Exploring mental health awareness project, societal well-being and stigma among Tesol students: From multicultural awareness perspective

Main Article Content

Shamim Akhter
Tribhuwan Kumar
Rabindra Dev Prasad
Venkanna Nukapangu

Abstract

Mental illness misconceptions, preconceptions, stigma, and discrimination are important healthcare concerns that must be addressed to improve the well-being at the societal and individual levels. The stigma prevents people with mental health disorders from obtaining competent assistance. Based on self-determination theory (SDT), this paper attempts to uncover an association of mental health awareness (MHA) and mental health stigma (MHS) with societal well-being (SWB).  For performing an empirical investigation, the present research is assuming that mental health awareness (MHA) negatively affects mental health stigma (MHS). Moreover, this study also hypothesized that mental health stigma (MHS) is adversely associated with societal well-being (SWB). In addition, this research attempts to assess the mediating role played by the mental health stigma (MHS) in the relationship between mental health awareness (MHA) and societal well-being (SWB). Finally, the primary purpose of this research is to assess the moderating effect of multicultural awareness (MA) on the relationship between mental health awareness (MHA) and mental health stigma (MHS). For empirical investigation, the present study collected the data from 345 students who are enrolled in TESOL course offered in different degree awarding institutes in China. Furthermore, data was collected by using convenient sampling techniques. PLS-SEM was used in study to assess hypothesized relationships. The present research work acknowledged that mental health awareness (MHA) negatively relates to mental health stigma (MHS). Results of this study also confirmed that mental health stigma (MHS) negatively affects societal well-being (SWB). Moreover, the results of this study revealed that mental health stigma (MHS) does not negatively mediate the link between mental health awareness (MHA) and societal well-being (SWB). Further, the results authenticate that multicultural awareness (MA) positively moderates the link between mental health awareness (MHA) and mental health stigma (MHS). Findings of this research have necessary practical implications for improving the students’ mental health literacy and awareness.   

Downloads

Download data is not yet available.

Article Details

How to Cite
Akhter, S. ., Kumar, T. ., Prasad, R. D. ., & Nukapangu, V. . (2025). Exploring mental health awareness project, societal well-being and stigma among Tesol students: From multicultural awareness perspective. Research Journal in Advanced Humanities, 6(2). https://doi.org/10.58256/s9as1360
Section
Articles

How to Cite

Akhter, S. ., Kumar, T. ., Prasad, R. D. ., & Nukapangu, V. . (2025). Exploring mental health awareness project, societal well-being and stigma among Tesol students: From multicultural awareness perspective. Research Journal in Advanced Humanities, 6(2). https://doi.org/10.58256/s9as1360

Share

References

Hair, J.F. J., Hult, G.T.M, Ringle, C.M., Sarstedt, M.(2017). A primer on partial least squares structural equation modeling (PLS-SEM).

Hair, J.F, Sarstedt, M., Hopkins, L., Kuppelwieser, V.G.(2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. Eur Bus Rev. 26:106–121. doi: 10.1108/EBR-10-2013-0128/FULL/HTML

Hair, J.F., Sarstedt, M., Ringle, C.M. (2019). Rethinking some of the rethinking of partial least squares. Eur J Mark

Altbach, P.G., Salmi, J. (2011). The road to academic excellence: The making of world-class research universities. World Bank Publications

Azjen, I. (1980). Understanding attitudes and predicting social behavior. Englewood cliffs.

Bank,W. (2007). Empowerment in Practice: Analysis and Implementation.

Barkham, M., Broglia, E., Dufour, G., Fudge, M., Knowles, L., Percy, A., Turner, A., Williams, C., Consortium, S. (2019). Towards an evidence‐base for student wellbeing and mental health: Definitions, developmental transitions and data sets. Couns Psychother Res. 19:351–357.

Bashir, H., Ahmad, B., Bari, M.W., Khan Q.U.A. (2021). The impact of organizational practices on formation and development of psychological contract: expatriates’ perception-based view. Int J Emerg Mark

Baumann, F. (2021). The next frontier—human development and the anthropocene: UNDP human development report 2020. Environ Sci Policy Sustain: 63:34–40.

Bohon, LM., Cotter, K.A., Kravitz, R.L., Cello, J.R., P.C., Fernandez, y., Garcia, E. (2016). The theory of planned behavior as it predicts potential intention to seek mental health services for depression among college students. J Am Coll Heal. 64:593–603.

Brohan, E., Elgie, R., Sartorius, N., Thornicroft, G., Group, G-E.S. (2010). Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophr Res 122:232–238.

Brown, K.W., Ryan, R.M., Creswell, J.D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychol Inq 18:211–237.

Buss, A.H. (1980). Self-consciousness and social anxiety. WH freeman.

Chen, Y., Zheng, X. (2019). Chinese university students’ attitude towards self and others in reflective journals of intercultural encounter. SysteM: 84:64–75. doi: https://doi.org/10.1016/j.system.2019.05.004

Conner, M., Godin, G., Sheeran, P., Germain, M. (2013). Some feelings are more important: cognitive attitudes, affective attitudes, anticipated affect, and blood donation. Heal Psychol 32:264

Corrigan ,P.W,. Watson, A.C. (2002). Understanding the impact of stigma on people with mental illness. World psychiatry: 1:16.

Corrigan, P.W., Druss, B.G., Perlick, D.A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychol Sci Public Interes : 15:37–70.

Corrigan, P.W., Powell, K.J., Rüsch, N. (2012). How does stigma affect work in people with serious mental illnesses? Psychiatr Rehabil J: 35:381

Corrigan, P.W., Watson, A.C., Barr, L.(2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. J Soc Clin Psychol: 25:875.

Duval, S., Wicklund, R.A. (1972). A theory of objective self-consciousness.

Farrer, L, Gulliver, A., Chan, J.K.Y., Batterham, P.J, Reynolds, J., Calear, A., Tait, R., Bennett, K., Griffiths, K.M. (2013). Technology-Based Interventions for Mental Health in Tertiary Students: Systematic Review. J Med Internet Res: 15: e101. doi: 10.2196/jmir.2639

Fernando, S. (1988). Race and culture in psychiatry. Croom Helm.

Fowers, B.J., Davidov, B.J. (2006). The virtue of multiculturalism: Personal transformation, character, and openness to others. Am Psychol (2006) 61:581.

Giamo,s D., Lee, A.Y.S., Suleiman, A., Stuart, H., Chen, S-P.(2017). Understanding campus culture and student coping strategies for mental health issues in five Canadian colleges and universities. Can J High Educ Can d’enseignement supérieur: 47:136–151.

Gierk, B., Löwe, B., Murray, A.M., Kohlmann, S. (2018). Assessment of perceived mental health-related stigma: The Stigma-9 Questionnaire (STIG-9). Psychiatry Res : 270:822–830.

Hair, J.F., Ringle, C.M, Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. J Mark Theory Pract : 19:139–152. doi: 10.2753/MTP1069-6679190202

Hair, J.F., Risher, J.J., Sarstedt, M., Ringle, C.M. (2019). When to use and how to report the results of PLS-SEM. Eur Bus Rev .31:2–24. doi: 10.1108/EBR-11-2018-0203

Hair, J.J, Hult, G., Ringle, C, Sarstedt, M. (2016). A primer on partial least squares structural equation modeling (PLS-SEM). Thousand Oaks, CA : Sage.

Hall, J.C., Theriot, M.T. (2016). Developing Multicultural Awareness, Knowledge, and Skills: Diversity Training Makes a Difference? Multicult Perspect: 18:35–41. doi: 10.1080/15210960.2016.1125742

Hampton, N.Z., Sharp, S.E., (2014). Shame-focused attitudes toward mental health problems: The role of gender and culture. Rehabil Couns Bull. 57:170–181.

Jahara, S.F., Hussain, M., Kumar, T. et al. The core of self-assessment and academic stress among EFL learners: the mediating role of coping styles. Language Testing in Asia 12, 21 (2022). https://doi.org/10.1186/s40468-022-00170-9

Jiang, B. L., Kumar, T., Rehman, N., Hameed, R., Kiziloglu, M. & Israr, A. (2022). Role of Psychological Contracts in Enhancing Employee Creativity through Knowledge Sharing: Do Boundary Conditions of Organization’s Socialization and Work-Related Curiosity Matter? Frontiers in Psychology. 13:834041. doi: 10.3389/fpsyg.2022.834 041

Jorm, A.F. (2012). Mental health literacy: empowering the community to act for better mental health. Am Psychol (2012) 67:231

Kakuma, R., Kleintjes, S., Lund. C., Drew, N., Green, A., Flisher, A.J. (2020). Mental health stigma: what is being done to raise awareness and reduce stigma in South Africa? Afr J Psychiatry

Kobau, R., Seligman, M.E.P., Peterson, C., Diener, E., Zack, M.M., Chapman, D., Thompson,W.(2011). Mental health promotion in public health: Perspectives and strategies from positive psychology. Am J Public Health: 101: e1–e9.

Kumar, T. (2020). Assessing language need and proficiency of English graduates of Prince Sattam Bin Abdulaziz University for designing pre-placement training and workshops. Asian ESP Journal. 16(4), 153-168.

Lamichhane, R.K. (2019). Stigma is perceived by family members of psychiatric patients attending the outpatient department of a teaching hospital. J Patan Acad Heal Sci: 6:64–69.

Ledesma, M.C., Calderó, Nn.D.(2015). Critical race theory in education: A review of past literature and a look to the future. Qual Inq. 21:206–222.

Li, S., Hanafiah, W., Rezai, A., & Kumar, T. (2022). Interplay between brain dominance, reading, and speaking skills in English classrooms. Frontiers in Psychology, 13:798900. doi: 10.3389/fpsyg.2022.798900.

Li, Y., Mohd Nordin, N. R., Akhter, S., Kumar, T., & Shaheen, M. (2022). Does green entrepreneurial behavior enhance through entrepreneurship education, perceived ability to use technology, and commitment to the environment? Understanding the contribution of entrepreneurial motivation and university support. Economic Research-Ekonomska Istraživanja, 1-20.

Liang, W., Akhter, S., & Kumar, T. (2022). Relationship between Unhappy Musicians, Resistance Toward Innovation and Uncreative Music Products: Psychological Security as Moderator. Frontiers in Psychology, 13, 922404-922404.

Lindow, J.C., Hughes, J.L., South, C., Minhajuddin, A., Gutierrez, L., Bannister, E., Trivedi. M.H., Byerly, M.J. (2020). Youth are aware of mental health intervention: impact on help seeking, mental health knowledge, and stigma in US adolescents. J Adolesc Heal 67:101–107.

Livingston, JD., Boyd, J.E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Soc Sci Med 71:2150–2161.

Lum, D. (2010). Culturally competent practice: A framework for understanding. Cengage Learning (2010).

Medlicott, E., Phillips, A., Crane, C., Hinz,E. V., Taylor, .L, Tickell, A., Montero-Marin, J., Kuyken W. (2021). The Mental Health and Wellbeing of University Students: Acceptability, Effectiveness, and Mechanisms of a Mindfulness-Based Course. Int J Environ Res Public Health (2021) 18:6023.

Min J-A, Lee, C-U., Lee, C. (2013). Mental health promotion and illness prevention: a challenge for psychiatrists. Psychiatry Investing: 10:307

Mo, P.K.H., Mak, W.W.S. (2009). Help-seeking for mental health problems among Chinese. Soc Psychiatry Psychiatr Epidemiol: 44:675–684

Mohr, C., Braun, S., Bridle,R, R., Chmetz, F., Delfino, J.P., Kluckner, V.J., Lott, P., Schrag, Y., Seifritz, .E, Stassen, H.H. (2014). Insufficient coping behavior under chronic stress and vulnerability to psychiatric disorders. Psychopathology: 47:235–243.

Morgan, A.J, Reavley, N.J, Ross, A., San, T. L., Jorm, A.F. (2018). Interventions to reduce stigma towards people with severe mental illness: Systematic review and meta-analysis. J Psychiatr Res 103:120–133.

Naik, P., Harris, V., Forthun, L. (2013). Mindfulness: An Introduction: FCS2335/FY1381, 9/2013. EDIS

Nutbeam, D., Wise, M. (1993). Australia: planning for better health: opportunities for health promotion through the development of national health goals and targets. Promot Educ (1993) 1:19–24.

Ogorchukwu, J.M., Sekaran, V.C, Nair, S., Ashok, L. (2016). Mental health literacy among late adolescents in South India: What they know and what attitudes drive them. Indian J Psychol Med (2016) 38:234–241

Oii, B., Ali, A.J. (2011). Multicultural Awareness for Better Ways of Life: A Scale Validation Among Malaysian Undergraduate Students. 2nd International Conference on Business and Economic Research (2nd ICBER 2011) Proceeding. Conference Master Resources

Pan, H., Xia, F., Kumar, T., Li, X., & Shamsy, A. (2022). Massive open online course versus flipped instruction: Impacts on foreign language speaking anxiety, foreign language learning motivation, and learning attitude. Frontiers in Psychology, 13:833616.doi: 10.3389/fpsyg.2022.833616

Pinfold, V. (2003). How can we make mental health education work? Example of successful local mental health awareness program challenging stigma and discrimination

Pinfold, V., Stuart, H., Thornicroft, G., Arboleda-Flórez, J. (2005). Working with young people: the impact of mental health awareness programs in schools in the UK and Canada. World

Ran, M-S., Hall, B.J., Su, T.T., Prawira ,B., Breth-Petersen, M., Li, X-H., Zhang, T-M. (2021). Stigma of mental illness and cultural factors in Pacific Rim region: a systematic review. BMC Psychiatry: 21:1–16.

Ratanasiripong, P., China, T., Toyama, S. (2018). Mental health and well-being of University Students in Okinawa. Educ Res InT.

Rebello, T.J., Marques, A., Gureje ,O., Pike, K.M. (2014). Innovative strategies for closing the mental health treatment gap globally. (2014). Curr Opin Psychiatry: 27:308–314.

Rusch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, Bleiker M, Lengler S, Blank C, Rössler W. (2014). Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness. Eur Arch Psychiatry Clin Neurosci: 264:35–43.

Ryan, R., Deci, E. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. Am Psychol: 55:68–78. doi: 10.1037/0003-066X.55.1.68

Ryan, R.M. (1982). Control and information in the intrapersonal sphere: An extension of cognitive evaluation theory. J Pers Soc Psychol: 43:450.

Satcher, D. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the surgeon general. US Department of Health and Human Services (2001).

Scally, J., Jian,g M. (2020. I wish I knew how to socialize with native speakers’: supporting authentic linguistic and cultural experiences for Chinese TESOL students in the UK. J Furth High Educ: 44:1335–1348.

Scally, J., Jiang, M. (2020. I wish I knew how to socialize with native speakers’: supporting authentic linguistic and cultural experiences for Chinese TESOL students in the UK. J Furth High Educ: 44:1335–1348.

Schomerus, G., Matschinger, H., Angermeyer, M.C. (2009). Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour. Psychol Med: 39:1855–1865.

Schomerus, G., Matschinger, H., Angermeyer,M.C. (2009). Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour. Psychol Med: 39:1855–1865.

Serafino, E.P., Smith, T.W. (2014). Health psychology: Biopsychosocial interactions. John Wiley & Sons.

Serafino,E.P., Smith, T.W.(2014). Health psychology: Biopsychosocial interactions. John Wiley & Sons.

Shao, Q., Gao, X. (2016). Reticence and willingness to communicate (WTC) of East Asian language learners. System: 63:115–120. doi: https://doi.org/10.1016/j.system.2016.10.001

Shao, Q., Gao, X. (2016). Reticence and willingness to communicate (WTC) of East Asian language learners. System: 63:115–120. doi: https://doi.org/10.1016/j.system.2016.10.001

Sharma, Y. (2018). One belt one road towards a China-led HE area. Univ World News.

Sharma, Y. (2018). One belt one road towards a China-led HE area. Univ World News.

Spencer-Oatey, H., Dauber, D., Jing, J., Lifei, W. (2017). Chinese students’ social integration into the university community: hearing the students’ voices. High Educ (2017) 74:739–756. doi: 10.1007/s10734-016-0074-0

Spencer-Oatey, H., Dauber, D., Jing, J., Lifei, W. (2017). Chinese students’ social integration into the university community: hearing the students’ voices. High Educ (2017) 74:739–756. doi: 10.1007/s10734-016-0074-0

Tin, T. T., Tiung, L. K., En, J. K. M., Fen, S. C., Sheng, L. C., Ze, L. K., Almaiah, M. A. (2024). Educational Big Data Analytic–A Mediation Analysis of the Covariates of Academic Performance.

Tin, T. T., Tiung, L. K., En, J. K. M., Fen, S. C., Sheng, L. C., Ze, L. K., Almaiah, M. A. (2024). Educational Big Data Analytic–A Mediation Analysis of the Covariates of Academic Performance.

Trani, J-F., Ballard, E., Bakhshi, P., Hovmand, P. (2016). Community based system dynamic as an approach for understanding and acting on messy problems: a case study for global mental health intervention in Afghanistan. Confl Health: 10:1–11.

Tribe,R. (2005). The mental health needs of refugees and asylum seekers. Ment Heal Rev: 10:8.

Uddin, M.N., Bhar, S., Islam, F.M.A. (2019). An assessment of awareness of mental health conditions and its association with socio-demographic characteristics: a cross-sectional study in a rural district in Bangladesh. BMC Health Serv Res (2019) 19:1–11

Verhaeghe, M., Bracke, P. (2012). Associative stigma among mental health professionals: implications for professional and service user well-being. J Health Soc 53:17–32.

Wang, M., Akhter, S. (2025). Tracing interpersonal emotion regulation, behavioural emotion regulation strategies, hopelessness and vocabulary retention within Bing vs. ChatGPT environments. British Educational Research Journal. https://doi.org/10.1002/berj.4137

Yanos, P.T., Lucksted, A., Drapalski, A.L., Roe, D., Lysaker, P. (2015). Interventions targeting mental health self-stigma: A review and comparison. Psychiatr Rehabil J: 38:171.

Yeo, M.A., Newton, J.M. (2021). Inclusive transnational education partnerships: A case study of a Master of Arts in TESOL program. RELC J (2021) 52:287–306.