Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes

Mackenzie, Corey S.; Gekoski, William L.; Knox, V. Jane

doi:10.1080/13607860600641200

Cited by 722 publications

(617 citation statements)

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“…The help-seeking propensity scale refers to an individuals’ intention and ability to seek help. Similarly, Mackenzie et al (2006) found a strong predictive association between help-seeking propensity and intentions to seek professional help. Intentions in turn were described as the strongest predictor for actual help-seeking behaviour (Ajzen, 1985).…”

Section: Discussionmentioning

confidence: 87%

“…Mackenzie, Gekoski, & Knox, 2006; ten Have et al, 2010) and being Caucasian (Ward, Wiltshire, Detry, & Brown, 2013) was correlated with more favourable attitudes. Young adults were reported to have less positive attitudes towards seeking professional help than older adults (Gonzalez, Alegria, & Prihoda, 2005; Robb, Haley, Becker, Polivka, & Chwa, 2003).…”

Section: Introductionmentioning

confidence: 95%

“…Young adults were reported to have less positive attitudes towards seeking professional help than older adults (Gonzalez, Alegria, & Prihoda, 2005; Robb, Haley, Becker, Polivka, & Chwa, 2003). Older adults have generally more positive attitudes, but they prefer physicians instead of specialized mental health services (James & Buttle, 2008; Mackenzie et al, 2006). A European epidemiological study of mental disorders reported that more positive attitudes towards mental health help-seeking were associated with being younger than 65 years (ten Have et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…This study did not find associations between educational levels and attitudes, while others did (Jagdeo, Cox, Stein, & Sareen, 2009; Riedel-Heller, Matschinger, & Angermeyer, 2005). Higher educated, older adults had more favourable attitudes regarding help-seeking propensity, but this positive effect of education on attitudes was only found for men (Mackenzie et al, 2006). …”

Section: Introductionmentioning

confidence: 99%

“…Only a few studies screened for mental disorders (Mackenzie et al, 2006; Mesidor & Sly, 2014; Munson et al, 2010; Troeung, Gasson, & Egan, 2015; Ward et al, 2013; Watson & Hunter, 2015) and intentions to (or actual) mental health service use (Freitas-Murrell & Swift, 2015; James & Buttle, 2008; Martin & Howe, 2016; Tieu & Konnert, 2014). Two studies considered both mental disorders and intentions to/or actual mental health service use (Mackenzie et al, 2006; Mesidor & Sly, 2014). Three studies investigated trauma related samples: suicide bereaved adults (Drapeau, Cerel, & Moore, 2016), police officers (Hyland et al, 2014), and homeless and at-risk housed youth (Martin & Howe, 2016); none assessed trauma related disorders.…”

Section: Introductionmentioning

confidence: 99%

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Investigating institutional abuse survivors’ help-seeking attitudes with the Inventory of Attitudes towards Seeking Mental Health Services

Kantor

Knefel

2017

European Journal of Psychotraumatology

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Background: Although effective treatments exist, many trauma survivors delay or avoid professional help. Attitudes towards help-seeking are associated with intentions to and actual treatment use, but were neglected in research on trauma survivors so far. Objective: This study aimed to investigate the reliability, construct validity, and predictive power of the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS) and to investigate attitudes of adult institutional abuse survivors. Method: A total of 220 adult survivors of institutional abuse were interviewed using IASMHS, the PTSD Checklist for DSM-5 (PCL-5), the Childhood Trauma Questionnaire Short-Form (CTQ-SF), the Life Events Checklist (LEC-5), and the depression-subscale of the Brief Symptom Inventory (BSI-18). They were further asked about their current mental health service use. We assessed the fit of different models of IASMHS with confirmatory factor analyses and predicted current mental health service use with a binominal logistic regression model. Results: The three-factor structure of IASMHS provided the best fit. One of the three scales (help-seeking propensity), the PTSD-intrusion scale, and the depression scale significantly contributed to the prediction of current mental health service use. Single items of the psychological openness scale loaded weakly on the according factor. Our sample showed a similar IASMHS profile compared to other samples with mental health problems. Conclusion: Overall, IASMHS appears to be a useful instrument to assess attitudes towards seeking mental health services in trauma survivors. It can be used to investigate help-seeking attitudes and its correlates to better understand and facilitate survivors’ treatment use.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Investigating institutional abuse survivors’ help-seeking attitudes with the Inventory of Attitudes towards Seeking Mental Health Services

Kantor

Knefel

2017

European Journal of Psychotraumatology

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Suicide Categories by Patterns of Known Risk Factors

Logan

Hall²,

Karch³

2011

Arch Gen Psychiatry

110

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Most suicide decedents could be classified by patterns of risk factors. Furthermore, most classes revealed a need for more connected services across medical, mental health/substance abuse, and court/social service systems. Reducing fragmentation across these agencies and recruiting family, friend, and community support for individuals experiencing mental health problems and/or other stress might significantly reduce suicides.

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Associations of Child Maltreatment and Intimate Partner Violence With Elder Abuse in a US Chinese Population

Dong

Wang

2019

JAMA Intern Med

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nterpersonal violence refers to violence between individuals and is subdivided into family, intimate partner, acquaintance, and stranger violence. 1 It is a pervasive public health issue associated with increased morbidity, mortality, and social and health care costs. [2][3][4][5][6][7][8][9][10] Research suggests that people exposed to one form of violence might be at higher risks of experiencing other forms of violence. [11][12][13] Within each agerelated stage, the World Health Organization has identified child maltreatment, intimate partner violence, and elder abuse as common types of interpersonal violence. 1 After age 60 years, approximately 11% of people in the United States have experienced elder abuse, and the rates are higher among minority populations. 3,14,15 Elder abuse has been linked to significant health-related consequences. 3,[16][17][18] Identifying individuals with increased risk of abuse among older populations is vital for elder abuse prevention and intervention. There exists a substantial body of literature that suggests a history of sexual abuse as a significant indicator for exposure to subsequent abuse among children and women. 11,[19][20][21][22] Although this is important, there is limited information about different forms of abuse across major lifespan stages and their relationships to elder abuse.Building on the previous work, this study seeks to bridge the knowledge gap by examining lifespan abuse (ie, psycho-IMPORTANCE People who have experienced abuse as a child or violence with an intimate partner might have higher odds of being abused again, but this has been insufficiently investigated regarding elder abuse. More conclusive evidence might be critical to assessment and prevention strategies. OBJECTIVE To examine the associations of child maltreatment and intimate partner violence with elder abuse. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional data of 3157 community-dwelling US Chinese older adults (60 years or older) in Chicago, Illinois, were collected during 2011 through 2013.EXPOSURES Cases of child maltreatment and intimate partner violence. MAIN OUTCOMES AND MEASURES Cases of elder abuse.RESULTS Of the 3157 US Chinese older adults included in the study, 1328 (42.1%) were men, and the mean (SD) age was 72.8 (8.3) years. The prevalence of elder abuse, child maltreatment, and intimate partner violence in the cohort was 15.2%, 11.4%, and 6.5%, respectively. After adjusting for sociodemographic variables, health status, quality of life, and health change, individuals reporting child maltreatment had increased odds of intimate partner violence (13.4% vs 5.6%; adjusted odds ratio [aOR], 2.57; 95% CI, 1.78-3.71) and elder abuse (25.2% vs 13.8%; aOR, 2.08; 95% CI, 1.57-2.75) than those not reporting child maltreatment. Individuals reporting intimate partner violence had increased odds of elder abuse than those not reporting intimate partner violence (48.8% vs 12.9%; aOR, 5.53; 95% CI, 4.01-7.64). CONCLUSIONS AND RELEVANCEPrior abuse across major lifespan stages is associated wit...

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Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes

Cited by 722 publications

References 37 publications

Investigating institutional abuse survivors’ help-seeking attitudes with the Inventory of Attitudes towards Seeking Mental Health Services

Investigating institutional abuse survivors’ help-seeking attitudes with the Inventory of Attitudes towards Seeking Mental Health Services

Suicide Categories by Patterns of Known Risk Factors

Associations of Child Maltreatment and Intimate Partner Violence With Elder Abuse in a US Chinese Population

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