與求助態度。國立彰化師範大學輔導研究所碩士論文，未出版，彰化市。
黃惠貞 (2003)。某大專院校學生靈性健康、知覺壓力與憂鬱之相關研究。國立臺灣師範大學衛生教育研究所碩士論文，未出版，台北市。
黃進南（1994）。專科學生對諮商服務的認識程度與求助態度之調查研究。國立彰化師範大學輔導研究所碩士論文，未出版，彰化市。
黃碧華（2006）。台中縣兩所高中職女學生生活事件、人格特質與憂鬱症狀相關之研究。南華大學生死學系研究所碩士論文，未出版，嘉義縣。
楊志偉（2005）。大專青少年憂鬱症與自殺防治-以認知及團體心理治療介入模式。行政院衛生署95年度科技研究計畫（編號：DOH95-TD-M-113-057），未出版。
楊浩然（2002）。青少年憂鬱疾患及憂鬱症狀之追蹤研究。國立台灣大學流行病學研究所博士論文，未出版，台北市。
楊順南(1995)。憂鬱理論的整合研究—認知取向。國立政治大學教育研究所碩士論文，未出版，台北市。
葉真秀（2003）。高中生完美主義傾向、解釋風格與憂鬱程度之關係──以台中縣市六所高中為例。國立台中師範學院碩士論文未出版，台中市。
葉雅馨、林家興（2006）。台灣民眾憂鬱程度與求助行為的調查研究。中華心理衛生學刊，19（2），125-148。
董氏基金會(1999年2月) 。大台北地區在學青少年對憂鬱與憂鬱症認知與現況調查。線上檢索日期：2008年8月。網址：http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=57&Page=2
董氏基金會(2004年9月) 。青少年日常生活、網路使用與憂鬱傾向之相關性調查。線上檢索日期：2008年8月。網址：http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=64&Page=1
董氏基金會（2007年10月）。大學生憂鬱情緒與求助行為之相關性調查。線上檢索日期：2008年6月。網址：http://www.jtf.org.tw/psyche/melancholia/survey.asp?This=68&Page=1
董氏基金會（2009年4月）。罹患憂鬱症的青少年多數在治療後能痊癒。線上檢索日期：2008年5月。網址：http://www.jtf.org.tw/psyche/melancholia/news.asp?This=214&Page=1
董華欣（1993）。影響大學生尋求專業心理輔導意願之因素探討。國立政治大學教育研究所碩士論文，未出版，台北市。
董華欣、鐘思嘉（1993）。影響大學生尋求專業心理輔導意願之因素探討。中華輔導學報，1，158-191。
詹美涓（1991）。青少年知覺之父母支持與青少年自我價值之相關研究。國立台灣師範大學家政教育研究所碩士論文，未出版，台北市。
趙芳玫（2002）。高中職學生的焦慮與憂鬱傾向之探討──以台北縣地區為例。國立台北大學碩士論文，未出版，台北市。
蔣桂嫚（1993）。高中學生生活壓力、因應方式與身心健康關係之研究。國立高雄師範大學碩士論文，未出版，高雄市。
藍采風（2000）。壓力與適應。台北：幼獅。
蘇曉憶（2005）。青少年親子關係、完美主義、自尊與其憂鬱傾向之相關研究。國立高雄師範大學輔導與諮商研究所碩士論文，未出版，台北市。

二、英文部份

Abela, J. R., Webb, C. A., Wagner, C., Ho, M. H., & Adams, P. (2006). The role of self-criticism, dependency, and hassles in the course of depressive illness: a multiwave longitudinal study. Personality and Social Psychology Bulletin, 32, 328–338.
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help-seeking. American Psychologist, 58, 5–14.
Allison, S., Roeger, L., Martin, G., & Keeves, J. (2001). Gender differences in the relationship between depression and suicidal ideation in young adolescents. Australian and New Zealand Journal of Psychiatry, 35, 498-503.
Andrews, G., Issakidis, C., & Carter, G. (2001). Shortfall in mental health service utilization. British Journal of Psychiatry, 179, 417–425.
Barney, L.J, Griffiths, K. M, & Jorm, A. F. ＆Christensen, H. (2006). Stigma about depression and its impact on help-seeking intentions. The Australian and New Zealand journal of psychiatry, 40(1),51-4.
Bayer, J. K., & Peay, M. Y. (1997). Predicting intentions to seek help from professional mental health services. Australian and New Zealand Journal of Psychiatry, 31, 504–513.
Beck, A. T. (1997). The past and future of cognitive therapy. Journal of Psychotherapy Practice and Research, 6, 276-284.
Beck, A. T., Rush, A. J., Shaw, B. S., Emery, G.(1979). Cognitive therapy of depression. New York: G.T. Putnam's Sons.
Ben-Porath, D. D.（2002）. Stigmatization of individuals who receive psychotherapy: an interaction between help-seeking behavior and the presence of depression. Journal of Social and Clinical Psychology, 21(4), 400-413.
Berger, J. M., Levant, R., McMillan, K. K., Kelleher, W., & Sellers, A. (2005). Impact of gender role conflict, traditional masculinity ideology, alexithymia, and age on men’s attitudes toward psychological help seeking. Psychology of Men & Masculinity, 6(1), 73-78.
Blankertz, L. (2001). Cognitive components of self-esteem for individuals with severe mental illness. American Journal of Orthopsychiatry, 71, 99–106.
Block, J. H., Gjerde, P. F., & Block, J. H. (1991). Personality antecedents of depressive tendencies in 18-year-olds: a prospective study. Journal of Personality and Social Psychology, 60, 726–738.
Boldero, J., & Fallon, B. (1995). Adolescent help seeking: what do they get help for and from whom? Journal of Adolescence, 18(2), 193-209.
Bornstein, R. F , Krukonis, A. B., Manning, K. A., Mastrosimone, C. C, & Rossner, S. C. (1993). Interpersonal dependency and health service utilization in a college student sample. Journal of Social and Clinical Psychology, 12, 262-297.
Butler, A., Chapman, J., Forman, E., & Beck, A. (2006). The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clinical Psychology Review, 26, 17-31.
Cameron , J. J., Holmes, J. G., & Vorauer, J. D., (2009).When self-disclosure goes awry: negative consequences of revealing personal failures for lower self-esteem individuals. Journal of Experimental Social Psychology, 45(1), 217-222.
Carlton, P. A., & Deane, F. P. (2000). Impact of attitudes and suicidal ideation on adolescents’ intentions to seek professional psychological help. Journal of Adolescence, 23, 35-45.
Cepeda-Benito, A., & Short, P. (1998). Self-concealment, avoidance of psychological services, and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45, 58–64.
Chandra, A., & Minkovitz, C. S. (2006). Stigma starts early: gender differences in teen willingness to use mental health services. Journal of Adolescent Health, 38, 754.e1–754.e8. 線上檢索日期：2008年9月。網址：http://www.sciencedirect.com/science
Chandra, A., ＆ Minkovitz, C. S. (2007). Factors that influence mental health stigma among 8th grade adolescents. Journal of Youth Adolescence, 36, 763-774.
Chang, H. (2007). Depressive symptom manifestation and help-seeking among Chinese college students in Taiwan. International Journal of Psychology,42(3), 200-206.
Chang, H.(2007a). Psychological distress and help-seeking among Taiwanese college students: role of gender and student status. British Journal of Guidance & Counselling, 35(3), 347-355.
Chang, H.(2007b). Depressive symptom manifestation and help-seeking among Chinese college students in Taiwan. International Journal of Psychology, 42(3), 200-206.
Chang, H.,( 2008). Help-seeking for stressful events among Chinese college students in Taiwan: roles of gender, prior history of counseling, and help-seeking attitudes. Journal of College Student Development, 49(1), 41-51.
Chien, C. P., & Cheng, T. A. (1985). Depression in Taiwan: epidemiological surveyutilizing CES-D. Bulletin of Japanese Society of Neurology and Psychiatry, 87, 335-338.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.
Corrigan, P. W. (2005). Strategies for assessing and diminishing self-stigma. In P. W. Corrigan(Ed.), On the stigma of mental illness: Practical strategies for research and social change (pp. 239-256). Washington, DC: American Psychological Association.
Corrigan, P. W., & Watson, A. C.（2002）.Understanding the impact of stigma on people with mental illness.University of Chicago Center for Psychiatric Rehabilitation and Chicago Consortium for Stigma Research, 7230 Arbor Drive, Tinley Park, IL 60477。線上檢索日期：2009年4月。網址：https://www.familyvillage.wisc.edu/EVENTS/ethics/Corrigan_Stigma_WP_2002.pdf
Cramer, K. M. (1999). Psychological antecedents to help-seeking behavior : a reanalysis using path modeling structures, Journal of counseling psychology, 46(3), 381-387.
Crisp, A., Gelder, M. G., Rix, S., Meltzer, H. I., & Rowlands, O. J.（2000）. Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177,4-7.
Crocker, J., Major, B., Testa, M., & Voelkl, K. (1991). Social stigma: the affective consequences of attributional ambiguity. Journal of Personality and Social Psychoiogy, 60, 218-228.
Cusack, J., Deane, F. P., Wilson, C. J., ＆ Ciarrochi, J.(2006). Emotional expression, perceptions of therapy, and help-seeking intentions in men attending therapy services. Psychology of Men & Masculinity, 7(2), 69-82.
Dafar, S., & Friedlander, M. L. (1982). Differential attitudes of international students toward seeking professional psychological help. Journal of Counseling Psychology, 29(3), 335-338.
Deane, F. P., & Chamberlain, K. (1994). Treatment fearfulness and distress as predictors of professional psychological help-seeking. British Journal of Guidance and Counseling, 22, 207–217.
Deane, F. P., & Todd, D. M. (1996). Attitudes and intentions to seek professional psychological help for personal problems or suicidal thinking. Journal of College Student Psychotherapy, 10, 45–59.
Kahn, J. H., & Hessling, R. M. (2001). Measuring the tendency to conceal versus disclose psychological distress. Journal of Social and Clinical Psychology, 20, 41–65.
Dishman, R. K., Hales, D. P., Pfeiffer, K. A., Felton, G., Saunders, R., Ward, D. S., Dowda, M. & Pate, R. R.(2006).Physical self-concept and self-esteem mediate cross-sectional relations of physical activity and sport participation with depression symptoms among adolescent girls. Health Psychology, 25(3), 396-407.
Donnellan, M. B., Trzesniewski, K. H., Robins, R. W., Moffitt, T. E., & Caspi, A. (2005). Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychological Science, 16, 328–335.
Edmondson, F. S.(1995).Effects of a faculty mentoring program on African-American and Hispanic-American college students: self-disclosure, self-esteem, solidarity, and academic achievement. University of the Pacific.
Elhai, J.D., Schweinle. W., & Anderson, S. M.（2008）. Reliability and validity of the attitudes toward seeking professional psychological help scale-short form. Psychiatry Research , 159(3), 320-329.
Erin L. Pederson, David L. Vogel（2007）.Male gender role conflict and willingness to seek counseling: testing a mediation model on college-aged men . Journal of Counseling Psychology, 54(4), 373-384.
Farber, B. A. (2006).Book review: self-disclosure in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 44(3), 361-362.
Farber, B. A., Berano, K. C., & Capobianco, J. A. (2004). Clients' perceptions of the process and consequences of self-disclosure in psychotherapy. Journal of Counseling Psychology, 51(3), 340-346.
Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: a shortened form and considerations for research. Journal of College Student Development, 36, 368-373.
Fischer, E. H.,＆Turner, J. L. (1970). Orientations to seeking professional help：development and research utility of an attitude scale. Journal of Consulting and clinical Psychology, 35, 79-90.
Galambos, N. L., Barker, E. T., & Krahn, H. J.(2006).Depression, self-esteem, and anger in emerging adulthood: seven-year trajectories. Developmental Psychology, 42(2), 350-365.
Garland, A.F., ＆ Zigler, E.F. (1994). Psychological correlates of help-seeking attitudes among children and adolescents. American Journal of Orthopsychiatry, 64(4), 586–593.
Gonzalez, J. M., Alegria, M., & Prihoda, T. J. (2005). How do attitudes toward mental health treatment vary by age, gender, and ethnicity/race in young adults? Journal of Community Psychology, 33, 611–629.
Good, G. E., & Wood, P. K. (1995). Male gender role conflict, depression, and help seeking: do college men face double jeopardy. Journal of Counseling and Development, 74, 70-74.
Greiger, R. (1975), “Self-concept, self-esteem and rational emotive theory: a brief perspective. Rational Living, 10(1), 13-17.
Halgin, R. P., Weaver, D. D., Edell, W. S., & Spencer, P. G. (1987). Relation of depression and help-seeking history to attitudes toward seeking professional psychological help. Journal of Counseling Psychology, 34(2), 177-185.
Halter, M. J.（2004）.Stigma and help seeking related to depression: a study of nursing students. Journal of psychosocial nursing and mental health services, 42(2), 42-51.
Hankin, B. L., Lakdawalla, Z., Carter, I. L., Abela, J. R. Z., & Adams, P. (2007). Are neuroticism, cognitive vulnerabilities and self-esteem overlapping or distinct risks for depression? evidence from exploratory and confirmatory factor analyses. Journal of Social and Clinical Psychology, 26, 29–63.
Hickie-AM, I.B., Davenport, T. A., Luscombe, G.M., Rong, Y., Hickie, M. L., & Bell, M. I.（2007）.The assessment of depression awareness and help-seeking behaviour: experiences with the international depression literacy survey. BMC psychiatry, 7(48).檢索日期：2009年3月。網址：http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2080627
Hill, C. E., Thompson, B. J., Cogar, M. C, & Denman, D. W. (1993). Beneath the surface of long-term therapy: therapist and client report of their own and each other's covert process. Journal of Counseling Psychology, 40, 278-287.
Hinson, J. A., & Swanson, J. L. (1993). Willingness to seek help as a function of self-disclosure and problem severity. Journal of Counseling and Development, 71, 465–470.
Holden, C. (2000). Global survey examines impact of depression. Science, 288, 39-40.
Horesh, N., & Apter, A.（2006）.Self-disclosure, depression, anxiety, and suicidal behavior in adolescent psychiatric inpatients.Crisis:The Journal of Crisis Intervention and Suicide Prevention, 27(2), 66-71.
Horwath, E., Johnson, J., Klerman, G. L., & Wessman, M. M.(1992). Deprssive symptom as relative and attributable risk factors for first-onset major depression. Archives General Psychiatry, 49, 817-823.
Hu, H. C. (1944). The Chinese concepts of “face.” American Anthropologist, 46, 45–64.
Joiner, T. E. (1995). The price of soliciting and receiving negative feedback: self-verification theory as a vulnerability to depression theory. Journal of Abnormal Psychology. 104(2), 364-372.
Joiner, T. E. (2000). Depression’s vicious scree: Self-propagating and erosive processes in depression chronicity. Clinical Psychology: Science and Practice, 7, 203–218.
Kahn, J. & Hessling, R. M. (2001). Measuring the tendency to conceal versus disclose psychological distress. Journal of Social and Clinical Psychology, 20, 41–65.
Kanter, J.W., Rusch, L. C., & Brondino, M. J.(2008). Depression self-stigma: a new measure and preliminary findings. The Journal of Nervous and Mental Disease, 196(9), 663-670.
Karabenick, S. A., & Knapp, J. R. (1991). Relationship of academic help seeking to the use of learning strategies and other instrumental achievement behavior in college students. Journal of Educational Psychology, 83, 221-230.
Karabenick, S., A., & Knapp, J. R. (1988). Help seeking and the need for academic assistance. Journal of Educational Psychology, 80, 406-408.
Kashani, J. H., Rosenberg, T. K., & Reid, J. C. (1989). Developmental perspectives in child and adolescent depressive symptoms in a community sample. American Journal of Psychiatry, 146, 871-875.
Katayama, M.（1996）.The relationship between self-esteem and self-disclosure of negative information. The Japanese journal of psychology, 67 (5), 351-8.
Kelly, A. E. (1998). Clients' secret keeping in outpatient therapy. Journal of Counseling Psychology, 45, 50-57.
Kelly, A. E., & Achter, J. A. (1995). Self-concealment and attitudes toward counseling in university students. Journal of Counseling Psychology, 42, 40-46.
Kessler, R. C., Brown, R. L., & Boman, C. L. (1981). Sex differences in psychiatric help-seeking: evidence from four large-scale surveys. Journal of Health and Social Behavior, 22, 49–64.
Kim, B. S. K., & Omizo, M. M.（2003）.Asian cultural values, attitudes toward seeking professional psychological help, and willingness to see a counselor.The Counseling Psychologist, 31(3), 343-361.
Komiya, N., Good, G. E., & Sherrod, N. B.(2000). Emotional openness as a predictor of college students' attitudes toward seeking psychological help. Journal of Counseling Psychology, 47(1), 138-143.
Kovacs, M., & Goldston, D. (1991). Cognitive and social cognitive development of depressed children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 388-392.
Kushner, M. G., & Sher, K. J. (1989). Fear of psychological treatment and its relationship to mental health service avoidance. Professional Psychology: Research and Practice, 20, 251-257.
Lakey, B. (1988). Self-esteem, control beliefs, and cognitive problem solving skill as risk factors in the development of subsequent dysphoria. Cognitive Therapy and Research, 12, 409–420.
Lara, M. E., Klein, D. N.(1999). Psychosocial processes underlying the maintenance and persistence of depression: implication for understanding chronic depression. Clinical Psychology Review, 19(5), 553-70.
Larson, D. G., & Chastain, R. L.(1990). Self-concealment:conceptualization, measurement, and health implications.Journal of Social and Clinical Psychology, 9, 439–455.
Leaf, P. J., Bruce, M. L., Tischler, G. L., & Holzer, C. E. III. (1987). The relationship between demographic factors and attitudes toward mental health services. Journal of Community Psychology, 15, 275-284.
Leaper, C., Carson, M., Baker, C., Holiday, H., & Myers, S. (1995). Self-disclosure and listener verbal support in same-gender and crossgender friends’ conversations. Sex Roles, 33, 387–403.
Lee, D. Y., Park, M. J., & Park, S. H.(2004).Does sex of client affect counselors' evaluation? Psychological reports, 94( 3 ), 1205-11.
Lenhardt, R. A. (2004). Understanding the mark: Race, stigma, and equality in context. New York University Law Review, 79, 803–931.
Leong, T. L., & Zachar, P. (1999). Gender and opinions about mental illness as predictors of attitudes toward seeking professional psychological help. Journal of Guidance & Counselling, 27(1), 123-131.
Lewinsohn, P. M., Hoberman, H. M., & Rosenbaum, M. (1988). A prospective study of risk factors for unipolar depression. Journal of Abnormal Psychology, 97, 251–264.
Lewinsohn, P. M., Pettit, J. W., Joiner, T. E., & Seeley, J. R. (2003). The symptomatic expression of major depressive disorder in adolescents and young adults. Journal of Abnormal Psychology, 112(2), 244-252.
Lewinsohn, P. M., Roberts, R. E., Seeley, J.R., Rohde, P., Gotlib, I. H., & Hops, H.(1994). Adolescent Psychopathology:II.Psychosocial Risk Factors for Depression. Journal of Abnormal Psychology, 103(2), 302-315.
Liao, Hsin-Ya., Rounds, J., & Klein, A. G., (2005). A test of Cramer’s (1999) help-seeking model and acculturation effects with Asian and Asian American college students. Journal of Counseling Psychology, 52(3), 400–411.
Lin, Y. (2002). Taiwanese university students’ conceptions of counseling. Journal of Contemporary Psychotherapy, 31, 199–211.
Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., ＆ Phelan, J. C. (2001). Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychlatric Services, 52(12),1621-1626. 線上搜索日期：2008年12月。網址：http://www.psychservices.psychiatryonline.org/cgi/content/full/52/12/1621
Link, B., & Phelan, J. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.
Link, B., Cullen, F., Frank, J., & Wozniak, J. (1987). The social rejection of former mental patients: understanding why labels matter. American Journal of Sociology, 92, 1461–1500.
Magovcevic, M., ＆ Addis, M. E. (2005).linking gender-role conflict to nonnormative and self-stigmatizing perceptions of alcohol abuse and depression. Psychology of Men & Masculinity, 6(2), 127-136.
Mann, C.E., & Himelein, M.J., (2004). Factors associated with stigmatization of persons with mental illness. Psychiatric Services, 55, 185–187.
Masuda, A., Suzumura, K., Beauchamp, K. L., Howells, G. N., & Clay, C. (2005). United states and japanese college students’ attitudes toward seeking professional psychological help.International Journal of Psychology,40, 303–313.
McCartney, J. (1995). Addictive behaviors: Relationship factors and their perceived influence on change. Genetic, Social, & General Psychology Monographs, 121, 39–64.
McKay, J. R., Rutherford, M. J., Cacciola, J. S., & Kabasakalian-McKay, R. (1996). Gender differences in the relapse experiences of cocaine patients. Journal of Nervous and Mental Disease, 184, 616–622.
McLean, C. R. (1993).Differences in self-disclosure intimacy and flexibility as a function of self-esteem, gender, age, identity, and learning style. University of Minnesota.
Melissa D. Pinto-Foltz., & M. Cynthia Logsdon (2009). Reducing stigma related to mental disorders: initiatives, interventions, and recommendations for nursing. Archives of Psychiatric Nursing, 23(1), 32-40.
Möller-Leimkühler, A. M.(2002). Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. Journal of affective disorders, 71(1-3),1-9.
Murray, S. L., Holmes, J. G., & Griffin, D. W. (2000). Self-esteem and the quest for felt security:how perceived regard regulates attachment processes. Journal of Personality and Social Psychology, 78, 478–498.
Murray, S. L., Rose, P., Bellavia, G. M., Holmes, J. G., & Kusche, A. G. (2002). When rejection stings: how self-esteem constrains relationshipenhancing processes. Journal of Personality and Social Psychology, 83, 556–573.
Nadler, A., Ellis, S., & Bar, I. (2003). To seek or not to seek: the relationship between help seeking and and job performance evaluations as moder ated by task-relevant expertise. Working Paper No 10/2003.線上檢索日期：2009年2月。網址：http://y2008.recanati.tau.ac.il/Eng/_Uploads/206WP_10-2003_Ellis.pdf
Narikiyo, T. A., & Kameoka, V. A. (1992). Attributions of mental illness and judgments about help seeking among Japanese-American students. Journal of Counseling Psychology, 39, 363-369.
Neal, G. W., & Heppner, P. P. (1986). Problem-solving self-appraisal, awareness, and utilization of campus helping resources. Journal of Counseling Psychology, 33, 39-44.
Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504–511.
Norris, J.& Kune-connell,M.(1985).Self-esteem disturbance. Nursing Clinics of Nornth American, 20（4）,745-761.
Omarzu, J. (2000). A disclosure decision model:determining how and when individuals will self-disclose. Personality and Social Psychology Review, 4, 174–185.
Orth, U., Robins, R.W., & Roberts, B. W.（2008）.Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95(3), 695-708.
Ottenbreit, N. D., & Dobson, K. S. (2004). Avoidance and depression: the construction of the cognitive-behavioral avoidance scale. Behaviour Research and Therapy, 42, 293–313.
Overton, S. L., ＆Medina, S. L.（2008）.The stigma of mental illness. Journal of Counseling & Development, 86, 143-151.
Parker, G., Chan, B., & Tully, L.(2006). Depression and help-seeking in a western sample of 'highly acculturated' Chinese and controls. Journal of affective disorders, 94(1-3), 239-242.
Pattee, D.（2004）.Gender differences in client self-disclosure: the influence of gender role identification and working alliance. Columbia University.
Pederson, E. L. & Vogel, D. L. (2007). Male gender role conflict and willingness to seek counseling: testing a mediation model on college-aged men. Journal of Counseling Psychology, 54(4), 373-384.
Podesta, C. (1990). Self-esteem and the six-second secret. Newbury. CA: Sage.
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in general population. Applied Psychological Measurement, 1, 385-401.
Raguram, R., Weiss, M. G., Channabasavanna, S. M., & Devins, G. M.(1996). Stigma, depression, and somatization in South India. American Journal of Psychiatry 1996, 153(8):1043-1049.
Rice, K.G., Ashby, J. S., & Slaney, R. B.(1998). Self-esteem as a mediator between perfectionism and depression:a structural equations analysis. Journal of Counseling Psychology, 45(3), 304-314.
Rickwood, D. J., & Braithwaite, V. A. (1994). Social psychological factors affecting help-seeking for emotional problems. Social Science & Medicine, 39, 563–572.
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J.(2005). Young people’s help-seeking for mental health problems.Australian e-Journal for the Advancement of Mental Health,, 4(3 Suppl).線上搜索日期：2008年11月。網址：http://www.auseinet.com/journal/vol4iss3suppl/rickwood.pdf.
Roberts, J. E., & Gamble, S. A. (2001). Current mood state and past depression as predictors of self-esteem and dysfunctional attitudes among adolescents. Personality and Individual Differences, 30, 1023–1037.
Roberts, J. E., & Gotlib, I. H. (1997). Temporal variability in global self-esteem and specific self-evaluation as prospective predictors of emotional distress: specificity in predictors and outcome. Journal of Abnormal Psychology, 106, 521–529.
Roberts, J. E., & Monroe, S. M. (1992). Vulnerable self-esteem and depressive symptoms: prospective findings comparing three alternative conceptualizations. Journal of Personality and Social Psychology, 62, 804-812.
Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1990). Are people changed by the experience of having an episode of depression? a further test of the scar hypothesis. Journal of Abnormal Psychology, 99, 264–271.
Roness, A., Mykletun, A., & Dahl, A. A.（2005）. Help-seeking behaviour in patients with anxiety disorder and depression. Acta psychiatrica Scandinavica,111(1), 51-8.
Rosenberg, M. (1965). Society and the adolescent self-image, Princeton, N.J. : Princeton University Press.
Russell, J., Thomson, G., & Rosenthal, D.(2008). International student use of university health and counselling services. Higher Education: The International Journal of Higher Education and Educational Planning, 56(1), 59-75.
Savaya, R.(1998).Association among economic need, self-esteem, and Israeli Arab women's attitudes toward and use of professional services. School of Social Work, 43(5), 445-454.
Segal, S. P., Hodges, J. Q., & Hardiman, E. R.(2002).Factors in decisions to seek help from self-help and co-located community mental health agencies. American Journal of Orthopsychiatry, 72(2), 241–249.
Shahar, G., & Davidson, L. (2003). Depressive symptoms erode selfesteem in severe mental illness: a three-wave, cross-lagged study. Journal of Consulting and Clinical Psychology, 71, 890–900.
Sheffield, J. K., Fiorenza, E., & Sofronoff, K. (2004). Adolescent’s willingness to seek psychological help: promoting and preventing factors. Journal of Youth and Adolescence, 33 (6), 495-507.
Sibicky, M., & Dovidi o, J. F. (1986). Stigma of psychological therapy：stereotypes, interpersonal reactons, and the self-fulfilling prophecy. Journal of Counseling Psychology, 33, 148-154.
Sirey, J. A., Bruce, M. L., Alexopoulos, G. S., Perlick, D. A., Friedman, S. J., & Meyers, B. S.(2001). Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric Services, 52, 1615-1620.
Solberg, V. S., Ritsma, S., Davis, B. J., Tata, S. P., & Jolly, A. (1994). Asian-American students’ severity of problems and willingness to seek help from university counselling centers: role of previous counselling experience, gender and ethnicity. Journal of Counseling Psychology, 41, 275–279.
Southall, D., & Roberts, J. E. (2002). Attributional style and self-esteem in vulnerability to adolescent depressive symptoms following life stress: a 14-week prospective study. Cognitive Therapy and Research, 26, 563–579.
Straits-Troster, K. A., Patterson, T. L., Semple, S. J., Roth, P., McCutchan, J. A., Chandler, J. L., Temoshok, L., & Grant, I. (1994). The relation between loneliness, interpersonal competence, and immunologic status in HIV-infected men. Psychology and Health, 9,205-219.
Takamura, S., Oshima, I., Yoshida, K., & Motonaga, T.（2008）.Factors related to attitudes toward seeking professional psychological help among Japanese junior high and high school students. Yonago Acta medica , 51, 39-47.
Tata, S. P., & Leong, E T. L. (1994). Individualism-collectivism, social-network orientation, and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans. Journal of Counseling Psychology, 41, 280-287.
Tice, D. M. (1992). Self-concept change and self-presentation: The looking glass self is also a magnifying glass. Journal of Personality and Social Psychology, 63, 435–451.
Ting, J. Y., & Hwang, Wei-Chin.（2009）.Cultural influences on help-seeking attitudes in Asian American students. American Journal of Orthopsychiatry, 79(1), 125-132.
Tracey, T. J., Sherry, P., & Keitel, M.(1986). Distress and help-seeking as a function of person-environment fit and self-efficacy: a causal model. The American journal of Community Psychology, 14(6), 657-676.
Tripp, D. A., Catano, V., & Sullivan, M. J. L.(1997).The contributions of attributional style, expectancies, depression, and self-esteem in a cognition-based depression model.Canadian Journal of Behavioural Science/Revue canadienne des Sciences du comportement, 29(2), 101-111.
Trzesniewski, K. H., Donnellan, M. B., Moffitt, T.E., Robins, R. W., Poulton, R., & Caspi, A.(2006).Low Self-esteem during adolescence predicts ppoor health, criminal behavior, and limited economic prospects during adulthood. Developmental Psychology, 42(2), 381–390.
Vogel, D. L., & Wester, S. R. (2003). To seek or not to seek help: the risks of self-disclosure. Journal of Counseling Psychology, 50, 351–361.
Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325–337.
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: the mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54, 40–50.
Vogel, D. L., Wester, S. R., Wei, M. & Boysen, G. A.（2005）. The role of outcome expectations and attitudes on decisions to seek professional help. Journal of Counseling Psychology, 52(4), 459–470.
Warren, L. W. (1983). Male intolerance of depression: a review with implications for psychotherapy.Clinical Psychology Review, 3, 147–156.
Watson, D., Suls, J., & Haig, J. (2002). Global self-esteem in relation to structural models of personality and affectivity. Journal of Personality and Social Psychology, 83, 185–197.
Wells,L.E., & Marwell,G. (1976).Self esteem：Its conceptualization and measurement. Beverley Hills,CA:Sage.
Whisman, M. A., & Kwon, P. (1993). Life stress and dysphoria: the role of self-esteem and hopelessness. Journal of Personality and Social Psychology, 65, 1054–1060.
Williams, B., & Healy, D.(2001). Disclosure of minor mental health problems: an exploratory theoretical study. Journal of Advanced Nursing, 35(1):108-116.
Wilson, C. J., Rickwood, D., & Deane, F. P. (2007). Depressive symptoms and help-seeking intentions in young people. Clinical Psychologist, 11(3), 98-107.
Wilson, C.J. & Deane, F.P. (2001). Adolescent opinions about reducing help seeking barriers and increasing appropriate help engagement. Journal of Educational and Psychological Consultation, 12, 345-364.
Wisch, A. F., Mahalik, J. R., Hayes, J. A., & Nutt, E. A. (1995). The impact of gender role conflict and counseling technique on psychological help seeking in men. Sex-Roles, 33, 77–89.
Wood, W., Jones, M., & Benjamin (1986). Surveying psychologist’s public image. American Psychologist, 41, 947-953.
Yeh, C. J. (2002). Taiwanese students’ gender, age, interdependent and independent self-construal, and collective self-esteem as predictors of professional psychological help-seeking attitudes. Cultural Diversity & Ethnic Minority Psychology, 8(1), 19-29.