Once bitten, twice shy: Dissatisfaction with previous therapy and its implication for future help-seeking among men

Objective Men can be reluctant to disclose distress and many men have ambivalence toward seeking help for depression, leading to poor uptake of and engagement in psychotherapy. The present study sought to explore whether a previously dissatisfying therapy experience leads to greater doubts about the effectiveness of treatment, in turn impacting on a man’s willingness to disclose their distress in future. Method An online survey of 133 Canadian men was conducted to investigate their current depressive symptoms, previous experience of, and belief in, the effectiveness of psychotherapy and likelihood of disclosing distress to their physician. A regression model with mediation was employed to analyze the relationship between these responses. Results The regression model highlighted a significant negative association between satisfaction with previous therapy and doubt about the effectiveness of therapy (t = −7.299, 99% confidence interval [−.537, −.254], p < .001). There was also a significant indirect effect, such that doubt about the effectiveness of therapy mediated the association between previous satisfaction and willingness to disclose distress to a physician (t = 3.748, 99% confidence interval [.123, .690], p < .001). Conclusions Providing treatment for depression that men find engaging and satisfying may improve their confidence that psychotherapy can help, make them more likely to reach out for assistance in the future and in turn, benefit their long-term mental health outcomes.

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Metacognitive control processes in question answering: help seeking and withholding answers

Metacognition and Learning ◽

10.1007/s11409-021-09259-7 ◽

2021 ◽

Author(s):

Monika Undorf ◽

Iris Livneh ◽

Rakefet Ackerman

Keyword(s):

Help Seeking ◽

Question Answering ◽

Monetary Incentives ◽

Metacognitive Control ◽

Self Regulated Learning ◽

Response Strategies ◽

Seeking Help ◽

Subjective Confidence ◽

Different Populations ◽

The Relationship

AbstractWhen responding to knowledge questions, people monitor their confidence in the knowledge they retrieve from memory and strategically regulate their responses so as to provide answers that are both correct and informative. The current study investigated the association between subjective confidence and the use of two response strategies: seeking help and withholding answers by responding “I don’t know”. Seeking help has been extensively studied as a resource management strategy in self-regulated learning, but has been largely neglected in metacognition research. In contrast, withholding answers has received less attention in educational studies than in metacognition research. Across three experiments, we compared the relationship between subjective confidence and strategy use in conditions where participants could choose between submitting answers and seeking help, between submitting and withholding answers, or between submitting answers, seeking help, and withholding answers. Results consistently showed that the association between confidence and help seeking was weaker than that between confidence and withholding answers. This difference was found for participants from two different populations, remained when participants received monetary incentives for accurate answers, and replicated across two forms of help. Our findings suggest that seeking help is guided by a wider variety of considerations than withholding answers, with some considerations going beyond improving the immediate accuracy of one’s answers. We discuss implications for research on metacognition and regarding question answering in educational and other contexts.

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COUNTRY MATTERS: WELL-BEING AND EMIGRATION PLANS AMONG UNIVERSITY STUDENTS IN SLOVAKIA AND BULGARIA: THE MEDIATION EFFECT OF ROOTEDNESS

10.36315/2021pad11 ◽

2020 ◽

pp. 107-119

Author(s):

Frederika Lučanská ◽

◽

Oľga Orosová ◽

Vihra Naydenova ◽

Jozef Benka ◽

...

Keyword(s):

University Students ◽

Exploratory Study ◽

Online Survey ◽

Well Being ◽

Two Dimensions ◽

Mediation Effect ◽

One Dimension ◽

Psychological Mechanisms ◽

The Relationship

The objective of this exploratory study was to examine the relationship between well-being, rootedness and emigration plans (EP) among university students in Slovakia and Bulgaria. It also explored the mediation effect of rootedness in the relationship between well-being and EP. The data were collected throughan online survey (SLiCE 2016). The research sample consisted of 361 university students (M=22.4 years, SD=3.8) from Slovakia (141, 86.5% female) and Bulgaria (220, 69.1% female). Based on their emigration plans, the respondentswere dividedinto two groups;those who do not plan to leave (n=218, 60.4%) and those who plan to leave in the long term (n=143, 39.6%) after they finish university. ForSlovakia, all factors were significantly related toEP. Furthermore, the association between well-being and EP was fully mediated by two dimensions of rootedness with different psychological mechanisms. For Bulgaria, only well-being and onedimension of rootedness,desire for change,were significantly related to EP. It was also found that the association between well-being and EP was partially mediated by only one dimension of rootedness –desire for change. This study highlightsthat rootedness hasa different relationship with other examined factorsin different countries and also that it is necessary to respect the cultural and socio-economic featuresof acountry.

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Preventing Sexual Abuse: Perspectives of Minor-Attracted Persons About Seeking Help

Sexual Abuse ◽

10.1177/1079063218797713 ◽

2018 ◽

Vol 31 (8) ◽

pp. 991-1013 ◽

Cited By ~ 10

Author(s):

Jill S. Levenson ◽

Melissa D. Grady

Keyword(s):

Help Seeking ◽

Online Survey ◽

Well Being ◽

Exploratory Research ◽

General Mental Health ◽

Survey Results ◽

Seeking Help ◽

Therapeutic Encounters ◽

Ethical Counseling ◽

Treatment Priorities

The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their (a) formal and informal experiences with help-seeking for minor attraction, (b) perceived barriers to seeking help for concerns about minor attraction, and (c) treatment priorities as identified by consumers of these services. A nonrandom, purposive sample of MAPs ( n = 293, 154 completed all questions) was recruited via an online survey. Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful. Characteristics of helpful therapeutic encounters included nonjudgmental attitudes, knowledge about minor attraction, and viewing clients in a person-centered and holistic way. Barriers to help seeking included uncertainty about confidentiality, fear of negative reaction or judgment, difficulties finding a therapist knowledgeable about MAPs, and financial constraints. Understanding or reducing attraction to minors were common treatment goals, but participants also prioritized addressing general mental health and well-being related to depression, anxiety, loneliness, and low self-esteem. Implications for effective and ethical counseling and preventive interventions for MAPs are discussed.

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Younger survivors' insurance concerns.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.31_suppl.277 ◽

2013 ◽

Vol 31 (31_suppl) ◽

pp. 277-277

Author(s):

Ruth Rechis ◽

Stephanie Nutt ◽

Carla Bann ◽

Linda Squiers

Keyword(s):

Cancer Survivors ◽

Help Seeking ◽

Online Survey ◽

Medical Expenditure Panel Survey ◽

Insurance Coverage ◽

Family Members ◽

Medical Expenditure ◽

Negative Effects ◽

Seeking Help ◽

To Receive

277 Background: Each year approximately 70,000 adolescents and young adults (AYAs) are diagnosed with cancer—many of whom will experience insurance issues. While the Affordable Care Act (ACA) is intended to address many insurance issues, cancer survivors are dealing with these issues now. Methods: From June to December 2012, LIVESTRONG conducted an online survey modeled after the Medical Expenditure Panel Survey (MEPS) Cancer Survivorship Supplement to understand the practical concerns of survivors, including insurance issues. Analyses here includes 1,209 AYA respondents compared to 3,557 respondents diagnosed over the age 40. Results: Overwhelmingly, participants in this survey had insurance at some point since diagnosis (94%), yet AYAs were significantly less likely to have had insurance (p<.001). AYAs were significantly more likely to have experienced issues with insurance (Table), but both groups were unlikely to have received help for negative effects due to insurance (AYA = 30%; non-AYAs=25%). In terms of help seeking, AYAs were significantly more likely to have received help from family members (p<.001). Both groups indicated a number of reasons for not seeking help for insurance issues - most frequently citing "I have addressed this on my own” (18%) and “I tried to receive help but was unsuccessful” (17%). Conclusions: Results from this study indicate there are many issues related to insurance coverage for survivors, which in most cases were significantly more impactful for AYA survivors. Additionally, there are many challenges survivors face in terms of getting their insurance needs met. Finally, it’s important to consider the full implications of what it means for AYAs to be reliant on family members – for both the survivor and their family. The AYA period often denotes a time that individuals are trying to separate from family, yet cancer may make this separation considerably more challenging. While ACA is intended to address some of these issues, cancer survivors are dealing with insurance issues now, and we should consider how to address these issues more quickly. [Table: see text]

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Association of electronic cigarette usage and nicotine consumption frequency of young adults in British Columbia

BCIT Environmental Public Health Journal ◽

10.47339/ephj.2019.35 ◽

2019 ◽

Author(s):

Adora Kwong ◽

BCIT School of Health Sciences, Environmental Health ◽

Dale Chen

Keyword(s):

British Columbia ◽

Young Adults ◽

Online Survey ◽

Electronic Cigarette ◽

Health Concern ◽

Consumption Frequency ◽

Nicotine Consumption ◽

Relationship Of ◽

The Relationship

Background Electronic e-cigarette ever users has been increasing as of 2015, the most prevalent ever users being young adults aged 20-24 years old. The implication of e-cigarette ever user developing into long term users is a emerging public health concern. Methods Electronic cigarette usage frequency and nicotine consumption was measured through a self-administered online survey of young adults (n= 54). Survey was advertised through social media sites between January 2019 till February 2019. Descriptive and inferential statistic was conducted using NCSS 12 to examine the association between electronic cigarette usage and nicotine consumption. Results Among young adults aged 19 to 24 years old, the frequency of e-cigarette usage was 51% high usage, 31% no usage and 16% medium and low usage. For nicotine consumption, respondents were 25% daily, 40% no use, 18% infrequent, and 14.8% frequent. Conclusion There is an association between more frequent electronic cigarette usage and higher nicotine consumption among young adults in British Columbia. Frequency e-cigarette users were found to consumption nicotine at higher frequency then non users. Further research is needed to fully understand the extent of the relationship of if e-cigarette usage promotes daily nicotine consumption or daily nicotine consumption results in higher e-cigarette usage.

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Change in physical activity and stress during COVID-19 in a sample of older adults with exercise habits

Studia sportiva ◽

10.5817/sts2021-2-1 ◽

2021 ◽

Vol 15 (2) ◽

pp. 6-16

Author(s):

Petr Vajda ◽

Kateřina Strašilová ◽

Lenka Svobodová

Keyword(s):

Physical Activity ◽

Older Adults ◽

Perceived Stress ◽

Online Survey ◽

Protective Factor ◽

Exercise Habits ◽

Perceived Change ◽

Relationship Of ◽

The Relationship

BACKGROUNDː The COVID-19 outbreak forced many states to introduce public health and social measures (PHSM), which may pose an obstacle to performing physical activity (PA).METHODS: This study investigated PA levels and their changes and perceived stress in a sample of 193 participants (aged 71.21 ± 4.87 years) engaged in exercise lessons prior to PSHM. Data were collected via an online survey distributed directly to the participants. The survey included two instruments: the International Physical Activity Questionnaire and the Perceived Stress Scale.RESULTS: The results indicate that sports habits may be a protective factor in staying active and meting PA recommendations. Nevertheless, there were no associations between the number of exercise lessons in the pre-COVID-19 period and PA level or the perceived change in PA during PSHM. Ability to replace the cancelled exercise lesson with PA of similar duration and intensity was negatively associated with PA levels and its change. The PSS-10 score suggests that the sample did not experience a significant increase in perceived stress, but the relationship of this outcome to PA is unclear.CONCLUSIONS: The promotion of alternative PA that could be performed during PHSM and building long-term exercise habits in older adults should be considered.

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Corporate Social Responsibility in Hotels: A Proposal of a Measurement of its Performance through Marketing Variables

Sustainability ◽

10.3390/su12072961 ◽

2020 ◽

Vol 12 (7) ◽

pp. 2961 ◽

Cited By ~ 1

Author(s):

José Manuel Mariño-Romero ◽

José Manuel Hernández-Mogollón ◽

Ana María Campón-Cerro ◽

José Antonio Folgado-Fernández

Keyword(s):

Corporate Social Responsibility ◽

Social Responsibility ◽

Online Survey ◽

Structural Model ◽

Quantitative Methodology ◽

Marketing Variables ◽

Hotel Managers ◽

Corporate Social ◽

The Relationship

The research into Corporate Social Responsibility (CSR) has been prolific in the last years, although few studies have focused their attention on studying its relationship with economic performance within the hotel industry, even less incorporating marketing variables as a result. This work aims to determine the relationship between the implementation of CSR policies and their influence on the Revenue Per Available Room (RevPAR) in Spanish hotels, through marketing variables. A quantitative methodology was conducted using an online survey, gathering a sample of 230 hotel managers from Spain. The results of the structural model analyzed reveal that CSR has a discreet but significant role for understanding how marketing variables and RevPAR operate. CSR has a direct impact on RevPAR, but it also influences it indirectly through marketing variables. Therefore, CSR arises as a fundamental strategy to improve the results of the hotel sector in the long term.

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Clozapine metabolism is associated with Absolute Neutrophil Count in individuals with treatment-resistant schizophrenia

10.1101/2021.02.01.21250894 ◽

2021 ◽

Author(s):

Isabella Willcocks ◽

Sophie E. Legge ◽

Mariana Nalmpanti ◽

Lucy Mazzeo ◽

Adrian King ◽

...

Keyword(s):

Linear Regression ◽

Regression Model ◽

Absolute Neutrophil Count ◽

Neutrophil Count ◽

Plasma Concentrations ◽

Metabolic Ratio ◽

Treatment Resistant ◽

Clozapine Concentration ◽

The Relationship

AbstractAIMTo investigate the relationship between clozapine concentration and neutrophils in a European cohort of long-term clozapine users.METHODSPearson’s Correlation and Linear Regression analyses were applied to a subset of the CLOZUK2 dataset (N = 208) to assess the association between Absolute Neutrophil Count (ANC) and plasma clozapine concentration. Norclozapine and the metabolic ratio between clozapine and norclozapine were also investigated, along with SNPs associated with clozapine metabolismRESULTSAssociation between ANC and plasma clozapine concentration was found to be significant in a linear regression model (β = −1.41, p = 0.009), with a decrease in ANC of approximately 141 cells/mm3 for every 0.1 mg/litre increase in clozapine concentration. This association was attenuated by the addition of the metabolic ratio, which was significantly negatively correlated with ANC (β=-0.69, p=0.021). In a further regression model, three SNPs previously associated with norclozapine plasma concentrations and clozapine/norclozapine ratio were also found to be significantly associated with ANC: rs61750900 (β=-0.410, p=0.048), rs2011425 (β=0.450, p=0.026) and rs1126545 (β=0.330, p=0.039)CONCLUSIONANC was found to be significantly negatively associated with plasma clozapine concentration. Further investigation has suggested that the relationship is mediated by the clozapine/norclozapine ratio, and potentially moderated by genetic variants with effects on clozapine metabolism

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Help-Seeking Behaviors for Intimate Partner Violence Among College Students: Implications for Intimate Partner Violence Prevention and Intervention

Violence and Victims ◽

10.1891/vv-d-20-00124 ◽

2021 ◽

Vol 36 (4) ◽

pp. 548-564

Author(s):

Y. Joon Choi ◽

Abha Rai ◽

Hyunkag Cho ◽

Esther Son ◽

Soonok An ◽

...

Keyword(s):

College Students ◽

Intimate Partner Violence ◽

Partner Violence ◽

Help Seeking ◽

Online Survey ◽

Service Use ◽

The United States ◽

Intimate Partner ◽

Help Seeking Behaviors ◽

Seeking Help

This study applied Andersen's Model of Health Service Use to examine help-seeking behaviors for intimate partner violence (IPV) and predisposing, enabling, and need factors for help-seeking among college students. The sample (N = 2,719) consisted of those who experienced IPV and was recruited from six universities in the United States and one university in Canada through an online survey. Results showed that 45.4% of the sample had sought some form of help for IPV. The most utilized source of formal help was from medical services, and friends were the number one source of informal help. Gender, age, sexual orientation (predisposing factors), IPV training (enabling factor), experiencing psychological and technological violence, and IPV consequences (need factors) were associated with seeking help. Implications for research and practice are discussed.

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How to Influence Users’ Willingness to Explore the Use of Sports and Fitness Apps in China

Asian Social Science ◽

10.5539/ass.v18n1p7 ◽

2021 ◽

Vol 18 (1) ◽

pp. 7

Author(s):

Lu Suo

Keyword(s):

Online Survey ◽

Status Quo ◽

Status Quo Bias ◽

Perceived Need ◽

Health Goals ◽

Health Goal ◽

Setting Theory ◽

The Relationship

The aim of this paper is to investigate how inertia affects users' willingness to explore the use of sports and fitness apps under the influence of status quo bias, and to explore the role of health goals in the process of exploring use based on goal setting theory. The population in this research is Chinese users who have already installed or used a sports and fitness app on their mobile device. Through an online survey technique, we collected 449 valid questionnaires by convenience sampling method. The results confirm that inertia negatively influences the users’ willingness to explore the use of sports and fitness apps and that inertia negatively influences perceived need, which, in turn, reduces the willingness to explore the use of sports and fitness apps; Furthermore, this study also verified health goal positive moderate the relationship between inertia and perceived need, as well as the relationship inertia and users’ willingness to explore the use of sports and fitness apps, revealing that health goals can effectively adjust for the effects of status quo bias in mobile fitness exercise. This study provides useful suggestions for the development and operation of sports and fitness app enterprises to help them make suitable marketing strategies according to users' needs, thus promoting the long-term development of sports and fitness app enterprises.

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