published_or_final_version / Mental Health / Master / Master of Social Sciences

published_or_final_version / Mental Health / Master / Master of Social Sciences

The effect of psychoeducation on opinions about mental illness, attitudes toward help seeking, and expectations about psychotherapy were investigated. One group served as a control, one group read a written lecture on information about mental illness, and one group read a written lecture on information about psychotherapy. The control group, and experimental groups immediately after reading the lecture, completed demographic information, Attitudes Toward Help Seeking-Short Form, Expectations About Counseling-Brief Form, Nunnally Conceptions of Mental Illness Questionnaire, and three College Adjustment Scales (Depression, Anxiety, Self Esteem). Participants were asked to complete the same measures four weeks after the initial assessment. Results: No significant improvement in attitudes toward help seeking was demonstrated in either experimental group, at either time of testing. Expectations about psychotherapy were significantly improved in both experimental groups, which remained significant at Time 2. Opinions about mental illness demonstrated an immediate significant improvement in attitudes with the mental illness lecture group, however this effect did not remain at Time 2. The psychotherapy lecture group did not have significantly improved opinions about mental illness at either time of testing. The control group did not produce any significant changes between Time 1 and Time 2 testing. Experimental group scores demonstrated similarity with those who had previous experience with psychotherapy. No relationship was found between level of adjustment and attitudes toward help seeking, expectations about psychotherapy, or opinions about mental illness at either time of testing.

Emerging adulthood is a term coined to recognize 18 to 25 year-olds who engage in self-exploration while not yet fully identifying as adults. Many emerging adult college students experience stress, anxiety, and depression. Although many colleges provide affordable and available mental health resources for students, many students who need help appear to not utilize these services. Gaining greater understanding of underlying processes that influence psychological treatment-seeking behavior is imperative. The current study sought to explore the role experiential avoidance (EA) plays as a treatment-seeking barrier in the context of emerging adulthood. Undergraduate students completed online measures of emerging adulthood dimensions, psychological symptoms, EA, self-stigma of, perceived public stigma of, intentions to, and attitudes and beliefs towards seeking treatment, treatment seeking behavior, and a demographics questionnaire. Binomial hierarchical logistic regressions and correlational analyses examined the relationship of EA and treatment-seeking behaviors, accounting for known barriers and emerging adult characteristics. After controlling for demographic variables, results indicated that EA was significantly positively correlated with self-stigma (r = .187), p < .001), perceived public stigma (r = .178, p < .001), intentions (r - .207, p < .001), psychological symptoms (r = .713, p < .001), and attitudes and beliefs (r = .009, p = .003). These and other findings are discussed further, along with the study limitations and implications, as well as possible future directions for work in this area.

A research report submitted in partial fulfilment for the degree Master of Arts in Social and Psychological Research by Coursework and Research Report (PSYC7022) in the Department of Psychology, Faculty of Humanities at the University of the Witwatersrand, February 2017 / The lifetime prevalence of Major Depressive Disorder (MDD), as reported for South Africa, is 9.7%. However, significant cultural differences occur in the clinical presentation of MDD which are connected to notions of religion, social principles and norms of relationships. With this in mind, this study explores the extent to which Hindu community members’ knowledge of MDD, their beliefs about the aetiology of MDD and their attitudes towards people with MDD impacted their perceptions on the care and management of MDD as well as their help seeking behaviours. The study also explored the extent to which Hindu religious identity mediates or moderates the relationship between aetiology, knowledge and attitudes towards MDD and the care and management of MDD and help seeking behaviour. A questionnaire consisting of a demographics section, a religious identity scale, a MDD knowledge, attitudes and practices scale and the attitudes towards seeking professional psychological help scale was completed by a convenience sample of 264 Hindus from Johannesburg and surrounding areas. Data was analysed using descriptive statistics and multiple regression analyses. Participants in this study had a moderate religious identity and generally positive attitudes towards MDD. This sample believed that stress was the main cause of MDD and that talking to their friends, family and their general practitioner would be the most beneficial in terms of care and management of MDD. Participants also had positive attitudes towards seeking professional help. Two multiple regression analyses were conducted with the attitudes towards professional help seeking as well as all the care and management factors as the dependent variables and religious identity, knowledge of MDD, attitudes towards MDD and all four aetiological factors of MDD as the independent variables. These analyses yielded varying results. Following these analyses, religious identity was explored as both a potential mediator and moderator variable between attitudes towards MDD and help seeking behaviours. These results are discussed within the broader debates on depression and its manifestation across cultures. / XL2018

The population of Africans in the United States is growing, yet little is known about the impact of migration on the attitudes of African immigrants toward suicide, mental health, and helpseeking behavior. Migration entails movement from one cultural environment to another, and the process requires adaptation to the host country. According to Ecological Theory, interactions between the societal structures, values, and beliefs of the host country, cultural values from the country of origin, and individual-level characteristics may affect mental health-related attitudes and behaviors. As such, the current study used mixed methods, administered via online survey, to investigate socio-cultural predictors of attitudes toward suicide, mental health, and treatment seeking among African immigrants in the United States. In the current study the responses of 227 participants were used for qualitative analyses, and responses from 168 participants were used for quantitative analyses. Qualitative results indicated overall negative attitudes towards suicide and positive attitudes towards suicide prevention. Perceived culture-specific causes of suicide included acculturation difficulties, immigration stress, social causes such as home sickness discrimination, and racism, financial causes such as responsibility to kin in Africa, spiritual causes, and deportation risk. Results from quantitative analyses indicated that identification with African values and behaviors were related to lower levels of anxiety, depression, stress, and culture oriented psychological distress. Higher levels of spirituality and religiousness were associated with a negative attitude toward suicide. Implications for population based suicide prevention efforts for African immigrants and for mental health professionals working with African immigrants are discussed.

Thesis (M.S.)--University of Delaware, 2005. / Principal faculty advisor: Ruth E. Fleury-Steiner, Dept. of Individual & Family Studies. Includes bibliographical references.

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In this study, an Implicit Association Test (IAT) was created to measure individuals attitudes towards seeking psychological help. The IAT was administered prior to the Beliefs About Psychological Services scale (BAPS; Ægisdóttir & Gerstein, 2009) to examine the relationship between the implicit and explicit measures of attitudes toward seeking psychological help. It was theorized that the implicit measure would be less affected by social desirability and unconscious attitudes than the explicit measure. Standardizing revealed that IAT scores reflected less belief in the expertness of psychology professionals than did BAPS scores. However, participants reported greater intent to seek psychological help on the BAPS compared to the IAT. BAPS scores reflected higher stigma towards psychological services compared to the IAT. Correlations between the implicit and explicit measure were moderate for stigma and perceived expertness of psychology professionals but low for intent to seek psychological help. / Department of Counseling Psychology and Guidance Services

The purpose of this study was to identify factors that may affect counseling psychology doctoral students' tendencies to seek professional psychological help for their personal problems. The study had the following specific goals: (a) to identify psychology students' reasons for seeking professional help, (b) to identify psychology students' reasons for hesitating to seek professional help, (c) to determine the incidence of personal distress among psychology students, (d) to determine the incidence of professional psychological help seeking, and (e) to begin to examine the impact that training environments have on the development of psychologists' attitudes toward seeking personal psychotherapy.The population of this study was doctoral students in APA-approved programs in Counseling Psychology during their internship phase of training. The sample consisted of 178 pre-doctoral interns. Students were mailed a survey developed by the researcher. The survey instrument consisted of questions about psychological problems experienced and the extent to which students had sought or would seek help for these problems. The survey also addressed students' perceptions about whether or not personal help seeking was advocated in their training programs and extent to which the topic of personal psychotherapy was included in their graduate curriculum.Data were analyzed using a combination of qualitative and quantitative procedures. Grounded theory analysis techniques, frequency distributions and multiple regression analyses were utilized.The study reveals that the decision to seek help is a complex one. While most students had sought or would be willing to seek help in the future, many would hesitate to do so. Conclusions drawn are that psychologists (in training) may prefer to turn to professional help as a last resort, and that there are barriers that prevent trainees from obtaining psychological services including finances, availability of therapists, and concerns about confidentiality. Trainees who have had positive experiences with therapy or who value it for personal or professional growth are more likely to seek help. Trainees who perceive that help seeking is normative among their peers are also more likely to seek help. The topic of "psychologists' seeking help for themselves" is not consistently addressed as a part of counseling psychologists' formal training. / Department of Counseling Psychology and Guidance Services