International students experience self-stigma associated with seeking psychological services. The current research tests a moderated mediation model in which hyper-visibility predicts self-stigma of seeking help through the mediating mechanism of stereotype threat, and growth mindset buffers the stereotype threat → self-stigma relationship. The survey was conducted among 344 international students enrolled at universities in China. According to moderated mediation analysis, the following effects were found: 1) hyper-visibility positively and significantly predicted stereotype threat; 2) stereotype threat positively and significantly predicted self-stigma of seeking help; and 3) growth mindset negatively and significantly moderated the stereotype threat → self-stigma relationship. Consequently, the indirect effect of hyper-visibility on self-stigma through stereotype threat was higher for students with low growth mindset and lower for those with high growth mindset. Thus, growth mindset acts as a buffer in cognitive processes to minimize stigmatization. Hyper-visibility and stereotype threat were strongly correlated and further analysis using the heterotrait-monotrait (HTMT) ratio indicated that the two constructs did not meet conventional discriminant-validity thresholds; this overlap is reported transparently and discussed as a limitation. This research has real-life implications for counseling centers in universities and services for international students. Universities should screen for hyper-visibility and low growth mindset during orientation to identify potentially at-risk students. Interventions related to growth mindset, such as presenting psychological services as developmental opportunities, providing growth-mindset modules during orientation, and training peer mentors to normalize help-seeking, would help disrupt the stereotype threat → self-stigma chain.
Cite this paper
Sikayo, M. and Sheng, Y. (2026). Does Hyper-Visibility Fuel Self-Stigma of Help-Seeking? The Mediation of Stereotype Threat and Moderator of Growth Mindset. Open Access Library Journal, 13, e15888. doi: http://dx.doi.org/10.4236/oalib.1115888.
Larcombe, W., Ryan, T. and Baik, C. (2024) Are International Students Relatively Resilient? Comparing International and Domestic Students’ Levels of Self-Compassion, Mental Health and Wellbeing. <i>Higher Education Research & Development</i>, 43, 362-376. <br>https://doi.org/10.1080/07294360.2023.2234315
Soheili, F. and Lanz, M. (2025) Psychological Adaptation of International Students in Higher Education: A Bibliometric Analysis. <i>Current Psychology</i>, 44, 10670-10678. <br>https://doi.org/10.1007/s12144-025-07926-5
Eisenberg, D., Downs, M.F., Golberstein, E. and Zivin, K. (2009) Stigma and Help Seeking for Mental Health among College Students. <i>Medical Care Research and Review</i>, 66, 522-541. <br>https://doi.org/10.1177/1077558709335173
Cao, C. and Meng, Q. (2022) A Systematic Review of Predictors of International Students’ Cross-Cultural Adjustment in China: Current Knowledge and Agenda for Future Research. <i>Asia Pacific Education Review</i>, 23, 45-67. <br>https://doi.org/10.1007/s12564-021-09700-1
Vogel, D.L., Wade, N.G. and Haake, S. (2006) Measuring the Self-Stigma Associated with Seeking Psychological Help. <i>Journal of Counseling Psychology</i>, 53, 325-337. <br>https://doi.org/10.1037/0022-0167.53.3.325
Corrigan, P. (2004) How Stigma Interferes with Mental Health Care. <i>American Psychologist</i>, 59, 614-625. <br>https://doi.org/10.1037/0003-066x.59.7.614
Vogel, D.L., Wade, N.G. and Ascheman, P.L. (2009) Measuring Perceptions of Stigmatization by Others for Seeking Psychological Help: Reliability and Validity of a New Stigma Scale with College Students. <i>Journal of Counseling Psychology</i>, 56, 301-308. <br>https://doi.org/10.1037/a0014903
Settles, I.H., Buchanan, N.T. and Dotson, K. (2019) Scrutinized but Not Recognized: (In)visibility and Hypervisibility Experiences of Faculty of Color. <i>Journal of Vocational Behavior</i>, 113, 62-74. <br>https://doi.org/10.1016/j.jvb.2018.06.003
Steele, C.M. and Aronson, J. (1995) Stereotype Threat and the Intellectual Test Performance of African Americans. <i>Journal of Personality and Social Psychology</i>, 69, 797-811. <br>https://doi.org/10.1037/0022-3514.69.5.797
Lian, Z., Wallace, B.C. and Fullilove, R.E. (2020) Mental Health Help-Seeking Intentions among Chinese International Students in the U.S. Higher Education System: The Role of Coping Self-Efficacy, Social Support, and Stigma for Seeking Psychological Help. <i>Asian American Journal of Psychology</i>, 11, 147-157. <br>https://doi.org/10.1037/aap0000183
Blackwell, L.S., Trzesniewski, K.H. and Dweck, C.S. (2007) Implicit Theories of Intelligence Predict Achievement across an Adolescent Transition: A Longitudinal Study and an Intervention. <i>Child Development</i>, 78, 246-263. <br>https://doi.org/10.1111/j.1467-8624.2007.00995.x
Yeager, D.S., Romero, C., Paunesku, D., Hulleman, C.S., Schneider, B., Hinojosa, C., et al. (2016) Using Design Thinking to Improve Psychological Interventions: The Case of the Growth Mindset during the Transition to High School. <i>Journal of Educational Psychology</i>, 108, 374-391. <br>https://doi.org/10.1037/edu0000098
Brighenti, A.M. (2007) Visibility: A Category for the Social Sciences. <i>Current Sociology</i>, 55, 323-342. <br>https://doi.org/10.1177/0011392107076079
Schmader, T., Johns, M. and Forbes, C. (2008) An Integrated Process Model of Stereotype Threat Effects on Performance. <i>Psychological Review</i>, 115, 336-356. <br>https://doi.org/10.1037/0033-295x.115.2.336
Jamieson, J.P., Mendes, W.B., Blackstock, E. and Schmader, T. (2010) Turning the Knots in Your Stomach into Bows: Reappraising Arousal Improves Performance on the Gre. <i>Journal of Experimental Social Psychology</i>, 46, 208-212. <br>https://doi.org/10.1016/j.jesp.2009.08.015
Kuhlman, S.T.W., McDermott, R.C., Kridel, M.M. and Kantra, L.M. (2018) College Students’ Peer-Helping Behaviors and Stigma of Seeking Help: Testing a Moderated Mediation Model. <i>Journal of American College Health</i>, 67, 753-761. <br>https://doi.org/10.1080/07448481.2018.1506791
Shapiro, J.R. (2011) Different Groups, Different Threats: A Multi-Threat Approach to the Experience of Stereotype Threats. <i>Personality and Social Psychology Bulletin</i>, 37, 464-480. <br>https://doi.org/10.1177/0146167211398140
Shapiro, J.R. and Neuberg, S.L. (2007) From Stereotype Threat to Stereotype Threats: Implications of a Multi-Threat Framework for Causes, Moderators, Mediators, Consequences, and Interventions. <i>Personality and Social Psychology Review</i>, 11, 107-130. <br>https://doi.org/10.1177/1088868306294790
Zeldovich, M., Pieh, C. and Humer, E. (2025) Help-Seeking and Help-Receiving Behavior in the Austrian General Population and the Impact of Self-Stigma: A Cross-Sectional Study. <i>Journal of Public Health</i>. <br>https://doi.org/10.1007/s10389-025-02502-4
Preacher, K.J. and Hayes, A.F. (2008) Asymptotic and Resampling Strategies for Assessing and Comparing Indirect Effects in Multiple Mediator Models. <i>Behavior Research Methods</i>, 40, 879-891. <br>https://doi.org/10.3758/brm.40.3.879
Henseler, J., Ringle, C.M. and Sarstedt, M. (2015) A New Criterion for Assessing Discriminant Validity in Variance-Based Structural Equation Modeling. <i>Journal of the Academy of Marketing Science</i>, 43, 115-135. <br>https://doi.org/10.1007/s11747-014-0403-8
Kim, J., Oh, S., Kim, I. and Watts, J. (2025) Self-Stigma of Help-Seeking after Adverse Childhood Experiences: Event Centrality and Posttraumatic Cognitions. <i>Journal of Counseling & Development</i>, 104, 41-52. <br>https://doi.org/10.1002/jcad.70008