The Theory of Planned Behavior as it predicts potential intention to seek mental health services for depression among college students

J Am Coll Health. 2016 Nov-Dec;64(8):593-603. doi: 10.1080/07448481.2016.1207646. Epub 2016 Jul 7.

Abstract

Background: Between 9.5% and 31.3% of college students suffer from depression (American college health association national college health assessment II: reference group executive summary spring 2013. Amer. Coll. Health Assoc. 2013; Eagan K, Stolzenberg EB, Ramirez JJ, Aragon, MC, Suchard, RS, Hurtado S. The American freshman: national norms fall 2014. Higher Educ. Res. Inst.; 2015). Universities need to understand the factors that relate to care-seeking behavior.

Objective: Across 3 studies, to relate attitudes, social norms, and perceived behavioral control to intention to seek mental health services, and to investigate barriers to care-seeking.

Participants: University college students (N = 845, 64% female, 26% male, and 10% unspecified).

Methods: New measures were created in Studies 1 and 2, and were examined using structural equation modeling in Study 3.

Results: Partially consistent with the Theory of Planned Behavior (Ajzen, I, Fishbein, M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980), a model with an excellent fit revealed that more positive attitudes about care and higher perceived behavioral control directly predicted higher intention to seek mental health services.

Conclusions: Educating college students about mental health disorders and treatments, enhancing knowledge about available services, and addressing limited access to long-term care might improve treatment rates for students suffering from depression.

Keywords: College students; community health; counseling; mental health.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Attitude to Health
  • California
  • Depression / therapy*
  • Female
  • Health Behavior
  • Humans
  • Intention*
  • Male
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Models, Psychological
  • Student Health Services / statistics & numerical data
  • Students / psychology*
  • Universities
  • Young Adult