Attitudes Toward Seeking Professional Psychological Help: Factor Structure and Socio-Demographic Predictors

Louisa Picco, Edimanysah Abdin, Siow Ann Chong, Shirlene Pang, Saleha Shafie, Boon Yiang Chua, Janhavi A Vaingankar, Lue Ping Ong, Jenny Tay, Mythily Subramaniam, Louisa Picco, Edimanysah Abdin, Siow Ann Chong, Shirlene Pang, Saleha Shafie, Boon Yiang Chua, Janhavi A Vaingankar, Lue Ping Ong, Jenny Tay, Mythily Subramaniam

Abstract

Attitudes toward seeking professional psychological help (ATSPPH) are complex. Help seeking preferences are influenced by various attitudinal and socio-demographic factors and can often result in unmet needs, treatment gaps, and delays in help-seeking. The aims of the current study were to explore the factor structure of the ATSPPH short form (-SF) scale and determine whether any significant socio-demographic differences exist in terms of help-seeking attitudes. Data were extracted from a population-based survey conducted among Singapore residents aged 18-65 years. Respondents provided socio-demographic information and were administered the ATSPPH-SF. Weighted mean and standard error of the mean were calculated for continuous variables, and frequencies and percentages for categorical variables. Confirmatory factor analysis and exploratory factor analysis were performed to establish the validity of the factor structure of the ATSPPH-SF scale. Multivariable linear regressions were conducted to examine predictors of each of the ATSPPH-SF factors. The factor analysis revealed that the ATSPPH-SF formed three distinct dimensions: "Openness to seeking professional help," "Value in seeking professional help," and "Preference to cope on one's own." Multiple linear regression analyses showed that age, ethnicity, marital status, education, and income were significantly associated with the ATSPPH-SF factors. Population subgroups that were less open to or saw less value in seeking psychological help should be targeted via culturally appropriate education campaigns and tailored and supportive interventions.

Keywords: Singapore; attitudes; mental illness; psychological help-seeking.

References

    1. Addis M. E., Mahalik J. R. (2003). Men, masculinity, and the contexts of help seeking. Am. Psychol. 58, 5–14. 10.1037/0003-066X.58.1.5
    1. Al-Krenawi A., Graham J. R., Dean Y. Z., Eltaiba N. (2004). Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel. Int. J. Soc. Psychiatry 50, 102–114. 10.1177/0020764004040957
    1. Ang R. P., Lau S., Tan A. I., Lim K. M. (2007). Refining the attitudes toward seeking professional psychological help scale: factorial invariance across two Asian samples. Meas. Eval. Couns. Dev. 40, 130–141.
    1. Ang R. P., Lim K. M., Tan A. G., Yau T. Y. (2004). Effects of gender and sex role orientation on help-seeking attitudes. Curr. Psychol. 23, 203–214. 10.1007/s12144-004-1020-3
    1. Angermeyer M. C., Matschinger H., Riedel-Heller S. G. (1999). Whom to ask for help in case of mental disorder? Preferences of the lay public. Soc. Psychiatry Psychiatr. Epidemiol. 34, 202–210. 10.1007/s001270050134
    1. Atkinson D. R., Lowe S., Matthews L. (1995). Asian American acculturation, gender, and willingness to seek counseling. J. Multicult. Couns. Dev. 23, 130–138. 10.1002/j.2161-1912.1995.tb00268.x
    1. Banerjee G., Roy S. (1998). Determinants of help-seeking behaviour of families of schizophrenic patients attending a teaching hospital in India: an indigenous explanatory model. Int. J. Soc. Psychiatry 44, 199–214. 10.1177/002076409804400306
    1. Bayer J. K., Peay M. Y. (1997). Predicting intention to seek help from professional mental health services. Aust. N.Z. J. Psychiatry 31, 504–513. 10.3109/00048679709065072
    1. Beauducel A., Herzberg P. Y. (2006). On the performance of maximum likelihood versus means and variance adjusted weighted least squares estimation in CFA. Struct. Equ. Modeling 13, 186–203. 10.1207/s15328007sem1302_2
    1. Bentler P. M. (1990). Comparative fit indices in structural models. Psychol. Bull. 107, 238–246. 10.1037/0033-2909.107.2.238
    1. Bhugra D., Hicks M. H. R. (2004). Effect of an educational pamphlet on help-seeking attitudes for depression among British South Asian women. Psychiatr. Serv. 55, 827–829. 10.1176/appi.ps.55.7.827
    1. Brown T. A. (2006). Confirmatory Factor Analysis for Applied Research. New York, NY: The Guilford Press.
    1. Browne M. W., Cudeck R. (1993). Alternative ways of assessing model fit, in Testing Structural Equation Models, eds Bollen K. A., Long J. S. (Newbury Park, CA: Sage; ), 136–162.
    1. Chong S. A., Abdin E., Sherbourne C., Vaingankar J., Heng D. (2012a). Treatment gap in common mental disorders: the Singapore perspective. Epidemiol. Psychiatr. Sci. 21, 195–202. 10.1017/S2045796011000771
    1. Chong S. A., Abdin E., Vaingankar J. A., Kwok K. W., Subramaniam M. (2012b). Where do people with mental disorders in Singapore go to for help? Ann. Acad. Med. Singapore 41, 154–160.
    1. Cohen B. (1999). Measuring the willingness to seek help. J. Soc. Serv. Res. 26, 67–83. 10.1300/J079v26n01_04
    1. Currin J. B., Hayslip B., Jr., Schneider L. J., Kooken R. A. (1998). Cohort differences in attitude toward mental heath services among older persons. Psychotherapy 4, 507–518.
    1. Department of Statistics (2015). Population and Population Structure. Available online at: (Accessed November 06, 15).
    1. Hinson J. A., Swanson J. L. (1993). Willingness to seek help as a function of self-disclosure and problem severity. J. Couns. Dev. 71, 465–470. 10.1002/j.1556-6676.1993.tb02666.x
    1. Edman J. L., Koon T. Y. (2000). Mental illness beliefs in Malaysia: ethnic and intergenerational comparisons. Int. J. Soc. Psychiatry 46, 101–109. 10.1177/002076400004600203
    1. Elhai J. D., Schweinle W., Anderson S. M. (2008). Reliability and validity of the attitudes toward seeking professional psychological help scale-short form. Psychiatry Res. 159, 320–329. 10.1016/j.psychres.2007.04.020
    1. Estes C. L. (1995). Mental health services for the elderly: key policy elements, in Emerging Issues in Mental Health and Aging, ed Gatz M. (Washington, DC: American Psychological Association; ), 303–328.
    1. Figueroa R. H., Calhoun J. R., Ford R. (1984). Student utilization of university psychological services. Coll. Stud. J. 18, 186–196.
    1. Fischer E. H., Farina A. (1995). Attitudes toward seeking professional psychological help: a shortened form and considerations for research. J. Coll. Stud. Dev. 36, 368–373.
    1. Fischer E. H., Turner J. L. (1970). Orientations to seeking professional help: development and research utility of an attitudes scale. J. Couns. Clin. Psychol. 35, 79–90. 10.1037/h0029636
    1. Goh D. P., Ang R. P. (2007). An introduction to association rule mining: an application in counseling and help-seeking behaviour of adolescents. Behav. Res. Methods 39, 259–266. 10.3758/BF03193156
    1. Halgin R. P., Weaver D. D., Edell W. S., Spencer P. G. (1987). Relation of depression and help-seeking to attitudes toward seeking professional psychological help. J. Couns. Psychol. 34, 177–185. 10.1037/0022-0167.34.2.177
    1. Hu L., Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct. Equ. Modeling 6, 1–55. 10.1080/10705519909540118
    1. Gallo J. J., Marino S., Ford D., Anthony J. C. (1995). Filters on the pathway to mental health care, II: sociodemographic factors. Psychol. Med. 25, 1149–1160. 10.1017/s0033291700033122
    1. Gulliver A., Griffiths K. M., Christensen H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 10:113. 10.1186/1471-244X-10-113
    1. Hatfield A. B. (1999). Barriers to serving older adults with a psychiatric disability. Psychiatr. Rehabil. J. 22, 270–276. 10.1037/h0095234
    1. Hatfield B., Mohamad H., Rahim Z., Tanweer H. (1996). Mental health and the Asian communities: a local survey. Br. J. Soc. Work 26, 315–336. 10.1093/oxfordjournals.bjsw.a011098
    1. Jorm A. F., Korten A. E., Jacomb P. A., Christensen H., Rodgers B., Pollitt P. (1997a). Mental health literacy: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med. J. Aust. 166, 182–186.
    1. Jorm A. F., Korten A. E., Jacomb P. A., Christensen H., Rodgers B., Pollitt P. (1997b). Public beliefs about causes and risk factors for depression and schizophrenia. Soc. Psychiatry Psychiatr. Epidemiol. 32, 143–148.
    1. Jorm A. F., Wright A., Morgan A. J. (2007). Where to seek help for a mental disorder? National survey of the beliefs of Australian youth and their parents. Med. J. Aust. 187, 556–560.
    1. Komiya N., Good G. E., Sherrod N. B. (2000). Emotional openness as a predictor of college students' attitudes toward seeking psychological help. J. Couns. Psychol. 47, 138–143. 10.1037/0022-0167.47.1.138
    1. Kushner M. G., Sher K. J. (1989). Fears of psychological treatment and its relation to mental health service avoidance. Prof. Psychol. Res. Pract. 20, 251–257. 10.1037/0735-7028.20.4.251
    1. Leong F. T. L. (1986). Counseling and psychotherapy with Asian Americans: review of the literature. J. Couns. Psychol. 33, 196–206. 10.1037/0022-0167.33.2.196
    1. Leaf P. J., Bruce M. L., Tischler G. L., Freeman D. H., Jr., Weissman M. M., Myers J. K. (1988). Factors affecting the utilization of specialty and general medical mental health services. Med. Care 26, 9–26. 10.1097/00005650-198801000-00002
    1. Lin E., Parikh S. V. (1999). Sociodemographic, clinical and attitudinal characteristics of the untreated depressed in Ontario. J. Affect. Disord. 53, 153–162. 10.1016/S0165-0327(98)00116-5
    1. Lin K. M., Cheung F. (1999). Mental health issues for Asian. Am. Psychiatr. Serv. 50, 774–780.
    1. Lin K. M., Inui T. S., Klienman A. K., Womack W. M. (1982). Sociocultural determinants of help-seeking behaviour of patients with mental illness. J. Nerv. Ment. Dis. 170, 78–85. 10.1097/00005053-198202000-00003
    1. Mackenzie C. S., Knox V. J., Gekoski W. L., Macaulay H. L. (2004). An adaptation and extension of the Attitudes Toward Seeking Professional Psychological Help scale. J. Appl. Soc. Psychol. 34, 2410–2435. 10.1111/j.1559-1816.2004.tb01984.x
    1. Mau W. C., Jepsen D. A. (1988). Attitudes towards counselors and counseling processes: a comparison of Chinese and American graduate students. J. Couns. Dev. 67, 189–192. 10.1002/j.1556-6676.1988.tb02090.x
    1. Nam S. K., Chu H. J., Lee M. K., Lee J. H., Kim N., Lee S. M. (2010). A meta-analysis of gender differences in attitudes toward seeking professional psychological help. J. Am. Coll. Health 59, 110–116. 10.1080/07448481.2010.483714
    1. Neumann C. S., Malterer M. B., Newman J. P. (2008). Factor structure of the Psychopathic Personality Inventory (PPI): findings from a large incarcerated sample. Psychol Assess. 20, 169–174. 10.1037/1040-3590.20.2.169
    1. Ng T. P., Fones C. S. L., Kua E. H. (2003). Preference, need and utilization of mental health services, Singapore National Mental Health Survey. Aust. N.Z. J. Psychiatry 37, 613–619. 10.1046/j.1440-1614.2003.01233.x
    1. Nu G. (1987). Meaning and function of counseling work at a university counseling center in Taiwan. Guid. Quart. 20, 2–7.
    1. Pan T. (1996). Difficulties with and solutions of counseling at university counseling centers in Taiwan. Guid. Quart. 22, 2–9.
    1. Raykov T. (1997). Scale reliability, Cronbach's coefficient alpha, and violations of essential tau-equivalence with fixed congeneric components. Multivariate Behav. Res., 32, 329–353. 10.1207/s15327906mbr3204_2
    1. Raykov T. (2004). Behavioral scale reliability and measurement invariance evaluation using latent variable modeling. Behav. Ther. 35, 299–331. 10.1016/S0005-7894(04)80041-8
    1. Razali S. M., Khan U. A., Hasanah C. I. (1996). Belief in supernatural causes of mental illness among Malay patients: impact on treatment. Acta Psychiatr. Scand. 94, 229–233. 10.1111/j.1600-0447.1996.tb09854.x
    1. Razali S. M., Najib M. A. M. (2000). Help-seeking pathways among Malay psychiatric patients. Int. J. Soc. Psychiatry 46, 281–288. 10.1177/002076400004600405
    1. Rickwood D., Deane F. P., Wilson C. (2007). When and how do young people seek professional help for mental health problems? Med. J. Aust. 187, S35–S39.
    1. Robb C., Haley W. E., Becker M. A., Polivka L. A., Chwa H.-J. (2003). Attitudes towards mental health care in younger and older adults: similarities and differences. Aging Ment. Health 7, 142–152. 10.1080/1360786031000072321
    1. Rughani J., Deane F. P., Wilson C. J. (2011). Rural adolescents' help-seeking intentions for emotional problems: the influence of perceived benefits and stoicism. Aust. J. Rural Health 19, 64–69. 10.1111/j.1440-1584.2011.01185.x
    1. Sareen J., Jagdeo A., Cox B. J., Clara I., ten Have M., Belik S., et al. . (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and The Netherlands. Psychiatr. Serv. 58, 357–364. 10.1176/ps.2007.58.3.357
    1. Segal D. L., Mincic M. S., Coolidge F. L., O'Riley A. (2005). Beliefs about mental illness and willingness to seek help: a cross-sectional study. Aging Ment. Health 9, 363–367.
    1. Sheikh S., Furnham A. (2000). A cross-cultural study of mental health beliefs and attitudes towards seeking professional help. Soc. Psychiatry Psychiatr. Epidemiol. 35, 326–334. 10.1007/s001270050246
    1. Subramaniam S., Abdin E., Picco L., Pang S., Shafie S., Vaingankar J. A., et al. (2016). Stigma towards people with mental disorders and its components - a perspective from multi-ethnic Singapore. Epidemiol. Psychiatric Sci. 1, 1–12. 10.1017/S2045796016000159
    1. Thompson A., Hunt C., Issakidis C. (2004). Why wait? Reasons for delay and prompts to seek help for mental health problems in an Australian clinical sample. Social Psychiatry Psychiatr. Epidemiol. 39, 810–817. 10.1007/s00127-004-0816-7
    1. Van OS J., McKenzie K., Jones P. (1997). Cultural differences in pathways to care, service use and treated outcomes. Curr. Opin. Psychiatry 10, 178–182.
    1. Vogel D. L., Wester S. R. (2003). To seek help or not to seek help: the risks of self-disclosure. J. Couns. Psychol. 50, 351–361. 10.1037/0022-0167.50.3.351
    1. Vogel D. L., Wester S. R., Wei M., Boysen G. A. (2005). The role of outcome expectations and attitudes on decisions to seek professional help. J. Couns. Psychol. 52, 459–470. 10.1037/0022-0167.52.4.459
    1. Willis G. B. (2004). Cognitive Interviewing: A Tool for Improving Questionnaire Design, 1st Edn. SAGE Publications, Inc.
    1. Wilson C. J., Deane F. P. (2012). Brief Report: need for autonomy and other perceived barriers relating to adolescents' intentions to seek professional mental health care. J. Adolesc. 35, 233–237. 10.1016/j.adolescence.2010.06.011
    1. Yeh C. J. (2002). Taiwanese students' gender, age, interdependent and independent self-construal, and collective self-esteem as predictors of professional psychological help-seeking attitudes. Cult. Divers. Ethn. Minor. Psychol. 8, 19–29. 10.1037/1099-9809.8.1.19
    1. Zhang N., Dixon D. N. (2003). Acculturation and attitudes of Asian international students toward seeking psychological help. J. Multicult. Couns. Dev. 31, 205–222. 10.1002/j.2161-1912.2003.tb00544.x

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