Stigma about Depression and its Impact on Help-Seeking Intentions

Barney, Lisa J.; Griffiths, Kathleen M; Jorm, Anthony F.; Christensen, Helen

doi:10.1080/j.1440-1614.2006.01741.x

Cited by 637 publications

(435 citation statements)

References 21 publications

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“…These results provide preliminary evidence that the stigmatization of patients with AN can lead to delayed treatment initiation. Similar effects were found in studies on stigmatization toward patients with depression [22,23]. The average delay between disease onset and the first consultation with a doctor was shorter than that in previous studies [26,27,28], possibly because participants in the present study were minors at that time and their parents could persuade them to visit a doctor.…”

Section: Discussionsupporting

confidence: 83%

“…Furthermore, the severity of AN is often underestimated by laypeople [21]. Consequently, as shown by research conducted with patients with depressive symptoms, stigmatization poses a major obstacle to seeking and attending therapy and treatment [14,22,23]. Thus far, previous studies primarily addressed aspects of stigmatization in patients with AN from the point of view of unaffected people.…”

Section: Introductionmentioning

confidence: 99%

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Self-Perceived Stigmatization in Female Patients with Anorexia Nervosa - Results from an Explorative Retrospective Pilot Study of Adolescents

et al. 2013

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Background: The stigma of mental illness has been identified as an important barrier to treatment and recovery. Previous research reported the stigmatization of individuals with eating disorders by both health professionals and the general public. The aim of this pilot study was to empirically assess the previous stigmatization and discrimination experiences of young female patients with anorexia nervosa (AN) using a retrospective explorative approach. Methods: An in-house questionnaire that was developed to survey experiences of stigmatization was mailed to 75 former adolescent patients with AN. The mean time of assessment after discharge was 5.6 ± 1.2 years. The patients were asked to respond anonymously. The response rate was approximately 48% (n = 36). Results: Feelings that society held negative stereotypes of individuals with AN, concrete experiences of stigmatization and discrimination, and rejection by peers were reported. A remarkable degree of self-stigmatization, as indexed by high rates of agreement to stigmatizing statements, was detected. Approximately one third of the participants reported delayed initiation of treatment due to fear of stigmatization and discrimination. Conclusion: Stigmatization plays a decisive role in young patients with AN and impacts their motivation to seek professional help and engage in treatment. Clinicians should be aware of the stigmatization related to eating disorders and its burden for affected patients.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Self-Perceived Stigmatization in Female Patients with Anorexia Nervosa - Results from an Explorative Retrospective Pilot Study of Adolescents

et al. 2013

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“…In accordance with the Planned Behavior Theory (Ajzen, 1985(Ajzen, , 1991 behavioral intentions are the best predictors of the behavior itself. Although other variables may influence the relationship between help-seeking intentions and behaviors (Barney et al 2006;Schomerus and Angermeyer, 2008), help-seeking intentions seem to elucidate us about the women's help-seeking behaviors in case of an effective need for help (i.e., presenting high levels of perinatal distress). Moreover, we were also interested in examining if women's help-seeking intentions may be different when an effective need of help is present (i.e., presence of high levels of perinatal distress) (see Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Women's intentions of informal and formal help-seeking for mental health problems during the perinatal period: The role of perceived encouragement from the partner

Fonseca

Canavarro

2017

Midwifery

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Objectives: This study aimed to examine the relationship between women's intentions to seek informal help and to seek professional help and to explore the indirect effects of women's perceived encouragement to seek professional help from their male partner. Moreover, this study aimed to examine if these relationships vary as function of the presence of higher levels of perinatal distress.Design: Cross-sectional internet survey.Setting: Participants were recruited through advertisements published in pamphlets and posted on social media websites (e.g., Facebook) and websites and forums that focused on pregnancy and childbirth.Participants: 231 women (pregnant/ had a baby during the last 12 months) completed the survey. Measurements:Participants were questioned about sociodemographic and clinical data and were assessed concerning perinatal distress (Edinburgh Postpartum Depression Scale and Hospital Anxiety and Depression Scale), intentions to seek informal and formal help (General Help-Seeking Questionnaire) and perceived encouragement from the partner to seek professional help. Findings:The women reported a significantly higher intention to seek help from their partner than to seek professional help (p < .001). Although women with higher perinatal distress levels presented lower intentions to seek informal help from the male partner (p = .001) and perceived less encouragement from the male partner to seek professional help (p < .001), the presence of perinatal distress did not moderate the relationship between those variables. A significant indirect effect on the relationship between women's intention to seek informal and professional help occurred through the women's perceived encouragement from the male partner to seek professional help. Key conclusions:The results of this study highlight the important role of the male partner's encouragement in women's professional help-seeking for mental health problems. Implications for practice:Awareness campaigns about perinatal distress and about professional treatment benefits may be directed universally to all women in the perinatal period and should include women's significant 2 | Midwifery others, such as their partners. Health professionals should recognize and support the prominent role of the women's partners in the help-seeking process.

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“…This is of particular concern as it has been demonstrated that stigmatizing attitudes in this group can lead to diagnostic overshadowing [11] and consequent worsening of physical health care for those with mental health problems [12,13]. Perceived stigma of health care professionals among individuals with mental illness may also reduce willingness to seek help by those who need it [14]. It has been therefore suggested that stigma may partly explain decreased average life expectancy among people with mental health problems [15,16].…”

Section: Introductionmentioning

confidence: 99%

Attitudes towards the people with mental illness: comparison between Czech medical doctors and general population

Winkler

Mladá

Janoušková

et al. 2016

Soc Psychiatry Psychiatr Epidemiol

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Stigma about Depression and its Impact on Help-Seeking Intentions

Cited by 637 publications

References 21 publications

Self-Perceived Stigmatization in Female Patients with Anorexia Nervosa - Results from an Explorative Retrospective Pilot Study of Adolescents

Self-Perceived Stigmatization in Female Patients with Anorexia Nervosa - Results from an Explorative Retrospective Pilot Study of Adolescents

Women's intentions of informal and formal help-seeking for mental health problems during the perinatal period: The role of perceived encouragement from the partner

Attitudes towards the people with mental illness: comparison between Czech medical doctors and general population

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