Bridging the gap between child mental health need and professional service utilisation: Examining the influence of mothers’ parental attributions on professional help-seeking intentions

Sawrikar, Vilas; Diaz, Antonio Mendoza; Tully, Lucy A.; Hawes, David J.; Moul, Caroline; Dadds, Mark R.

doi:10.1007/s00787-020-01682-6

Cited by 7 publications

(4 citation statements)

References 57 publications

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“…The results showed that a mother's help-seeking behavior has a significant effect on her adolescents' helpseeking behaviors, independently of other variables. These findings are consistent with previous studies that highlight the importance of evaluating and intervening with parents, particularly mothers, when working with adolescents with suicidal thoughts [56][57][58]. A systematic review of 14 studies also found a significant association between mothers' helpseeking and their offspring's help-seeking behaviors [59].…”

Section: The Adolescent's Help-seeking Facilitated By the Mother's He...supporting

confidence: 91%

Impact of Parental Mental Health and Help-Seeking on Adolescents’ Suicidal Ideations and Help-Seeking Behaviors

Han,

Ahn,

Kim

et al. 2023

IJERPH

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This study aimed to evaluate the impact of parental mental health on adolescent offspring. Data regarding 6512 families from the 2010–2021 Korean National Health and Nutrition Examination Survey were analyzed; among them, 428 were placed in the suicidal ideation (SI) group and 421 were placed in the matched control (MC) group. This number was selected for the use of the propensity score matching method. The findings highlighted significant associations between parental mental health and adolescent suicidal ideation, with mothers in the SI group having higher odds of Diagnosed Depression (OR 2.109, 1.023–4.350 95% CI), Depressive Mood (OR 2.155, 1.224–3.793 95% CI), and Suicidal Ideation (OR 2.532, 1.322–4.851 95% CI) compared to the MC group. Regarding the fathers, paternal Suicidal Ideation (OR 4.295, 1.747–10.599 95% CI) was the only significant factor for adolescent suicidal ideation. In contrast, maternal depressive symptoms and help-seeking behavior significantly impacted adolescent help-seeking; Maternal Depressive Mood increased with adolescent Help-Seeking (OR 4.486, 1.312–15.340 95% CI) while Maternal Suicidal Ideation reduced the probability of Help-Seeking in the SI group (OR 0.15, 0.031–0.721, 95% CI). Chronic and severe depressive symptoms in mothers could make adolescents less likely to seek help for their suicidal ideations. Therefore, clinicians working with adolescents should prioritize a family-oriented approach.

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Section: The Adolescent's Help-seeking Facilitated By the Mother's He...supporting

confidence: 91%

Impact of Parental Mental Health and Help-Seeking on Adolescents’ Suicidal Ideations and Help-Seeking Behaviors

Han,

Ahn,

Kim

et al. 2023

IJERPH

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“…Family factors had a limited focus in research. Parents play a role in professional help seeking for mental health problems of their children ( 26 ). The perception of family regarding help seeking, psychiatric history, and better health literacy was significantly associated with the help-seeking intention ( 17 ).…”

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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“…We also did not assess health beliefs which could influence intentions to use DMHIs [14]. This was done because the current study was focused on examining the moderating role of actual rather than perceived mental health need [42]. However, future research could examine putative interactions between health beliefs and technology acceptance in influencing motivations to use DMHIs.…”

Section: Discussionmentioning

confidence: 99%

Technology acceptance and trust: Overlooked considerations in young people’s use of digital mental health interventions

Sawrikar¹,

Mote²

2022

Preprint

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Objectives: Digital mental health interventions (DMHIs) have potential to provide support at scale for young people, yet uptake is low. The present study investigated whether attitudes towards technology solutions in relation to perceived usefulness, perceived ease of use, and trust of DMHIs influenced young people’s intentions to use DMHIs. Methods: Young people aged 17–25 (N = 248) were recruited online via advertising (e.g., Facebook, Twitter) to a survey assessing attitudes of technology acceptance and intentions to use DMHIs, previous use of DMHIs, demographics, and mental health need. Results: Participants reported relatively neutral attitudes towards DMHIs. Outcomes from linear regression indicated that greater perceived usefulness (β = .24) and trust of DMHIs (β = .28) have significant small to moderate positive associations with higher intentions to use DMHIs. Perceived ease of use (β = .07) was not associated with intentions to use DMHIs. Gender, age, previous use of DMHIs, and mental health need did not moderate unique associations between intentions to use DMHIs and perceived usefulness, perceived ease of use, and trust of DMHIs. Conclusions: Moderate levels of technology acceptance for mental health, particularly in domains of perceived usefulness and trust of DMHIs, may represent a barrier to DMHI adoption among young people. Developers and service providers are recommended to provide information about the usefulness, effectiveness, and trustworthiness of DMHIs to improve uptake among young people.

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Bridging the gap between child mental health need and professional service utilisation: Examining the influence of mothers’ parental attributions on professional help-seeking intentions

Cited by 7 publications

References 57 publications

Impact of Parental Mental Health and Help-Seeking on Adolescents’ Suicidal Ideations and Help-Seeking Behaviors

Impact of Parental Mental Health and Help-Seeking on Adolescents’ Suicidal Ideations and Help-Seeking Behaviors

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

Technology acceptance and trust: Overlooked considerations in young people’s use of digital mental health interventions

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