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2 results

  • 16 - Stigma of Seeking Mental Health Services and Related Constructs in Older versus Younger Adults

  • from Part III - Stigma and Mental Health in Specific Contexts
  • Edited by David L. Vogel, Iowa State University, Nathaniel G. Wade, Iowa State University
  • Book:
    The Cambridge Handbook of Stigma and Mental Health
    Published online:
    28 July 2022
    Print publication:
    11 August 2022, pp 326-346

  • Summary

    Older adults are the least likely age group to seek mental health services and stigma is frequently cited as a key explanation. Guided by the internalized stigma of help-seeking model, the first objective of this chapter is to review research examining age differences in public stigmas, self-stigmas, help-seeking attitudes, and intentions to seek help. With some exceptions, the bulk of this research suggests that stigmas, attitudes, and intentions are, in fact, more positive in later life. The second objective of the chapter is to examine the current state of research focusing on anti-stigma interventions among older adults. Unfortunately, a key conclusion from our review of this research is that older adults are vastly underrepresented in stigma intervention work. Most participants in meta-analyses and reviews of stigma interventions are teenagers and adults in their 20s and 30s. Only a handful of studies have targeted intervention work toward older adults, with promising results. We conclude by highlighting additional work that needs to be done to understand how age interacts with stigmas and related constructs, and how to improve them through intervention work. These efforts have the potential to improve the lives of a large and quickly growing segment of our population.

  • The relationship between stigma and help-seeking intentions in college students

  • B. Abassi, F. Fekih-Romdhane, H. Maktouf, I. Moalla
  • Journal:
    European Psychiatry / Volume 64 / Issue S1 / April 2021
    Published online by Cambridge University Press:
    13 August 2021, p. S393
    • Article
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      • Open access
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  • Introduction

    Few people seek mental health care despite the high prevalence of mental illnesses and their serious consequences. Barriers explaining this lack or absence of help-seeking have been the subject of several studies with stigma being the most prominent barrier.

    Objectives

    We aimed to assess the relationship between stigma and help-seeking intentions in a sample of Tunisian college students.

    Methods

    This was a cross-sectional survey. The “Mental Health Knowledge Schedule”, and the “Reported and Intended Behavior Scale” were administered to a total of 714 college students (62.2% female; mean age =20.9).

    Results

    More than one-third of students (39.6%) felt that it would be “unlikely” or “very unlikely” to seek the help of a health professional for mental health problems. Pearson product moment correlations indicated that help-seeking intentions significantly and positively correlated with behavior (p<0.001, r=0,103) and knowledge (p<0.001, r=0,163). The multiple hierarchical linear regression analysis found that after controlling for demographic variables (gender, age) and other personal-related variables (marital status, family income, living environment, substance use, personal psychiatric history), help-seeking intentions were significant contributors to behaviors and knowledge.

    Conclusions

    Given that stigma and discrimination against people with mental illness is a real and perceived barrier to seeking help and treatment, psycho-educational campaigns should be put in place to address the negative perceptions and attitudes of the general population about mental health issues, and should be tailored to the needs of specific groups (including students in different disciplines), taking into account their attitudes, fear and concerns about mental illness.