Effects of Perceived Responsibility on Help-Seeking Decisions Among Elderly Persons

Ray, Diane C.; Raciti, Michael A.; MacLean, William E.

doi:10.1093/geronj/47.3.p199

Cited by 31 publications

(25 citation statements)

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“…Additionally, like studies examining health-seeking for mental problems (Ray et al, 1992;Angermeyer et al, 1999), results of this study showed that higher intentions to seek help from professional sources were reported for problems having more severe consequences (i.e. the inability to remember the names of relatives in the scenarios presented).…”

Section: Discussionsupporting

confidence: 49%

Factors influencing intentions to seek a cognitive status examination: a study based on the Health Belief Model

Werner

2003

Int J Geriat Psychiatry

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Section: Discussionsupporting

confidence: 49%

Factors influencing intentions to seek a cognitive status examination: a study based on the Health Belief Model

Werner

2003

Int J Geriat Psychiatry

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“…This has been observed for other conditions (Ray, Raciti, & MacLean, 1992) and may result from differential attributions of responsibility (Kroska & Harkness, 2006). For example, Weiner, Perry, and Magnusson (1988) compared study participants' perceptions of individuals with conditions for which their own behavior was believed to be a contributory factor (i.e., AIDS and obesity) with those of individuals believed to have little or no role in the onset of their condition (i.e., Parkinson's disease and multiple sclerosis).…”

Section: Research Related To Stigma and The MCI Labelmentioning

confidence: 55%

Diagnostic Labels, Stigma, and Participation in Research Related to Dementia and Mild Cognitive Impairment

Garand¹,

Lingler²,

Conner³

et al. 2009

Research in Gerontological Nursing

139

129

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Health care professionals use diagnostic labels to classify individuals for both treatment and research purposes. Despite their clear benefits, diagnostic labels also serve as cues that activate stigma and stereotypes. Stigma associated with the diagnostic labels of dementia and mild cognitive impairment (MCI) can have a significant and negative impact on interpersonal relationships, interactions with the health care community, attitudes about service utilization, and participation in clinical research. The impact of stigma also extends to the family caregivers of individuals bearing such labels. In this article, we use examples from our investigations of individuals with dementia or MCI and their family caregivers to examine the impact of labeling and stigma on clinical research participation. We also discuss how stigma can affect numerous aspects of the nursing research process. Strategies are presented for addressing stigma-related barriers to participation in clinical research on dementia and MCI.Across the life span, stigma associated with diagnostic labels can interfere with adequate provision of care, patients' willingness to seek care, family members' experience of living with the patient, and both patients' and families' willingness to participate in research associated with the disease or disorder. In this article, we explore the impact of labeling and stigma on clinical research participation among older adults with or at risk for dementia and their family caregivers. As a foundation, we provide background information on dementia and mild cognitive impairment (MCI). We then examine the nature of stigma associated with diagnostic labels of neuropsychiatric illness in general (encompassing functional psychiatric illnesses such as mood disorders, as well as conditions with organic etiologies) and describe evidence regarding the stigma experienced by individuals who have been diagnosed with dementia. Using examples from our own research, we explore how stigma can affect the nursing research process with older adults who have a diagnostic label of either dementia or MCI and their family caregivers. We also suggest strategies to diminish the negative impact of stigma on clinical research with these patients and their family caregivers.

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“…Greater Breadth scores were found for older adults, higher Biases and Range of Knowledge scores were found for younger adults, and no age effects were found for Openness, each based upon the 1991-2000 comparison. This suggests that older adults do not, relative to younger adults, necessarily hold limited or inaccurate attributions about the causes of mental illness, as suggested by the literature (e.g., Ray et al, 1992;Robb et al, 2003). In this study (re: Range of Knowledge), younger adults viewed children leaving home, isolation from family, sexual difficulties, and the death of a close friend as problems worthy of professional input to a greater degree than did older adults.…”

Section: Age Cohort Effects In Mental Health Perceptionsmentioning

confidence: 58%

The Relationship between Age, Gender, Historical Change, and Adults' Perceptions of Mental Health and Mental Health Services

Currin

Hayslip

Temple

2011

Int J Aging Hum Dev

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The purpose of this study was to explore the impact of age, historical change, and gender on perceptions of mental health and mental health services. Using multidimensional measures to assess such perceptions among older adults (1977, 1991, 2000), and younger adults (1991, 2000), we expected that older adults would have less positive mental health perceptions than would younger adults, that more recently born cohorts of older persons would evidence more positive perceptions, and that women, especially those more recently assessed, would also evidence more positive perceptions. To an extent, we found positive historical shifts in mental health perceptions, though data also indicated that such views may have stabilized over the last decade for older persons, and interacted with age and gender in this respect. Age differences favoring younger persons were, in part, replicated across historical time, and women held more positive mental health perceptions than did men. Over historical time, older persons' mental health perceptions are, for the most part, increasingly positive, significant in light of the increasing proportion of older persons and changes in the mental health system itself. Our data suggest that efforts to reach older men should be given high priority.

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Effects of Perceived Responsibility on Help-Seeking Decisions Among Elderly Persons

Cited by 31 publications

References 0 publications

Factors influencing intentions to seek a cognitive status examination: a study based on the Health Belief Model

Factors influencing intentions to seek a cognitive status examination: a study based on the Health Belief Model

Diagnostic Labels, Stigma, and Participation in Research Related to Dementia and Mild Cognitive Impairment

The Relationship between Age, Gender, Historical Change, and Adults' Perceptions of Mental Health and Mental Health Services

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