Intentions to seek (preventive) psychological help among older adults: An application of the theory of planned behaviour
ABSTRACT This article examines the intentions to seek (preventive) psychological help among older persons. The study is carried out from the theory of planned behaviour and distinguishes attitudes (psychological openness), subjective norms (indifference to stigma), and perceived behavioural control (help-seeking propensity) in explaining behavioural intentions with regard to seeking preventive and therapeutic psychological help.
167 Dutch adults between 65 and 75 years of age filled out a questionnaire measuring these concepts.
Older adults have low intentions to seek professional help for psychological problems. Their intentions to use preventive help are somewhat higher. Older adults are rather indifferent to stigma and they perceive control, but they are less open to professional help when it comes to their own person. Regression analyses revealed that psychological openness and help-seeking propensity are related to intentions to seek preventive and therapeutic help.
Older Dutch adults have stronger behavioural intentions to use preventive psychological help than to use therapeutic psychological help. Psychological openness is the main barrier for them to seek both forms of help.
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ABSTRACT: Confirmatory factor analysis was employed to compare two alternative models of Ajzen’s (Organ Behav Hum Decis Process 50:179–211, 1991) Theory of Planned Behaviour (TPB). The efficacy of the TPB to predict intentions to participate in counseling among a sample (N = 259) of Irish police officers was investigated using structural equation modelling and based upon responses to a fictitious scenario. The police profession is a highly stressful occupation with many officers suffering from a variety of stress related psychological maladies that could be alleviated with effective psychotherapy. Understanding police officers intentions to participate in psychological counseling is an important endeavour. Results indicated that a modified version of the TPB in which the Perceived Behavioral Control factor was represented by two distinct latent control factors demonstrated superior model fit compared to Ajzen’s original model. Structural equation modelling results indicated that this modified version of the TPB was an effective model in the prediction of counseling seeking intentions explaining 92.6 % of variance in behavioural intentions. Self-efficacy (internal control) was found to be most strongly associated with intentions. Theoretical implications and future research potentials are discussed in light of current findings.Journal of Police and Criminal Psychology 10/2012; 27(2). DOI:10.1007/s11896-012-9103-9
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ABSTRACT: This paper examined the 12-month rate of mental disorders and subsequent service use among Canadian seniors aged 65-79 and 80 and over and adults aged 20-49 and 50-64. This is a secondary analysis of data [n = 33,695] of the population-based Canadian Community Health survey, Cycle 1.2 (CCHS 1.2). Major Depressive Episodes (MDEs), specific Anxiety Disorders (AD) and Alcohol Abuse/Dependence rates were assessed. The 12-month rates for the two senior groups aged 65-79 and 80+ for MDEs, ADs, and Substance Dependence (SD) are 1.7% and 1.6%; 1.4% and 0.8%; and 0.1% and 0.0%, respectively. Seniors aged 65-79 and 80+ had significantly lower rates than adults aged 20-49 and 50-64 for all mental disorders and SD. Among the total sample, seniors aged 65-79 and 80+ had significantly lower utilization rates than adults aged 20-49 and 50-64 for all three provider categories (GP only, GP and Other Health Professional, Any Other Health Professional but GP). Females aged 65-79 and 80+ were less likely to have reported service use for mental health reasons as opposed to those females aged 20-49 and 50-64. Males aged 65-79 and 80+ were more likely to have reported having used mental health services in the past 12 months as opposed to males aged 20-49 and 50-64. The presence of common mental disorders is lower in seniors as compared to younger adults. Age and gender influence mental health service utilization rates. Copyright © 2010 John Wiley & Sons, Ltd.International Journal of Geriatric Psychiatry 10/2010; 25(10):960-7. DOI:10.1002/gps.2434 · 3.09 Impact Factor
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ABSTRACT: : To examine age group differences in the identification, engagement, clinical outcomes, and monitoring of older, relative to middle aged and younger, veterans with behavioral health needs enrolled in an integrated care management program : Cross-sectional and longitudinal : Primary care clinics affiliated with two Veterans Affairs Medical Centers : A total of 9,087 veterans were referred to the Behavioral Health Laboratory (BHL) for a behavioral health assessment and 7,251 completed an initial assessment : Data on consult source and reason for the referral, clinical assessment outcomes, and engagement were collected during a 3-year period. Variations in process and patient-level factors were examined as a function of age group. : Although all age groups evidenced high rates of engagement in clinical assessment calls, older adults were slightly more likely to complete the assessments than young/middle-aged veterans. Clinical assessment outcomes revealed that although older adults were less likely to meet criteria for more complex, severe conditions, rates of disorder remained clinically significant, and comorbidity was common. Finally, older veterans receiving treatment monitoring for a newly prescribed antide- pressant consistently reported high rates of antidepressant adherence during the course of the monitoring calls and showed significant reductions in depressive symptomatology during the course of monitoring. : Results indicate age-related variability in processes and outcomes among veterans referred to the BHL and suggest that older veterans are just as likely to benefit from a program designed to facilitate the identification, engagement, monitoring, and care management of primary care patients experiencing behavioral health issues.The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry 03/2012; 20(3):205-14. DOI:10.1097/JGP.0b013e3181ec828a · 3.52 Impact Factor