Relationship between mental health literacy and professional psychological help-seeking attitudes in China: a chain mediation model

Table 3 Chain mediation model

Pathway	β	SE	Boot LLCI	Boot ULCI
Direct effect
Mental health literacy → Psychological help-seeking stigma	-0.112	0.043	-0.195	-0.029
Mental health literacy → Distress disclosure	0.080	0.040	0.001	0.158
Mental health literacy → Professional psychological help-seeking attitudes	0.185	0.043	0.103	0.271
Psychological help-seeking stigma → Distress disclosure	-0.413	0.042	-0.492	-0.330
Psychological help-seeking stigma → Professional psychological help-seeking attitudes	-0.615	0.054	-0.721	-0.511
Distress disclosure → Professional psychological help-seeking attitudes	0.147	0.053	0.038	0.245
Indirect effects
Mental health literacy → Psychological help-seeking stigma → Professional psychological help-seeking attitudes	0.012	0.007	0.019	0.125
Mental health literacy → Distress disclosure → Professional psychological help-seeking attitudes	0.069	0.027	0.001	0.031
Mental health literacy → Psychological help-seeking stigma → Distress disclosure → Professional psychological help-seeking attitudes	0.007	0.004	0.001	0.016

Note. β = standardized regression coefficient; SE = standard error; LCI = lower bound of 95% confidence interval; UCI = upper bound of 95% confidence interval

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