Lienemann Brianna A, Siegel Jason T
Moores Cancer Center, School of Medicine, University of California San Diego, La Jolla, CA, USA.
School of Social Science, Policy & Evaluation, Claremont Graduate University, Claremont, CA, USA.
J Health Commun. 2019;24(11):801-820. doi: 10.1080/10810730.2019.1670762. Epub 2019 Oct 8.
Depression is a treatable condition; unfortunately, many do not seek help. Depression public service announcements (D-PSAs) are one means of increasing help-seeking behavior. However, as Beck's cognitive theory of depression indicates, it can be challenging to persuade people with depression. Although there have been successful D-PSAs, some have been ineffective or led to boomerang effects. With the goal of providing guidance for future messages, we use a mixed-methods approach to assess how people with heightened depressive symptomatology perceive motivations and barriers regarding help-seeking. Study 1 participants ( = 186), with and without depressive symptomatology, provided motivations and barriers to seeking help for depression. Study 1's qualitative analysis determined 112 motivations and 124 barriers to help-seeking. Study 2 participants (= 214), all with heightened depressive symptomatology, rated the motivations and barriers from Study 1 on their attitude function, importance, awareness, and argument strength. This insight guided successful D-PSA creation in a follow-up study, reported elsewhere. The methodological approach utilized, and the specific motivations and barriers revealed, will ideally assist scholars and practitioners seeking to develop future D-PSAs.
抑郁症是一种可治疗的疾病;不幸的是,许多患者并未寻求帮助。抑郁症公益广告(D-PSA)是增加求助行为的一种方式。然而,正如贝克的抑郁症认知理论所指出的,说服抑郁症患者可能具有挑战性。尽管已经有成功的抑郁症公益广告,但有些广告效果不佳或产生了反效果。为了为未来的信息提供指导,我们采用混合方法来评估抑郁症状加重的人群如何看待寻求帮助的动机和障碍。研究1的参与者(n = 186),有或没有抑郁症状,提供了寻求抑郁症帮助的动机和障碍。研究1的定性分析确定了112个寻求帮助的动机和124个障碍。研究2的参与者(n = 214),都有加重的抑郁症状,对研究1中的动机和障碍在其态度功能、重要性、认知度和论据强度方面进行了评分。这一见解为后续研究中成功制作抑郁症公益广告提供了指导,相关内容在其他地方有报道。所采用的方法以及所揭示的具体动机和障碍,将理想地帮助寻求开发未来抑郁症公益广告的学者和从业者。