{"title":"影响青少年心理健康求助行为的因素：路径分析模型","authors":"Prachi Sanghvi, Priyesh Chandrashekhar, Seema Mehrotra, Manoj Kumar Sharma","doi":"10.1177/02537176241312975","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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 <i>ReachOut</i> intervention.</p><p><strong>Methods: </strong>A total of 109 D-NTS aged 20-35 engaged with <i>ReachOut</i> were recruited online using purposive and snowball sampling. <i>ReachOut</i> 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.</p><p><strong>Results: </strong>Regression analysis revealed a significant model (χ<sup>2</sup> = 34.53, <i>P</i> < .001) with an R<sup>2</sup> value of 0.52. Help-seeking inclination from MHP (B = 0.711, <i>P</i> = .037), help negation (B = -0.452, <i>P</i> = .039), and encouragement from SO to consult MHP (B = 1.942, <i>P</i> = .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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Trial registration: </strong>The intervention trial was registered in the ISRCTN registry (ISRCTN14504454).</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241312975"},"PeriodicalIF":1.9000,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783416/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors Influencing Help-seeking Behavior for Mental Health Among Distressed Young Adults: A Path Analysis Model.\",\"authors\":\"Prachi Sanghvi, Priyesh Chandrashekhar, Seema Mehrotra, Manoj Kumar Sharma\",\"doi\":\"10.1177/02537176241312975\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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 <i>ReachOut</i> intervention.</p><p><strong>Methods: </strong>A total of 109 D-NTS aged 20-35 engaged with <i>ReachOut</i> were recruited online using purposive and snowball sampling. <i>ReachOut</i> 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.</p><p><strong>Results: </strong>Regression analysis revealed a significant model (χ<sup>2</sup> = 34.53, <i>P</i> < .001) with an R<sup>2</sup> value of 0.52. Help-seeking inclination from MHP (B = 0.711, <i>P</i> = .037), help negation (B = -0.452, <i>P</i> = .039), and encouragement from SO to consult MHP (B = 1.942, <i>P</i> = .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.</p><p><strong>Conclusion: </strong>Help-seeking decisions are complex processes influenced by an intricate interplay of internal and external factors. 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引用次数: 0
摘要
背景：寻求心理健康专家帮助的痛苦感知障碍、耻辱感障碍、寻求心理健康专家帮助的倾向、帮助否定和重要他人鼓励寻求心理健康专家帮助行为的改变之间似乎存在一定的关系。然而，这些还没有被同时研究过。本研究旨在探讨ReachOut干预后影响苦恼、无治疗寻求青年（D-NTS）常见心理健康问题寻求帮助行为的因素之间的关系。方法：采用目的抽样和滚雪球抽样的方法，在线招募年龄在20 ~ 35岁之间的109名参与ReachOut的D-NTS。ReachOut旨在加强专业求助。在基线和干预后一个月评估参与者的求助障碍、倾向和来自SO的鼓励。在两个月的随访中评估MHP患者的求助行为。以Spearman’s rho相关、逻辑回归和通径分析的形式计算推理统计量。结果：回归分析显示模型具有显著性（χ2 = 34.53, P < .001）， R2值为0.52。事后评估时MHP的求助倾向（B = 0.711, P = 0.037）、帮助否定（B = -0.452, P = 0.039）和SO鼓励咨询MHP （B = 1.942, P = 0.008）是寻求帮助行为的显著预测因子。扫描电镜假设路径分析与寻求帮助的行为作为结果是一个很好的契合。结论：求助决策是一个复杂的过程，受到内部和外部因素错综复杂的相互作用的影响。对这些因素的全面研究同时提供了有价值的见解，以定制旨在加强D-NTS年轻人寻求帮助行为的干预措施和策略。试验注册：干预试验在ISRCTN注册中心注册（ISRCTN14504454）。
Factors Influencing Help-seeking Behavior for Mental Health Among Distressed Young Adults: A Path Analysis Model.
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 ReachOut intervention.
Methods: A total of 109 D-NTS aged 20-35 engaged with ReachOut were recruited online using purposive and snowball sampling. ReachOut 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 (χ2 = 34.53, P < .001) with an R2 value of 0.52. Help-seeking inclination from MHP (B = 0.711, P = .037), help negation (B = -0.452, P = .039), and encouragement from SO to consult MHP (B = 1.942, P = .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).
期刊介绍：
The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.
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