Sex differences in professional help seeking among adult black Americans

This paper provides baseline data on sex differences in the use of professional help for serious personal problems in a nationally representative sample of adult black Americans. Bivariate analyses revealed that women had higher levels of psychological distress and were significantly more likely to seek professional help than were men. They were also more likely to utilize physicians and social service agencies. The relationship of gender to these help resources remained significant even when the effects of problem severity and differential problem definition were taken into account. Controlling for income, however, eliminated the sex difference for social services use but not for physician use.     

Asian Australian acculturation and attitudes toward seeking professional psychological help

Research with 112 Asian Australian university students found that adherence to Asian cultural values inversely predicted attitudes toward seeking professional psychological help. Students completed demographic questions, the Asian Values Scale, the Suinn – Lew Asian Self‐Identity Scale, (which is a measure of acculturation), and the Attitudes Toward Seeking Professional Psychological Help Scale. There was a significant positive relationship between the Asian Australian students' level of behavioural acculturation and their attitudes toward seeking professional psychological help. Significant differences were found between male and female participants in their attitudes, with female participants indicating greater willingness to seek help. Results also demonstrated a significant difference in gender on acculturation level as well as a significant difference in generational status and acculturation level.     

Race differences in psychopathology and disparities in treatment seeking: Community and jail-based treatment seeking patterns

Whites in community samples utilize mental health services at a much higher rate than African Americans (Kessler, et al., 2005). Is this also the case among those in jails? In this study of jail inmates (229 African American, 185 White) there were no race difference in the overall need for mental health treatment (63% of participants had significant symptoms on the Personality Assessment Inventory) but race differences in the level and types of symptoms were evident. Additionally, while Whites were more likely to report pre-incarceration treatment there were no differences in treatment seeking or access to mental health programs while in jail, implying that if barriers to treatment in the community were removed (cost/insurance, location/transportation, time) racial disparities in treatment utilization may be reduced.     

United States and Japanese college students' attitudes toward seeking professional psychological help

The purpose of the study was to find how nationality, sex, and past experience of seeking professional psychological services are related to attitudes toward seeking professional psychological help. Three hundred Japanese college students and 300 US college students responded to the Attitudes Toward Seeking Professional Psychological Help (ATSPPH) questionnaire. The ATSPPH consists of four subscales: Need (recognition of need), Stigma Tolerance (the degree of tolerance against stigma associated with help‐seeking action), Openness (interpersonal openness), and Confidence (confidence in mental health professionals). As predicted, past experience of seeking professional psychological service and sex were important predictor variables of performance on the ATSPPH scales. Those who had past experience of seeking professional psychological help had more favourable attitudes toward seeking professional psychological help than those who never consulted psychological professionals. Similarly, in testing the past experience separately with the two nation groups, past experience with seeking professional psychological services was found to be a predictor of the overall attitudes toward seeking professional psychological help among Japanese and US participants. Furthermore, Japanese participants with past experience also showed greater recognition of need for professional psychological help and confidence in psychological health professions than Japanese without past experience. The degree of stigma tolerance associated with help‐seeking behaviour and the tendency of interpersonal openness, however, did not differ between Japanese participants with and without the past experience of seeking professional psychological services. The same results were also found among the US participants. In terms of sex as a predictor variable, females tended to have more positive attitudes toward seeking professional psychological help than males. There was a significant nationality by sex interaction effect. US females had significantly more favourable attitudes than the other three groups, indicating that there was sex difference in help‐seeking attitudes in the US group, but not in the Japanese group. If the sex variable is ignored, Japanese students have less favourable overall attitudes toward seeking professional psychological services than US students. Other results and limitations of the study are discussed.     

Attitudes toward seeking professional psychological help among Chinese students at a UK university

Aim: In this study we aimed to investigate whether Chinese international and British home students at a university in the United Kingdom differed in their attitudes towards seeking psychological help. Method: The total sample comprised 323 participants. Participants completed measures to assess their attitudes toward seeking professional psychological help (recognition of need for psychological help, stigma tolerance, interpersonal openness, confidence in mental health practitioners). Results: Chinese students reported significantly less interpersonal openness than that reported by British students. Contrary to prediction, however, no significant group differences were found on any of the other mental health attitudes (i.e. recognition of need for psychological help, confidence in mental health practitioners or stigma tolerance). Within‐group contrasts also showed that Chinese students reported lower scores on interpersonal openness than on stigma tolerance and confidence in mental health practitioners. In contrast, British participants reported less confidence in mental health practitioners and recognition of the need for psychological help than reported for stigma tolerance and interpersonal openness. Conclusion: The findings highlight the need for a greater understanding of students' cultural inclinations toward mental health issues and cultural attitudes that may hinder and/or facilitate students' access and engagement with psychological services in higher education institutions.     

Gender and opinions about mental illness as predictors of attitudes toward seeking professional psychological help

Help-seeking attitudes have been an important part of research into the kinds of college students who do and do not seek psychotherapy. The current study investigated the relationship between students' opinions about mental illness and their attitudes toward seeking professional help. By also using gender as a predictor of help-seeking attitudes, the researchers examined the effects of opinions about mental illness on help-seeking attitudes above and beyond well-known gender effects. This is important because opinions about mental illness are the kind of attitudinal variables that should be more modifiable than gender identity. The results indicate that females had more positive attitudes toward seeking help than males, and that people's opinions about mental illness, especially more benevolent, less authoritarian, less socially restrictive and higher mental hygiene ideology perspectives, accounted for a significant percentage of positive help-seeking attitudes beyond the percentage accounted for by gender.     

Acculturation, enculturation, and Asian American college students' mental health and attitudes toward seeking professional psychological help

In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the partially indirect effects model and demonstrated the ways in which behavioral acculturation, behavioral enculturation, values acculturation, values enculturation, and acculturation gap family conflict related to mental health and attitudes toward seeking professional psychological help directly and indirectly through acculturative stress. We also tested a generational status moderator hypothesis to determine whether differences in model-implied relationships emerged across U.S.- (n = 185) and foreign-born (n = 107) participants. Consistent with this hypothesis, statistically significant differences in structural coefficients emerged across generational status. Limitations, future directions for research, and counseling implications are discussed.     

Children's self-assessment of performance and task-related help seeking

The present research examined the role of self-assessment of performance on children's use of help-seeking as an achievement strategy. In two experiments, third- and fifth-grade children were blocked into low and high verbal skill groups. Children performed a multitrial verbal task in which they were required to indicate their confidence in the correctness of their tentative solution and then were given the opportunity to seek help before providing a final solution on each trial. The second experiment differed from the first in that subjects were provided with a common motivation for seeking help. Subjects' confidence in the correctness of their solution was found to influence both the frequency and type of help sought. High task-related skill was associated with the discriminating use of help-seeking as an achievement strategy, especially among boys. Also, both the frequency and type of help sought varied with self-assessments for older children more than for younger children. Findings are discussed in terms of grade and sex differences in the use of internally based cues for performance evaluation. The importance of accounting for the interplay of children's age and task specific skill with achievement-related goals is stressed.     

Why seeking help from teammates is a blessing and a curse: a theory of help seeking and individual creativity in team contexts

Research has not explored the extent to which seeking help from teammates positively relates to a person's own creativity. This question is important to explore as help seeking is commonly enacted in organizations and may come with reciprocation costs that may also diminish creativity. Results based on 291 employees in a single division of a large multinational organization revealed that seeking help predicted creativity and mediated the relationship between intrinsic motivation and creativity. However, help seekers also incurred reciprocation costs in that they tended to give more help to teammates, and giving help to teammates was negatively related to creativity. In general, giving higher levels of help attenuated the positive relationship between help seeking and creativity. We also tested an integrated model to show that help giving moderated the mediated relationship between intrinsic motivation and creativity via help seeking, such that higher levels of help giving attenuated this mediated effect. We discuss theoretical and practical implications recommending additional research regarding the interpersonal creative process in team contexts.     

Individual differences in sensation seeking and attentional ability

Evidence is provided that high scores on the Zuckerman Sensation Seeking Scale are associated in the normal population with good focused-attention performance and poor distributed-attention performance. Focused-attention performance is assessed as the ability to select relevant information while ignoring irrelevant information, and distributed-attention performance is assessed as the ability to carry out concurrently two independent complex tasks. It is hypothesized that the observed disposition of attentional performance reflects differential patterns of arousal in individuals with high and low Sensation Seeking scores.     

A comparison of natural and professional help

The study investigated the process and effectiveness of three natural and professional groups who commonly provide help to persons experiencing the important critical life event of marital disruption. Subjects were 42 helpers: 14 mental health professionals, 14 divorce lawyers, and 14 leaders of mutual help groups. Analyses, based on variables derived from coded audiotapes of simulated helping interactions and from ratings of helper effectiveness, indicated many similarities between mental health professionals and mutual help leaders but considerable differences between these two groups and divorce lawyers. Lawyers did more talking overall, showed greater proportions of information giving and closed questions, and were more effective in the legal/financial domain. Additional analyses indicated that all helpers showed fewer information-gathering behaviors and more information- and advice-giving behaviors as the helping interaction progressed.     

Race differences in stress-induced reactivity in young adults

The cardiovascular response to the stress of mental arithmetic was studied in young Black and White adults. Stress-induced reactivity was studied before and following 14 days of oral sodium loading (10 gm NaCl per day). Marginal hypertensives, both Black and White, had greater systolic blood pressure (SBP) levels (p less than 0.001) and greater diastolic blood pressure (DBP) levels (p less than 0.01) in response to stress. Whites had a greater SBP level during mental stress than Blacks (p = 0.008) and greater reactivity (change from baseline; p less than 0.001). The prevalence of sodium sensitivity was greater in Blacks (37.3%) than in Whites (18.4%). Sodium loading did not augment the BP reactivity to the mental stress in any of the racial or BP groups. These data demonstrate racial variation in the cardiovascular response to centrally mediated adrenergic stimuli. The results also suggest that mild BP elevation in Blacks may be regulated through changes in vascular resistance.     

Race differences and the Spearman hypothesis

Certain published data have been reviewed and new data presented relevant to the so-called Spearman hypothesis concerning the racial differences on cognitive tests of black and white Americans. In the published data, the correlation between the profiles of low socio-economic and high socio-economic status (SES) whites became ?.90 when sex, area of the country, and grade/age were controlled. This nearly mirror-image relationship suggests that the residual across-the-board difference between the two groups is primarily on the general factor in intelligence. In contrast, the same correlation between blacks and the low SES whites was only ?.19. This indicated not only independence of the profiles but the presence of multiple causes of differences in addition to a possible contribution of the general factor. These published interpretations have now been confirmed by obtaining correlations between general factor loadings and the group differences for most of the same tests. For the SES dochotomy in whites this correlation is .86. For blacks and the low SES whites it is .17. When the two distributions of differences are correlated, a value of .42 is obtained. The Spearman hypothesis appears to apply primarily to differences in socio-economic status rather than race. Furthermore, one cannot assume a large genetic component for each set of differences. Nor can one argue that the possibility of a large environmental component for each set indicates common environmental causes.     

Men,masculinity, and the contexts of help seeking

Research on men's help seeking yields strategies for enhancing men's use of mental and physical health resources. Analysis of the assumptions underlying existing theory and research also provides a context for evaluating the psychology of men and masculinity as an evolving area of social scientific inquiry. The authors identify several theoretical and methodological obstacles that limit understanding of the variable ways that men do or do not seek help from mental and physical health care professionals. A contextual framework is developed by exploring how the socialization and social construction of masculinities transact with social psychological processes common to a variety of potential help-seeking contexts. This approach begins to integrate the psychology of men and masculinity with theory and methodology from other disciplines and suggests innovative ways to facilitate adaptive help seeking.     

Case studies of help seeking behaviour among Asian single parents in Singapore

Using structured interviews, we examined patterns of help seeking behaviour for Chinese, Malay and Indian single parents living in Singapore, Four sources of social support-Family, Neighbours/Friends, Professionals and Religion-were identified and related to four problem areas-Financial, Practical, Emotional and Information. As expected, support for our sample of Asian single parents was most likely to come from the family, and least likely to come from friends and neighbours. However, there were differences between the three ethnic groups across problem areas in the type of support they were most likely to receive. The generalizability of our results is limited by the small sample size, but a framework for understanding help seeking behaviour of Singaporean Asians is proposed.