• Wei Chung Koon Department of Psychology and Behavioral Sciences, Zhejiang University, Zhejiang 310027, China
  • Ching Sin Siau Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia
  • Mimi Fitriana Faculty of Arts and Science, University of Malaya-Wales, 50480 Kuala Lumpur, Malaysia
  • Muhamad Nur Fariduddin Faculty of Education, Universiti Teknologi MARA (UiTM), 42300, Bandar Puncak Alam, Malaysia
  • Mansour Amini School of Languages, Literacies and Translation, Universiti Sains Malaysia, 11800 Gelugor, Penang, Malaysia
  • Sin Yee Chu Centre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300 Kuala Lumpur, Malaysia
  • Latha Ravindran Faculty of Education, Languages and Psychology, SEGi University, 47810 Petaling Jaya, Selangor
  • Norhayati Ibrahim Institute of Islam Hadhari, Universiti Kebangsaan Malaysia, 43600 Bangi, Malaysia




Attitudes toward mental health help-seeking;, cultural value;, psychological well-being;


University students suffer from a high prevalence of mental health concerns. However, most studies on mental health help-seeking in Malaysia focussed on stigma and mental health literacy. This study aimed to examine the relationship between cultural value and university students’ attitudes towards seeking help for their mental health. An online survey was conducted using the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS), Cultural Values Scale (CVSCALE), and Psychological Well-being Scale (PWBS) amongst university students in Malaysia. A total of 167 university students (Mean age = 21.57 years old, 75.4% females) participated in the study. Overall, the participants had a positive attitude towards mental health help-seeking. The results of the multiple linear regression analysis showed that the Chinese race (B = -0.315, p = 0.028), long-term orientation (B = 0.250, p = 0.002), Hindu religion (B = -0.242, p = 0.039), masculinity orientation (B = -0.223, p = 0.006), psychological well-being (B = 0.194, p = 0.008), Malay race (B = -0.165, p = 0.045), and participant’s age (B = 0.150, p = 0.028) were significantly associated with attitude towards mental health help-seeking. The results had implications for understanding cultural reasons that hinder mental health help-seeking amongst university students in Malaysia, and proposed recommendations in designing culturally relevant and appropriate interventions for targeted groups.


Akhtar S, Nasir JA, Javed A, et al. The prevalence of diabetes in Afghanistan: A systematic review and meta-analysis. BMC Public Health 2021; 21(1):941.

Feng B, Zhang Y, Zhang L, et al. Change in the level of depression among Chinese college students from 2000 to 2017: A cross-temporal meta-analysis. Social Behavior and Personality: An international Journal 2020; 48(2):1-16.

Hamzah NSA, Farid NDN, Yahya A, et al. The prevalence and associated factors of depression, anxiety and stress of first year undergraduate students in a public higher learning institution in Malaysia. J Child Fam Stud 2019; 28(12):3545-3557.

Wang YH, Shi ZT, Luo QY. Association of depressive symptoms and suicidal ideation among university students in China: A systematic review and meta-analysis. Medicine (Baltimore) 2017; 96(13):e6476.

World Health Organization. The World Health Report 2001: Mental health: New understandings, new hope. Geneva: World Health Organization 2001.

Rodgers S, Vandeleur CL, Strippoli MP, et al. Low emotion-oriented coping and informal help-seeking behaviour as major predictive factors for improvement in major depression at 5-year follow-up in the adult community. Soc Psychiatry Psychiatr Epidemiol 2017; 52(9):1169-1182.

Chan CMH, Ng SL, In S, et al. Predictors of psychological distress and mental health resource utilization among employees in Malaysia. Int J Environ Res Public Health 2021; 18(1):314.

Alonso J, Liu Z, Evans?Lacko S, et al. Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries. Depress Anxiety 2018; 35(3):195-208.

Lipson SK, Lattie EG, Eisenberg D. Increased rates of mental health service utilization by US college students: 10-year population-level trends (2007–2017). Psychiatr Serv 2019; 70(1):60-63.

Chen KS, Kok JK. Barriers to seeking school counselling: Malaysian Chinese school students' perspectives. Journal of Psychologists and Counsellors in Schools 2017; 27(2):222-238.

Ibrahim N, Amit N, Shahar S, et al. Do depression literacy, mental illness beliefs and stigma influence mental health help-seeking attitude? A cross-sectional study of secondary school and university students from B40 households in Malaysia. BMC Public Health 2019; 19(544).

Berry C, Michelson D, Othman E, et al. Views of young people in Malaysia on mental health, help?seeking and unusual psychological experiences. Early Interv Psychiatry 2020; 14(1):115-123.

Shoesmith WD, Borhanuddin AFBA, Yong PPL, et al. Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia. Int J Soc Psychiatry 2017; 64(1):49–55.

Malaysian Journal of Public Health Medicine 2023, Vol. 23 (2):28-35

Moreno O, Nelson T, Cardemil E. Religiosity and attitudes towards professional mental health services: analysing religious coping as a mediator among Mexican origin Latinas/os in the southwest United States. Mental Health, Religion & Culture 2017; 20(7):626-637.

Rogers-Sirin L, Yanar C, Yüksekba? D, et al. Religiosity, cultural values, and attitudes toward seeking psychological services in Turkey. Journal of Cross-Cultural Psychology 2017; 48(10):1587-1604.

Taylor SE. Social support: A review. New York, NY: Oxford University Press 2011:189-214.

Chang J. The interplay between collectivism and social support processes among Asian and Latino American college students. Asian American Journal of Psychology 2015; 6(1):4-14.

Zhao J, Chi Y, Ju Y, Liu X, Wang J, Liu X, Lew B, Siau CS, Jia C. Shame and suicidal ideation among undergraduates in China: the mediating effect of thwarted belongingness and perceived burdensomeness. Int J Env Res Public Health. 2020;17(7):2360.

Sun S, Hoyt WT, Brockberg D, et al. Acculturation and enculturation as predictors of psychological help-seeking attitudes (HSAs) among racial and ethnic minorities: A meta-analytic investigation. J Couns Psychol 2016; 63(6):617-632.

Mackenzie CS, Knox VJ, Gekoski WL, et al. An adaptation and extension of the attitudes toward seeking professional psychological help scale 1. Journal of Applied Social Psychology 2004; 34(11):2410-2433.

Weinstein SV, Burdin MV, Shabalin EY. Inventory of attitudes toward seeking mental health services (Russian version): a pilot study of psychometric properties. Perm University Herald. Series «Philosophy. Psychology. Sociology. 2015;3(23):81-96.

Ryff C, Almeida DM, Ayanian JS, et al. Midlife in the United States (MIDUS 2), 2004-2006. Inter-university Consortium for Political and Social Research 2021.

Kadir NBYA, Omar F, Desa A, et al. Secure style, PWB-related gratitude and SWB-related engagement as predictors of affect balance among social science students in Malaysia: A pilot study. Pertanika Journal of Social Science and Humanities 2013; 21:85-98.

Yoo B, Donthu N, Lenartowicz T. Measuring Hofstede's five dimensions of cultural values at the individual level: Development and validation of CVSCALE. Journal of International Consumer Marketing 2011; 23(3-4):193-210.

Al-Nasser M, Yusoff RZ, Islam R, et al. Relationship among e-service quality, culture, attitude, trust, risk of online shopping. Journal of Social Sciences 2014; 10(3):123.

Yee HS. Stigma of mental illness and attitudes towards seeking mental health services among undergraduates in a public university in Malaysia. Advances in Social Science, Education and Humanities Research 2013; 139:249-256.

Logan S, Steel Z, Hunt C. Ethnic status and engagement with health services: Attitudes toward help-seeking and intercultural willingness to interact among South East Asian students in Australia. Transcult Psychiatry 2017; 54(2):192–210.

Lee HY, Hwang J, Ball JG, et al. Mental health literacy affects mental health attitude: Is there a gender difference? Am J Health Behav 2020; 44(3):282-291.

Hofstede G. The hofstede centre. 2016.

Seidler ZE, Dawes AJ, Rice SM, et al. The role of masculinity in men's help-seeking for depression: a systematic review. Clin Psychol Rev 2016; 49:106-118.

Feigelman W, Coleman D, Rosen Z. Examining the social origins and young adult life trajectories of high traditional masculinity (HTM) males: A group at elevated suicide risk. Suicide Life Threat Behav 2021; 51(4):696-714.

Bradstreet TC, Parent MC. To be (healthy) or not to be: Moderated mediation of the relationships between masculine norms, future orientation, family income, and college men’s healthful behaviors. Psychology of Men & Masculinity 2018; 19(4):500-511.

Nohr L, Lorenzo Ruiz A, Sandoval Ferrer JE, et al. Mental health stigma and professional help-seeking attitudes a comparison between Cuba and Germany. PLoS One 2021; 16(2):e0246501.

Hofstede Insight. What about Malaysia? 2021 https://www.hofstede-insights.com/country/malaysia (accessed 28 February 2022).

Malaysian Journal of Public Health Medicine 2023, Vol. 23 (2):28-35

Taylor P. System entrapment: Dehumanization while help-seeking for suicidality in women who have experienced intimate partner violence. Qual Health Res 2019; 30(4):530-546.

Hom MA, de Terte I, Bennett C, Joiner TE. Resilience and attitudes toward help-seeking as correlates of psychological well-being among a sample of New Zealand Defence Force personnel. Military Psychology 2020; 32(4):329-40.

Kieran D. ‘It changed me as a man:’Reframing military masculinity in the army’s ‘shoulder to shoulder’suicide prevention campaign. Journal of War & Culture Studies 2021; 14(3):306-323.




How to Cite

Koon, W. C., Siau, C. S., Fitriana, M., Fariduddin, M. N., Amini, M., Chu, S. Y., … Ibrahim, N. (2023). HOFSTEDE’S CULTURAL VALUES AS FACTORS INFLUENCING MALAYSIAN UNIVERSITY STUDENTS’ ATTITUDE TOWARD HELP-SEEKING: A PRELIMINARY STUDY. Malaysian Journal of Public Health Medicine, 23(2), 28–35. https://doi.org/10.37268/mjphm/vol.23/no.2/art.1627