The stigma of seeking care and depression

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Abstract

This study investigates the relationship between stigma and care-seeking for depression. One hundred-seventeen people in a primary care facility and an urban public health clinic completed the Attitudes Toward Seeking Professional Help Scale and the Attribution Questionnaire. The belief that depression was under personal control was associated with less receptivity toward seeking care, and greater anger toward the person with depression. Pity was associated with seeking professional care and with a desire to help. Dangerousness was unrelated to care-seeking. Gender and setting influenced the results-for men and urban respondents there was no relationship between responsibility and care-seeking.

Section snippets

Sample

Subjects for this study were adults recruited from waiting rooms of two healthcare facilities. One was a suburban primary care office and the other was an urban adult health clinic. Participants were patients and companions of patients waiting to be seen. The goal was to obtain a sample of both men and women that was diverse in age and race. A total of 134 individuals were asked to participate in the study. About 91% (122) agreed and completed the questionnaires. Accounting for missing data and

Results

Most respondents were female (68%). They were between the ages of 18 and 80 with a mean age was 45 (SD = 15). Subjects identified themselves as Caucasian (84%), black (15%), and American Indian/Alaskan Native (<1%). Most respondents were married/cohabitating (57%), followed by single (23%), divorced (18%), and widowed (2%). More than 93% of the sample had completed high school. The majority had finished at least some secondary schooling, almost 20% had completed associate degrees, 21%

Discussion

It was hypothesized that people who held negative attitudes toward a depressed individual would themselves reject seeking professional psychological help should they perceive the need. The reverse would also hold true, that is, positive attitudes toward an individual with depression would increase the probability of endorsing the seeking of professional psychological help for themselves should they become depressed.

Attitudes were measured individually based on specific stigmatizing

Limitations

Individuals who declined to participate in the study were predominantly male, blue-collar, and middle-aged. In couples, people tended to respond in kind-if one person declined to participate, then so did the other. Clearly understanding stigmatizing and care-seeking attitudes from these nonrespondents is as valuable as the information gained from those who agreed to participate.

There were insufficient numbers of non-Caucasians to provide an accurate representation of stigmatizing and

Implications

Major depression is a mental illness that almost everyone is touched by and knows about. Still, depression is considered to be a stigmatizing condition, only less stigmatized than schizophrenia and alcohol/substance abuse (National Opinion Research Center, 1996). People do not feel neutrally about depression, and often distance themselves from people with depression and the possibility that they themselves need help. The decision to seek help for depression is influenced by a variety of

Conclusion

Much of the research regarding the stigma for mental illness is focused on the most vulnerable populations, especially those who have schizophrenia. These individuals are subject to a wide-range of stigmatizing attributions, and issues of care-seeking that are complicated by impaired thought processes and objectionable side effects from medications. Although society does not hold stigmatizing attributions for depression to the same degree as it does schizophrenia, there is still the perception

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