Sifat Munjireen S, Tasnim Naima, Hoque Nushrat, Saperstein Sandra, Shin Richard Q, Feldman Robert, Stoebenau Kirsten, Green Kerry M
TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
BRAC University, Dhaka, Bangladesh.
Glob Ment Health (Camb). 2022 May 10;9:211-220. doi: 10.1017/gmh.2022.24. eCollection 2022.
University and college students are vulnerable to developing depressive symptoms. People in low-income countries are disproportionately impacted by mental health problems, yet few studies examine routes to accessing clinical services. Examining motivation and barriers toward seeking clinical mental health services in university students in Bangladesh is important.
Using a cross-sectional survey ( = 350), we assess the relationship between the constructs of autonomy, relatedness, and competency toward using clinical mental health practices (i.e. using professional resources, taking medication) with (1) positive views, (2) perceived need, and (3) use of clinical mental health services among Bangladeshi university students.
Results showed that the perceived need for mental health support was the predictor of the largest magnitude (aOR = 4.99, = 0.005) for using clinical services. Having a positive view of clinical services was predictive of clinical service use (aOR = 2.87, = 0.033); however, that association became insignificant ( = 0.054) when adjusting for the perceived need for mental health care. Of the SDT constructs, social influences were predictive of perceiving a need for mental health support, and mental health knowledge was predictive (aOR = 1.10, = 0.001) of having a positive view of clinical mental health care.
Our findings show that knowledge of mental health is associated with positive views of mental health services, and that higher levels of stress and the presence of people with mental health problems are associated with the perception of a need for mental health care, which is ultimately responsible for using the services.
大学生容易出现抑郁症状。低收入国家的人们受心理健康问题的影响尤为严重，但很少有研究探讨获得临床服务的途径。研究孟加拉国大学生寻求临床心理健康服务的动机和障碍具有重要意义。
我们采用横断面调查（n = 350），评估自主性、关联性和能力等因素与使用临床心理健康实践（即使用专业资源、服药）之间的关系，以及这些因素与（1）积极看法、（2）感知需求和（3）孟加拉国大学生使用临床心理健康服务之间的关系。
结果显示，对心理健康支持的感知需求是使用临床服务的最大预测因素（调整后比值比[aOR]=4.99，P = 0.005）。对临床服务持积极看法可预测临床服务的使用（aOR = 2.87，P = 0.033）；然而，在调整心理健康护理的感知需求后，这种关联变得不显著（P = 0.054）。在自我决定理论的各个因素中，社会影响可预测对心理健康支持的感知需求，而心理健康知识可预测对临床心理健康护理持积极看法（aOR = 1.10，P = 0.001）。
我们的研究结果表明，心理健康知识与对心理健康服务的积极看法相关，较高的压力水平和有心理健康问题的人的存在与对心理健康护理的需求感知相关，而这种需求感知最终决定了服务的使用。
