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Community Mental Health Journal

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27.04.2017 | Original Paper

Attachment and Mental Help-Seeking in the Perinatal Period: The Role of Stigma

verfasst von: Ana Fonseca, Mariana Moura-Ramos, Maria Cristina Canavarro

Erschienen in: Community Mental Health Journal | Ausgabe 1/2018

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Abstract

This study aimed at (1) examining how women’s attachment representations influence their intentions to seek formal help for their emotional problems, either directly or by affecting attitudes towards professional help-seeking (stigma and psychological openness), and (2) examining whether these effects are moderated by the presence of clinically significant psychopathological symptoms. A cross-sectional online survey including 226 women during the perinatal period was conducted. Results showed that, when clinically significant psychopathological symptoms were present, women’s more insecure attachment representations were associated with lower intentions to seek professional help, and this influence occurred throughout a decrease in women’s indifference to stigma associated with mental healthcare. These results support both the intra and interpersonal nature of the help-seeking process, and highlight the importance of implementing stigma reduction strategies (e.g., awareness campaigns, health professional’s non-judgmental questioning of emotional difficulties), particularly in women with clinically significant psychopathological symptoms.

Abrams, L. S., Dornig, K., & Curran, L. (2009). Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research, 19, 535–551. doi:10.1177/1049732309332794.CrossRefPubMed

Alexander, R., Feeney, J., Hohaus, L., & Noller, P. (2001). Attachment style and coping resources as predictors of coping strategies in the transition to parenthood. Personal Relationships, 8, 137–152. doi:10.1111/j.1475-6811.2001.tb00032.x.CrossRef

American Psychological Association (2010). Publication Manual of the american psychological association. London: American Psychological Association.

Areias, M., Kumar, R., Barros, H., & Figueiredo, E. (1996). Comparative incidence of depression in women and men, during pregnancy and after childbirth: Validation of the Edinburgh Postnatal Depression Scale in Portuguese mothers. British Journal of Psychiatry, 169, 30–35. doi:10.1192/bjp.169.1.30.CrossRef

Augusto, A., Kumar, R., Calheiros, J., Matos, E., & Figueiredo, E. (1996). Post-natal depression in an urban area of Portugal: Comparison of childbearing women and matched controls. Psychological Medicine, 26, 135–141. doi:10.1017/S0033291700033778.CrossRefPubMed

Barney, L., Griffiths, K. M., Jorm, A. F., & Christensen, H. (2006). Stigma about depression and its impact on help-seeking intentions. Australian and New Zealand Journal of Psychiatry, 40, 51–54. doi:10.1080/j.1440-1614.2006.01741.x.CrossRef

Ben-Porath, D. (2002). Stigmatization of individuals who receive psychotherapy: An interaction between help-seeking behavior and the presence of depression. Journal of Social and Clinical Psychology, 21, 400–413. doi:10.1521/jscp.21.4.400.22594.CrossRef

Bilszta, J., Ericksen, J., Buist, A., & Milgrom, J. (2010). Women’s experience of postnatal depression: Beliefs and attitudes as barriers to care. Australian Journal of Advanced Nursing, 27, 44–54.

Bowlby, J. (1969). Attachment and loss: Vol. 1. attachment. New York: Basic Books.

Brennan, K., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult romantic attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). New York: Guilford Press.

Britt, T., Greene-Shortridge, T., Brink, S., Nguyen, Q., Rath, J., Cox, A., … Castro, C. (2008). Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts. Journal of Social and Clinical Psychology, 27, 317–335. doi:10.1521/jscp.2008.27.4.317.CrossRef

Callister, L. C., Beckstrand, R. L., & Corbett, C. (2011). Postpartum depression and help-seeking behaviors in immigrant Hispanic women. Journal of Obstetrics Gynecological and Neonatal Nursing, 40, 440–449. doi:10.1111/j.1552-6909.2011.01254.x.CrossRef

Cepeda-Benito, A., & Short, P. (1998). Self-concealment, avoidance of psychological services, and perceived likelihood of seeking professional help. Journal of Counseling Psychology, 45, 58–64. doi:10.1037/0022-0167.45.1.58.CrossRef

Collins, N., & Feeney, B. (2000). A safe haven: An attachment theory perspective on support seeking and caregiving in intimate relationships. Journal of Personal and Social Psychology, 78, 1053–1073. doi:10.1037/0022-3514.78.6.1053.CrossRef

Cox, J., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786. doi:10.1192/bjp.150.6.782.CrossRef

Dennis, C. L., & Chung-Lee, L. (2006). Postpartum depression help-seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth, 33, 323–331. doi:10.1111/j.1523-536X.2006.00130.x.CrossRefPubMed

Diener, M., & Monroe, J. (2011). The relationship between adult attachment style and therapeutic alliance in individual psychotherapy: A meta-analytic review. Psychotherapy, 48, 237–248. doi:10.1037/a0022425.CrossRefPubMed

Dozier, M. (1990). Attachment organization and treatment use for adults with serious psychopathological disorders. Development and Psychopathology, 2, 47–60. doi:10.1017/S0954579400000584.CrossRef

Fonseca, A., Gorayeb, R., & Canavarro, M. C. (2015). Women׳s help-seeking behaviours for depressive symptoms during the perinatal period: Socio-demographic and clinical correlates and perceived barriers to seeking professional help. Midwifery, 31, 1177–1185. doi:10.1016/j.midw.2015.09.002.CrossRefPubMed

Fonseca, A., Silva, S., & Canavarro, M. C. (in press). Inventário de Attitudes face à Procura de Serviços de Saúde Mental: Estudo das Características Psicométricas [Inventory of attitudes towards seeking mental health services: Psychometric properties]. Psychologica.

Fraley, R. C., Niedenthal, P. M., Marks, M. J., Brumbaugh, C. C., & Vicary, A. (2006). Adult attachment and the perception of emotional expressions: Probing the hyperactivating strategies underlying anxious attachment. Journal of Personality, 74, 1163–1190. doi:10.1111/j.1467-6494.2006.00406.x.CrossRef

Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. doi:10.1111/j.1467-9280.2007.01882.x.CrossRefPubMed

Gaynes, B., Gavin, N., Meltzer-Brody, S., Lohr, K., Swinson, T., Gartlehner, G., … Miller, W. (2005). Perinatal depression: Prevalence, screening accuracy and screening outcomes. In Evidence report/technology assessment (Vol. 119). RockVille, MD: Agency for Healthcare Research and Quality.

Goodman, J. H. (2009). Women’s attitudes, preferences and perceived barriers to treatment for perinatal depression. Birth, 36, 60–69. doi:10.1111/j.1523-536X.2008.00296.x.CrossRefPubMed

Griffin, D., & Bartholomew, K. (1994). Models of the self and other: Fundamental dimensions underlying measures of adult attachment. Journal of Personality and Social Psychology, 67, 430–445. doi:10.1037/0022-3514.67.3.430.CrossRef

Have, M., de Graaf, R., Ormel, J., Vilagut, G., Kovess, V., Alonso, J., & Investigators, t. E. M. (2000). Are attitudes towards mental help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Social Psychiatry and Epidemiology, 45, 153–163. doi:10.1007/s00127-009-0050-4.CrossRef

Henderson, J., & Redshaw, M. (2013). Anxiety in the perinatal period: Antenatal and postnatal influences and women’s experience of care. Journal of Reproductive and Infant Psychology, 31, 465–478. doi:10.1080/02646838.2013.835037.CrossRef

Hill, C., Satterwhite, D., Larrimore, M., Mann, A., Johnson, C., Simon, R., ... Knox, S (2012). Attitudes about psychotherapy: A qualitative study of introductory psychology students who have never been in psychotherapy and the influence of attachment style. Counselling and Psychotherapy Research, 12, 13–24. doi:10.1080/14733145.2011.629732.CrossRef

Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Pscyhological Methods, 3, 424–453. doi:10.1037/1082-989X.3.4.424.CrossRef

Kingston, D., Tough, S., & Whitfield, H. (2012). Prenatal and postpartum maternal psychological distress and infant development: a systematic review. Child Psychiatry and Human Development, 43, 683–714. doi:10.1007/s10578-012-0291-4.CrossRefPubMed

Kline, R. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.

Lopez, F., & Brennan, K. A. (2000). Dynamic processes underlying adult attachment organization: Toward an attachment theoretical perspective on the healthy and effective self. Journal of Counseling Psychology, 47, 283–300. doi:10.1037/0022-0167.47.3.283.CrossRef

Mackenzie, C., Knox, V., Gekoski, W., & Macaulay, H. (2004). An adaptation and extension of the attitudes toward seeking professional psychological help scale. Journal of Applied Social Psychology, 34, 2410–2435. doi:10.1111/j.1559-1816.2004.tb01984.x.CrossRef

MacKinnon, D. P., & Fairchild, A. J. (2009). Current directions in mediation analysis. Current Directions in Psychological Science, 18, 16–20. doi:10.1111/j.1467-8721.2009.01598.x.CrossRefPubMedPubMedCentral

Manos, R. C., Rusch, L., Kanter, J. W., & Clifford, L. (2009). Depression self-stigma as a mediator of the relationship between depression severity and avoidance. Journal of Social and Clinical Psychology, 28, 1128–1143. doi:10.1521/jscp.2009.28.9.1128.CrossRef

Mikulincer, M., & Florian, V. (1995). Appraisal and coping with a real-life stressful situation: The contribution of attachment styles. Personality and Social Psychology Bulletin, 69, 1203–1215. doi:10.1177/0146167295214011.CrossRef

Mikulincer, M., & Florian, V. (1998). The relationship between adult attachment styles and emotional and cognitive reactions to stressful events. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 143–165). New York: Guilford.

Mikulincer, M., & Shaver, P. R. (2005). Mental representations of attachment security: Theoretical foundation for a positive social psychology. In M. W. Baldwin (Eds.), Interpersonal cognition (pp. 233–266). New York: The Guilford Press.

Moran, P. (2007). Attachment style, ethnicity and help-seeking attitudes among adolescent pupils. British Journal of Guidance & Counselling, 35, 205–218. doi:10.1080/03069880701256627.CrossRef

Moreira, H., Martins, T., Gouveia, M. J., & Canavarro, M. C. (2015). Assessing adult attachment across different contexts: Validation of the Portuguese version of the experiences in close relationships–relationship structures questionnaire. Journal of Personality Assessment, 97, 22–30. doi:10.1080/00223891.2014.950377.CrossRefPubMed

Muzik, M., & Borovska, S. (2010). Perinatal depression: Implications for child mental health. Mental Health in Family Medicine, 7, 239–247.PubMedPubMedCentral

Nam, S., & Lee, S. (2015). The role of attachment and stigma in the relationship between stress and attitudes toward counseling in South Korea. Journal of Counseling & Development, 93, 212–224. doi:10.1002/j.1556-6676.2015.00197.x.CrossRef

O’Mahen, H. A., & Flynn, H. A. (2008). Preferences and perceived barriers to treatment for depression during the perinatal period. Journal of Women’s Health, 17, 1301–1309. doi:10.1089/jwh.2007.0631.CrossRefPubMed

Pais-Ribeiro, J., silva, I., Ferreira, T., Martins, A., Meneses, R., & Baltar, M. (2007). Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, Health & Medicine, 12, 225–237. doi:10.1080/13548500500524088.CrossRef

Rholes, W. S., Simpson, A., Campbell, L., & Grich, J. (2001). Adult attachment and the transition to parenthood. Journal of Personality and Social Psychology, 81, 421–435. doi:10.1037//O022-3514.81.3.421.CrossRefPubMed

Rickwood, D., Deane, F., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4, 1–34.CrossRef

Rickwood, D., & Thomas, K. (2012). Conceptual measurement framework for help-seeking for mental health problems. Psychology Research and Behavior Management, 5, 173–183. doi:10.2147/PRBM.S38707.CrossRefPubMedPubMedCentral

Shaffer, P., Vogel, D. L., & Wei, M. (2006). The mediating roles of anticipated risks, anticipated benefits, and attitudes on the decision to seek professional help: An attachment perspective. Journal of Counseling Psychology, 53, 442–452. doi:10.1037/0022-0167.53.4.442.CrossRef

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445. doi:10.1037//1082-989X.7.4.422.CrossRefPubMed

Silva, S. (2015). Intenções e comportamentos efetivos de procura de ajuda das mulheres para lidar com dificuldades emocionais: Barreiras e facilitadores no período perinatal [Women’s help-seeking intentions and behaviors for mental health problems during the perinatal period: Barriers and facilitators]. Unpublished Master Dissertation, University of Coimbra.

Simpson, J. A., Rholes, W. S., Campbell, L., Tran, S., & Wilson, C. (2003a). Adult attachment, the transition to parenthood, and depressive symptoms. Journal of Personality and Social Psychology, 84, 1172–1187. doi:10.1037/0022-3514.84.6.1172.CrossRefPubMed

Simpson, J. A., Rholes, W. S., Campbell, L., & Wilson, C. (2003b). Changes in attachment orientations across the transition to parenthood. Journal of Experimental Social Psychology, 39, 317–331. doi:10.1016/S0022-1031(03)00030-1.CrossRef

Simpson, J. A., Rholes, W. S., & Nelligan, J. (1992). Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles. Journal of Personality and Social Psychology, 62, 434–446. doi:10.1037/0022-3514.62.3.434.CrossRef

Tronick, E., & Reck, C. (2009). Infants of depressed mothers. Harvard Review of Psychiatry, 17, 147–156. doi:10.1080/10673220902899714.CrossRefPubMed

Vogel, D. L., & Wei, M. (2005). Adult attachment and help-seeking intent: The mediating roles of perceived social support and psychological distress. Journal of Counseling Psychology, 52, 347–357. doi:10.1016/j.jpsychores.2007.11.011.CrossRef

Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351–361. doi:10.1037/0022-0167.50.3.351.CrossRef

Woolhouse, H., Brown, S., Krastev, A., Perlen, S., & Gunn, J. (2009). Seeking help for anxiety and depression after childbirth: Results of the Maternal Health Study. Archives of Women’s Mental Health, 12, 75–83. doi:10.1007/s00737-009-0049-6.CrossRefPubMed

World Medical Association (2001). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79, 373–374.PubMedCentral

Zhao, W., Young, R., Breslow, L., Michel, N. M., Flett, G. L., & Goldberg, J. O. (2015). Attachment style, relationship factors, and mental health stigma among adolescents. Canadian Journal of Behavioural Science. doi:10.1037/cbs0000018.CrossRef

Titel: Attachment and Mental Help-Seeking in the Perinatal Period: The Role of Stigma
verfasst von: Ana Fonseca
Mariana Moura-Ramos
Maria Cristina Canavarro
Publikationsdatum: 27.04.2017
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 1/2018
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-017-0138-3

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Attachment and Mental Help-Seeking in the Perinatal Period: The Role of Stigma

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