Willingness to Seek Treatment Among Black Students With Anxiety or Depression: The Synergistic Effect of Sociocultural Factors With Symptom Severity and Intolerance of Uncertainty

Anxiety and depressive disorders are among the most commonly diagnosed psychiatric disorders, yet they remain largely undertreated in the U.S. and Black adults are especially unlikely to seek or receive mental health services. Symptom severity has been found to impact treatment-seeking behaviors as have sociocultural factors. Yet no known research has tested whether these factors work synergistically to effect willingness to seek treatment. Further, emerging data point to the importance of transdiagnostic risk factors such as intolerance of uncertainty (IU). IU may be negatively related to seeking treatment given that Black adults may be uncertain whether treatment might benefit them. Thus, the current study examined the relations between symptom severity/IU and willingness to seek treatment for anxiety/depression problems and the impact of key sociocultural variables (i.e., cultural mistrust–interpersonal relations [CMI-IR], perceived discrimination [PED]) on these relations among 161 (85% female) Black undergraduates. Consistent with prediction, symptom severity was positively related to willingness, but unexpectedly, IU was positively related. There was a significant Symptom Severity × CMI-IR interaction such that severity was positively related to willingness among students with lower cultural mistrust, but not higher mistrust. There were also significant IU × PED interaction such that IU was positively related to willingness among students with lower PED, but not higher PED. Results highlight the importance of considering the interplay between symptom severity, transdiagnostic vulnerability factors, and sociocultural variables when striving to identify factors related to treatment seeking behaviors among anxious and/or depressed Black students.     

An empirical solution to the puzzle of weakness of will

This paper presents an empirical solution to the puzzle of weakness of will. Specifically, it presents a theory of action, grounded in contemporary cognitive neuroscientific accounts of decision making, that explains the phenomenon of weakness of will without resulting in a puzzle.     

Explicit but not implicit sexist beliefs predict benevolent and hostile sexist behavior

Much work has been carried out on sexist attitudes, but only little on sexist behaviors. The goal of the present research was to close this gap by testing how a variety of benevolent and hostile sexist behaviors correlate with implicit and explicit sexist attitudes. In Study 1 (N = 126), we developed implicit association tests for benevolent sexism and hostile sexism and illustrated that implicit and explicit benevolent sexist beliefs, as well as implicit and explicit hostile sexist beliefs, were positively correlated. In Study 2 (N = 83 of Study 1), we tested whether implicit and explicit benevolent and hostile sexist attitudes correlate with benevolent and hostile sexist behaviors. As expected, explicit benevolent (but not hostile) sexist attitudes predicted benevolent sexist behavior, whereas explicit hostile (but not benevolent) sexist attitudes predicted hostile sexist behavior. Implicit sexist attitudes did not predict sexist behavior. The implications of these findings are discussed.