scholarly journals Enhancing Self-Efficacy for Help-Seeking Among Transition-Aged Youth in Postsecondary Settings With Mental Health and/or Substance Use Concerns, Using Crowd-Sourced Online and Mobile Technologies: The Thought Spot Protocol

2016 ◽  
Vol 5 (4) ◽  
pp. e201 ◽  
Author(s):  
David Wiljer ◽  
Alexxa Abi-Jaoude ◽  
Andrew Johnson ◽  
Genevieve Ferguson ◽  
Marcos Sanches ◽  
...  
2020 ◽  
pp. sextrans-2020-054438 ◽  
Author(s):  
Roeland Christiaan Alfons Achterbergh ◽  
Martijn S van Rooijen ◽  
Wim van den Brink ◽  
Anders Boyd ◽  
Henry John Christiaan de Vries

ObjectivesMen who have sex with men (MSM) are at increased risk for STIs and mental disorders. Syndemic theory holds that psychosocial issues co-occur and interact, and thus increase sexual risk behaviour. Psychosocial issue identification, referral and management might reduce risk behaviour.MethodsIn the syndemic-based intervention study, an open-label randomised controlled trial, MSM were enrolled at the STI outpatient clinic of the Public Health Service of Amsterdam. We screened participants using validated questionnaires on the following problem domains: alcohol and substance use, sexual compulsivity, anxiety, depression, attention deficit hyperactivity disorder, alexithymia, intimate partner violence and childhood sexual abuse. Individuals were randomly assigned (1:1) to receive either tailored, face-to-face feedback and help-seeking advice on mental health screening, or no feedback and no help-seeking advice. Participants were followed trimonthly for a year. The primary outcomes were self-reported and confirmed help-seeking behaviour.ResultsWe included 155 MSM: 76 in the intervention group and 79 in the control group. At inclusion, 128 participants (83.1%) scored positive in at least one problem domain. We found no significant differences in self-reported or confirmed help-seeking behaviour between the intervention and the control group: 41% vs 29% (p=0.14) and 28% vs 22% (p=0.44), respectively. There were also no differences in STI incidence and condomless anal sex acts between the two groups.ConclusionScreening showed high prevalence of problems related to mental health and substance use, while tailored feedback, advice and referral did not significantly increase help-seeking behaviour. Other interventions are needed to tackle the high burden of mental disorders among MSM.Trial registration numberNCT02859935.


Author(s):  
Vilas Sawrikar ◽  
Antonio Mendoza Diaz ◽  
Lucy Tully ◽  
David J. Hawes ◽  
Caroline Moul ◽  
...  

AbstractThere is a significant gap between the need for child mental health services and use of these services by families. Parental attributions may play a role in this. This study examined whether mothers’ attributions about their child’s problems influence professional help-seeking intentions in a general sample of community mothers. Secondary analysis re-examined this hypothesis in a subgroup of mothers of children with clinically elevated mental health symptoms. Cross-sectional survey data were collected from mothers (N = 184) of children aged between 2 and 12 years recruited from the community. Mothers completed self-report questionnaires measuring parental attributions: child-responsible attributions and parental self-efficacy; professional help-seeking intentions; and psychosocial covariates: child mental health, mothers’ anxiety and depression, child age, gender, marital status, education, and professional help-seeking experience. Hierarchical regression modelling indicated that parental attributions explained professional help-seeking intentions after controlling for covariates in both the general sample (ΔF = 6.07; p = .003) and subgroup analysis (ΔF = 10.22, p = .000). Professional help-seeking intentions were positively associated with child-responsible attributions (β = .19, p = .002) but not parental self-efficacy (β =  – .01, p = .865) in the general sample, while positively associated with child-responsible attributions (β = .20, p = .009) and negatively associated with parental self-efficacy (β =  – .16, p = .034) in the subgroup analysis. Findings were independent of the presence of clinically elevated symptoms, problem type, and severity. Overall, the findings support models suggesting that parental attributions have a role in professional help-seeking for child mental health problems.


2015 ◽  
Vol 25 (6) ◽  
pp. 548-561 ◽  
Author(s):  
M. G. Harris ◽  
A. J. Baxter ◽  
N. Reavley ◽  
S. Diminic ◽  
J. Pirkis ◽  
...  

Aims.To examine: (1) gender-specific determinants of help-seeking for mental health, including health professional consultation and the use of non-clinical support services and self-management strategies (SS/SM) and; (2) gender differences among individuals with unmet perceived need for care.Method.Analyses focused on 689 males and 1075 females aged 16–85 years who met ICD-10 criteria for a past-year affective, anxiety or substance use disorder in an Australian community-representative survey. Two classifications of help-seeking for mental health in the previous year were created: (1) no health professional consultation or SS/SM, or health professional consultation, or SS/SM only, and; (2) no general practitioner (GP) or mental health professional consultation, or GP only consultation, or mental health professional consultation. Between- and within-gender help-seeking patterns were explored using multinomial logistic regression models. Characteristics of males and females with unmet perceived need for care were compared using chi-square tests.Results.Males with mental or substance use disorders had relatively lower odds than females of any health professional consultation (adjusted odds ratio [AOR] = 0.46), use of SS/SM only (AOR = 0.59), and GP only consultation (AOR = 0.29). Notably, males with severe disorders had substantially lower odds than females of any health professional consultation (AOR = 0.29) and GP only consultation (AOR = 0.14). Most correlates of help-seeking were need-related. Many applied to both genders (e.g., severity, disability, psychiatric comorbidity), although some were male-specific (e.g., past-year reaction to a traumatic event) or female-specific (e.g., past-year affective disorder). Certain enabling and predisposing factors increased the probability of health professional consultation for both genders (age 30+ years) or for males (unmarried, single parenthood, reliance on government pension). Males with unmet perceived need for care were more likely to have experienced a substance use disorder and to want medicine or tablets or social intervention, whereas their females peers were more likely to have experienced an anxiety disorder and to want counselling or talking therapy. For both genders, attitudinal/knowledge barriers to receiving the types of help wanted (e.g., not knowing where to get help) were more commonly reported than structural barriers (e.g., cost).Conclusions.Findings suggest a need to address barriers to help-seeking in males with severe disorders, and promote GP consultation. Exploring gender-specific attitudinal/knowledge barriers to receiving help, and the types of help wanted, may assist in designing interventions to increase consultation. Mental health promotion/education efforts could incorporate information about the content and benefits of evidence-based treatments and encourage males to participate in other potentially beneficial actions (e.g., physical activity).


2004 ◽  
Vol 14 (2) ◽  
pp. 162-175 ◽  
Author(s):  
Elizabeth Cosgrave ◽  
Eóin Killackey ◽  
Alison Yung ◽  
Joe Buckby ◽  
Katherine Godfrey ◽  
...  

AbstractMental health problems affect a sizeable minority of Australian adolescents. Depression and substance use disorders are common mental disorders reported in this age group. Difficulties of this nature that manifest in adolescence will often continue into adulthood. This report describes a sample of adolescents referred to a public mental health service with respect to their psychiatric diagnoses, depressive symptoms, patterns of substance use and level of suicidality. Mood disorders and substance-use disorders were both prevalent in the sample of participants, with sizeable comorbidity reflected in the number ol participants meeting criteria for both of these diagnoses. Data revealed participants with a psychiatric diagnosis were significantly more likely to have made a suicide attempt than those with no diagnosis. High levels of depressive symptoms were associated with suicidality, illicit substance use, and the likelihood of having a psychiatric diagnosis. Heavy use of alcohol was prevalent in this group, but unrelated to the other variables of interest to the study. These results are discussed with respect to the importance of early detection of vulnerable students in a school setting.


2019 ◽  
Vol 3 (1) ◽  
pp. 7-11
Author(s):  
Ahmad Guntur Alfianto ◽  
Ayu Safitri

AbstrakUsaha Kesehatan Sekolah Jiwa (UKSJ) merupakan suatu layanan kesehatan jiwa berbasis sekolah. Program UKSJ terdiri dari pengkajian terjadi tanda gejala gangguan jiwa, pendidikan kesehatan dan yang terakhir empowerment. Tujuan dari UKSJ iyalah meningkatkan pengetahuan dan perilaku siswa tentang gangguan jiwa. TujuanMenganalisis pengaruh UKSJ terhadap efikasi diri dalam mencari bantuan tanda gejala psikosis awal. Metode Penelitiananalisis eksperimen dengan pendekatan quasi experiment dan tekhnik total sampling pada siswa SMK di Bantur dengan menggunakan kuesioner General self efficacy (GSE). Hasilanalisis uji t berpasangan menunjukkan adanya perbedaan yang bermakna pada kelompok intervensi nilai (p=0.000) dan tidak ada perbedaan yang bermakna pada kelompok control (pedidikan kesehatan dengan leaflet) dengan nilai (p=0.805).Kesimpulan Terdapat pengaruh Usaha Kesehatan Sekolah Jiwa (UKSJ) terhadap efikasi diri remaja dalam mencari bantuan tanda gejala psikosis awal dan tidak terdapat penegaruh pada kelompok kontrol.Kata Kunci :Usaha Kesehatan Sekolah Jiwa, pengetahuan, mencari bantuan, tanda gejala psikosis awal.  AbstractSchool Mental Health (SMH) is a school-based mental health service. The School Mental Health program consists of assessing mental symptoms, health education and empowerment at the school. The purpose of SMH is to improve students' knowledge and behavior about mental disorders. The purpose of the study is to analyze the effect of SMH on Self efficacy in help seeking for adolescents with the symptoms of early psychosis. Research Methods is:  Analytical experiments with a quasi-experimental approach and sample techniques by using total sampling at 108 the students of Vocational High Schools (SMK) in Bantur Malang. The instruments using General Self Efficacy (GSE). The results of paired T test analysis showed an influence on the intervention group (School Mental Health) value (p = 0.000) and no influence on the control group (leaflet health education) with a value (p = 0, 805). Conclusion:  There is an effect of School Mental Health on Self efficacy in help seeking in adolescents with early psychosis symptoms of and there is no effect on the control group.    Keywords : School Mental Health, self efficacy, help seeking, early psychosis symptoms


2019 ◽  
Vol 32 (2) ◽  
pp. 229-240 ◽  
Author(s):  
Katherine Arenella ◽  
Ann M. Steffen

ABSTRACTObjectives:Providing care for an older family member is a common experience for women and has been linked with increased depression, anxiety, and stress for some caregivers. This study aimed to investigate the role of self-reassurance and self-efficacy for controlling upsetting thoughts in mitigating the negative effects of caregiving stressors on mental health.Design:Measures were collected during a pre-intervention assessment for a larger study in the U.S.A. evaluating online interventions for intergenerational caregivers. Hierarchical linear regressions were used to examine the contribution of self-reassurance and self-efficacy for controlling upsetting thoughts on mental health outcomes, after controlling for caregiving-related contextual variables and stressors.Setting:Participants completed online questionnaires on a computer or tablet at their convenience.Participants:Participants were 150 help-seeking adult women providing health-care assistance to older relatives living in the community.Measurements:Measures were completed for the mental health outcomes of depression, anxiety, and stress. Measures also included contextual factors of caregiving and demographics. Cognitive impairment, caregiver assistance, role overload, percentage of care provided, family conflict, self-reassurance, and self-efficacy for controlling upsetting thoughts were also measured.Results:Regression models revealed that both self-reassurance and self-efficacy for controlling upsetting thoughts predicted depression, anxiety, and perceived stress after controlling for caregiving contextual factors and stressors.Conclusions:The results indicate that self-reassurance and self-efficacy for controlling upsetting thoughts are effective resources linked to mental health outcomes. Although results were obtained with cross-sectional data, these findings suggest the potential of targeting these resources in transdiagnostic interventions for family caregivers.


2020 ◽  
Author(s):  
Frederike Katharina Lemmel ◽  
Rebecca Jones ◽  
Sonia Johnson ◽  
Anita Jolly ◽  
Miriam Miller ◽  
...  

Abstract Background. Mental well-being is an essential concept in research and public health as it is recognised as an indicator of population mental health and quality of life. Previous studies have provided evidence that general self-efficacy is positively related to mental well-being. The aim of this study is to examine whether higher help-seeking self-efficacy and higher psychological well-being self-efficacy respectively, are associated with increased mental well-being.Methods. In this cross-sectional study 1795 adults from the general English population were recruited from a market research panel to fill out an online questionnaire between 24th September 2018 and 05th October 2018. Two simple linear regression analyses were used to investigate the relationship between each of help-seeking self-efficacy and psychological well-being self- efficacy as exposure variables and mental well-being as the outcome. Multiple imputation by chained equations was used to handle missing data.Results. No evidence was found for an association between either help-seeking self-efficacy or psychological well-being self-efficacy and mental well-being.Conclusions. These findings do not provide evidence that improving help-seeking or psychological well-being self-efficacy could lead to improving well-being. Methodological limitations, such as unmeasured confounders might be responsible for the lack of evidence in this study. Having a mental health condition is a potential negative confounder that might not have been measured adequately.


2016 ◽  
Vol 50 (7) ◽  
pp. 989-1014 ◽  
Author(s):  
Stephanie Begun ◽  
Kimberly A. Bender ◽  
Samantha M. Brown ◽  
Anamika Barman-Adhikari ◽  
Kristin Ferguson

Homeless youth frequently meet diagnosis criteria for depressive and/or substance use disorder(s). Although prior research has established that both social connectedness and self-efficacy buffer vulnerable youth’s adverse health outcomes, few studies have compared the potential of these protective factors on homeless youth’s mental well-being. The current study analyzes comparative effects of social connectedness and self-efficacy on meeting criteria for major depressive disorder, substance use disorder, and the co-occurrence of both disorders among a sample of 601 service-seeking homeless youth in Austin, Denver, and Los Angeles. Hierarchical logistic regressions indicate that while both social connectedness and self-efficacy constructs are valuable protective factors, social connectedness may offer greater utility, particularly in buffering against more complex mental health outcomes, such as the co-occurrence of depressive and substance use disorders. Accordingly, resource-strapped homeless youth service providers and researchers may benefit from tailoring mental health intervention strategies to further emphasize social connectedness in future efforts.


Sign in / Sign up

Export Citation Format

Share Document