{"title":"Predictors of Attitudes Towards Seeking Professional Psychological Help Among Residents in Turkey and People of Turkish and German Origin in Germany","authors":"Jens Hellmann, Pascal Schlechter, Dilara Erdal, Feyza Akyol, Elif Sandal-Önal, Nexhmedin Morina, Andreas Zick, Tobias Hecker","doi":"10.1002/cpp.70293","DOIUrl":"10.1002/cpp.70293","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The underuse of psychosocial care services by migrants from Southwest Asian countries residing in countries of the global north warrants systematic investigation. Literature suggests that this underutilization reflects not only structural barriers such as language difficulties, but also more negative attitudes toward seeking professional psychological help compared to residents of Western countries. However, systematic comparisons of such attitudes among individuals with a Turkish migration background in Germany, Turks in Turkey and Germans without a migration background are scarce. Drawing on the Theory of Planned Behaviour, the present study additionally examined stigma, perceived social support, male role norms and relevant sociodemographic covariates as potential factors associated with help-seeking attitudes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This online cross-sectional study compared attitudes toward seeking professional psychological help and relevant predictors among these three groups (<i>N</i> = 942; <i>n</i> = 296 Germans, <i>n</i> = 271 Turkish migrants, <i>n</i> = 375 Turks in Turkey).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Turkish migrants reported more negative attitudes than Turks in Turkey. There were no differences in the attitudes between Turkish migrants in Germany and Germans. Stigma and male role norms were negatively associated with attitudes toward help-seeking and partially accounted for group differences. Perceived social support showed no consistent effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Attitudes toward seeking professional psychological help among Turkish migrants and Turks appear to be more complex than initially predicted. Findings are consistent with the Theory of Planned Behaviour assumptions, suggesting that culturally shaped subjective norms, particularly male role beliefs, may be more central in explaining help-seeking attitudes than group membership alone.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jordan Till, Colin T. Henning, Laura J. Summerfeldt
{"title":"Core Dimensions Predict Manifest Symptom Expression in a Community Sample With Obsessive-Compulsive Disorder","authors":"Jordan Till, Colin T. Henning, Laura J. Summerfeldt","doi":"10.1002/cpp.70292","DOIUrl":"10.1002/cpp.70292","url":null,"abstract":"<p>High symptom heterogeneity in obsessive-compulsive disorder (OCD) confounds clinical and research progress. Two notable models organize symptoms dimensionally. The first is a four-factor model describing manifest symptoms related to germs/contamination, harm/injury/bad luck, unacceptable thoughts and symmetry. The second describes two core emotional-motivational dimensions of harm avoidance (HA) and incompleteness (INC). Research comparing these models has typically been limited by the use of measures that either do not assess manifest symptoms using the four-factor model framework or do not adequately support continuous dimensional scoring. Utilizing a voluntary, non-incentivised adult community sample with lifetime OCD diagnoses, this study explored relationships between both models using measures purposefully designed to assess each, and that employ comparable dimensional operationalizations—the Dimensional Obsessive-Compulsive Scale and the Obsessive-Compulsive Core-Dimensions Questionnaire–Trait. Regression analyses showed HA and INC to be moderate predictors of overall symptom severity and unique predictors of different manifest symptom dimensions. HA predicted symptoms relating to harm/injury/bad luck and unacceptable thoughts, whereas INC predicted symptoms relating to germs/contamination and symmetry. Our findings indicate that the core dimensions help to explain and organize patterns in OCD symptom heterogeneity and add to the growing evidence that they are candidate endophenotypes. To our knowledge, this is the first study to examine associations of the manifest symptom and core dimension models in a community sample of individuals with lifetime OCD. Conceptual and clinical implications, including those of continued refinement of symptom models for OCD, are discussed.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rabiatu E. Barrie, Shalena Heard Wade, Chinedu U. Obioha, Nedelina Tchangalova, Naomi M. Whitaker
{"title":"Interventions for African American Male Youth With Internalizing Symptoms of Depression, Anxiety and Traumatic Stress: A Comprehensive Review","authors":"Rabiatu E. Barrie, Shalena Heard Wade, Chinedu U. Obioha, Nedelina Tchangalova, Naomi M. Whitaker","doi":"10.1002/cpp.70290","DOIUrl":"10.1002/cpp.70290","url":null,"abstract":"<p>African American male youth have experienced substantial increases in suicidality and self-harm over the past 15 years, signalling rising rates of internalizing symptoms such as anxiety, depression and traumatic stress. Despite these trends, research involving African American boys and young men has focused disproportionately on externalizing behaviours, leaving clinicians, educators and mental health professionals with limited guidance regarding evidence-based interventions for internalizing concerns. This comprehensive review summarizes and evaluates the existing intervention literature targeting anxiety, depression, and traumatic stress among African American male youth and provides recommendations for diagnosis and treatment. A systematic search of nine databases, including Academic Search Ultimate, CINAHL, ERIC, MEDLINE, PsycARTICLES, Psychology and Behavioural Sciences Collection, PsycINFO, SocINDEX and Scopus, was conducted from database inception through 15 September 2025. Studies were included if they evaluated interventions targeting internalizing symptoms among African American male youth. Six studies met inclusion criteria from 8693 unique records. All included studies employed quantitative methodologies and used pre-post intervention designs to assess treatment outcomes. Findings suggest that cognitive behavioural therapy and adapted forms of cognitive behavioural interventions may reduce symptoms of anxiety, depression and traumatic stress among African American male youth. However, the small number of eligible studies highlights a significant gap in the intervention literature. Additional culturally responsive intervention research is urgently needed to strengthen the evidence base and improve diagnosis, treatment and mental health service delivery for African American male youth experiencing internalizing symptoms.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148136878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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