Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
Erweiterte Suche
Anmelden
nach oben
The Journal of Behavioral Health Services & Research
Erschienen in: The Journal of Behavioral Health Services & Research 1/2020

04.06.2019

A Prospective Study on Structural and Attitudinal Barriers to Professional Help-Seeking for Currently Untreated Mental Health Problems in the Community

verfasst von: Samuel Tomczyk, S. Schmidt, H. Muehlan, S. Stolzenburg, G. Schomerus

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

To date, little is known about the concurrent impact of structural and attitudinal factors on help-seeking behaviour for mental health problems. Therefore, this study investigated a longitudinal German community sample of adults with currently untreated mental health problems (N = 188, mean age = 50.34, 70.7% female) regarding perceived structural (e.g. accessibility) as well as attitudinal barriers (e.g. anticipated self-stigma) to help-seeking intentions and behaviour. Overall, perceived accessibility, spatial and temporal distance from mental health services predicted help-seeking. Among attitudinal factors, treatment efficacy beliefs were strongly connected to help-seeking. In addition, among people who knew where to find a psychologist or psychotherapist, anticipated self-stigma emerged as a significant barrier to help-seeking. Therefore, creating positive treatment expectancies and dismantling erroneous perceptions of structural aspects of mental health services hold promise to further close the gap in mental health care utilisation. However, the role of anticipated self-stigma within the help-seeking process requires further research.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Angermeyer MC, van der Auwera S, Carta MG, et al. Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta-analysis of population surveys. World Psychiatry. 2017;16(1):50–61.CrossRefPubMedPubMedCentral
2.
Sareen J, Jagdeo A, Cox BJ, et al. Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services. 2007;58(3):357–364.CrossRefPubMed
3.
Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113–113.CrossRefPubMedPubMedCentral
4.
Schomerus G, Matschinger H, Angermeyer MC. The stigma of psychiatric treatment and help-seeking intentions for depression. European Archives of Psychiatry and Clinical Neuroscience. 2009;259(5):298–306.CrossRefPubMed
5.
Staiger T, Waldmann T, Rüsch N, et al. Barriers and facilitators of help-seeking among unemployed persons with mental health problems: a qualitative study. BMC Health Services Research. 2017;17:39.CrossRefPubMedPubMedCentral
6.
Vogel DL, Wester SR, Larson LM. Avoidance of counseling: psychological factors that inhibit seeking help. Journal of Counseling & Development. 2007;85(4):410–422.CrossRef
7.
Yousaf O, Grunfeld EA, Hunter MS. A systematic review of the factors associated with delays in medical and psychological help-seeking among men. Health Psychology Review. 2015;9(2):264–276.CrossRefPubMed
8.
Fox JC, Blank M, Rovnyak VG, et al. Barriers to help seeking for mental disorders in a rural impoverished population. Community Mental Health Journal. 2001;37(5):421–436.CrossRefPubMed
9.
Cornally N, McCarthy G. Help-seeking behaviour: a concept analysis. International Journal of Nursing Practice. 2011;17(3):280–288.CrossRefPubMed
10.
Huxley P. Mental illness in the community: the Goldberg-Huxley model of the pathway to psychiatric care. Nordic Journal of Psychiatry. 1996;50(37):47–53.CrossRef
11.
Clement S, Schauman O, Graham T, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine. 2015;45(1):11–27.CrossRefPubMed
12.
Jennings KS, Cheung JH, Britt TW, et al. How are perceived stigma, self-stigma, and self-reliance related to treatment-seeking? A three-path model. Psychiatric Rehabilitation Journal. 2015;38(2):109–116.CrossRefPubMed
13.
Kravitz RL, Paterniti DA, Epstein RM, et al. Relational barriers to depression help-seeking in primary care. Patient Education and Counseling. 2011;82(2):207–213.CrossRefPubMed
14.
Schnyder N, Panczak R, Groth N, et al. Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. British Journal of Psychiatry. 2017;210(4):261–268.CrossRef
15.
Vogel DL, Heimerdinger-Edwards SR, Hammer JH, et al. “Boys don’t cry”: examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology. 2011;58(3):368–382.CrossRefPubMed
16.
Jorm AF. Mental health literacy: empowering the community to take action for better mental health. American Psychologist. 2012;67(3):231–243.CrossRefPubMed
17.
Hvidberg L, Wulff CN, Pedersen AF, et al. Barriers to healthcare seeking, beliefs about cancer and the role of socio-economic position. A Danish population-based study. Preventive Medicine. 2015;71(Supplement C):107–113.CrossRefPubMed
18.
Kamke K. The German health care system and health care reform. Health Policy. 1998;43(2):171–194.CrossRefPubMed
19.
Jorm AF, Korten AE, Jacomb PA, et al. “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. The Medical Journal of Australia. 1997;166(4):182–186.
20.
Angermeyer MC, Holzinger A, Matschinger H. Mental health literacy and attitude towards people with mental illness: A trend analysis based on population surveys in the eastern part of Germany. European Psychiatry. 2009;24(4):225–232.CrossRefPubMed
21.
Gulliver A, Griffiths KM, Christensen H, et al. A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry. 2012;12(1):81.CrossRefPubMedPubMedCentral
22.
Goldney RD, Fisher LJ, Wilson DH, et al. Mental health literacy of those with major depression and suicidal ideation: an impediment to help seeking. Suicide and Life-Threatening Behavior. 2002;32(4):394–403.CrossRefPubMed
23.
Moritz S, Schröder J, Meyer B, et al. The more it is needed, the less it is wanted: attitudes towards face-to-face intervention among depressed patients undergoing online treatment. Depression and Anxiety. 2013;30(2):157–167.CrossRefPubMed
24.
Tomczyk S, Muehlan H, Freitag S, et al. Is knowledge “half the battle”? The role of depression literacy in help-seeking among a non-clinical sample of adults with currently untreated mental health problems. Journal of Affective Disorders. 2018;238:289–296.CrossRefPubMed
25.
Corrigan PW, Druss BG, Perlick DA. The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest. 2014;15(2):37–70.CrossRefPubMed
26.
Wang PS, Angermeyer M, Borges G, et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):177–185.PubMedPubMedCentral
27.
Freitag S, Stolzenburg S, Schomerus G, et al. Depressionswissen - Deutsche Übersetzung und Testung der Depression Literacy Scale [Depression literacy – German translation and testing of the Depression Literacy scale]. Psychiatrische Praxis. 2017;44:1–8.
28.
Griffiths KM, Christensen H, Jorm AF, et al. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. British Journal of Psychiatry. 2004;185(4):342–349.CrossRef
29.
Vogel DL, Wade N, Haake S. Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology. 2006;53(3):325–337.CrossRef
30.
Addis M, Mahalik J. Men, masculinity, and the contexts of help seeking. American Psychologist. 2003;58(1):5–14.CrossRefPubMed
31.
White M, Casey L. Helping older adults to help themselves: the role of mental health literacy in family members. Aging and Mental Health. 2017;21(11):1129–1137.CrossRefPubMed
32.
Stolzenburg S, Freitag S, Evans-Lacko S, et al. The stigma of mental illness as a barrier to self-labeling as having a mental illness. The Journal of Nervous and Mental Disease. 2017;205(12):903–909.
33.
Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“ [Screening for psychiatric disorders with the Patient Health Questionnaire (PHQ). Results from the German validation study]. Diagnostica. 2004;50(4):171–181.
34.
Kroenke K, Spitzer RL, Williams JBW, et al. The Patient Health Questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. General Hospital Psychiatry. 2010;32(4):345–359.CrossRefPubMed
35.
Manea L, Gilbody S, McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. Canadian Medical Association Journal. 2012;184(3):191–196.CrossRef
36.
Sheehan DV, Lecrubier Y, Sheehan KH, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry. 1998;59(Supplement 20):22–33.
37.
Tomczyk S, Schomerus G, Stolzenburg S, et al. Who is seeking whom? A person-centred approach to help-seeking in adults with untreated mental health problems via latent class analysis. Social Psychiatry and Psychiatric Epidemiology. 2018;53(8):773–783.
38.
Bundespsychotherapeutenkammer (BPtK). BPtK-Studie zu Wartezeiten in der ambulanten psychotherapeutischen Versorgung. Umfrage der Landespsychotherapeutenkammern und der BPtK [Study on latencies in ambulatory mental health service use]. 2011.
39.
Roth PL, Switzer FS, Switzer DM. Missing data in multiple item scales: a Monte Carlo analysis of missing data techniques. Organizational Research Methods. 1999;2(3):211–232.CrossRef
40.
Nagelkerke NJ. A note on a general definition of the coefficient of determination. Biometrika. 1991;78(3):691–692.CrossRef
41.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion. 1997;12(1):38–48.CrossRefPubMed
42.
van Zoonen K, Kleiboer A, Beekman ATF, et al. Reasons and determinants of help-seeking in people with a subclinical depression. Journal of Affective Disorders. 2015;173:105–112.CrossRefPubMed
43.
Schomerus G, Stolzenburg S, Freitag S, et al. Stigma as a barrier to recognizing personal mental illness and seeking help: a prospective study among untreated persons with mental illness. European Archives of Psychiatry and Clinical Neuroscience. 2019;269(4):469-479.
44.
Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179–211.CrossRef
45.
Ajzen I. Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology. 2002;32(4):665–683.CrossRef
46.
Schomerus G, Matschinger H, Angermeyer MC. Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the theory of planned behaviour. Psychological Medicine. 2009;39(11):1855–1865.CrossRefPubMed
47.
48.
Castonguay J, Filer CR, Pitts MJ. Seeking help for depression: Applying the health belief model to illness narratives. Southern Communication Journal. 2016;81(5):289–303.CrossRef
49.
Conner KO, McKinnon SA, Roker R, et al. Mitigating the stigma of mental illness among older adults living with depression: The benefit of contact with a peer educator. Stigma and Health. 2018;3(2):93–101.CrossRef
50.
Rodgers S, Vandeleur CL, Strippoli M-PF, et al. Low emotion-oriented coping and informal help-seeking behaviour as major predictive factors for improvement in major depression at 5-year follow-up in the adult community. Social Psychiatry and Psychiatric Epidemiology. 2017;52(9):1169–1182.CrossRefPubMed
51.
Schomerus G, Matschinger H, Angermeyer MC. Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research. 2013;209(3):665–669.CrossRefPubMed
52.
Schomerus G, Angermeyer MC, Baumeister SE, et al. An online intervention using information on the mental health-mental illness continuum to reduce stigma. European Psychiatry. 2016;32:21–27.CrossRefPubMed
53.
Thibodeau R. Continuum beliefs and schizophrenia stigma: Correlational and experimental evidence. Stigma and Health. 2017;2(4):266–270.CrossRef
54.
Thibodeau R, Shanks LN, Smith BP. Do continuum beliefs reduce schizophrenia stigma? Effects of a laboratory intervention on behavioral and self-reported stigma. Journal of Behavior Therapy and Experimental Psychiatry. 2018;58:29–35.CrossRefPubMed
Metadaten
Titel
A Prospective Study on Structural and Attitudinal Barriers to Professional Help-Seeking for Currently Untreated Mental Health Problems in the Community
verfasst von
Samuel Tomczyk
S. Schmidt
H. Muehlan
S. Stolzenburg
G. Schomerus
Publikationsdatum
04.06.2019
Verlag
Springer US
Erschienen in
The Journal of Behavioral Health Services & Research / Ausgabe 1/2020
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-019-09662-8

Weitere Artikel der Ausgabe 1/2020

The Journal of Behavioral Health Services & Research 1/2020 Zur Ausgabe

News

When Enough is Still Not Enough

Regular Article

Training Needs of Peer and Non-Peer Transition Service Providers: Results of a National Survey

BriefCommunication

Improving Patient Care through Collaborative Consultation Integration: a Quality Improvement Initiative

OriginalPaper

Re-Accessing Community Mental Health Services for Children and Adolescents

OriginalPaper

A History of Child and Adolescent Treatment Through a Distillation Lens: Looking Back to Move Forward

OriginalPaper

Exploring the Experiences of Child Welfare-Focused Therapeutic Service Providers

Neu im Fachgebiet Psychiatrie

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Wartezeit nicht kürzer, aber Arbeit flexibler

Psychotherapie Medizin aktuell

Fünf Jahren nach der Neugestaltung der Psychotherapie-Richtlinie wurden jetzt die Effekte der vorgenommenen Änderungen ausgewertet. Das Hauptziel der Novellierung war eine kürzere Wartezeit auf Therapieplätze. Dieses Ziel wurde nicht erreicht, es gab jedoch positive Auswirkungen auf andere Bereiche.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise