Background: Psychological health is a prominent social issue worldwide and in China. However, the cultural values of Chinese people often lead to a reluctance to pursue psychological counseling. Simultaneously, the rapid development of internet medical services in China provides a solid foundation for online psychological counseling. The purpose of this study is to explore how information exposure, trait mindfulness, public stigma, and self-stigma among Chinese youth affect their intentions of seeking online psychological counseling.
Methods: Based on the SOR (stimulus-organism-response) theory, combined with a mindful coping model, a structural equation model was constructed to analyze the path of the effects of information exposure, trait mindfulness, public stigma, and self-stigma on behavioral intention. A total of 671 valid questionnaires were collected through online random surveys. First, SPSS 26.0 was used for questionnaire reliability and validity analysis, demographic characteristic difference testing, and correlation testing between variables. Secondly, Amos 26.0 was used to construct the structural equation model, verify the model fitting, identify the relationship between latent variables, and perform path testing.
Results: The study results indicate that 1) The intention of online psychological counseling among Chinese youth has significant differences in terms of age, occupation, monthly income, and previous counseling experiences. 2) Information exposure positively affects counseling intention (β=0.434, P<0.001), Trait mindfulness positively affects counseling intention (β=0.1, P<0.05), information exposure doesn't significantly affect public stigma (β=0.015, P=0.727), information exposure negatively affects self-stigma (β=-0.079, P<0.05), mindfulness character negatively affects public stigma (β=-0.421, P<0.001), mindfulness character negatively affects self-stigma (β=-0.115, P<0.001), public stigma positively affects self-stigma (β=-0.766, P<0.001), public stigma negatively affects counseling intention (β=-0.234, P<0.01), and self-stigma negatively affects counseling intention (β=-0.248, P<0.001).
Conclusions: Combining the SOR theory with the mindful coping model, it has been found that information exposure and trait mindfulness positively affect counseling intention, information exposure doesn't affect public stigma but negatively affects self-stigma, trait mindfulness negatively affects both public and self-stigma, and both public stigma and self-stigma negatively affect counseling intention. This study provides a sample for the SOR theory and the mindful coping model, and provides new insights and path support for individuals resisting the stigma of psychological illness and seeking professional help under Eastern cultural values.