影响苦恼青年心理健康求助行为的因素：路径分析模型
Factors Influencing Help-seeking Behavior for Mental Health Among Distressed Young Adults: A Path Analysis Model.
作者信息
Sanghvi Prachi, Chandrashekhar Priyesh, Mehrotra Seema, Sharma Manoj Kumar
机构信息
Dept. of Clinical Psychology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Dept. of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
出版信息
Indian J Psychol Med. 2025 Jan 30:02537176241312975. doi: 10.1177/02537176241312975.
BACKGROUND
There seems to be a relationship between barriers of distress-perception and stigma to consult a mental health professional (MHP), help-seeking inclination from MHP, help negation, and encouragement from significant others (SO) to consult MHP in bringing about a change in help-seeking behavior. However, these have not been studied in tandem. This study aimed to explore the relationship between factors influencing help-seeking behavior among distressed, non-treatment-seeking young adults (D-NTS) for common mental health concerns following the intervention.
METHODS
A total of 109 D-NTS aged 20-35 engaged with were recruited online using purposive and snowball sampling. was aimed at enhancing professional help-seeking. Participants were assessed at baseline and one month post-intervention for help-seeking barriers, inclination, and encouragement from SO. Help-seeking behavior from MHP was evaluated at a two-month follow-up. Inferential statistics in the form of Spearman's rho correlation, logistic regression, and path analysis were computed.
RESULTS
Regression analysis revealed a significant model (χ = 34.53, < .001) with an R value of 0.52. Help-seeking inclination from MHP (B = 0.711, = .037), help negation (B = -0.452, = .039), and encouragement from SO to consult MHP (B = 1.942, = .008) at post-assessment were significant predictors of help-seeking behavior, assessed at follow-up. The SEM hypothesized for path analysis with help-seeking behavior as the outcome was a good fit.
CONCLUSION
Help-seeking decisions are complex processes influenced by an intricate interplay of internal and external factors. A comprehensive examination of these elements simultaneously provides valuable insights for tailoring interventions and strategies aimed at enhancing help-seeking behavior in D-NTS young adults.
TRIAL REGISTRATION
The intervention trial was registered in the ISRCTN registry (ISRCTN14504454).
背景
在寻求心理健康专业人员（MHP）帮助的过程中，痛苦感知障碍、耻辱感、向MHP寻求帮助的倾向、拒绝帮助以及重要他人（SO）鼓励咨询MHP之间似乎存在某种关系，这些因素共同影响着寻求帮助行为的改变。然而，尚未对这些因素进行综合研究。本研究旨在探讨干预后，影响处于痛苦中的未寻求治疗的年轻成年人（D-NTS）针对常见心理健康问题寻求帮助行为的因素之间的关系。
方法
采用立意抽样和滚雪球抽样的方法，在网上招募了109名年龄在20 - 35岁之间的D-NTS。该干预旨在增强专业求助行为。在基线和干预后一个月对参与者进行评估，了解其寻求帮助的障碍、倾向以及来自SO的鼓励。在两个月的随访中评估向MHP寻求帮助的行为。计算了Spearman秩相关、逻辑回归和路径分析等推断统计量。
结果
回归分析显示模型显著（χ = 34.53，P <.001），R值为0.52。评估后向MHP寻求帮助的倾向（B = 0.711，P =.037）、拒绝帮助（B = -0.452，P =.039）以及SO鼓励咨询MHP（B = 1.942，P =.008）是随访时寻求帮助行为的显著预测因素。以寻求帮助行为为结果进行路径分析的结构方程模型拟合良好。
结论
寻求帮助的决策是一个复杂的过程，受到内部和外部因素的复杂相互作用影响。同时对这些因素进行全面考察，可为制定旨在增强D-NTS年轻成年人寻求帮助行为的干预措施和策略提供有价值的见解。
试验注册
该干预试验已在ISRCTN注册中心（ISRCTN14504454）注册。
Zotero 插件