What Do African American Youth With a Mental Illness Think About Help-Seeking and Psychiatric Medication?: Origins of Stigmatizing Attitudes

Kranke, Derrick; Guada, Joseph; Kranke, Bridget O.; Floersch, Jerry

doi:10.1080/15332985.2011.618076

Cited by 36 publications

(33 citation statements)

References 28 publications

(44 reference statements)

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“…In order to help combat the stigma of mental health treatment in minority communities and allow for more equitable, culturally competent access, concerted education efforts need to be made by community mental health clinics, public agencies, leaders within the faith community, and college health services [29]. Educational campaigns that resonate with people of different ethnic groups and feature "champions" from within the community could help to normalize the process of seeking help.…”

Section: Discussionmentioning

confidence: 99%

What are college students saying about psychiatric medication?

Kranke¹,

Jackson²,

Floersch³

et al. 2013

Health

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The number of college students who take psychiatric medication has dramatically increased. These students may be at risk for negative mental health outcomes because research shows that mental illness can delay the attainment of developmental milestones critical to adulthood. This article explores college students’ experience with psychiatric medication and how it impacts functioning and stigma. Perceptions of medication treatment could be crucial to understanding the factors that enable college students with mental illness to thrive in a university setting. Seventeen undergraduate college students in a private, Midwestern university who had a psychiatric illness and were taking prescribed psychiatric medication, were enrolled. A semi-structured interview queried college students about their perceptions of taking psychiatric medications and how the use of medication influences their functioning. Authors conducted thematic analysis by using the constant comparative method for coding data and sorting in-vivo codes by shared theme. Respondents generally reported positive attitudes toward medication and minimal stigma. Particular themes included: higher functioning; mitigation of symptoms; willingness to disclose; and positive long-term outlook regarding the use of medication. Students were empowered by their treatment because it positively impacted functioning and integration into the college setting. However, in contrast to the majority of study participants, one minority student reported experiencing significant external and internal stigma due to her use of psychiatric medication. Although the study’s qualitative nature, small sample size,and lack of ethnic diversity of respondents limit generalizability, important preliminary findings indicate that some college students are benefiting from the use of psychiatric medication with minimal stigma. More research is needed on college students’ experience of psychiatric medication, particularly the experience of minority students, since extant literature indicates their reluctance to utilize psychiatric medications, and a tendency toward negative perceptions of help-seeking for mental illness.

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Section: Discussionmentioning

confidence: 99%

What are college students saying about psychiatric medication?

Kranke¹,

Jackson²,

Floersch³

et al. 2013

Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…As the present investigation comprised first year university students it was not surprising that the role o f peer support and unsupport on subsequent perceptions o f the stigma associated with helpseeking surpassed that o f parental support. In fact, the role o f peers has been identified as a significant influence in the utilization o f mental health services (Kranke, Guada, Kranke, & Floersch, 2012), thereby affirming the findings o f the present research.…”

Section: Discussionsupporting

confidence: 88%

Psychosocial factors related to the stigma of seeking help for mental health issues

Talebi¹

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The author has granted a non exclusive license allowing Library and Archives Canada to reproduce, publish, archive, preserve, conserve, communicate to the public by telecommunication or on the Internet, loan, distrbute and sell theses worldwide, for commercial or non commercial purposes, in microform, paper, electronic and/or any other formats. AVIS: L'auteur a accorde une licence non exclusive permettant a la Bibliotheque et Archives Canada de reproduire, publier, archiver, sauvegarder, conserver, transmettre au public par telecommunication ou par I'lnternet, preter, distribuer et vendre des theses partout dans le monde, a des fins commerciales ou autres, sur support microforme, papier, electronique et/ou autres formats. Bien que ces formulaires aient inclus dans la pagination, il n'y aura aucun contenu manquant.

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“…Despite the fact that the rate of mental illness is the same for Americans regardless of race non-white individuals have significantly lower help seeking and detection rates than their white non-Hispanic counterparts (Barney et al, 2011;Schomerus et al, 2009b;Rickwood, 2007;Klein et al, 2011;Kranke et al, 2012;Lindsey et al, 2006). Stigma is a substantial cause of these differences because stigma differs depending on the culture, from health promotion behavior being regarded as a "white" behavior to attitudes that medication is for "crazy people," all of which are informed and reinforced by peers, family, culture, the media, and even the medical community (Kranke et al, 2012;Lindsey et al, 2006;Oyserman et al, 2007). Racial exclusion is even evident in the DSM-IV, which does not differentiate between symptoms specific to various cultures other than that of the dominant white culture, resulting in mis-and under diagnosis among nonwhite patients (Lindsey et al, 2007;Klein et al, 2011;Warren et al, 2010).…”

Section: Demographic Considerations: Race and Gendermentioning

confidence: 99%

“…This tendency is not limited to Black Americans, as Asian Americans also have higher stigmatized perceptions than white Americans with only 3.5% Chinese Americans willing to seek help and Japanese American students more likely to equate their symptoms with "weak-mindedness" (Han et al, 2006;Chang, 2008). Despite the fact that race is a significant factor in help-seeking rates, culturally grounded psychoeducation models for African Americans are very rare (Rickwood, 2007;Kranke et al, 2012).…”

Section: Demographic Considerations: Race and Gendermentioning

confidence: 99%

Reducing Stigma Barriers to Help-Seeking Behaviors among College Students

Reichert¹

2012

PSYCH

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College students suffer disproportionately from depression, an illness with significant consequences that, untreated, escalates in severity. A review of literature reveals that seeking help for this health issue is often stigmatized, reducing the likelihood of treatment. While the literature identifies the types of stigma, less is known about the communicative processes involved in stigma coping. This paper applies Meisenbach's (2010) Theory of Stigma Management Communication (SMC) to this issue, suggested strategies researching depression stigma coping as well as new and promising intervention strategies to increase help seeking rates among college students.

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What Do African American Youth With a Mental Illness Think About Help-Seeking and Psychiatric Medication?: Origins of Stigmatizing Attitudes

Cited by 36 publications

References 28 publications

What are college students saying about psychiatric medication?

What are college students saying about psychiatric medication?

Psychosocial factors related to the stigma of seeking help for mental health issues

Reducing Stigma Barriers to Help-Seeking Behaviors among College Students

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