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Published in: Community Mental Health Journal 1/2014

01-01-2014 | Brief Report

Factors Influencing Korean International Students’ Preferences for Mental Health Professionals: A Conjoint Analysis

Authors: Eun-Jeong Lee, Fong Chan, Nicole Ditchman, Maia Feigon

Published in: Community Mental Health Journal | Issue 1/2014

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Abstract

Asian students comprise over half of all international students in the United States, yet little is known about their help-seeking behaviors and preferences for mental health professionals. The purpose of this study was to use conjoint analysis to examine characteristics of mental health professionals influencing Korean international students’ preferences when choosing a mental health professional. Korean international students from three universities in the United States were recruited on a volunteer basis to participate in this study (N = 114). Results indicated that mental health professional characteristics, including ethnicity, age, professional identity, and training institution, were significant factors in students’ preference formation; however, gender of the mental health professional was not found to be a significant factor in the present study. Ethnic similarity was the most powerful predictor of preference formation. Implications for promoting help-seeking and mental health service utilization among Asian international students are discussed.
Literature
go back to reference American Marketing Association. (1992). Conjoint analysis: A guide for designing and interpreting conjoint studies. Chicago, IL: American Marketing Association, Market Research Division. American Marketing Association. (1992). Conjoint analysis: A guide for designing and interpreting conjoint studies. Chicago, IL: American Marketing Association, Market Research Division.
go back to reference Atkinson, D. R., & Lowe, S. M. (1995). The role of ethnicity, cultural knowledge, and conventional techniques in counseling and psychotherapy. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 387–414). Thousand Oaks, CA: Sage. Atkinson, D. R., & Lowe, S. M. (1995). The role of ethnicity, cultural knowledge, and conventional techniques in counseling and psychotherapy. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 387–414). Thousand Oaks, CA: Sage.
go back to reference Aubrey, R. (1991). International students on campus: A challenge for counselors, medical providers, and clinicians. Smith College Student Social Work, 62, 20–33.CrossRef Aubrey, R. (1991). International students on campus: A challenge for counselors, medical providers, and clinicians. Smith College Student Social Work, 62, 20–33.CrossRef
go back to reference Bernier, A., & Dozier, M. (2002). The client–counselor match and the corrective emotional experience: Evidence from interpersonal and attachment research. Psychotherapy: Theory/Research/Practice/Training, 39, 32–43.CrossRef Bernier, A., & Dozier, M. (2002). The client–counselor match and the corrective emotional experience: Evidence from interpersonal and attachment research. Psychotherapy: Theory/Research/Practice/Training, 39, 32–43.CrossRef
go back to reference Beutler, L. E., Malik, M., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 227–306). New York: Wiley Beutler, L. E., Malik, M., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 227–306). New York: Wiley
go back to reference Byon, K. H., Chan, F., & Thomas, K. R. (1999). Korean international students’ expectations about counseling. Journal of College Counseling, 2(2), 99–109.CrossRef Byon, K. H., Chan, F., & Thomas, K. R. (1999). Korean international students’ expectations about counseling. Journal of College Counseling, 2(2), 99–109.CrossRef
go back to reference Carter, R. T., & Forsyth, J. (2010). Reactions to racial discrimination: Emotional stress and help-seeking behaviors. Psychological Trauma: Theory, Research, Practice, and Policy, 2(3), 183–191. doi:10.1037/a0020102.CrossRef Carter, R. T., & Forsyth, J. (2010). Reactions to racial discrimination: Emotional stress and help-seeking behaviors. Psychological Trauma: Theory, Research, Practice, and Policy, 2(3), 183–191. doi:10.​1037/​a0020102.CrossRef
go back to reference Coleman, H. L. K., Wampold, B. F., & Casali, S. L. (1995). Ethnic minorities’ ratings of ethnically similar and European American counselors: A meta-analysis. Journal of Counseling Psychology, 42, 55–64.CrossRef Coleman, H. L. K., Wampold, B. F., & Casali, S. L. (1995). Ethnic minorities’ ratings of ethnically similar and European American counselors: A meta-analysis. Journal of Counseling Psychology, 42, 55–64.CrossRef
go back to reference Dadfar, S., & Friedlander, M. L. (1982). Differential attitudes of international students toward seeking professional psychological help. Journal of Counseling Psychology, 29, 335–338.CrossRef Dadfar, S., & Friedlander, M. L. (1982). Differential attitudes of international students toward seeking professional psychological help. Journal of Counseling Psychology, 29, 335–338.CrossRef
go back to reference Flaskerud, J. H., & Liu, P. Y. (1991). Effects of an Asian client–therapist language, ethnicity and gender match on utilization and outcome of therapy. Community Mental Health Journal, 27(1), 31–42.PubMedCrossRef Flaskerud, J. H., & Liu, P. Y. (1991). Effects of an Asian client–therapist language, ethnicity and gender match on utilization and outcome of therapy. Community Mental Health Journal, 27(1), 31–42.PubMedCrossRef
go back to reference Fujino, D. C., Okazaki, S., & Young, K. (1994). Asian-American women in the mental health system: An examination of ethnic and gender match between therapist and client. Journal of Community Psychology, 22(2), 164–176.CrossRef Fujino, D. C., Okazaki, S., & Young, K. (1994). Asian-American women in the mental health system: An examination of ethnic and gender match between therapist and client. Journal of Community Psychology, 22(2), 164–176.CrossRef
go back to reference Green, P. E., & Srinivasan, V. (1978). Conjoint analysis in consumer research: Issues and outlook. Journal of Consumer Research, 5, 103–123.CrossRef Green, P. E., & Srinivasan, V. (1978). Conjoint analysis in consumer research: Issues and outlook. Journal of Consumer Research, 5, 103–123.CrossRef
go back to reference Hall, J., Guterman, D. K., Lee, H. B., & Little, S. G. (2002). Counselor–client matching on ethnicity, gender, and language: Implications for counseling school-aged children. North American Journal of Psychology, 4(3), 367–380. Hall, J., Guterman, D. K., Lee, H. B., & Little, S. G. (2002). Counselor–client matching on ethnicity, gender, and language: Implications for counseling school-aged children. North American Journal of Psychology, 4(3), 367–380.
go back to reference Hammond, K. R., McClelland, G. H., & Mumpower, J. (1980). Human judgment and decision making. New York: Praeger. Hammond, K. R., McClelland, G. H., & Mumpower, J. (1980). Human judgment and decision making. New York: Praeger.
go back to reference Herrick, C. A., & Brown, H. N. (1998). Underutilization of mental health services by Asian-Americans residing in the United States. Issues in Mental Health Nursing, 19, 225–240.PubMedCrossRef Herrick, C. A., & Brown, H. N. (1998). Underutilization of mental health services by Asian-Americans residing in the United States. Issues in Mental Health Nursing, 19, 225–240.PubMedCrossRef
go back to reference Hsu, J. (1995). Family therapy for the Chinese: Problems and strategies. In T. Y. Lin, W. S. Tseng, & E. K. Yeh (Eds.), Chinese societies and mental health (pp. 295–307). Hong Kong: Oxford University Press. Hsu, J. (1995). Family therapy for the Chinese: Problems and strategies. In T. Y. Lin, W. S. Tseng, & E. K. Yeh (Eds.), Chinese societies and mental health (pp. 295–307). Hong Kong: Oxford University Press.
go back to reference Hsu, L. K. G., Wan, Y. M., Chang, H., Summergrad, P., Tsang, B. Y. P., & Chen, H. (2008). Stigma of depression is more severe in Chinese Americans than Caucasian Americans. Psychiatry: Interpersonal and Biological Processes, 71, 210–218. Hsu, L. K. G., Wan, Y. M., Chang, H., Summergrad, P., Tsang, B. Y. P., & Chen, H. (2008). Stigma of depression is more severe in Chinese Americans than Caucasian Americans. Psychiatry: Interpersonal and Biological Processes, 71, 210–218.
go back to reference Hyun, J., Quinn, B., Madon, T., & Lustig, S. (2007). Mental health need, awareness, and use of counseling services among international graduate students. Journal of American College Health, 56(2), 109–118.PubMedCrossRef Hyun, J., Quinn, B., Madon, T., & Lustig, S. (2007). Mental health need, awareness, and use of counseling services among international graduate students. Journal of American College Health, 56(2), 109–118.PubMedCrossRef
go back to reference Lee, E.-J., Chronister, J., Chan, F., Chan, Y., & Romero, M. (2009). Models, research, and treatment of coexisting depression for people with chronic illness and disability. In F. Chan, E. Cardoso, & J. Chronister (Eds.), Understanding psychosocial adjustment to chronic illness and disability: A handbook for evidence-based practitioners in rehabilitation (pp. 75–107). New York: Springer. Lee, E.-J., Chronister, J., Chan, F., Chan, Y., & Romero, M. (2009). Models, research, and treatment of coexisting depression for people with chronic illness and disability. In F. Chan, E. Cardoso, & J. Chronister (Eds.), Understanding psychosocial adjustment to chronic illness and disability: A handbook for evidence-based practitioners in rehabilitation (pp. 75–107). New York: Springer.
go back to reference Louvier, J. J. (1988). Analyzing decision making: Metric conjoint analysis. Edmonton, Canada: Sage Publications, Inc. Louvier, J. J. (1988). Analyzing decision making: Metric conjoint analysis. Edmonton, Canada: Sage Publications, Inc.
go back to reference Mau, W., & Jepsen, D. (1988). Attitudes toward counselors and counseling processes: A comparison of Chinese and American graduate students. Journal of Counseling and Development, 67, 189–192.CrossRef Mau, W., & Jepsen, D. (1988). Attitudes toward counselors and counseling processes: A comparison of Chinese and American graduate students. Journal of Counseling and Development, 67, 189–192.CrossRef
go back to reference Meyer, O., Zane, N., & Cho, Y. I. (2011). Understanding the psychological processes of the racial match effect in Asian Americans. Journal of Counseling Psychology, 58(3), 335–345.PubMedCrossRef Meyer, O., Zane, N., & Cho, Y. I. (2011). Understanding the psychological processes of the racial match effect in Asian Americans. Journal of Counseling Psychology, 58(3), 335–345.PubMedCrossRef
go back to reference Mulrow, C. D., Williams, J. W., Gerety, M. B., Ramirez, G., Montiel, O. M., & Kerber, C. (1995). Case-finding instruments for depression in primary care settings. Annals of Internal Medicine, 122, 913–921.PubMedCrossRef Mulrow, C. D., Williams, J. W., Gerety, M. B., Ramirez, G., Montiel, O. M., & Kerber, C. (1995). Case-finding instruments for depression in primary care settings. Annals of Internal Medicine, 122, 913–921.PubMedCrossRef
go back to reference Nilsson, J. E., Berkel, L. A., Flores, L. Y., & Lucas, M. S. (2004). Utilization rate and presenting concerns of international students at a university counseling center: Implications for outreach programming. Journal of College Student Psychotherapy, 19, 49–59.CrossRef Nilsson, J. E., Berkel, L. A., Flores, L. Y., & Lucas, M. S. (2004). Utilization rate and presenting concerns of international students at a university counseling center: Implications for outreach programming. Journal of College Student Psychotherapy, 19, 49–59.CrossRef
go back to reference Radloff, L. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef Radloff, L. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef
go back to reference Simons, H. W., Berkowitz, N. N., & Moyers, R. J. (1970). Similarity, credibility, and attitude change: A review and a theory. Psychological Bulletin, 73, 1–16.CrossRef Simons, H. W., Berkowitz, N. N., & Moyers, R. J. (1970). Similarity, credibility, and attitude change: A review and a theory. Psychological Bulletin, 73, 1–16.CrossRef
go back to reference Sodowsky, G. R., Kwan, K. K., & Pannu, R. (1995). Ethnic identity of Asians in the United States. In J. G. Ponteretto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 123–154). Thousand Oaks, CA: Sage. Sodowsky, G. R., Kwan, K. K., & Pannu, R. (1995). Ethnic identity of Asians in the United States. In J. G. Ponteretto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 123–154). Thousand Oaks, CA: Sage.
go back to reference SPSS Inc. (1997). SPSS Conjoint 8.0. Chicago, IL: SPSS Inc. SPSS Inc. (1997). SPSS Conjoint 8.0. Chicago, IL: SPSS Inc.
go back to reference Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th ed.). Hoboken, NJ: Wiley Sue, D. W., & Sue, D. (2008). Counseling the culturally diverse: Theory and practice (5th ed.). Hoboken, NJ: Wiley
go back to reference Tsang, W. H., Tam, K. C., Chan, F., & Cheung, W. M. (2003). Stigmatizing attitudes towards individuals with mental illness in Hong Kong: Implications for their recovery. Journal of Community Psychology, 31, 383–396.CrossRef Tsang, W. H., Tam, K. C., Chan, F., & Cheung, W. M. (2003). Stigmatizing attitudes towards individuals with mental illness in Hong Kong: Implications for their recovery. Journal of Community Psychology, 31, 383–396.CrossRef
go back to reference Tseng, W., & Newton, F. (2002). International students’ strategies for well-being. Journal of College Studies, 36, 591–597. Tseng, W., & Newton, F. (2002). International students’ strategies for well-being. Journal of College Studies, 36, 591–597.
go back to reference Wei, M., Heppner, P. P., Mallen, M. J., Ku, T. Y., Liao, K. Y.-H., & Wu, T.-F. (2007). Acculturative stress, perfectionism, years in the United States, and depression among Chinese international students. Journal of Counseling Psychology, 54, 385–394.CrossRef Wei, M., Heppner, P. P., Mallen, M. J., Ku, T. Y., Liao, K. Y.-H., & Wu, T.-F. (2007). Acculturative stress, perfectionism, years in the United States, and depression among Chinese international students. Journal of Counseling Psychology, 54, 385–394.CrossRef
go back to reference Wei, M., Ku, T. Y., Russell, D. W., & Mallinkrodt, B. (2008). Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: A minority stress model for Asian international students. Journal of Counseling Psychology, 55, 451–462.PubMedCrossRef Wei, M., Ku, T. Y., Russell, D. W., & Mallinkrodt, B. (2008). Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: A minority stress model for Asian international students. Journal of Counseling Psychology, 55, 451–462.PubMedCrossRef
go back to reference Yi, J. K., Lin, J. G., & Kishimoto, Y. (2003). Utilization of counseling services by international students. Journal of Instructional Psychology, 30, 333–343. Yi, J. K., Lin, J. G., & Kishimoto, Y. (2003). Utilization of counseling services by international students. Journal of Instructional Psychology, 30, 333–343.
go back to reference Zane, N., Enomoto, K., & Chun, C. A. (1994). Treatment of outcomes of Asian- and White-American clients in outpatient therapy. Journal of Community Psychology, 22, 177–191.CrossRef Zane, N., Enomoto, K., & Chun, C. A. (1994). Treatment of outcomes of Asian- and White-American clients in outpatient therapy. Journal of Community Psychology, 22, 177–191.CrossRef
go back to reference Zhang, A. Y., Snowden, L. R., & Sue, D. (1998). Differences between Asian and White Americans’ help seeking and utilization patterns in the Los Angeles area. Journal of Community Psychology, 26, 317–326.CrossRef Zhang, A. Y., Snowden, L. R., & Sue, D. (1998). Differences between Asian and White Americans’ help seeking and utilization patterns in the Los Angeles area. Journal of Community Psychology, 26, 317–326.CrossRef
go back to reference Zlotnick, C., Elkin, I., & Shea, M. T. (1998). Does the gender of a patient or the gender of a therapist affect the treatment of patients with major depression? Journal of Consulting and Clinical Psychology, 66(4), 655–659.PubMedCrossRef Zlotnick, C., Elkin, I., & Shea, M. T. (1998). Does the gender of a patient or the gender of a therapist affect the treatment of patients with major depression? Journal of Consulting and Clinical Psychology, 66(4), 655–659.PubMedCrossRef
Metadata
Title
Factors Influencing Korean International Students’ Preferences for Mental Health Professionals: A Conjoint Analysis
Authors
Eun-Jeong Lee
Fong Chan
Nicole Ditchman
Maia Feigon
Publication date
01-01-2014
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 1/2014
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-013-9594-6

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