The purpose of this study was to explore mental health literacy for religious and/or spiritual (R/S) struggles and help-seeking patterns. In total, 791 college students from 2 institutions on the Gulf Coast completed an online survey with Exline, Pargament, Ellison, and Flannelly’s (2014) Religious and Spiritual Struggles Scale and a modified version of the Mental Health Literacy Questionnaire for Anxiety Disorders (Coles & Coleman, 2010) that included a vignette of a peer who was struggling with his faith and culturally sensitive response options that accounted for R/S concerns (problem recognition, causality of problem, help-seeking recommendations, help-seeking behaviors, and intentions for R/S struggles). Several findings emerged from descriptive and inferential analyses: (a) most participants (74.2%) viewed R/S struggles as a problem associated with religion/spirituality; however, religious individuals were more likely to view the problem along these lines; (b) individuals were roughly as likely to attribute the R/S problems in the vignette to stress and environmental factors compared to explicit R/S factors; (c) approximately half of the participants recommended that the R/S struggler should seek professional help, regardless of perceived causes of the problem; and (d) participants were less likely to pursue mental health treatment for themselves; however, greater portions of the sample were amenable to seeking informal/religious sources of help with their own actual and/or hypothetical struggles with religious faith and/or spirituality. Although preliminary in nature, these findings underscore the probable importance of R/S struggles with college students as well as utility for enhancing training and engagement between mental health clinicians and R/S professionals.

中文翻译：

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为宗教和精神斗争寻求帮助：探索心理健康素养的作用。

本研究的目的是探讨宗教和/或精神 (R/S) 斗争和寻求帮助模式的心理健康素养。总共有来自墨西哥湾沿岸 2 所机构的 791 名大学生完成了使用 Exline、Pargament、Ellison 和 Flannelly（2014）宗教和精神斗争量表以及焦虑障碍心理健康素养问卷（Coles & Coleman，2010 年），其中包括一位同龄人的小插曲，他正在为自己的信仰和文化敏感的回应选项而苦苦挣扎，这些回应选项解释了 R/S 问题（问题识别、问题的因果关系、寻求帮助的建议、寻求帮助的行为和意图R/S 挣扎）。描述性和推理性分析得出了一些发现：（a）大多数参与者（74. 2%) 将 R/S 斗争视为与宗教/灵性相关的问题；然而，宗教人士更有可能按照这些思路看待问题；(b) 与明确的 R/S 因素相比，个人将小插图中的 R/S 问题归因于压力和环境因素的可能性大致相同；(c) 大约一半的参与者建议 R/S 斗争者应寻求专业帮助，无论问题的原因如何；(d) 参与者不太可能为自己寻求心理健康治疗；然而，大部分样本都愿意寻求非正式/宗教的帮助，以解决他们自己与宗教信仰和/或灵性的实际和/或假设斗争。虽然本质上是初步的，