Do Help-Seeking Behaviors Influence the Recovery of People With Mental Illness?

2019 ◽  
Vol 57 (12) ◽  
pp. 33-38 ◽  
Author(s):  
Christopher Patterson ◽  
Dana Perlman ◽  
Lorna Moxham ◽  
Shawn Burns
Author(s):  
Lea Mayer ◽  
Patrick W. Corrigan ◽  
Daniela Eisheuer ◽  
Nathalie Oexle ◽  
Nicolas Rüsch

Abstract Purpose The decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure decisions are a key reaction to stigma. The first aim of this study was to test a newly developed scale to measure disclosure attitudes, the Attitudes to Disclosure Questionnaire (AtDQ). The second aim was to examine the impact of attitudes towards disclosing a mental illness on quality of life and recovery. Methods Among 100 participants with mental illness, disclosure attitudes, quality of life, recovery, benefits of disclosure, secrecy, social withdrawal, self-stigma, and depressive symptoms were assessed at weeks 0, 3 and 6. Psychometric properties of the AtDQ were analysed. Longitudinal associations between disclosure attitudes at baseline and quality of life and recovery after 6 weeks were examined in linear regressions. Results The analyses of the AtDQ indicated one-factor solutions, high acceptability, high internal consistency, and good retest reliability for the total scale and the subscales as well as high construct validity of the total scale. Results provided initial support for sensitivity to change. More positive disclosure attitudes in general and in particular regarding to family at baseline predicted better quality of life and recovery after 6 weeks. Conclusion The current study provides initial support for the AtDQ as a useful measure of disclosure attitudes. Disclosing a mental illness, especially with respect to family, may improve quality of life and recovery of people with mental illness.


2016 ◽  
Vol 27 (1) ◽  
pp. 84-93 ◽  
Author(s):  
L. Picco ◽  
E. Abdin ◽  
S. Pang ◽  
J. A. Vaingankar ◽  
A. Jeyagurunathan ◽  
...  

Aims.The ability to recognise a mental illness has important implications as it can aid in timely and appropriate help-seeking, and ultimately improve outcomes for people with mental illness. This study aims to explore the association between recognition and help-seeking preferences and stigmatising attitudes, for alcohol abuse, dementia, depression, obsessive-compulsive disorder (OCD) and schizophrenia, using a vignette-based approach.Methods.This was a population-based, cross-sectional survey conducted among Singapore Residents (n = 3006) aged 18–65 years. All respondents were asked what they think is wrong with the person in the vignette and who they should seek help from. Respondents were also administered the Personal and Perceived sub scales of the Depression Stigma Scale and the Social Distance Scale. Weighted frequencies and percentages were calculated for categorical variables. A series of multiple logistic and linear regression models were performed separately by vignette to generate odd ratios and 95% confidence intervals for the relationship between help-seeking preference, and recognition and beta coefficients and 95% confidence intervals for the relationship between stigma and recognition.Results.Correct recognition was associated with less preference to seek help from family and friends for depression and schizophrenia. Recognition was also associated with increased odds of endorsing seeking help from a psychiatric hospital for dementia, depression and schizophrenia, while there was also an increased preference to seek help from a psychologist and psychiatrist for depression. Recognition was associated with less personal and perceived stigma for OCD and less personal stigma for schizophrenia, however, increased odds of social distancing for dementia.Conclusion.The ability to correctly recognise a mental illness was associated with less preference to seek help from informal sources, whilst increased preference to seek help from mental health professionals and services and less personal and perceived stigma. These findings re-emphasise the need to improve mental health literacy and reinforce the potential benefits recognition can have to individuals and the wider community in Singapore.


Author(s):  
Hossein Ebrahimi ◽  
Mohammad Reza Movaghari ◽  
Milad Bazghaleh ◽  
Nasim Shirmohammadi ◽  
Reza Mohammadpourhodki

Abstract Background The purpose of the study was to assess parent’s attitudes toward mental illness in children and its relationship with help seeking behaviors. Method This cross-sectional study was conducted in a pediatric psychiatric clinic of under affiliation of Tehran University of Medical Sciences in 2016–2017. All children’s parents or guardians who referred for the first time to the clinics were the study population. Convenient sampling was applied and 400 subjects were included by survey method. The data collection tool for this study included a form for demographic data, a questionnaire for assessing parents’ attitude toward the causes, behavioral demonstrations and treatment of mental disorders in children, and finally a checklist to determine help seeking behaviors. Descriptive and inferential statistics was applied with SPSS software version 16 for data analysis. Results Of the parents, 93.7% had a good attitude toward mental illness in the three studied realms. Of the parents, 56.25% referred to official sources of help. The results of this research showed that there was a significant difference between the mean scores of parents’ attitude (sum of the three areas) in terms of child’s gender, parents’ marital status, father’s job, father’s education, and mother’s education and there was a significant relationship between help seeking behavior of parents just with fathers’ education level (p<0.05). Conclusions The results showed that parents had a good attitude toward their children’s mental disorders. However, it should not be overlooked that nearly half of the parents were still referring to unofficial sources of assistance.


2009 ◽  
Vol 43 (9) ◽  
pp. 866-872 ◽  
Author(s):  
Amy J. Morgan ◽  
Anthony F. Jorm

Objective: The aim of the present study was to investigate what news stories about mental illness are recalled by Australian youth and whether these are associated with stigma and help-seeking beliefs. Method: A random sample of 3746 Australian youth aged 12–25 years were interviewed about mental health literacy in 2006. As part of the interview, they were asked whether they could recall any news stories about mental health problems during the past 12 months. Stigma was assessed, as well as willingness to seek help for a mental illness described in a vignette. Common news story themes were entered as predictors of stigma components and willingness to seek help in a series of logistic regressions. Results: Only a minority of youth could recall a news story about mental illness. The most common stories recalled were those involving crime or violence; mental health system failures; or disclosures of mental illness by prominent individuals. Recall of a disclosure by a prominent individual was associated with beliefs that people with mental illness are sick rather than weak, while recall of a story involving crime or violence was associated with greater reluctance to tell anyone about a mental health problem. There were no types of stories that predicted willingness to seek help. Conclusions: There is some evidence that recall of positive or negative news stories is associated with specific components of stigma. Overall, however, recall of news stories about mental illness added little explanatory power to differences in stigma or help-seeking intentions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carolin M. Doll ◽  
Chantal Michel ◽  
Marlene Rosen ◽  
Naweed Osman ◽  
Benno G. Schimmelmann ◽  
...  

Abstract Background The majority of people with mental illness do not seek help at all or only with significant delay. To reduce help-seeking barriers for people with mental illness, it is therefore important to understand factors predicting help-seeking. Thus, we prospectively examined potential predictors of help-seeking behaviour among people with mental health problems (N = 307) over 3 years. Methods Of the participants of a 3-year follow-up of a larger community study (response rate: 66.4%), data of 307 (56.6%) persons with any mental health problems (age-at-baseline: 16–40 years) entered a structural equation model of the influence of help-seeking, stigma, help-seeking attitudes, functional impairments, age and sex at baseline on subsequent help-seeking for mental health problems. Results Functional impairment at baseline was the strongest predictor of follow-up help-seeking in the model. Help-seeking at baseline was the second-strongest predictor of subsequent help-seeking, which was less likely when help-seeking for mental health problems was assumed to be embarrassing. Personal and perceived stigma, and help-seeking intentions had no direct effect on help-seeking. Conclusions With only 22.5% of persons with mental health problems seeking any help for these, there was a clear treatment gap. Functional deficits were the strongest mediator of help-seeking, indicating that help is only sought when mental health problems have become more severe. Earlier help-seeking seemed to be mostly impeded by anticipated stigma towards help-seeking for mental health problems. Thus, factors or beliefs conveying such anticipated stigma should be studied longitudinally in more detail to be able to establish low-threshold services in future.


2018 ◽  
Vol 5 (1) ◽  
pp. 205510291876541 ◽  
Author(s):  
Grenville Rose ◽  
Courtney von Hippel ◽  
Loren Brener ◽  
Bill von Hippel

Research suggests that stigma impacts help-seeking behaviour and health outcomes for people affected by mental illness. This study compared the attitudes of Australian non-governmental organisation support workers towards people with mental illness with those of other health professionals. Three hundred and seventy four support workers were randomly allocated to answer questions about one of the six vignettes. Results indicated that non-governmental organisation support workers held more positive attitudes towards people with mental illness than those of general practitioners, psychiatrists and psychologists measured in prior research. These results suggest that non-governmental organisations may be a more positive and comfortable entry and referral point for mental health clients.


2009 ◽  
Vol 24 (4) ◽  
pp. 225-232 ◽  
Author(s):  
M.C. Angermeyer ◽  
A. Holzinger ◽  
H. Matschinger

AbstractBackgroundThere is growing evidence that mental health literacy has improved in western countries in recent years. The question arises as to whether this trend is paralleled by an improvement of attitudes towards people with mental illness.AimTo examine the development of mental health literacy and the desire for social distance towards people with schizophrenia and major depressive disorder in Eastern Germany over a time period of eight years.MethodA trend analysis was carried out using data from two population surveys conducted in the eastern part of Germany in 1993 and 2001. By means of a fully structured interview psychiatric labelling, causal beliefs, help-seeking and treatment recommendations as well as the desire for social distance was assessed.ResultsWhile there was an increase in the mental health literacy of the public, the desire for social distance from people with major depression and schizophrenia remained unchanged or even increased.ConclusionsThe assumption underlying a number of anti-stigma campaigns, namely that educating people about mental disorders may automatically lead to the improvement of their attitudes towards the mentally ill, appears questionable.


Author(s):  
Jen Lee Teh ◽  
David King ◽  
Bernadette Watson ◽  
Shuang Liu

People with mental illness (PWMI) often internalise negative beliefs (self-stigma) or anticipate external sources of stigma (perceived stigma). This study examines how the two types of stigma affect the willingness to communicate for help – such communication is a vital aspect of good patient care and treatment outcome. Seventy-two participants from different ethnic backgrounds who had experienced mental illness responded to an online survey about their level of agreement with statements reflecting self- and perceived stigma and their willingness to disclose to various help sources. Face-to-face interviews with 17 of these respondents provided a deeper understanding of how stigma affected their help-seeking communication. The quantitative results seemed to suggest that self-stigma has a stronger negative correlation with willingness to seek help. Respondents preferred disclosing to friends above family members and health professionals. The results highlight the importance of building resilience to reduce self-stigma and thereby increase help seeking. Given the different ethnic backgrounds of the participants, there emerged some multicultural issues that would seem to contribute to persisting mental illness stigma. These and any cultural differences are discussed.


2011 ◽  
Vol 4 (1) ◽  
pp. 76 ◽  
Author(s):  
Vani Rao ◽  
Joshana Goga ◽  
Anjeli Inscore ◽  
Razia Kosi ◽  
Sunil Khushalani ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018099 ◽  
Author(s):  
Sherilyn Chang ◽  
Hui Lin Ong ◽  
Esmond Seow ◽  
Boon Yiang Chua ◽  
Edimansyah Abdin ◽  
...  

ObjectivesTo assess stigma towards people with mental illness among Singapore medical and nursing students using the Opening Minds Stigma Scale for Health Care Providers (OMS-HC), and to examine the relationship of students’ stigmatising attitudes with sociodemographic and education factors.Design and settingCross-sectional study conducted in SingaporeParticipantsThe study was conducted among 1002 healthcare (502 medical and 500 nursing) students during April to September 2016. Students had to be Singapore citizens or permanent residents and enrolled in public educational institutions to be included in the study. The mean (SD) age of the participants was 21.3 (3.3) years, with the majority being females (71.1%). 75.2% of the participants were Chinese, 14.1% were Malays, and 10.7% were either Indians or of other ethnicity.MethodsFactor analysis was conducted to validate the OMS-HC scale in the study sample and to examine its factor structure. Descriptive statistics and multivariate linear regression were used to examine sociodemographic and education correlates.ResultsFactor analysis revealed a three-factor structure with 14 items. The factors were labelled as attitudes towards help-seeking and people with mental illness, social distance and disclosure. Multivariable linear regression analysis showed that medical students were found to be associated with lower total OMS-HC scores (P<0.05), less negative attitudes (P<0.001) and greater disclosure (P<0.05) than nursing students. Students who had a monthly household income of below S$4000 had more unfavourable attitudes than those with an income of SGD$10 000 and above (P<0.05). Having attended clinical placement was associated with more negative attitudes (P<0.05) among the students.ConclusionHealthcare students generally possessed positive attitudes towards help-seeking and persons with mental illness, though they preferred not to disclose their own mental health condition. Academic curriculum may need to enhance the component of mental health training, particularly on reducing stigma in certain groups of students.


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