A cross-sectional study of the barriers for seeking mental health care among medical undergraduates

Kasam, Lakshmi Shodhana; Macharapu, Raghuram; Gade, Vishnu; Mallepalli, Pramod Kumar Reddy; Babu, R. Ganesh; Manjula, S

doi:10.4103/amh.amh_17_19

Arch Ment Health

2020

DOI: 10.4103/amh.amh_17_19

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A cross-sectional study of the barriers for seeking mental health care among medical undergraduates

Lakshmi Shodhana Kasam

Raghuram Macharapu

Vishnu Gade

et al.

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“…Kasam et al [7] collected data from 100 medical undergraduates in India to examine barriers to seeking mental health care along with any correlation tied to demographic factors. Those 100 participants felt the need for mental health care services.…”

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confidence: 99%

“…Kasam et al [7] collected responses to the Barriers to Access to Care Evaluation (BACE) and found these barriers to be highest rated: 'they may be seen as crazy if people found out they were taking professional care', 'feeling embarrassed to accept help', 'wants to solve the problem on their own', 'difficulty taking time off work', and 'being too unwell to ask for help'. Although they did find a significant correlation between the BACE subscales, Kasam et al [7] stated that this could be due to the underlying stigma connected with mental health care that could majorly influence attitudes toward seeking care. Lastly, with the BACE subscales having a high correlation to each other, Kasam suggests that reducing stigma barriers would in turn reduce attitudinal and instrumental barriers.…”

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confidence: 99%

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The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services

Coleman-Brown

2024

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The COVID-19 pandemic has had a significant impact on individuals worldwide, affecting not only their educational futures but also their mental health. This paper aims to explore college students' perceived barriers to accessing mental health services during the pandemic. The study finds that there is a significant difference between stigma-related and non-stigma-related barriers, with non-stigma items being rated higher on average. The most commonly reported non-stigma barriers include wanting to solve the problem independently, financial constraints, and the belief that the issue will resolve itself. Stigma-related barriers include feeling embarrassed or ashamed, concern about having a mental health problem on medical records, and fear of being seen as crazy or weak. This research sheds light on the challenges students face in seeking mental health care during the pandemic and highlights the need to address these barriers.

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The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services

Coleman-Brown

2024

OJER

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Pattern, barriers, and predictors of mental health care utilization among Egyptian undergraduates: a cross-sectional multi-centre study

et al. 2023

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Background Mental health disorders are a major public health concern especially among undergraduates, globally and within Egypt. Most individuals suffering from mental illnesses either do not seek care at all or seek it only after a large delay. It is therefore critical to identify the barriers that prevent them from seeking professional help to solve the problem from its roots. Thus, the objectives of the study were to assess the prevalence of psychological distress, the need for professional mental health care, and the barriers to seeking available services among undergraduate students in Egypt. Methods A proportionate allocation technique was used to recruit 3240 undergraduates from 21 universities. Symptoms of psychological distress were evaluated using the Arabic General Health Questionnaire (AGHQ-28) and a score of above nine was used to identify positive cases. The pattern for utilization of mental health care was assessed using a multi-choice question and barriers to mental health care were assessed using the Barriers to Access to Care Evaluation (BACE- 30) tool. Logistic regression was adopted to identify the predictors of psychological distress and seeking professional health care. Results The prevalence of psychological distress was 64.7% and the need for professional mental health care was 90.3% of those with psychological distress. The top barrier to receiving professional mental health services was wanting to solve the problem on their own. Logistic regression revealed that female sex, living away from family and positive family history of mental disorders were independent predictors of psychological distress. Students from urban backgrounds were more likely to seek help than students from rural ones. While age above 20 and positive family history of mental disorders were independent predictors for seeking professional help. There is no significant difference between medical and non-medical students in terms of psychological distress. Conclusion The findings of the study showed there is a high prevalence of psychological distress and a lot of instrumental and attitudinal related barriers to seeking mental health care and highlighted the urgent need to develop interventions and preventive strategies to address the mental health of university students.

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Patterns and barriers of mental health service utilization among medical students: a cross-sectional study

Abdel-Hady

Baklola

Terra

et al. 2022

Middle East Curr Psychiatry

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Background The prevalence of mental health problems among medical students has been steadily rising. It is greater than the prevalence of mental health problems among other students, negatively impacting students, and their future careers. The study aims to estimate the prevalence of the self-reported need for mental health care, the pattern of utilization of mental health services, and the different barriers that hinder medical students from seeking professional help. Results This study was conducted among medical students at Mansoura University, using a structured self-reported online questionnaire to collect the need for mental health services, sociodemographic details, the pattern of utilization of mental health services, and the barriers using a Likert scale of 30 items named Barriers to Access to Care Evaluation Version 3. According to this study, 77.77% felt the need for mental health care. The independent predictors for feeling the need for mental health care were female sex and urban residence with an adjusted odds ratio of 2.7 and 1.9, respectively. Regarding mental healthcare needs, most of the barriers were instrumental and attitudinal related. Lack of information about how to access services and solve the problem by themselves was the most common barriers followed by time and financial affords. Conclusions It appears that Mansoura medical students are at higher risk of feeling the need for mental care. Considerable barriers to help-seeking remain prevalent, including both logistical (e.g., time) and informational (e.g., lack of knowledge about the available services).

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A cross-sectional study of the barriers for seeking mental health care among medical undergraduates

Cited by 3 publications

References 0 publications

The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services

The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services

Pattern, barriers, and predictors of mental health care utilization among Egyptian undergraduates: a cross-sectional multi-centre study

Patterns and barriers of mental health service utilization among medical students: a cross-sectional study

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A cross-sectional study of the barriers for seeking mental health care among medical undergraduates

Cited by 3 publications

References 0 publications

The COVID-19 Pandemic &#x26; College Students’ Perceptions of Access to Mental Health Services

The COVID-19 Pandemic &#x26; College Students’ Perceptions of Access to Mental Health Services

Pattern, barriers, and predictors of mental health care utilization among Egyptian undergraduates: a cross-sectional multi-centre study

Patterns and barriers of mental health service utilization among medical students: a cross-sectional study

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Product

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The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services

The COVID-19 Pandemic & College Students’ Perceptions of Access to Mental Health Services