Illness perceptions and health beliefs in persons with common mental disorders

Goyal, Sneha; Sudhir, Paulomi M.; Sharma, Mohit

doi:10.1016/j.ajp.2020.102366

Cited by 8 publications

(4 citation statements)

References 44 publications

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“…In high users of mental health services, negative IPs were associated with high unmet needs, low functioning, and a poor attitude toward medication and doctor visits ( Broadbent et al, 2008 ). Another study assessed IPs and health beliefs in people with common mental disorders (e.g., depression and anxiety disorders) and found a significant correlation with attitudes toward seeking professional psychological help ( Goyal et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Representations of depression and schizophrenia in the community: The role of illness and risk perceptions on help-seeking intentions

2022

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ObjectiveIllness perceptions (IPs) are important in understanding human reactions to illnesses, including mental health disorders. They influence risk perceptions and several variables relevant to the adjustment to a disorder, treatment seeking, and health outcomes. This study sought to compare IP, risk perception, and help-seeking intention for depression and schizophrenia in a community sample and to assess the mediating role of risk perception in the relationship between IP and help-seeking intention.Materials and methodsA total of 380 adults participated in this study and filled out self-report measures of IPs, risk perceptions, and help-seeking intention. The previous diagnosis of depression was used to control the comparisons between the two disorders. A structural equation model (SEM) was used to test the mediation relationship.ResultsPerceived consequences, expected timeline, lack of personal control, and symptom identity were higher for schizophrenia, while lack of treatment control and concern were higher for depression. An interaction occurred with a previous diagnosis of depression for several dimensions of IP. Concerning the SEM, a valid model was obtained for depression, explaining 15.5% of help-seeking intentions, but not for schizophrenia.ConclusionThe results show that the general population represents depression and schizophrenia differently. These representations are influenced by having experienced depression, and that illness and risk perceptions contribute to explaining the intention to seek help. Considering these illness representations makes it possible to understand the general population’s emotional and cognitive reactions to mental health disorders.

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Section: Introductionmentioning

confidence: 99%

Representations of depression and schizophrenia in the community: The role of illness and risk perceptions on help-seeking intentions

2022

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“…In Indonesia, individuals often perceive themselves as healthy if they can carry out their daily activities without significant disruption, leading to a delay in seeking treatment until the disease worsens [ 38 ]. This delay is due to health beliefs and perceptions, including adaptive emotions that lead the individual to respond to illness by considering that the symptoms experienced are usual and will disappear soon [ 39 ]. Among patients with AMI, denial of their illness is common, particularly during the first few hours and even the first day after chest pain first occurs.…”

Section: Discussionmentioning

confidence: 99%

Number of comorbidities and the risk of delay in seeking treatment for coronary heart disease: a longitudinal study in Bogor City, Indonesia

Tuminah,

Indrawati,

Riyadina

et al. 2024

PHRP

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Objectives: The aim of this study was to investigate the relationship between the number of patient comorbidities and the delays in seeking treatment for coronary heart disease (CHD).Methods: This longitudinal study utilized secondary data from the Non-Communicable Disease Risk Factor (NCDRF) cohort study conducted in Bogor City. Individuals who participated in the NCDRF cohort study and were diagnosed with CHD within the 6-year study period met the inclusion criteria. Respondents who were not continuously monitored up to the 6th year were excluded. The final sample included data from respondents with CHD who participated in the NCDRF cohort study and were monitored for the full 6-year duration. The final logistic regression analysis was conducted on data collected from 812 participants.Results: Among the participants with CHD, 702 out of 812 exhibited a delay in seeking treatment. The risk of a delay in seeking treatment was significantly higher among individuals without comorbidities, with an odds ratio (OR) of 3.5 (95% confidence interval [CI], 1.735–7.036; p<0.001). Among those with a single comorbidity, the risk of delay in seeking treatment was still notable (OR, 2.6; 95% CI, 1.259–5.418; p=0.010) when compared to those with 2 or more comorbidities. These odds were adjusted for age, sex, education level, and health insurance status.Conclusion: The proportion of patients with CHD who delayed seeking treatment was high, particularly among individuals with no comorbidities. Low levels of comorbidity also appeared to correlate with a greater tendency to delay in seeking treatment.

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“…These negative emotions and behaviors may lead to delays in treatment, worsening of illness, and decreased quality of life and social participation of patients [31,[56][57][58]. Building a therapeutic and trusting relationship with patients in this situation can be difficult.…”

Section: Discussionmentioning

confidence: 99%

Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study

Yang

et al. 2022

BMC Psychiatry

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Background Mental illness is a major burden of disease worldwide. Community Mental Health Services (CMHS) are key to achieving community-based recovery for people with mental illness. In China, even though the community management of patients with mental illness is improving, the barriers faced by Community Mental Health Workers (CMHWs) are unclear. This study explores the difficulties and challenges in CMHS from the perspective of CMHWs. The results of this study may provide a practical basis for the training of CMHWs. Methods We carried out a qualitative study using an empirical phenomenological approach. Nine CMHWs were recruited from nine communities in Wuhan, Hubei Province, using purposive and snowball sampling. Face to face semi-structured in-depth interviews were conducted with them from December 27 to 28, 2019. Interview recordings were converted to text content by Nvivo 11.0 software and analyzed using Colaizzi’s phenomenological method. Results Three main themes were identified in this study: 1) Lack of role orientation leads to role ambiguity, 2) Failure to establish a therapeutic trust relationship with patients, and 3) Lack of communication and collaboration with various departments and peers. Seven sub themes were also identified. In these themes, CMHWs emphasized the importance of role clarity, therapeutic trusting relationships, and effective communication and coordination mechanisms. Conclusion Although China has made great efforts on the road to improving the quality of CMHS, several salient issues regarding CMHWs must be addressed to optimize the quality of services provided by CMHWs. Community mental health institutions should help CMHWs overcome these difficulties, by maximizing its value and promoting the development of CMHS.

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Illness perceptions and health beliefs in persons with common mental disorders

Cited by 8 publications

References 44 publications

Representations of depression and schizophrenia in the community: The role of illness and risk perceptions on help-seeking intentions

Representations of depression and schizophrenia in the community: The role of illness and risk perceptions on help-seeking intentions

Number of comorbidities and the risk of delay in seeking treatment for coronary heart disease: a longitudinal study in Bogor City, Indonesia

Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study

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