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Do values and political attitudes affect help-seeking? Exploring reported help-seeking for mental health problems in a general population sample using a milieu framework

Spahlholz, J. ; Baumann, E. ; Müller-Hilmer, R. ; Hilmer, R. ; Sander, C. ; Schindler, S. ; Speerforck, S. ; Angermeyer, M. C. ; Schomerus, G.

Epidemiology and psychiatric sciences, 2023-08, Vol.32, p.e49-e49, Article e49 [Periódico revisado por pares]

Cambridge, UK: Cambridge University Press

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  • Título:
    Do values and political attitudes affect help-seeking? Exploring reported help-seeking for mental health problems in a general population sample using a milieu framework
  • Autor: Spahlholz, J. ; Baumann, E. ; Müller-Hilmer, R. ; Hilmer, R. ; Sander, C. ; Schindler, S. ; Speerforck, S. ; Angermeyer, M. C. ; Schomerus, G.
  • Assuntos: Attitude ; Attitudes ; Cluster analysis ; Cross-Sectional Studies ; Female ; Help seeking behavior ; Humans ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental Health ; Mental Health Services ; mental illness stigma ; Original ; Original Article ; Population Groups ; population survey ; psychiatric services ; Psychiatry ; Psychotherapy ; Social Stigma
  • É parte de: Epidemiology and psychiatric sciences, 2023-08, Vol.32, p.e49-e49, Article e49
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Help-seeking for mental health problems is facilitated and hindered by several factors at the individual, interpersonal and community level. The most frequently researched factors contributing to differences in help-seeking behaviour are based on classical socio-demographic variables, such as age, gender and education, but explanations for the observed differences are often absent or remain vague. The present study complements traditional approaches in help-seeking research by introducing a milieu approach, focusing on values and political attitudes as a possible explanation for differences in help-seeking for emotional mental health problems. A representative cross-sectional survey of  = 3,042 respondents in Germany was conducted through face-to-face interviews about past help-seeking for mental health problems, socio-demographic characteristics and values and political attitudes. Multivariate logistic regression analyses indicated that belonging to a cosmopolitan intellectual milieu group was significantly associated with an increased likelihood of past help-seeking for mental health issues (psychotherapeutic/psychological help-seeking [OR = 2.09, 95% CI: 1.11-3.93,  < 0.05) and primary care (OR = 2.21, 95% CI: 1.15-4.24,  < 0.05]), whereas members of individualist and conservative milieu groups were less likely to report having sought help from a psychotherapist, but not from a general practitioner. Increased odds ratios were also found for a number of socio-demographic variables, such as being aged 26 years and over, a female gender and more than 12 years of formal education. Associations between socio-demographic variables remained significant, and the explained variance of the used models improved considerably when milieu variables were added. We discuss how milieu-specific patterns were relevant for explaining differences in mental health service use in addition to socio-demographic factors. It seems promising to consider help-seeking from a milieu perspective to improve disparities in access to and the use of psychotherapy as well as to resource allocation.
  • Editor: Cambridge, UK: Cambridge University Press
  • Idioma: Inglês;Italiano
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