Attitude Toward Seeking Professional Psychological Help Among Community-Dwelling Population in China

Chen, Pan; Liu, Xiu Jun; Wang, Xiao Qin; Yang, Bing Xiang; Ruan, Juan; Liu, Zhongchun

doi:10.3389/fpsyt.2020.00417

Cited by 48 publications

(53 citation statements)

References 79 publications

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“…The ndings of the current study revealed low help-seeking attitude scores among undergraduate nursing students. Similar ndings have been previously reported in the Chinese population (28). In contrast, Turkish and Australian University students reported a more positive help-seeking attitude (24,29,30).…”

Section: Discussionsupporting

confidence: 89%

Stigma associated with and attitude regarding mental health help-seeking among undergraduate nursing students in Karachi, Pakistan

Farooq¹,

Parpio²,

Sattar³

et al. 2021

Preprint

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Background Globally, the prevalence of mental illness amongst university students is a major concern; same is the case with nursing students. Unaddressed mental illness stigma contributes towards hiding of symptoms hampers timely identification of the disease, and leads to reluctance in attitude towards seeking help. This study determined personal and perceived depression stigma and attitude towards help-seeking behaviors and its associated factors, among undergraduate nursing students at a private nursing institution in Karachi, Pakistan. Methods We conducted a cross-sectional study by recruiting 246 first and second-Year undergraduate nursing students using consecutive sampling. Data were collected using the Depression Stigma Scale (DSS) and the Attitude toward Seeking Professional Psychological Help Scale (ATSPPHS), along with a demographic questionnaire. Chi-square test, Fischer’s exact test and student T test were used to determine significance of difference of each response between first and second year students. Multiple linear regression was employed to determine predictors of DSS and ATSPPHS. Approval was obtained from the university’s Ethics Review Committee. Results The study findings revealed that the mean scores of the personal and perceived stigma scales were 29.7 ± 4.9 and 24.3 ± 6.1, respectively. The mean score of ATSPPHS was 16.5 ± 3.8. The participants reported a mean openness score of7.8 ± 2.6 and a value scale score of 8.7 ± 3.0. A history of psychiatric illness, current living arrangements, and personal depression stigma were found to be significant predictors of ATSPHHS. The year of study was a significant predictor of personal depression stigma whereas both years of study and the current living arrangements were significantly associated with perceived depression stigma. Conclusion Attitude towards seeking help for mental illness was significantly influenced by personal and perceived stigma. Moreover, previous history of psychiatric illness and living arrangements also predicted attitudes towards seeking help. In order to encourage positive attitudes towards seeking help for students’ well-being, it is essential to destigmatize mental health issues by adapting context-based, individualized, and group mental health interventions.

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Section: Discussionsupporting

confidence: 89%

Stigma associated with and attitude regarding mental health help-seeking among undergraduate nursing students in Karachi, Pakistan

Farooq¹,

Parpio²,

Sattar³

et al. 2021

Preprint

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“…Currently, family function has become a main concept in research exploring family role in diseases and the relationship between them ( 27 ). A study found that family function as a good source of social support is associated with positive professional help-seeking attitude ( 28 ). Based on the TPB, attitude is a strong predictor of intention.…”

Section: Introductionmentioning

confidence: 99%

“…A recent study showed that family function may be related to increasing stigma ( 37 ), while prior studies suggested a negative relationship ( 47 ). Thus, Hypothesis 1 is supplemented with “Family function is the facilitator of PHSI and it may have indirect effects on PHSI via stigma and professional help-seeking attitude.” Similarly, depression symptoms are reported that it is associated with stigma and help-seeking attitude ( 28 , 48 ), so Hypothesis 2a is supplemented with “Depression symptoms are the barriers to PHSI and it may have indirect effects on PHSI via stigma and professional help-seeking attitude” (Hypothesis 2). These factors of the PHSI also interact with each other.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis

Liu

Pan

et al. 2022

Front. Psychiatry

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BackgroundA low intention of professional help seeking hinders the effective treatment of depression. The factors are from the perspectives of the social, family, and individual; however, an understanding of how they interact to predict professional help-seeking intention (PHSI) is not clear.ObjectivesThe objectives of the study was to investigate PHSI toward depression in a Chinese community-dwelling population and construct a predictive model of the PHSI to explore the various factors involved.MethodsStratified random sampling and Kish table methods were used to identify 2,000 community residents. Participants completed a series of questionnaires to measure general characteristics, PHSI, professional help-seeking attitude, depression stigma, depression knowledge, family function, and depression symptoms. Analyses included descriptive statistics and Pearson correlation analysis using SPSS 26.0 and a Structural Equation Model using Amos 22.0.ResultsThe score of the PHSI was 14.92 ± 9.574. Professional help-seeking attitude (r = 0.291, p < 0.001) and depression knowledge (r = 0.077, p = 0.002) were positively related to PHSI, while a negative correlation was found between stigma (r = −0.149, p < 0.001) and PHSI. The model of the PHSI indicated a good fit with a CMIN/DF = 2.740 and RESEA = 0.032. The total effect of the influencing factors on the PHSI was listed in the following order: professional help-seeking attitude (0.676) > stigma (−0.143) > depression knowledge (0.088) > depression symptoms (−0.009) > family function (0.005). The total effect of depression knowledge on PHSI included a direct negative effect (Beta = −0.266, p < 0.001) and an indirect positive effect (0.354) through professional help-seeking attitude and stigma. Also, depression knowledge was negatively associated with stigma (Beta = −0.153, p < 0.001). Depression symptoms were negatively associated with family function (Beta = −0.282, p < 0.001), depression knowledge (Beta = −0.252, p < 0.001), and stigma (Beta = −0.102, p < 0.001), indicating that people with less severe depression symptoms had good family function, depression knowledge, and higher stigma. Family function contributed a positive effect on depression knowledge directly (Beta = 0.145, p < 0.001) and a totally positive effect (0.033) on stigma.ConclusionThe PHSI toward depression is low among Chinese community residents. Professional help-seeking attitude, depression knowledge, and family functioning were facilitators of PHSI, and stigma and the severity of depression symptoms were barriers to PHSI. This study provides reference for the development of policies and guidelines to promote community residents to actively seek professional mental health help. Future policies can focus on multicollaboration among the government, mental health services, and families to increase the mental health resources, improve family functioning, enhance mental health literacy (MHL) of the public, and reduce depression stigma to ease the burden of this mental health issue.

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“…A strong sense of family bonds and support may help individuals build up hope and maintain positive attitudes about themselves and their life during a time of adversity, and also lead to higher levels of motivation and confidence, which ultimately alleviates the risk of depression 51 . Another study reported that people who have good family function have a better attitude toward seeking professional psychological help 52 ; thus, good family function can provide more possibilities in the process of mental disorder management, which is consistent with the results of the current study. Therefore, nurses can prevent community residents from developing higher levels of depression by strengthening family cohesion.…”

Section: Discussionmentioning

confidence: 99%

Self‐management of depression among Chinese community individuals: A cross‐sectional study using the transtheoretical model

Huang

Wang

Yang

et al. 2021

Perspect Psychiatric Care

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Purpose To investigate the self‐management of depression among members of a Chinese community. Design and Methods A cross‐sectional survey was conducted in Wuhan. The Depression Prevention and Management Survey was used to identify 429 participants' stage of change, perceived benefits, process of change and self‐efficacy, based on the transtheoretical model perspective. Findings A majority of participants (69.0%) were at the inactive stage of depression self‐management. The mean score of the process of change was 87.62 (SD = 24.83). ANOVA analysis showed gender, education, and family function were significant influencing factors in the process of change. Practice Implications Mental health nurses need to target their approach to the level of the individual based on the transtheoretical model to assist them to enhance their awareness and motivation. More consideration should be given to gender, education, and family function in the context of depression self‐management.

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Attitude Toward Seeking Professional Psychological Help Among Community-Dwelling Population in China

Cited by 48 publications

References 79 publications

Stigma associated with and attitude regarding mental health help-seeking among undergraduate nursing students in Karachi, Pakistan

Stigma associated with and attitude regarding mental health help-seeking among undergraduate nursing students in Karachi, Pakistan

Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis

Self‐management of depression among Chinese community individuals: A cross‐sectional study using the transtheoretical model

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