Australian & New Zealand Journal of Psychiatry · 2006 · 170 citations · 32 references
Social SciencesCommunity HealthPsychologyCommunity PsychologyMental Health CareRural HealthHelp-seeking BehaviorMental HealthMental IllnessPsychosocial DisabilityStigma ReductionStigmatizationCommunity Attitudes Toward Mental IllnessHelp-seeking From Mental Health ProfessionalsMental Health Help-seekingMental Health StigmaRural Mental Health WorkforceSelf-report Questionnaires
OBJECTIVE: To examine the role of stoicism, self-efficacy and perceived stigma in predicting help-seeking by rural residents, for mental health problems. METHOD: A cross-sectional community survey was conducted with a sample of 467 rural residents (58% female), who completed self-report questionnaires assessing current levels of symptomatology, disability, perceived stigma, self-efficacy, stoicism, attitudes towards and experience of seeking help for psychological problems. RESULTS: Overall, 27.6% (n=129) of respondents had sought help from a general practitioner and/or mental halth professional for psychological problems or a mental health issue. More women than men reported having sought such help. Lifetime help-seeking for a psychological problem or mental health issue was positively associated with higher levels of distress and lower levels of stoicism and, to a lesser extent, lower levels of self-efficacy. CONCLUSIONS: Efforts to improve help-seeking by rural residents for mental health problems should focus on understanding and addressing attitudes, such as stoicism which act as barriers to help-seeking.
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