Online support groups have shown a strong potential to foster resourceful environments for people living with depression without restrictions of time, space, and stigma. Research has found that users of those groups exchange various types of support. However, due to the scarcity of research, many other aspects of depression online support groups remain inconclusive. In particular, how the support exchange contributes to the everyday lives of users living with depression remains unclear. To contribute to filing some of the knowledge gaps, the present study explored what kinds of support were requested and provided in a depression online support group. By doing so, this study aimed to examine the roles of the depression online support group in the management of depression. Mixed methods were employed with a concurrent triangulation strategy. A sample of 980 posts were selected systematically from the support group. Demographic and clinical information of the users who made those posts were recorded. Quantitative and qualitative content analyses were conducted to examine the types of support being exchanged through those posts. Inter-coder reliability was calculated to ensure the consistency of the coding process. The results indicate that users sought informational support, various types of emotional support and coaching support, and social companionship. Users not only sought listening ears, but also practical advice to cope with the situations they were going through. The group appeared to serve its users as a place to meet others with similar experience; to manage loneliness; to discuss what they could not discuss elsewhere; to "just vent"; to gain advice from multiple perspectives on an issue that had been magnifying the impact of depression; to share the experience with formal care provision systems; to express immediate support needs; to share useful discoveries, accomplishments, and creative ways to manage depression; and to experience the value of helping others. This study supports the idea that depression online support groups have the strong potential to contribute to the everyday lives of people living with depression in a way that is not available elsewhere and in a way that complement to the overall framework of existing care provision systems.

It is well established that there is an increase in substance use among college students. In the literature, this increase in use has been attributed to different personality factors, such as sensation seeking. However, what has not received sufficient attention is the possibility that the new peer groups, afforded by the transition to college, introduce unique influence on the relationship between personality and substance use. The purposes of the current study were to explore whether personality predicted substance use across the transition to college whether peer substance use moderated that relationship. The current study examined developmentally the relations among personality, peers, and substance use as students transitioned to college. It built upon previous work by disentangling how the multifaceted trait of impulsivity may interact with the aspects unique to the transition to college, such as dynamic peer groups and substance use behavior in different contexts. This study added to the literature as it was the first to examine negative urgency and its relation to peer influence. The results of the current study aid in understanding the development of substance use among college students and the environmental contexts likely to influence use across time. Participants (N= 229) were assessed longitudinally in order to examine changes in substance use. The participants completed an array of measures that included personality measures (i.e. sensation seeking and negative urgency), a life history calendar of substance use, a measure of problematic alcohol use, and a questionnaire examining the substance use of peers. The current study suggests differences in the way that sensation seeking and negative urgency predict alcohol use and problematic drinking across the transition to college and demonstrated that peers’ drinking had a moderating effect on the relationship between personality and drinking during particular times during the transition to college.

The subject of this two year Master's thesis in Library and Information Science is the information practices of illiterate immigrants in everyday life. The purpose is to examine how immigrants seek, identify, understand and value information sources and information, and how the practices have changed with their arrival in Sweden. It furthermore focuses on the barriers that illiterate immigrants meet in accessing and understanding information. It moreover investigates the strategies they use to overcome them. For this purpose twelve qualitative research interviews were carried out, with illiterate immigrants as well as with service providers. The theoretical concepts of the essay is information practices, which means that the information process is within a context, and information poverty, that people in different context do not have adequate and equal access to information and information sources. Using McKenzie's model of information practices, the essay concludes that illiterate immigrants are active in their information process, especially when they interact with information. The most commonly used information practice is to seek out and ask for help in their social network. They use service providers to explain written information. In addition to actively seeking out people to help them, they use a variety of information practices. They use Internet on their smartphones. Some of them use a translator app to translate letters and communicate with others. They use Facebook and watch TV. They also use other visual sources. Their information practices function as strategies to cope with barriers connected to illiteracy. They utilize their social network that possesses writing and reading skills to help them read and explain. Other strategies are to use numbers and to learn things by heart. Although the illiterate immigrants use a variety of practices and strategies, they still do not get adequate and equal access to information and therefore can be called information poor. Their social network is a resource, but it can also be a limitation. They risk lacking information about intangible things. But they do not, opposed to Chatman's theory, keep their needs concealed. One participant differed from the others in this aspect, since he expressed an unwillingness to ask. He was also troubled by his illiteracy. He perceived himself as being more limited because of it. The interpretation of this is that he lives in a more literate world than the other participants. Therefore is he able to realize what he lacks. It is important to give illiterate immigrants adequate and equal information. This essay thus suggests that institutions seek to adapt their information services to the practices and strategies that the group acquires and uses.

Online Health Seeking (OHS) is widespread and widely studied, but its ideal fit in healthcare is still unclear. OHS is seemingly emblematic of patient self-interest and control and is an intuitive fit with the tenets of patient-centered care (PCC). Researchers have made only a few attempts to evidence or leverage this connection, focusing instead on describing the figures and typical characteristics of OHS. Finding, consuming and sharing online health and wellness information is one of the common online activities, and consumers are generally satisfied with their results despite using simple and error-prone search strategies. Physicians are interested in their patients' OHS, but for a variety of constraints including time, compensation and traditional roles in medicine, most patient OHS goes unshared with doctors. Healthcare facilitators, a relatively new class of health professional that works to bridge the gap between their client's health and personal life, may be an ideal partner for patients in OHS. In this dissertation I share my investigation of the OHS-PCC connection, presenting a case study of a type of healthcare facilitator that has embraced OHS. By studying OHS, I was also able to contribute to the collaborative information seeking (CIS) community. CIS theory and social search tools have pointed to social factors that can influence the entire process of information seeking. In this dissertation I argue that nearly any social search design can be seen as situated or embedded in a unique socio-environmental context. I suggest that social search tools can be used as probes to understand the environment, and that interactions with a search tool can illustrate phenomena far beyond direct search motivations and goals. I also hypothesize that social search field studies can produce changes in their environment, producing changes in user relationships outside of the experimental search system. My study of OHS is an opportunity to test these hypotheses by creating a collaborative search tool that seeks to use OHS as a tool to improve patient-provider relationships. In this dissertation I present the results of a series of field studies at a local clinic that centers on a unique form of health facilitator. Drawing on several formative investigations and related work I synthesize design guidelines for a collaborative OHS tool and describe Snack, a collaborative search tool for OHS customized to my field site. I also present results from Snack's field study and an analysis of email messages between advisors and clients at the clinic. My results show that these health facilitators embraced OHS as a tool to guide and connect with their clients, but fell from this practice after a change at their clinic. After analyzing these results I discuss what makes health facilitators good OHS partners and cover implications for future OHS-based interventions. I also report the positive connections I found between OHS and other quality of care indicators like patient-centered care and the Multidimensional Health Locus of Control. Finally, I consider social search's utility as a probe and intervention in light of my results.

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

Objectives:  A qualitative study to explore the perceptions and ideas of women at community level in Uganda, about factors influencing their health care-seeking behaviour when symptoms that could indicate pulmonary tuberculosis. To let the women identify barriers to health care-seeking and to let them present ideas how to overcome barriers. Method:  Focus Group Discussions (72 informants) and In Depth Interviews (19 informants) were conducted in rural Uganda with women of reproductive age. For triangulation purposes discussions and interviews also included health care providers, traditional healers and a few men. Main Results: The data showed a wide range of health care-seeking behaviours including no action at all, self-treatment using traditional herbs or western medicines, consulting traditional healers and consulting various formal or informal healthcare facilities. The data also identified many barriers that could prevent women from getting a proper diagnosis, including lack of financial resources, lack of power, male supremacy in decision-making, lack of knowledge, perceived corruption in healthcare facilities, fear of stigma and this fear heavily boosted by the idea that PTB equates HIV/AIDS. Conclusion: These data support the idea that successfully fighting PTB among Ugandan women and increasing case finding, demands recognition that tuberculosis is a multifaceted disease: economical, social, psychological and medical. Therefore, approaches to eradicating tuberculosis must target different sectors and reach all levels of society / <p>ISBN 978-91-86739-19-5</p>

There is a significant gap between the numbers of college students who experience a diagnosable psychological problem and those who seek psychological treatment for these problems. One explanation for this gap may be that many college students may be unaware of free mental health services available at the university counseling center on campus. Thus, use of these resources is not a viable option. These concerns were addressed in the current study via a posttest-only experimental design by creating a video in line with the Theory of Planned Behavior (TPB; Ajzen, 1985; 1991) and assessing its effects on college students attitudes towards psychological help seeking (PHS), subjective norms associated with PHS, perceived behavioral control over PHS, and PHS intentions. Mixed support was found for the video’s impact on TPB variables in a PHS context. In addition, the utility of the TPB model for explaining PHS in college students was examined. Based on model fit statistics the TPB adequately explained PHS in college students, but only after modifications were made to the measurement model. / Department of Counseling Psychology and Guidance Services

The relationships among counseling expectations, attitudes toward seeking psychological help, psychological distress, and intention to seek counseling have only been examined in one previous study (Vogel, Wester, Wei, & Boysen, 2005). The primary purpose of the current study was to replicate and address the limitations of the Vogel et al. (2005) study. First, a mediation analysis of attitudes on the relationship of expectations and intention to seek therapy was performed. Next, path analyses were used to test a model of the relationship among counseling expectations, attitudes toward seeking psychological help, psychological distress, and the intent to seek counseling, for men and women separately. In the hypothesized model, two separate paths were predicted to impact intentions to seek psychological help. First, three distinct expectations about counseling (personal commitment, facilitative conditions, and counselor expertise) were expected to influence attitudes toward seeking psychological help, which in turn, predicted intention to seek counseling. Second, psychological distress was expected to relate to the intent to seek therapy. Because the hypothesized model for both genders did not fit the data, exploratory path analyses were completed. In the final path model for men, additional paths from the expectancy factors personal commitment and counselor expertise to intent to seek therapy resulted in a well-fitting model. For women, an additional path between psychological distress and attitudes improved the model significantly. Impact of these findings for research and practice are discussed. / Department of Counseling Psychology and Guidance Services

This study was designed to explore the relationship between attitudes toward help seeking, the ethnicity of the psychological help provider, and the level of cultural mistrust toward Jews. A sample of 102 Israeli Arab undergraduate students from Haifa, Israel, participated in this study. It was hypothesized that attitudes toward help seeking, as measured by Attitudes Toward Seeking Professional Psychological Help-Short Form (ATSPPH-S) and the Beliefs About Psychological Services (BAPS), will be related to the ethnicity of the psychological help provider and to the level of cultural mistrust toward Jews. A 2 x 2 between subjects multivariate analysis of variance (MANOVA) was employed. No significant relationship was found between attitudes toward help seeking, the ethnicity of the psychological help provider, and the level of cultural mistrust toward Jews. However, ANOVAs revealed that Freshmen had more favorable attitudes toward seeking professional psychological help as measured by ATSPPH-S than fourth and fifth year students and that sophomores had more favorable attitudes toward seeking psychological help as measured by BAPS than fourth and fifth year students. The results of the logistic regression indicated that Muslim and Christian participants are three times more likely to choose an Arab help provider than Druze participants. Further, the probability of choosing an Arab psychological help provider increased significantly as the participant’s level of cultural mistrust, in the domains of Politics and Law and Interpersonal Relations increased. On the other hand, the probability of choosing an Arab psychological help provider decreased significantly when participants had previous psychological help, and when their level of cultural mistrust increased in the domain of Business and Work. Results indicated strong significant correlations between attitudes toward help seeking and variables such as father’s highest level of education, previous psychological help, age, and year in school. Significant correlations between beliefs about psychological help and year in school and gender were found. The level of cultural mistrust correlated significantly with religion, ethnicity of psychological help provider, previous psychological help, age, and gender. Limitations and implications for future research and practice are presented. / Department of Counseling Psychology and Guidance Services