Predictors Of Help-seeking Attitudes Research Articles

The Behavioral Model of Health: Education, Behavioral Health Factors, and Stigma as Predictors of Help-Seeking Attitudes.

Per the behavioral model of health, help-seeking attitudes (and even behavioral health service use) are a function of predisposing and enabling individual characteristics (e.g. demographic characteristics, health beliefs), as well as contextual characteristics (resources, social structures such as education etc.). While researchers have examined how demographic (gender and ethnicity) and socioeconomic (education and income) characteristics, psychological factors, and internal barriers relate to help-seeking attitudes, the majority of these works have investigated how different variables independently act on help-seeking attitudes in lieu of more comprehensively investigating how they operate in tandem. The purpose of the current study was to examine how demographic (gender and ethnicity) and socioeconomic (education and income) characteristics, behavioral health factors, and internal barriers relate to help-seeking attitudes in a diverse sample of primary care patients. We also sought to examine differences in demographic and socioeconomic characteristics in mental health literacy, stigma, and help-seeking attitudes. Participants were 286 primary care patients. Results from this study indicate that a combination of socioeconomic characteristics (i.e. education), behavioral health factors (level of distress and history of behavioral health service utilization), and internal barriers (personal stigma) predicted help-seeking attitudes among primary care patients. There was an inverse relationship between education and personal stigma and help-seeking attitudes such that higher levels of education and higher levels of personal stigma were associated with more negative help-seeking attitudes.

Stigma in help-seeking: the case of adolescents

ABSTRACTStigma associated with seeking help has been found to be a key help-seeking barrier, however its role is less clear for: (a) adolescents, (b) groups outside the United States and (c) different types of therapy. This study addresses these omissions by examining the relationships between perceptions of public stigma of mental illness and the self-stigma of seeking help, and how they are related to help-seeking attitudes and intentions for both individual and group therapy among adolescents in Israel (N = 238). Path analysis confirmed that self-stigma of seeking help was negatively related to attitudes towards psychological help which was then positively related to intentions to seek help, across both individual and group therapy. Consistent with the only other study conducted in Israel, but contrasting research from other parts of the world, the relationship between perceptions of public stigma of mental illness and self-stigma of seeking help was not present for either individual or group therapy. However, perceptions of public stigma of mental illness were a direct negative predictor of help-seeking attitudes for group therapy. Overall, participants reported more negative perceptions of group therapy than individual therapy. These results have implications for future interventions to increase help-seeking behaviours for adolescents.

Predicting Help-Seeking Attitudes Toward Mental Health Services Among American Indian Older Adults: Is Andersen's Behavioral Model a Good Fit?

American Indian (AI) older adults are vulnerable to mental health disparities, yet very little is known about the factors associated with help-seeking for mental health services among them. The purpose of this study was to investigate the utility of Andersen's Behavioral Model in explaining AI older adults' help-seeking attitudes toward professional mental health services. Hierarchical regression analysis was used to examine predisposing, enabling, and need variables as predictors of help-seeking attitudes toward mental health services in a sample of 233 AI older adults from the Midwest. The model was found to have limited utility in the context of older AI help-seeking attitudes, as the proportion of explained variance was low. Gender, perceived stigma, social support, and physical health were significant predictors, whereas age, perceived mental health, and health insurance were not.

Emotional self-control, interpersonal shame, and racism as predictors of help-seeking attitudes among Asian Americans: An application of the intrapersonal–interpersonal-sociocultural framework.

The present study is a cross-sectional investigation of emotional self-control, interpersonal shame, and subtle racism as predictors of Asian American attitudes toward professional helpseeking in a sample of Asian American college students (N = 153). The authors applied and extended P. Y. Kim and Lee’s (2014) intrapersonal-interpersonal framework of Asian American help-seeking to include racism as a sociocultural correlate. It was hypothesized that emotional self-control (intrapersonal correlate), interpersonal shame variables of external shame and family shame (interpersonal correlates), and racism (sociocultural correlate) would incrementally predict professional help-seeking attitudes, controlling for previous counseling experience. Participants completed an online survey containing the demographic and study variables. Hierarchical regression analyses (Step 1: counseling experience; Step 2: emotional self-control; Step 3: interpersonal shame [external and family]; Step 4: racism) indicated that emotional selfcontrol and racism were negative predictors of favorable attitudes, whereas external shame was a positive predictor of favorable help-seeking attitudes. The findings have implications for advancing the Asian American literature pertaining to professional help-seeking correlates and for practitioners working with Asian American students to favorably impact mental health service utilization.

How personality, coping styles, and perceived closeness influence help-seeking attitudes in suicide-bereaved adults

ABSTRACTThis study examined the impact of personality, coping, and perceived closeness on help-seeking attitudes in suicide bereaved adults. Participants (n = 418; mean age = 49.50; 90% women, 89.7% Caucasian) completed measures of personality (neuroticism, extraversion, openness, conscientiousness, and agreeableness), coping, and attitudes toward seeking mental health services. Regression analyses revealed neuroticism as the strongest predictor of help-seeking attitudes. Relatively neurotic adult women bereaved by suicide may be at-risk for developing unhealthy coping styles, low stigma indifference, and more negative help-seeking attitudes.

Acculturation and enculturation as predictors of psychological help-seeking attitudes (HSAs) among racial and ethnic minorities: A meta-analytic investigation.

Psychological services are culturally encapsulated for dominant cultural groups, and racial minorities underutilize treatment even though they suffer from more severe psychological distress. Sociocultural factors such as acculturation (one's adaptation into mainstream group) and enculturation (one's adherence to culture of heritage) are hypothesized to affect minorities' attitudes toward seeking psychological services. This meta-analysis examined 3 methods to assess acculturation/enculturation-unidimensional acculturation, bidimensional acculturation, and bidimensional enculturation as predictors of help-seeking attitudes (HSAs)-both positive and negative attitudes-among racial and ethnic minorities in 207 samples drawn from 111 research reports. The omnibus correlations between acculturation/enculturation variables and HSAs were quite small, but in the predicted direction. Moderator analyses suggested a more nuanced understanding of the association between bidimensional enculturation and positive HSAs: This association was significant (r = -.14 95% CI[-.18, -.09]) for Asians and Asian Americans, but very close to zero and nonsignificant for other racial minority groups (African Americans, Latino Americans, and others). In addition, the domain of acculturation/enculturation assessed was predictive of effect size, with enculturation measures containing a higher proportion of cognitive items (e.g., items that assess cultural values and beliefs) showing stronger (more negative) associations with positive HSAs. Post hoc analyses indicated that certain Asian cultural values, including emotional self-control, conformity to social norms, and collectivism, showed especially high negative associations with positive HSAs. (PsycINFO Database Record

Mental Health Stigma and Self-Concealment as Predictors of Help-Seeking Attitudes among Latina/o College Students in the United States

The study examined whether mental health stigma and self-concealment are uniquely related to various dimensions of attitudes toward seeking professional psychological services (i.e., help-seeking attitudes) in Latina/o college students. Data from 129 Latina/o undergraduates (76 % female) were used in the analysis. Results revealed that mental health stigma was a unique predictor of overall help-seeking attitudes. Mental health stigma was also significantly related to recognition of need for psychotherapeutic help, stigma tolerance, and interpersonal openness, but not to confidence in mental health practitioners. Self-concealment was uniquely related to stigma tolerance and interpersonal openness.

Internalized model minority myth, Asian values, and help-seeking attitudes among Asian American students.

The present study examined cultural factors underlying help-seeking attitudes of Asian American college students (N = 106). Specifically, we explored internalized model minority myth as a predictor of help-seeking attitudes and tested an intrapersonal-interpersonal framework of Asian values as a mechanism by which the two are related. Results indicated that internalized model minority myth significantly predicted unfavorable help-seeking attitudes, and emotional self-control mediated this relationship. Interpersonal values and humility were nonsignificant mediators, contrary to our hypotheses. The findings suggest that the investigation of internalized model minority myth in help-seeking research is a worthwhile endeavor, and they also highlight emotional self-control as an important explanatory variable in help-seeking attitudes of Asian American college students.

Help-Seeking Attitudes Among Vietnamese Americans: The Impact of Acculturation, Cultural Barriers, and Spiritual Beliefs

ABSTRACT There is increasing evidence that Vietnamese Americans underutilize mental health services. This study surveyed 210 Vietnamese Americans about their attitudes toward seeking professional psychological help to further understanding of variables that may impact attitudes toward use of mental health services in this community. It was hypothesized that acculturation, cultural barriers, and spiritual beliefs together will predict attitudes toward seeking professional psychological help. The results indicated acculturation, cultural barriers, spiritual beliefs, age, and occupation were significant predictors of help-seeking attitudes. Specifically, higher levels of acculturation, cultural barriers, age, and occupation meant more positive attitudes toward seeking help whereas lower levels of spiritual beliefs resulted in more favorable attitudes toward seeking help. Implications for social work research and practice are addressed.

Gender and opinions about mental illness as predictors of attitudes toward seeking professional psychological help

Help-seeking attitudes have been an important part of research into the kinds of college students who do and do not seek psychotherapy. The current study investigated the relationship between students' opinions about mental illness and their attitudes toward seeking professional help. By also using gender as a predictor of help-seeking attitudes, the researchers examined the effects of opinions about mental illness on help-seeking attitudes above and beyond well-known gender effects. This is important because opinions about mental illness are the kind of attitudinal variables that should be more modifiable than gender identity. The results indicate that females had more positive attitudes toward seeking help than males, and that people's opinions about mental illness, especially more benevolent, less authoritarian, less socially restrictive and higher mental hygiene ideology perspectives, accounted for a significant percentage of positive help-seeking attitudes beyond the percentage accounted for by gender.