Uppsala University.
Stockholm County Council.
J Clin Psychol. 2018 Jul;74(7):1207-1218. doi: 10.1002/jclp.22583. Epub 2018 Jan 8.
The present study aims to investigate the impact of help-seeking self-stigma on the preference and intention to seek psychological treatment delivered online compared to face-to-face.
This study uses survey data from two Swedish samples. Sample 1 consists of 267 students (78.7% women) with a mean age of 24.5 (SD = 6.1). Sample 2 consists of 195 primary care patients (56.9% women) with a mean age of 45.3 (SD = 17.7).
The number of participants who preferred online treatment was higher if seeking psychological help for a perceived stigmatized problem compared to mental health problems in general. The odds ratios for choosing treatment online over face-to-face were 6.41, 95% CI [4.05, 10.14] in Sample 1 and 11.19, 95% CI [5.29, 23.67] in Sample 2. In addition, findings suggest that higher levels of help-seeking self-stigma predicted higher intention to seek treatment online compared to face-to-face.
Our results suggest that online interventions may facilitate help-seeking among individuals deterred by stigma.
本研究旨在调查求助自我污名化对在线治疗和面对面治疗偏好及意向的影响。
本研究使用了来自两个瑞典样本的调查数据。样本 1 包括 267 名学生（78.7%为女性），平均年龄为 24.5（SD=6.1）。样本 2 包括 195 名初级保健患者（56.9%为女性），平均年龄为 45.3（SD=17.7）。
与一般心理健康问题相比，如果寻求心理帮助是为了感知到的污名化问题，那么选择在线治疗的参与者人数更高。样本 1 中选择在线治疗而非面对面治疗的优势比为 6.41，95%CI [4.05, 10.14]，样本 2 中为 11.19，95%CI [5.29, 23.67]。此外，研究结果表明，求助自我污名化程度越高，与面对面治疗相比，在线治疗的意向越高。
我们的研究结果表明，在线干预措施可能有助于减少污名化对寻求帮助的阻碍。
