The stigma of psychiatric treatment and help-seeking intentions for depression
ABSTRACT The stigma of mental illness has often been considered a potential cause for reluctant willingness to seek help for mental problems, but there is little evidence on this issue. We examine two aspects of stigma related to seeing a psychiatrist and their association with help-seeking intentions for depression: anticipated discrimination by others when seeking help and desire for social distance from those seeking help.
Representative population survey in Germany 2007 (n = 2,303), containing a depression vignette with a question on readiness to seek psychiatric care for this problem, a focus group developed scale anticipated discrimination when seeing a psychiatrist (ADSP), and a scale on desire for social distance from someone seeing a psychiatrist (SDSP). We further elicited previous contact to psychiatric treatment, depressive symptoms, and socio-demographic data.
Both scales had good internal consistency (Cronbach's alpha ADSP 0.87, SDSP 0.81). Exploratory factor analysis of all items revealed a distinct factor representing the social distance scale and three factors "anticipated discrimination", "anticipated job problems" and "anticipated shame" derived from the ADSP scale. In both the general population and in those with current depressive syndrome, personal desire for social distance significantly decreased willingness to seek psychiatric help, but anticipated discrimination by others did not. Other factors related to likely help-seeking were female gender and previous contact to psychiatric treatment or to psychotherapy.
Contrary to expectations, anticipated discrimination from others was unrelated to help-seeking intentions, while personal discriminatory attitudes seem to hinder help-seeking. Our findings point to self-stigmatization as an important mechanism decreasing the willingness to seek psychiatric help.
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ABSTRACT: The objective of this study was to understand Australian palliative care nurses’ experience with existential/spiritual interventions and their critical appraisal of Outlook. Existential/spiritual interventions are showing positive results with palliative care patients. The majority of interventions are conducted by nonnurses, yet nurses are the most populous health care workers and are willing to provide holistic care, and patients are open to their help. A qualitative study through semistructured interviews was conducted. Participants were recruited using purposive sampling of a cross section of 20 palliative care nurses. Questions focused on their experience and review of existential/spiritual interventions in general and a published intervention Outlook. Their responses were transcribed and subjected to thematic analysis. The nurses’ responses yielded both a range of experiences with existential/spiritual interventions and a review of Outlook. The review of Outlook identified a further 6 subthemes, including (1) Outlook can provide a framework, (2) session II difficult but valuable, (3) benefit for the bereaved, (4) benefit for the nurse/health care team, (5) potential difficulties in delivering Outlook, and (6) possible modifications. Australian palliative care nurses have limited experience with published existential/spiritual interventions, but many are already including elements of these in their practice, and most welcomed the validated tool. Identified needs included training, experience, dedicated space, and time.Journal of Hospice and Palliative Nursing 04/2014; 16(2):105-112. DOI:10.1097/NJH.0000000000000047 · 0.48 Impact Factor
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ABSTRACT: We evaluated the development of a social support educational program on future supporters. The intervention trained youths in their 20s and 30s who are providing or will provide social support to mentally vulnerable youths. We conducted brief interviews with 69 participants, analyzing data through content analysis. Most participants found the program useful in terms of meeting new peers, gaining new techniques for supporting others, relaxing through meeting peers, and assuring their competence to support others. There were concepts that participants developed, but were not aware of until the program concluded. To accomplish its goals, more effective publicity is necessary .Health 03/2015; 7(3):390-396. DOI:10.4236/health.2015.73044 · 0.51 Impact Factor
Article: Das Stigma psychischer KrankheitZeitschrift für Psychiatrie Psychologie und Psychotherapie 01/2010; 58(4):253-255. DOI:10.1024/1661-4747/a000035 · 1.99 Impact Factor