1
|
Misuraca GO, Francis LM, Mansour KA, Greenwood CJ, Olsson CA, Macdonald JA. Shame and depressive symptoms in men: The moderating role of environmental mastery and purpose in life. Int J Soc Psychiatry 2024; 70:1175-1185. [PMID: 39045796 PMCID: PMC11402267 DOI: 10.1177/00207640241263245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
BACKGROUND Feelings of shame are linked to increased risk for depression. Little is known about protective factors that may buffer this effect, particularly in men. Using prospective data from a community sample of Australian men, we examine the extent to which shame is associated with depressive symptoms, and the protective role of psychological wellbeing, specifically environmental mastery and purpose in life. METHODS Participants (n = 448) were from the longitudinal Men and Parenting Pathways (MAPP) Study. Measures were the Event Related Shame and Guilt Scale for shame, the DASS-21 for depressive symptoms and Ryff's Scales of Psychological Well-Being for environmental mastery and purpose in life. Linear regressions were used to test associations between shame and depressive symptoms concurrently and 1-year later, and the moderating effects of mastery and purpose in life. RESULTS Shame was strongly associated with concurrent depressive symptoms (βunadj = .76, p < .001; βadj = .63, p < .001). This effect was weaker in men with high compared to low environmental mastery (β+1SD = .46, p < .001; β-1SD = .55, p < .001) and purpose in life (β+1SD = .48, p < .001; β-1SD = .62, p < .001). Shame also predicted subsequent depressive symptoms after adjustment for prior depressive symptoms (βunadj = .59, p = .001; βadj = .34, p = .004), although environmental mastery or purpose in life did not moderate these associations. CONCLUSIONS Our findings suggest that promoting a sense of psychological wellbeing in men may confer protective proximal effects in the context of shame, potentially attenuating depression severity. The current study aligns with calls for strength-based approaches to reducing mental health problems in men.
Collapse
Affiliation(s)
- Gessica O Misuraca
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
| | - Lauren M Francis
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
| | - Kayla A Mansour
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
| | - Christopher J Greenwood
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia
- Department of Paediatrics, Royal Children's Hospital, University of Melbourne, Parkville, VIC, Australia
| | - Craig A Olsson
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia
- Department of Paediatrics, Royal Children's Hospital, University of Melbourne, Parkville, VIC, Australia
| | - Jacqui A Macdonald
- School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, VIC, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia
- Department of Paediatrics, Royal Children's Hospital, University of Melbourne, Parkville, VIC, Australia
| |
Collapse
|
2
|
Wadsworth DP, Cash B, Tulloch K, Couper R, Robson K, Fitzpatrick S. Conducting mental health research with rural and regional older Australians: Reflections and recommendations. Aust J Rural Health 2024. [PMID: 39003641 DOI: 10.1111/ajr.13165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 06/27/2024] [Accepted: 06/30/2024] [Indexed: 07/15/2024] Open
Abstract
AIMS This commentary aims to assist emerging leaders of mental health research with older rural Australians through (i) affirmation that others share the barriers, pitfalls and challenges being faced; (ii) reinforcing the rationale making this a pertinent area for research; and (iii) opening a dialogue for best practice to engage older rural Australians in mental health research. CONTEXT Supporting the mental health of older adults is a pertinent global challenge, none more so than in rural Australia where restricted access to services and supports are compounded by limited help-seeking behaviours and capacity to engage with support. Paradoxically, such limitations also extend to impact researchers' ability to engage rural older Australians in mental health research, particularly when combined with the stoicism and stigma that often envelopes mental health, and the contemporary challenges posed by the emergence of technology. Such challenges are however not often discussed, more-often sidelined in favour of reporting positive research outcomes, or seeing emerging researchers eschew such focus entirely. APPROACH Through this paper, the authors utilised critical self-appraisal and iterative reflection to identify four recommendations for undertaking contemporary mental health research with rural older Australians, namely to: plan realistically through a collaborative, authentic and respectful approach; identify community champions and build/maintain trust; diversify thought, approaches and methodology; and cast the research net far, wide and often. CONCLUSION By adopting recommendations, researchers can maximise accessibility to and possible participation in mental health research, providing foundations for older rural Australians' contributions to inform the development of policies and strategies to promote their health and well-being.
Collapse
Affiliation(s)
- Daniel P Wadsworth
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- Manna Institute for Rural and Regional Mental Health, Albury, New South Wales, Australia
- Sunshine Coast Health Institute, Birtinya, Queensland, Australia
| | - Belinda Cash
- Manna Institute for Rural and Regional Mental Health, Albury, New South Wales, Australia
- Charles Sturt University, Albury, New South Wales, Australia
| | - Kristen Tulloch
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Rebekah Couper
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Kristy Robson
- Manna Institute for Rural and Regional Mental Health, Albury, New South Wales, Australia
- Three Rivers Department of Rural Health, Charles Sturt University, Albury, New South Wales, Australia
| | - Sally Fitzpatrick
- Manna Institute for Rural and Regional Mental Health, Albury, New South Wales, Australia
- Everymind, Newcastle, New South Wales, Australia
| |
Collapse
|
3
|
Ho TQA, Engel L, Melvin G, Le LKD, Le HND, Mihalopoulos C. Young People's Barriers and Facilitators of Engagement with Web-Based Mental Health Interventions for Anxiety and Depression: A Qualitative Study. THE PATIENT 2024:10.1007/s40271-024-00707-5. [PMID: 39002094 DOI: 10.1007/s40271-024-00707-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/26/2024] [Indexed: 07/15/2024]
Abstract
BACKGROUND The prevalence of anxiety and depressive symptoms in young people have increased in many countries around the world. Web-based mental health interventions (or W-MHIs) have the potential to reduce anxiety and depression symptoms for young people. Although W-MHIs have become more widely used by young people since the coronavirus disease 2019 (COVID-19) pandemic, real-world engagement in these W-MHIs has remained low compared with engagement reported in research studies. Moreover, there are limited studies examining factors influencing engagement with W-MHIs in the post-COVID-19 pandemic years. OBJECTIVE This study aims to explore barriers and facilitators of engagement with W-MHIs for anxiety and depression among young people. METHOD Seventeen semi-structured interviews and one focus group with three participants were conducted online via Zoom between February and March 2023. Participants were young people aged 18-25 years who had self-reported experience of anxiety and/or depression in the past 6 months, lived in Australia, and considered using W-MHIs to manage their anxiety and/or depression symptoms. Inductive thematic analysis was performed to understand the key barriers and facilitators of young people's engagement with W-MHIs. RESULTS Both individual- and intervention-related factors influenced young people's engagement with W-MHIs. Facilitators of engagement included personal trust and beliefs in W-MHIs, ability to contact a health professional, programme suitability (e.g., affordability, content aligning with user needs), programme usability (e.g., user interface), and accessibility of the online platform. Barriers included concerns about online security, lack of human interaction and immediate responses from health professionals (if any), and negative experience with mental health programmes. Participants expressed greater willingness to pay if they could contact health professionals during the programme. CONCLUSION Better promotion strategies for mental health and W-MHI awareness are needed to increase the perceived importance and priority of mental health interventions among young people. Young people should be involved in the W-MHI co-design to enhance the programme suitability and usability for young people, fostering their engagement with W-MHIs.
Collapse
Affiliation(s)
- Thi Quynh Anh Ho
- Deakin University, Institute for Health Transformation, Deakin Health Economics, School of Health and Social Development, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
| | - Lidia Engel
- Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Glenn Melvin
- School of Psychology, Deakin University, Melbourne, VIC, Australia
| | - Long Khanh-Dao Le
- Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Ha N D Le
- Deakin University, Institute for Health Transformation, Deakin Health Economics, School of Health and Social Development, 221 Burwood Highway, Burwood, VIC, 3125, Australia
| | - Cathrine Mihalopoulos
- Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| |
Collapse
|
4
|
Ao MQ, Xia L, Wang XQ, Fang S, Yang BX, Liu Q, Chen J, Zhou SC, Li XY, Sun T, Lu B, Bao A, Luo D, Ruan J. Help-Seeking Intentions for Depression from Mental Health Professionals Among Community-Dwelling Persons in Central China. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2023; 50:901-911. [PMID: 37277690 DOI: 10.1007/s10488-023-01277-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2023] [Indexed: 06/07/2023]
Abstract
Understanding the intention of community residents to seek help from mental health professionals (MHPs) is essential in targeting interventions that promote the prevention and treatment of depression. This study aimed to investigate the current status of Chinese community populations' depression help-seeking intentions from MHPs and explore factors influencing the intentions. Data were used from a survey conducted in a city in central China (n = 919 aged 38.68 ± 17.34, 72.1% female). Help-seeking intentions, help-seeking attitude, depression stigma, family function and depressive symptoms were measured. The total mean score on the intent to seek help from MHPs was 11.01 ± 7.78 and most of respondents were unwilling to seek professional help. Multiple linear regression showed that participants who were students, held a positive help-seeking attitude and had low personal stigma were more likely to have the intention to seek help from MHPs. It is necessary to utilize effective interventions to improve community residents' intention to seek professional help. These include promoting the importance of seeking professional assistance, optimizing the quality of mental health services and altering residents' prejudice to seeking professional help.
Collapse
Affiliation(s)
- Meng Qin Ao
- School of Nursing, Wuhan University, Wuhan, 430071, China
| | - Lin Xia
- School of Nursing, Wuhan University, Wuhan, 430071, China
| | - Xiao Qin Wang
- School of Nursing, Wuhan University, Wuhan, 430071, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Shu Fang
- Department of Hepatopancreatobiliary Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Bing Xiang Yang
- School of Nursing, Wuhan University, Wuhan, 430071, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
| | - Qian Liu
- School of Nursing, Wuhan University, Wuhan, 430071, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
| | - Jie Chen
- College of Nursing, Florida State University, Tallahassee, USA
| | - Si Chen Zhou
- School of Nursing, Wuhan University, Wuhan, 430071, China
| | - Xin Yi Li
- School of Nursing, Wuhan University, Wuhan, 430071, China
| | - Ting Sun
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China
| | - Baili Lu
- Wuhan Mental Health Center, Wuhan, China
| | - Anyu Bao
- Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
| | - Dan Luo
- School of Nursing, Wuhan University, Wuhan, 430071, China.
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
- Population and Health Research Center, Wuhan University, Wuhan, China.
| | - Juan Ruan
- Wuhan Mental Health Center, Wuhan, China.
| |
Collapse
|
5
|
Ryan CM, Innes CS, Kannis-Dymand L, Mason J, Lovell GP. An efficacy trial of a brief group based, single session intervention delivered through Australian community sport clubs to reduce mental illness stigma and increase help-seeking intention. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2023. [DOI: 10.1080/21507686.2023.2193751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Affiliation(s)
| | - Campbell S Innes
- School of Health, University of Sunshine Coast, Maroochydore, Queensland, Australia
| | - Lee Kannis-Dymand
- School of Health, University of Sunshine Coast, Maroochydore, Queensland, Australia
| | - Jonathon Mason
- School of Psychology, Counselling and Psychotherapy, Cairnmillar Institute, Melbourne, Victoria, Australia
| | - Geoff P Lovell
- School of Health, University of Sunshine Coast, Maroochydore, Queensland, Australia
- Kaplan Open Learning, Leeds, UK
| |
Collapse
|
6
|
Goetz CJ, Mushquash CJ, Maranzan KA. An Integrative Review of Barriers and Facilitators Associated With Mental Health Help Seeking Among Indigenous Populations. Psychiatr Serv 2023; 74:272-281. [PMID: 36065579 DOI: 10.1176/appi.ps.202100503] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Indigenous populations, compared with majority populations, have a reduced likelihood of receiving professional help for mental health, contributing to health disparities. To increase use of and access to mental health services for Indigenous people, specific factors that affect service use need to be examined. An integrative review was undertaken of the barriers to and facilitators of help seeking and service use for Indigenous populations in Canada, the United States, Australia, and the Pacific Islands. METHODS Five databases-PsycINFO, PubMed, Web of Science, Social Services Abstracts, and Bibliography of Native North Americans-and gray literature were searched to identify original studies with data specific to Indigenous people. A qualitative analysis of common themes among the studies was conducted, along with a quality appraisal of included articles. Of the 1,010 records identified, the final synthesis included 41 articles. RESULTS Six main themes emerged: informal supports, which were often used as a first choice for help seeking compared with formal services; structural obstacles and supports; stigma and shame; self-reliance and uncertainty about services; cultural factors and mistrust of mainstream services; and the need for outreach and information regarding mental illness and services. CONCLUSIONS Policy implications include needed structural changes to decrease mistrust of mainstream systems and services and increased funding and resource availability. Along with technology-facilitated treatment, programs for Indigenous people, families, and communities that enhance education and foster positive relationships can serve as a first step toward Indigenous people becoming comfortable with the idea of talking about mental health and with seeking treatment.
Collapse
Affiliation(s)
- Christiana J Goetz
- Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada
| | | | - K Amanda Maranzan
- Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada
| |
Collapse
|
7
|
de Boer K, Arnold C, Mackelprang JL, Nedeljkovic M. Barriers and facilitators to treatment seeking and engagement amongst women with complex trauma histories. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e4303-e4310. [PMID: 35545923 PMCID: PMC10084282 DOI: 10.1111/hsc.13823] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 03/15/2022] [Accepted: 04/22/2022] [Indexed: 06/12/2023]
Abstract
Complex traumatic experiences, such as childhood sexual and physical abuse, occur in approximately 13% of the Australian population and are more common in women. Despite the prevalence of complex trauma and the need for evidence-based services for survivors, no studies have explored treatment-related experiences of women with complex trauma in Australia. The aim of the current study was to identify barriers and facilitators to treatment seeking and engagement amongst women who have experienced complex trauma in Australia. Semi-structured interviews were conducted with 11 women with complex trauma histories who presented to a university outpatient psychology clinic. Content analysis was used to identify common barriers and facilitators to mental health treatment seeking and engagement amongst these women. Participants faced three key barriers when seeking treatment and engaging in mental health services: systemic issues, dissatisfaction with treatment and intrapersonal barriers (e.g. fear of the healthcare system). Appropriate support from supportive, committed health care workers was a facilitator to engagement and access. Findings from this study suggest that the mental health system in Australia may not be meeting the needs of women with complex trauma histories. Increasing access to affordable, trauma-informed care and bolstering providers' knowledge of complex trauma, may enable some of the barriers identified by participants to be overcome.
Collapse
Affiliation(s)
- Kathleen de Boer
- Centre for Mental Health, School of Health SciencesSwinburne University of TechnologyHawthornVictoriaAustralia
| | - Chelsea Arnold
- Centre for Mental Health, School of Health SciencesSwinburne University of TechnologyHawthornVictoriaAustralia
| | - Jessica L. Mackelprang
- Department of Psychological Sciences, School of Health SciencesSwinburne University of TechnologyHawthornVictoriaAustralia
| | - Maja Nedeljkovic
- Centre for Mental Health, School of Health SciencesSwinburne University of TechnologyHawthornVictoriaAustralia
| |
Collapse
|
8
|
Li XY, Liu Q, Chen P, Ruan J, Gong X, Luo D, Zhou Y, Yin C, Wang XQ, Liu L, Yang BX. Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis. Front Psychiatry 2022; 13:801231. [PMID: 35280177 PMCID: PMC8907597 DOI: 10.3389/fpsyt.2022.801231] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 01/10/2022] [Indexed: 12/12/2022] Open
Abstract
Background A low intention of professional help seeking hinders the effective treatment of depression. The factors are from the perspectives of the social, family, and individual; however, an understanding of how they interact to predict professional help-seeking intention (PHSI) is not clear. Objectives The objectives of the study was to investigate PHSI toward depression in a Chinese community-dwelling population and construct a predictive model of the PHSI to explore the various factors involved. Methods Stratified random sampling and Kish table methods were used to identify 2,000 community residents. Participants completed a series of questionnaires to measure general characteristics, PHSI, professional help-seeking attitude, depression stigma, depression knowledge, family function, and depression symptoms. Analyses included descriptive statistics and Pearson correlation analysis using SPSS 26.0 and a Structural Equation Model using Amos 22.0. Results The score of the PHSI was 14.92 ± 9.574. Professional help-seeking attitude (r = 0.291, p < 0.001) and depression knowledge (r = 0.077, p = 0.002) were positively related to PHSI, while a negative correlation was found between stigma (r = -0.149, p < 0.001) and PHSI. The model of the PHSI indicated a good fit with a CMIN/DF = 2.740 and RESEA = 0.032. The total effect of the influencing factors on the PHSI was listed in the following order: professional help-seeking attitude (0.676) > stigma (-0.143) > depression knowledge (0.088) > depression symptoms (-0.009) > family function (0.005). The total effect of depression knowledge on PHSI included a direct negative effect (Beta = -0.266, p < 0.001) and an indirect positive effect (0.354) through professional help-seeking attitude and stigma. Also, depression knowledge was negatively associated with stigma (Beta = -0.153, p < 0.001). Depression symptoms were negatively associated with family function (Beta = -0.282, p < 0.001), depression knowledge (Beta = -0.252, p < 0.001), and stigma (Beta = -0.102, p < 0.001), indicating that people with less severe depression symptoms had good family function, depression knowledge, and higher stigma. Family function contributed a positive effect on depression knowledge directly (Beta = 0.145, p < 0.001) and a totally positive effect (0.033) on stigma. Conclusion The PHSI toward depression is low among Chinese community residents. Professional help-seeking attitude, depression knowledge, and family functioning were facilitators of PHSI, and stigma and the severity of depression symptoms were barriers to PHSI. This study provides reference for the development of policies and guidelines to promote community residents to actively seek professional mental health help. Future policies can focus on multicollaboration among the government, mental health services, and families to increase the mental health resources, improve family functioning, enhance mental health literacy (MHL) of the public, and reduce depression stigma to ease the burden of this mental health issue.
Collapse
Affiliation(s)
- Xin Yi Li
- School of Nursing, Wuhan University, Wuhan, China
| | - Qian Liu
- School of Nursing, Wuhan University, Wuhan, China
| | - Pan Chen
- School of Nursing, Wuhan University, Wuhan, China
| | - Juan Ruan
- Wuhan Mental Health Center, Wuhan, China
| | - Xuan Gong
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Dan Luo
- School of Nursing, Wuhan University, Wuhan, China
| | - Yang Zhou
- Wuhan Mental Health Center, Wuhan, China
| | - Cong Yin
- Wuhan Mental Health Center, Wuhan, China
| | | | | | - Bing Xiang Yang
- School of Nursing, Wuhan University, Wuhan, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
| |
Collapse
|
9
|
Seidler ZE, Wilson MJ, Kealy D, Oliffe JL, Ogrodniczuk JS, Rice SM. Men's Dropout From Mental Health Services: Results From a Survey of Australian Men Across the Life Span. Am J Mens Health 2021; 15:15579883211014776. [PMID: 34041980 PMCID: PMC8165839 DOI: 10.1177/15579883211014776] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
While increasing numbers of Australian men are accessing mental health services, the sustainability of their therapy engagement varies significantly, with many men being lost to follow-up. The current study investigated dropout rates in a large community-based male sample to highlight the reasons for, and potential predictors of, men dropping out of mental health care services. Data were drawn from an online survey of 1907 Australian men (aged 16–85; M = 44.1 years) reflecting on their broad experiences in mental health therapy. Participants responded to bespoke items assessing their past dropout experience and reasons for dropping out, the odds of which were modeled in relation to demographics and predictors (e.g., therapist engagement strategies, alignment to traditional masculinity and pre-therapy feelings of optimism, shame, and emasculation). The overall dropout rate from therapy was 44.8% (n = 855), of which 26.6% (n = 120) accessed therapy once and did not return. The most common reasons for dropout were lack of connection with the therapist (54.9%) and the sense that therapy lacked progress (20.2%). Younger age, unemployment, self-reported identification with traditional masculinity, the presence of specific therapist engagement strategies, and whether therapy made participants feel emasculated all predicted dropout. Current depressive symptoms and suicidality were also higher amongst dropouts. Therapists should aim to have an honest discussion with all clients about the importance of therapy fit, including the real likelihood of dropout, in order to ensure this does not deter future engagement with professional services.
Collapse
Affiliation(s)
- Zac E Seidler
- Orygen, Melbourne, VIC, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Michael J Wilson
- Orygen, Melbourne, VIC, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada.,Department of Nursing, The University of Melbourne, Melbourne, VIC, Australia
| | - John S Ogrodniczuk
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Simon M Rice
- Orygen, Melbourne, VIC, Australia.,Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| |
Collapse
|
10
|
Langley EL, Clark G, Murray C, Wootton BM. The utility of the health belief model variables in predicting help-seeking intention for depressive symptoms. AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1080/00050067.2021.1893598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Emma L. Langley
- School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, Australia
| | - Gavin Clark
- School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, Australia
- School of Psychology, Newcastle University, Newcastle upon Tyne, UK
| | - Clara Murray
- School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, Australia
| | - Bethany M. Wootton
- Discipline of Psychology, Graduate School of Health, University of Technology Sydney, Sydney, Australia
| |
Collapse
|
11
|
Chen P, Liu XJ, Wang XQ, Yang BX, Ruan J, Liu Z. Attitude Toward Seeking Professional Psychological Help Among Community-Dwelling Population in China. Front Psychiatry 2020; 11:417. [PMID: 32477190 PMCID: PMC7240032 DOI: 10.3389/fpsyt.2020.00417] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 04/23/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE To explore the attitudes and factors in seeking professional psychological help among a Chinese community-dwelling population in order to promote positive help-seeking behaviors and better utilization of mental health services. METHODS Using system and simple random sampling with Kish selection table methods, 912 community-dwelling residents were included in this study and asked about their attitudes toward seeking professional psychological help, depression symptoms, family function, depression literacy, help-seeking intention, and stigma. RESULTS Scores on the Attitudes Toward Seeking Professional Psychological Help scale (ATSPPH-SF) indicated a neutral attitude toward openness to seeking treatment for psychological problems and a negative attitude toward the value and need to seek treatment with a negative total score. Multiple linear regression analysis showed that gender, age, social support (employment status and family function), depression literacy, stigma, and help-seeking intention are significantly associated with attitude toward seeking professional psychological help. CONCLUSION The overall attitude toward seeking professional psychological help is not optimistic, thus, more efforts are needed to enhance understanding. Effective interventions including mental health education, training of mental health professionals, and popularizing the use of mental health services are essential, especially for the at-risk population.
Collapse
Affiliation(s)
- Pan Chen
- School of Health Sciences, Wuhan University, Wuhan, China
| | - Xiu Jun Liu
- Affiliated Mental Health Center, Tongji Medical College of Huazhong, University of Science & Technology, Wuhan, China
| | - Xiao Qin Wang
- School of Health Sciences, Wuhan University, Wuhan, China
| | | | - Juan Ruan
- Affiliated Mental Health Center, Tongji Medical College of Huazhong, University of Science & Technology, Wuhan, China
| | - Zhongchun Liu
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| |
Collapse
|
12
|
Coates D, David M, Roberts B, Duerden D. An examination of the profile and journey of patients with mental illness in the emergency department. Int Emerg Nurs 2019; 43:15-22. [DOI: 10.1016/j.ienj.2018.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Revised: 05/15/2018] [Accepted: 06/22/2018] [Indexed: 11/25/2022]
|
13
|
Robillard JM, Jun JH, Lai JA, Feng TL. The QUEST for quality online health information: validation of a short quantitative tool. BMC Med Inform Decis Mak 2018; 18:87. [PMID: 30340488 PMCID: PMC6194721 DOI: 10.1186/s12911-018-0668-9] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Accepted: 10/04/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Online health information is unregulated and can be of highly variable quality. There is currently no singular quantitative tool that has undergone a validation process, can be used for a broad range of health information, and strikes a balance between ease of use, concision and comprehensiveness. To address this gap, we developed the QUality Evaluation Scoring Tool (QUEST). Here we report on the analysis of the reliability and validity of the QUEST in assessing the quality of online health information. METHODS The QUEST and three existing tools designed to measure the quality of online health information were applied to two randomized samples of articles containing information about the treatment (n = 16) and prevention (n = 29) of Alzheimer disease as a sample health condition. Inter-rater reliability was assessed using a weighted Cohen's kappa (κ) for each item of the QUEST. To compare the quality scores generated by each pair of tools, convergent validity was measured using Kendall's tau (τ) ranked correlation. RESULTS The QUEST demonstrated high levels of inter-rater reliability for the seven quality items included in the tool (κ ranging from 0.7387 to 1.0, P < .05). The tool was also found to demonstrate high convergent validity. For both treatment- and prevention-related articles, all six pairs of tests exhibited a strong correlation between the tools (τ ranging from 0.41 to 0.65, P < .05). CONCLUSIONS Our findings support the QUEST as a reliable and valid tool to evaluate online articles about health. Results provide evidence that the QUEST integrates the strengths of existing tools and evaluates quality with equal efficacy using a concise, seven-item questionnaire. The QUEST can serve as a rapid, effective, and accessible method of appraising the quality of online health information for researchers and clinicians alike.
Collapse
Affiliation(s)
- Julie M Robillard
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, Canada. .,BC Children's & Women's Hospital, Vancouver, Canada. .,Djavad Mowafaghian Centre for Brain Health, The University of British Columbia, 2215 Wesbrook Mall, Room 3450D, Vancouver, BC, V6T 2B5, Canada.
| | - Jessica H Jun
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, Canada.,BC Children's & Women's Hospital, Vancouver, Canada
| | - Jen-Ai Lai
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, Canada.,BC Children's & Women's Hospital, Vancouver, Canada
| | - Tanya L Feng
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, Canada.,BC Children's & Women's Hospital, Vancouver, Canada
| |
Collapse
|