Health care workers (HCWs) frequently operate under strenuous conditions that exacerbate their susceptibility to mental health disorders like depression and anxiety. Paradoxically, these individuals—expected to be providers of care—often internalize stigma that discourages them from accessing psychological support. Self-stigma, the internalization of societal prejudices about mental health, can severely impede their willingness to pursue therapy or counseling. The present study focuses on quantifying this self-stigma and identifying the underlying factors that exacerbate or mitigate it among those flagged as high-risk based on standardized screening tools.

The methodology involved a comprehensive survey distributed to 1,224 healthcare workers across 12 hospitals in the Hunan Province from late 2022 through early 2023. Using convenience sampling, the researchers collated biological, psychological, and social data through validated instruments, including the Self-stigma of Seeking Help Scale, Perceived Social Support Scale, Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, Generalized Anxiety Disorder-7 (GAD-7) scale, and the General Self-Efficacy Scale-Schwarzer. Importantly, HCWs scoring 10 or above on the PHQ-9 and GAD-7 were identified as being at a heightened risk for depression and anxiety, respectively.

From the initial cohort, 384 valid responses meeting the criteria of high risk were analyzed. The median total score of self-stigma related to seeking professional help was moderately elevated, suggesting a significant internal barrier among this vulnerable group. Intriguingly, sleep duration, levels of social support, and severity of depressive and anxiety symptoms emerged as significant predictors influencing the degree of self-stigma experienced by these healthcare workers. This multifactorial insight underscores the nuanced and interdependent nature of psychological impediments in a real-world clinical context.

The relationship between inadequate sleep and psychological distress among HCWs is well-documented, but this study links sleep deficiency directly to self-stigmatizing attitudes. Sleep deprivation arguably aggravates cognitive and emotional processing, thereby magnifying negative self-appraisals and diminishing the perceived need—or ability—to seek help. This finding calls for systemic interventions aimed at improving work schedules and rest opportunities for healthcare staff as a conduit for reducing stigma and facilitating help-seeking behaviors.

Social support, a critical buffer against mental health deterioration, was inversely associated with self-stigma levels. HCWs perceiving higher social support demonstrated lower self-stigma, implying that robust interpersonal connections serve as protective factors. This further illustrates that stigma is not merely an individual psychological barrier but is deeply embedded in social networks and institutional cultures. Cultivating supportive work environments can thus play a pivotal role in destigmatizing psychological help-seeking among healthcare personnel.

Depressive and anxiety symptoms themselves were positively correlated with self-stigma, revealing a distressing cycle where increased symptom burden intensifies shame and fear of judgment. This vicious circle not only delays treatment but also exacerbates morbidity and potentially leads to diminished patient care quality. Understanding this interplay is crucial for designing mental health programs that simultaneously address symptom management and the psychological barriers to accessing care.

The study’s sophisticated statistical analyses, including generalized linear modeling, allowed the disentanglement of these factors, confirming their independent and collective roles. Such quantitative rigor provides a robust platform for healthcare administrators and policymakers aiming to tailor interventions that transcend generic wellness programs, focusing instead on targeted stigma reduction and mental health promotion strategies specifically tailored for high-risk HCWs.

Importantly, while this research is concentrated on a Chinese population, the implications are global. Health care systems worldwide confront similar challenges with mental health stigma among practitioners. The universal nature of these findings offers a call to action for international healthcare leaders to recognize and systematically combat self-stigma to enhance workforce resilience during and beyond the current era of public health crises.

This study importantly bridges a gap in mental health research by not only exploring symptom prevalence but emphasizing the psychological barriers that continue to hinder help-seeking behaviors. It highlights that interventions must extend beyond awareness campaigns to foster inclusive, stigma-free cultures within medical communities. This could involve peer support programs, confidential counseling options, and systemic changes accommodating HCWs’ mental well-being as integral to healthcare excellence.

Furthermore, the research spotlights the need for longitudinal studies to observe the evolving dynamics of self-stigma in relation to workplace stressors and changing societal attitudes toward mental health. Future investigations might focus on intervention efficacy, tailored therapies, and cross-cultural comparisons to build a comprehensive understanding of self-stigma mechanisms over time.

In essence, the study offers a compelling narrative intertwining the psychological, social, and systemic factors that promote or hinder mental health care among those who tend to others in times of need. By illuminating the self-stigma phenomenon among high-risk healthcare workers, this research paves the way for informed, evidence-based policy development aimed at safeguarding the mental health of healthcare professionals, ultimately improving patient outcomes and healthcare system sustainability.

As healthcare systems continue grappling with the aftermath of successive pandemics and growing workload demands, addressing the mental health crisis with an emphasis on dismantling self-stigma is paramount. This study’s insights serve as an urgent reminder that protecting caregivers’ well-being is not just a compassionate imperative but a necessary condition for functional and resilient health services worldwide.

Subject of Research: Self-stigma related to seeking professional psychological help among high-risk healthcare workers for depression and anxiety.

Article Title: Self-stigma of seeking professional psychological help and its influencing factors among high-risk health care workers for depression and anxiety: a multicenter cross-sectional study

Article References:
Huang, R., Lei, B., Liu, Y. et al. Self-stigma of seeking professional psychological help and its influencing factors among high-risk health care workers for depression and anxiety: a multicenter cross-sectional study. BMC Psychiatry 25, 533 (2025). https://doi.org/10.1186/s12888-025-07019-4

Image Credits: AI Generated

DOI: https://doi.org/10.1186/s12888-025-07019-4

The study emerges from a backdrop of growing mental health concerns globally and within South Korea, where societal change has heightened awareness yet the stigma surrounding mental illness remains formidable. Despite increased availability of mental health resources and campaigns aimed at promoting psychological well-being, Korean men continue to demonstrate a marked reluctance to engage with these services. This paradox prompted Kim and Kim to scrutinize the underlying cultural forces that shape their attitudes and behaviors related to mental health care.

At the heart of the study is the concept of stigma, which is multifaceted and culturally embedded. Stigma, in this context, entails negative attitudes and discriminatory behaviors directed toward individuals experiencing mental health issues. In many cultures, stigma acts as a formidable barrier that discourages individuals from seeking treatment due to fear of being judged or marginalized. In the Korean setting, stigma is compounded by traditional societal expectations surrounding mental fortitude and self-reliance, especially for men. This dual-layered stigma fosters silence and denial, thwarting efforts to normalize mental health conversations.

Masculine norms play an equally pivotal role in shaping mental health help-seeking behaviors. The study highlights how traditional Korean masculine ideals emphasize traits such as stoicism, emotional control, and toughness. From a young age, Korean men are socialized to embody these standards, often equating mental health struggles with personal weakness or failure. This ingrained association between masculinity and emotional suppression creates an internal conflict for men who may want to seek help but fear damaging their masculine identity. The research illuminates the psychological toll of maintaining these norms while grappling with mental health challenges.

Moreover, the study’s analysis extends into the cultural dimension of “face,” a complex social construct that refers to an individual’s public image and reputation within their community. In Korean society, “face” is intricately linked to honor, dignity, and social standing. Mental health problems are often perceived as jeopardizing one’s “face,” rendering individuals vulnerable to social exclusion and shame. The researchers posit that the concern over losing “face” operates as a powerful deterrent against acknowledging psychological distress or accessing mental health services. This dynamic underscores the collectivist nature of Korean culture, where the image conveyed to others often supersedes individual health concerns.

Kim and Kim adopted a comprehensive mixed-methods approach, combining quantitative surveys with qualitative interviews to capture the breadth and depth of Korean men’s experiences. Their extensive data collection included diverse age groups, socioeconomic statuses, and urban versus rural residency, creating a robust picture of how stigma, masculine norms, and “face” intersect across societal layers. The qualitative narratives reveal poignant personal stories of men grappling with inner turmoil while navigating external pressures to conform to cultural ideals.

Technically, the study employed validated psychometric instruments to measure stigma and adherence to masculine norms, allowing for precise statistical correlation analyses. Findings demonstrated a strong negative correlation between adherence to traditional masculine norms and willingness to seek mental health help. Notably, the study identified stigma related to “face” concerns as a mediating factor that amplifies this effect. These insights provide a valuable blueprint for mental health practitioners aiming to design culturally sensitive interventions tailored for Korean men.

One of the most striking implications of the study is the need for a paradigm shift in public mental health messaging and services. Rather than promoting help-seeking solely through generic campaigns, tailored approaches that directly address masculine norms and concerns over “face” are crucial. For instance, interventions that reframe seeking psychological help as an act of strength and responsible masculinity could dismantle prevailing stereotypes. Additionally, integrating mental health discussions in safe, male-centric spaces such as workplaces or community organizations may encourage openness and peer support.

The broader psychological community stands to benefit from this research as it highlights universal challenges of mental health stigma experienced within culturally specific frameworks. Although the Korean context has distinct elements, parallels can be drawn to other collectivist cultures where honor and reputation influence health behaviors. Thus, the study propels international dialogue on how culture-specific constructs interact with gender norms to shape mental health outcomes, emphasizing the necessity of culturally competent care.

In terms of clinical practice, the research informs mental health professionals about the importance of culturally attuned assessment and intervention strategies. Understanding patients’ concerns about stigma and “face” can aid therapists in creating trusting environments that validate masculine identities while encouraging vulnerability. Furthermore, the study advocates for integrating mental health literacy in broader educational systems to dismantle misconceptions and promote positive conversations from an early age.

As South Korea continues to modernize and globalize, shifts in cultural attitudes toward mental health may gradually emerge. However, entrenched stigma and traditional masculine ideals remain significant challenges. Kim and Kim’s study serves as a timely reminder that mental health advancement requires not only systemic changes but also deep engagement with the cultural fabric that shapes individual choices. Encouraging Korean men to seek help necessitates confronting long-standing societal norms and fostering environments where mental health is decoupled from stigma and shame.

Importantly, this research also adds to the growing body of knowledge emphasizing intersectionality in mental health studies. The interplay between gender, culture, and psychological well-being is intricate and demands holistic research frameworks. Future studies building on Kim and Kim’s work may explore how other identity factors such as age, occupation, and socioeconomic status interact with stigma and masculine norms to affect mental health trajectories.

The study’s insights extend beyond academic circles into public policy and community health planning. Policymakers are urged to consider cultural barriers in the allocation of resources and development of outreach programs targeting vulnerable populations. Tailored public health initiatives that incorporate cultural competence training for healthcare providers can mitigate disparities in help-seeking behaviors and improve mental health outcomes for Korean men.

Furthermore, the researchers advocate for the integration of digital mental health platforms designed to circumvent traditional stigma associated with face-to-face consultations. Given Korea’s advanced technological infrastructure and high internet penetration, confidential and culturally sensitive online services may enhance accessibility and anonymity, potentially reducing fear of judgment.

In conclusion, Kim and Kim’s investigation profoundly contributes to understanding the complex, culturally embedded barriers to mental health help-seeking among Korean men. By shedding light on the influential roles of stigma, masculine norms, and “face,” the study charts a path toward more effective, culturally responsive mental health services. As mental health challenges continue to rise globally, such culturally nuanced research is indispensable in crafting interventions that resonate with diverse populations and ultimately save lives.

Subject of Research: Mental health help-seeking behaviors among Korean men and the influence of stigma, masculine norms, and the cultural concept of “face.”

Article Title: Mental health help-seeking among Korean men: the influence of stigma, masculine norms, and face.

Article References:
Kim, S., Kim, D. Mental health help-seeking among Korean men: the influence of stigma, masculine norms, and face. BMC Psychol 13, 461 (2025). https://doi.org/10.1186/s40359-025-02793-y

Image Credits: AI Generated