Thesis (Ph. D.)--Ball State University, 2008. / Title from PDF t.p. (viewed on Nov. 09, 2009). Includes bibliographical references (p. 186-198).

Master of Science / School of Family Studies and Human Services / Jared R. Anderson / Couples often wait until the very end to seek help for their relationship, with divorce being one of the primary concerns cited in couple’s therapy (Doss, Simpson & Christensen, 2004). While couples appear to be reluctant to seek formal resources, we know that over 50% of individuals are confiding in friends and family about their relationship (Lind Seal, Doherty, & Harris, 2015). Currently, the literature is limited and unable to provide a comprehensive explanation for why individuals do or do not seek help for their relationship. Using an interdisciplinary approach, we adapted a medical model- the Health Belief Model (HBM)- to relationship help-seeking. Based on the success of this model at predicting help-seeking behaviors related to physical and mental health, we believe it could be applicable to relationship help-seeking. In addition to identify factors associated with relationship help-seeking behaviors, we hope to identify factors that mediate both formal and informal relationship help-seeking behaviors. To study this we collected data from 347 individuals in emotionally committed relationships. The results of the analysis showed that the perception of threats, such as greater relationship instability and greater negative social comparison, were linked to more online help-seeking; whereas expectations such as the greater endorsement of stigma of self and masculinity were linked to lower levels relationship help-seeking behaviors and worse attitudes toward help-seeking. Furthermore, greater stigma of self was found to be directly linked to having a worse attitude toward help-seeking, as well as indirectly linked to lower rates of formal and online relationship help-seeking behaviors via the prior effects of attitudes toward help-seeking. The results of this study suggest further areas for investigation in regard to relationship help-seeking, specifically around self-stigma.

The underutilization of mental health services among the Chinese Canadian population is a perpetual problem. The present study examined the help-seeking process among second generation Chinese Canadians using the Theory of Planned Behaviour (TPB). The utility of the TPB was tested using both direct and indirect measures and path analyses were used. The influence of additional variables, including self-stigma, anticipated benefits and risks, and cultural variables such as Asian values, European American values, Chinese identity, Canadian identity, family connectedness and self-concealment were investigated. Two hundred and twelve second generation Chinese Canadians participated in the study. Participants had the option to complete the study questionnaire online or in paper format. Results supported the utilization and application of the TPB in understanding help-seeking intentions and highlighted the differential contribution of attitudes, subjective norms, and perceived behavioural control. The study also supported the notion that perceived behavioural control consists of two inter-related but distinct components: self-efficacy and controllability. Results highlight the importance of self-efficacy in predicting help-seeking intentions among second generation Chinese Canadians. Findings also showed that Asian values, Canadian identity, anticipated benefits and risks, self-concealment, and self-stigma play different roles in predicting attitudes, subjective norms, and perceived behavioural control in the help-seeking process. In sum, results of the present study served as an important step in further understanding the help-seeking process among second generation Chinese Canadians. Implications for research, clinical practice, and future directions are discussed.

The purpose of this study was to explore how level of cultural identity was related to help-seeking attitudes among Asian students and to compare between Asian and Caucasian students. A total of 367 undergraduate university students participated in this study, of whom 184 (127 female and 57 male) were Asians and 183 (137 female, 44 male and 2 unspecified gender) were Caucasians. A weak positive correlation was found between Asian cultural identity and positive help-seeking attitudes (r = .158, p = .034, n = 181) (2-tailed); no significant correlation existed between cultural identity and negative help-seeking attitudes (r = .077, p = .305, n = 178) (2-tailed); no significant differences were found among: (a) high Caucasian cultural identity, (b) low Caucasian cultural identity Asian groups, and (c) Caucasian group for both positive help-seeking attitudes (F(2, 186) - .612), p = .544). Mixed results were found indicating that there was no easily identifiable trend between cultural identity and positive and negative help-seeking attitudes. Theoretical, clinical, and research implications are discussed. / Arts, Faculty of / Psychology, Department of / Graduate

No description available.

Major Depressive Disorder is regarded as a major contributor to the global burden of disease. It is considered as the fourth highest cause of disability across the globe and second highest between the ages of 15 and 44. It is a serious mental health condition that affects individuals’ physical and mental health and is often associated with comorbidities, functional impairment and at times fatal consequences. Men with depression are considered as an at-risk group as research has shown that males are less likely to receive intervention or health care compared to women, due to hegemonic masculine norms. Within the qualitative research community, some efforts have been made to give voice to men’s experiences of depression and help-seeking, as well as the coping strategies that they deploy to manage such symptoms. However, comparatively little to no research has focused on the South African population, and specifically on Black men’s experiences. Similarly, only a few studies have concentrated on the positive, helpful and/or adaptive coping strategies used by men to manage their internal distress. Thus, this study contributed to a growing body of knowledge and filled a gap in current literature. This research was qualitative in nature and deployed Braun and Clarke’s (2006) six-phase framework for conducting a thematic analysis, in order to analyse the eight individual interviews conducted. The analysis produced various themes and subthemes that elucidated the experiences of masculinity, depression, help-seeking and coping mechanisms among Black men in South Africa. The three overarching themes included: Real men don’t cry; Sadness hurts, but sharing hurts more; and Dark days, take control; all of which were related to several subthemes. The analysis indicated that Black men in South Africa do experience depressed moods and internal distress. However, they may deny such experiences due to their subscription to strength-based masculine ideals. They instead foster a mask of indifference to such pain by denying or supressing their emotions in order to assimilate into masculine norms. This was even more apparent in Black African cultures where hegemonic masculine norms were further entrenched and encouraged. Furthermore, public and self-stigma were commonly cited as a reason why the men in the study felt the need to uphold this image of indifference and keep subscribing to such dogmas. This translated into the men’s experiences and attitudes towards help-seeking, where they would often reject or be reluctant to disclose their emotional distress to professionals or to those closest to them. This was due to the perception that help-seeking is in line with femininity, which diverts/shifts away from the masculine ideals they sought to uphold. Another aspect introduced was how these concepts intertwined with Black African cultures. Namely, it may be more difficult for Black men in South Africa to openly express their experiences of depression or seek help psychologically, as these are Westernised terms and are uncommon in Black communities. However, a more traditionally accepted help-seeking route was to go to a traditional healer or Sangoma. Considering the men’s overall reluctance to seek help, they engaged in coping strategies in order to manage depressed feelings, as this was more in line with the masculinity expectations of autonomy, unemotionality and problem solving. Negative coping mechanisms were seen as a celebrated and normalized way for men to numb or supress their emotional distress, while still enacting masculinity. Lastly, although positive coping strategies were posited as a way for men to directly engage in distressful emotions, this was more difficult to adopt as they were perceived to be aligned with more feminine traits. This research created a framework that can be used to conceptualise Black South African men’s experiences of depression, help-seeking and coping strategies. This research is of utmost importance considering that men are noted to be more likely to experience functional impairments or fatal consequences due to their reticence for help-seeking. As such, men and future public health messaging could capitalise on this research in order to improve help-seeking and self-management behaviour amongst this population. This is particularly relevant considering our current context of the COVID-19 global pandemic. Keywords: Major Depressive Disorder, South African men, help-seeking, coping strategies, and qualitative thematic analysis. / Mini Dissertation (MA)--University of Pretoria, 2021. / Psychology / MA (Clinical Psychology) / Unrestricted

archives@tulane.edu / 1 / Alejandra Leyton

Approximately 40% of youth experience psychological problems; however, less than half receive necessary services. Several help-seeking models suggest that for children to receive psychological care parents must: recognize a problem, decide to seek help, and select a service. The parent problem recognition stage has been largely overlooked in the literature and few studies have examined all stages of the process together. The current study aimed to fill gaps in the literature regarding parent problem recognition and explore the help-seeking process for child externalizing problems, anxiety, depression, and sleep difficulties. Data was collected an Amazon’s Mechanical Turk. Participants were 219 parents of children ages 7 to 12 who provided information about help-seeking and child mental health symptoms. Rates of accurate parent problem recognition ranged from 37.6% (sleep) to 66.0% (externalizing concerns). Rates of help-seeking in the current study were low ranging from 42.6% (sleep) to 72.7% (depression) even when parents identified a problem for their child. The severity of the child’s problem and parent past experience with mental health predicted problem identification and help-seeking across most presenting concerns. Specialty mental health services were underutilized across problem areas with over 70% of parents indicating that they had or would seek help from their pediatrician and less than half indicating that they had or would seek help from a therapist or psychologist. Results support previous findings that child psychological problems are under-recognized and under-treated. Future research and clinical work is needed to close the gap between the need for services and service use.

Mental health stigma has been identified as a barrier to help-seeking in the United States. Research suggests that insecure attachment may contribute to higher mental health stigma and lower help-seeking behavior. This may be particularly salient in military personnel who tend to report higher mental health stigma than the general population. Evidence suggests that both supportive and destructive military leadership are related to service members' attitudes toward seeking help. In the current study, a sample of military service members and veterans (N = 232) completed an online survey regarding mental health stigma, military leadership experiences, attachment strategies, and mental health help-seeking behaviors. Findings indicated that destructive and supportive leadership experiences were significantly related to self and public stigma, and self-stigma mediated the relationship between destructive and supportive leadership experiences and likelihood to seek help. Attachment anxiety predicted higher self and public stigma, while attachment avoidance predicted high self-stigma but low public stigma, with high self-stigma partially mediating the relationship between attachment avoidance and help seeking.

While a substantial amount of research has addressed the psychological impact sexual assault has on its victims – as well as subsequent behavioral consequences – little is known regarding the stigma a victim of sexual assault may perceive as a result of her experiences. Perceived stigma may include feelings of shame, exclusion, and self-consciousness. Additionally, there have been no studies to date examining the impact such perceived stigmatization may have on help seeking behavior. To address this lack of data, college undergraduates at East Tennessee State University were recruited and surveyed over the Internet (course credit was provided as compensation for participation). To date, 51 (15%) out of 331 female participants indicated that they had experienced sexual assault (i.e., they had been coerced – physically or otherwise – into engaging in sexual activity against their will). Preliminary results indicated that these women perceived stigma as a result of sexual assault (M=1.40, SD=.87, range=0-3). Although marginally significant, preliminary results further show that with increased levels of perceived stigma women were somewhat less likely to seek help or support from friends and family; for example, participants who perceived themselves as stigmatized were less likely to share details of the incident with others (r=-.284, p=.053) or ask others to share similar experiences (r=-.275, p=.061). Other factors potentially impacting the relationship between perceived stigmatization and help seeking will be addressed; specifically, the impact of religious fundamentalism on perceived stigma and subsequent help seeking behavior. Because these consequences of sexual assault and contributors to help seeking have yet to be addressed in the literature on sexual assault, this study sheds new light on the impact such events have on women.