Barriers to mental health help-seeking among older adults with chronic diseases

Adams, Claire; Gringart, Eyal; Strobel, Natalie

doi:10.1080/00050067.2023.2282540

Cited by 3 publications

(1 citation statement)

References 54 publications

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“…Furthermore, those who had a history of positive help-seeking behavior with respect to modern therapy for their condition were more likely to have sought care from a modern health institution for a later episode. This finding was in agreement with previous research conducted in China, Western Australia, and Switzerland ( 65 – 67 ). One explanation for this could be that individuals with mental illnesses who have a history of a positive pattern of help-seeking behavior with respect to current treatments are more likely to improve and may also be satisfied with their prior interactions.…”

Section: Discussionsupporting

confidence: 94%

Patterns of help-seeking behavior among people with mental illness in Ethiopia: a systematic review and meta-analysis

Asnakew,

Haile,

Kassa

et al. 2024

Front. Psychiatry

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BackgroundDespite the availability of evidence-based and effective treatments, significant numbers of people living with mental illness do not receive treatment or do not seek help from providers of formal modern treatment. Although numerous primary studies have been conducted on patterns of help-seeking behavior among individuals with mental illness with respect to modern therapy, the evidence has not been aggregated nationwide. Therefore, the aim of this review was to investigate pooled data on patterns of help-seeking behavior among individuals with mental illness in Ethiopia.MethodsAll available primary studies were searched via the Google Scholar, HINARI, and PubMed databases from June 22 to December 20, 2023; 912 articles were identified. Sixteen articles were included in the final review; data from them were extracted to an Excel spreadsheet and exported to Stata version 17 for analysis. The search terms used were: “Pattern of help-seeking behavior’’ OR “Pattern of treatment-seeking behavior” OR “Health care-seeking behavior” OR “Help-seeking intention” OR “Help-seeking preferences” OR “Perceived need” OR “Pathways to psychiatric care”, AND “Common mental disorders” OR “Mental illness” OR “Mental health problems” OR “Depression”, AND “Predictors” OR “Determinate factors” OR “Associated factors”, AND “Ethiopia”. The quality of the studies included was critically appraised using the modified The Joanna Briggs Institute (JBI) Joanna Briggs Institute quality assessment tool, adapted for observational studies. During critical appraisal, disagreements between the two authors conducting the assessment were resolved by the involvement of a third author. Effect sizes were pooled using the random effects model, and the presence of publication bias was detected based on asymmetry of the funnel plot and a statistically significant result of Egger’s test (p<0.05).ResultsThe pooled rate of positive help-seeking behavior with respect to modern treatment among people living with mental illness was 42.21% (95% CI: 29.29, 55.12; I2 = 99.37%, P=0.00). Factors significantly associated with a positive pattern of help-seeking behavior were: having a secondary education or above (AOR=5.47, 95% CI: 2.33, 12.86); believing that mental illness requires treatment (AOR=2.76, 95% CI: 2.02, 3.78); having strong social support (AOR=2.00, 95% CI: 1.64, 2.44); having a family history of mental illness (AOR=2.68, 95% CI: 1.38, 3.97); having awareness of the availability of treatment (AOR=2.92, 95% CI: 1.56, 5.46); having previously engaged in positive help-seeking behavior (AOR=3.28, 95% CI: 1.63, 6.60); having comorbid disorders (AOR=4.25, 95% CI: 1.69, 10.66); not using alcohol (AOR=3.29, 95% CI: 1.73, 6.27); and the perceived severity of mental illness (AOR=2.54, 95% CI: 1.490, 4.33).ConclusionsThe majority of people with mental illness in Ethiopia exhibited a poor pattern of help-seeking behavior with respect to modern treatment. Therefore, mobilization of the community should be encouraged via regular public awareness campaigns regarding mental illness and the availability of evidence-based and effective modern treatment in Ethiopia. Moreover, the design of effective community-based mental health interventions is recommended in order to improve public attitudes and rates of help-seeking behavior in relation to mental health problems.

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Section: Discussionsupporting

confidence: 94%

Patterns of help-seeking behavior among people with mental illness in Ethiopia: a systematic review and meta-analysis

Asnakew,

Haile,

Kassa

et al. 2024

Front. Psychiatry

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Mutual Storytelling, Cultural Humility, and Broaching: Bridging the Gap When Working with Culturally Diverse Older Adults

Ponce,

Kwok,

Moshe

et al. 2024

Journal of Creativity in Mental Health

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Attitudes towards seeking psychological help among community dwelling older adults enrolled in primary care in Chile

Moreno,

Moreno

2024

BMC Geriatr

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Background Depression and anxiety are common mental disorders among older adults, but they are frequently underdiagnosed. Attitudes towards seeking professional mental health care is one of the barriers to access to treatment. This study was aimed at assessing the attitudes towards seeking psychological help among older adults who are enrolled in primary care in Chile, and to determine the associated factors. Methods This cross-sectional study recruited 233 primary care users aged 65 or more years. The Attitudes Towards Seeking Professional Psychological Help was used. Reliability and factor analysis of this scale were carried out. The average scores of the scale and factors were calculated and compared, by selected variables. Multivariate linear regression was estimated to determine factors associated with attitudes towards seeking psychological help. Results Three factors were identified in the attitudes towards seeking psychological help: confidence in psychologists, coping alone with emotional problems, and predisposition to seek psychological help. On average, participants had a favorable attitude towards seeking psychological help, compared with previous research. Lower level of education, and risk of social isolation were inversely associated with these attitudes. Conclusion Strategies to improve mental health literacy and social connection among older adults, could have an impact on factors that mediate the access to mental health care, such as attitudes towards seeking psychological help, among people who have a lower level of education or are at risk of social isolation.

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Barriers to mental health help-seeking among older adults with chronic diseases

Cited by 3 publications

References 54 publications

Patterns of help-seeking behavior among people with mental illness in Ethiopia: a systematic review and meta-analysis

Patterns of help-seeking behavior among people with mental illness in Ethiopia: a systematic review and meta-analysis

Mutual Storytelling, Cultural Humility, and Broaching: Bridging the Gap When Working with Culturally Diverse Older Adults

Attitudes towards seeking psychological help among community dwelling older adults enrolled in primary care in Chile

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