Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults

Pepin, Renée; Segal, Daniel L.; Coolidge, Frederick L.

doi:10.1080/13607860902918231

Cited by 136 publications

(118 citation statements)

References 26 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…Given the complexity of attitudinal research thus far outlined and in concordance with indications in the literature that negative attitudes may contribute a signifi cant barrier to help seeking for mental health problems in later life (e.g., Pepin, 2006;Sarkisian, Lee-Henderson, & Mangione, 2003), the current study aimed to explore older peoples' attitudes to mental illness in the context of attitudes to ageing, experience and health-related outcomes. It was hypothesized that negative attitudes to mental illness would be associated with more fundamental (underlying) negative attitudes to ageing and be mediated by personal experience.…”

Section: Introductionmentioning

confidence: 94%

“…(BMHSS sub-scales;Pepin, 2006). The BMHSS was recently developed by Pepin (2006) to measure barriers to mental health services in younger and older adults. The BMHSS comprises a total of 10 sub-scales (58 items), representing both internal and external barriers to help-seeking.…”

Section: Attitudes To Mental Illnessmentioning

confidence: 99%

“…At the time of writing no details were available regarding the psychometric properties of the items. (BMHSS sub-scales;Pepin, 2006). The BMHSS was recently developed by Pepin (2006) to measure barriers to mental health services in younger and older adults.…”

Section: Attitudes To Mental Illnessmentioning

confidence: 99%

See 2 more Smart Citations

Older peoples' attitudes to mental illness

Quinn

Laidlaw

Murray

2009

Clin Psychology and Psychoth

View full text Add to dashboard Cite

Despite the prevalence of mental health problems in later life, older people markedly underutilize mental health services. A greater awareness of factors influencing older peoples' attitudes to mental illness may therefore improve awareness and treatment of mental disorders in this population. A mixed methodology approach was used to explore and compare older peoples' attitudes to mental illness in a sample of clinical and non-clinical participants. Results indicated that, similar to younger people, older people endorsed a range of positive and negative attitudes to mental illness. However, when attitudes to mental illness were considered within the context of ageing and experience a more complex pattern of results emerged. Although negative attitudes to mental illness were associated with negative attitudes to ageing across the entire sample, clinical participants (and those with prior experience of mental illness) reported more positive attitudes to mental illness and more negative attitudes to ageing than non-clinical participants, for whom the reverse was true. Attitudes were also differentially related to health behaviour outcomes. Results suggest that attitudes to mental illness and ageing may be linked and mediated by personal experience and capacity for psychological self-regulation in the face of age-associated adversity.

show abstract

Section: Introductionmentioning

confidence: 94%

Section: Attitudes To Mental Illnessmentioning

confidence: 99%

See 1 more Smart Citation

Older peoples' attitudes to mental illness

Quinn

Laidlaw

Murray

2009

Clin Psychology and Psychoth

View full text Add to dashboard Cite

show abstract

“…Ceci pourrait être relié au fait que les personnes âgées attribuent davantage leurs symptômes à des problèmes physiques et/ou considèrent ces symptômes comme triviaux et ne nécessitant pas de consultation (Pepin, Segal et Coolidge, 2009 ;Sarkisian, Lee-Henderson et Mangione, 2003).…”

Section: Introductionunclassified

L’effet de l’âge, du genre et du statut socioéconomique sur l’utilisation des services de médecine générale pour des symptômes de détresse psychologique

Préville

Guerra

Mechakra-Tahiri

et al. 2014

smq

View full text Add to dashboard Cite

Objectifs : L’objectif de cette étude était, premièrement, de documenter les propriétés psychométriques d’une mesure du statut socioéconomique des personnes âgées et, deuxièmement, de documenter l’effet du statut socioéconomique sur l’association entre le besoin ressenti d’améliorer sa santé mentale et l’utilisation des services de médecine générale par les personnes âgées en tenant compte de l’effet de l’âge et du genre. Méthode : Les données utilisées pour cette étude proviennent de l’étude ESA (Enquête sur la santé des aînés) sur la santé mentale et le vieillissement, réalisée en 2005-2008 auprès d’un échantillon probabiliste (n = 2811) de la population âgée de 65 ans et plus vivant à domicile au Québec. Résultats : Nos résultats ont montré qu’un modèle de mesure du statut socioéconomique des personnes âgées, incluant une dimension individuelle (SSE_I) et contextuelle (SSE_C) de défavorisation, était plausible. La fiabilité de la mesure du statut socioéconomique utilisée dans le cadre du programme de recherche ESA était de ,92. Nos résultats ont montré que les femmes (b = -,43) ainsi que les personnes plus âgées (b = -,16) avaient un statut socioéconomique plus défavorisé. Cependant, nos résultats n’ont montré aucune association significative entre le statut socioéconomique, la perception du besoin d’améliorer sa santé mentale et l’utilisation des services de médecine générale chez les personnes âgées au Québec. Nos résultats ne confirment pas l’idée avancée dans d’autres études selon lesquelles le statut socioéconomique a un effet sur l’utilisation des services de médecine générale par les personnes âgées et suggèrent que, dans un contexte où les services de santé sont donnés dans le cadre d’un programme d’assurance public, le statut socioéconomique n’influence pas l’accès aux services de médecine générale chez les personnes âgées.

show abstract

“…Similarly, men may also be concerned that the healthcare practitioner might think less of them for asking for help or believe that professional assistance will not be able to help with their concerns. 12,20,21 Maladaptive coping Unfortunately, this initial idealized masculine response to mental health problems can evolve over time into adverse coping behaviours. 22 When faced with the choice of seeking help and the perceived change in masculine identity, men are more likely to self-medicate with illicit drugs, abuse alcohol, work excessively or participate in infidelity.…”

Section: Stigmamentioning

confidence: 99%

Men’s mental health: Connection to urologic health

Matthew¹

2014

CUAJ

View full text Add to dashboard Cite

Historically,thespecialtyofurologyhasfocusedonsingle-systemdiseases.Inrecentyears,however,therehasbeenincreasingrecognition oftheinterconnectivitybetweenthevarioussystems,suchascardiovasculardisease,metabolicsyndrome,erectiledysfunctionandprostatecancer.Thisconstellationofdisease/syndromeanddysfunction mayplaceurologistsatthecentreofmen'soverallhealthconcerns. Asurologistsconsideringtakingonaleadershiproleinmen'shealth, theyshouldalsoconsidertheirpotentialinhelpingmensufferingfrom thesignificantburdenofamentalhealthdisorder.Urologistsmay haveauniqueopportunitytoidentifymentalhealthissuesintheir malepatients,influencehealthybehaviourchange,andsuccessfully refermen,whomightotherwisenotseekhelp,toappropriatemedical/ psychologicalcare. Men's mental healthAn estimated 3.4 million Canadian men are currently living with mental illness. 1 This number is likely an underestimation given that a large proportion of men experiencing symptoms of mental illness do not seek the help of a professional. [2][3][4] This gap in care has grave outcomes as Canadian men are at least 3 times more likely to die by suicide than Canadian women 5 -a figure that increases to 7 times among elderly men.6 Specific to urologic diseases/disorders, such as urologic cancers, lower urinary tract symptoms and erectile dysfunction (ED), men experience elevated levels of anxiety and depression. 7,8 For example, the risk of suicide in men with prostate cancer is over 4 times that of a similarly aged man without prostate cancer. 9 Patients with lower urinary tract symptoms (LUTS) experience elevated levels of psychosocial distress, with depression rates of 6% to 21% and anxiety rates of 3% to 10%. 10 An estimated 10% of men with ED suffer from depression, and 2.5% to 37% suffer from anxiety.11 Given the relationship between mental health and overall health-related quality of life, it is clear that increasing numbers of men in general, and men with urologic disease, are suffering a significant burden and that most of this burden remains untreated by healthcare professionals. Barriers to accessing mental health services include stigma, differences in expression of emotional problems (compared to women), maladaptive coping, and lack of awareness of support services in the community. StigmaResults suggest that the most prominent barrier to seeking and accessing mental health services is stigma.12,13 Seeking mental healthcare services remains a secretive and shameful activity for many individuals.14 The anticipation of social consequences and discrimination is often enough to force men into silence. While mental health stigma is not exclusively a male issue, men face a disproportionate amount of stigma, which is often perpetuated by masculine ideals of strength and self-reliance. A firm belief in stoicism and the need to control emotions may lead some men with anxiety and depression to perceive emotional distress as shameful, and hide their symptoms from others. 13,15 Differences in expression of emotional problemsAnother factor that may complicate se...

show abstract

Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults

Cited by 136 publications

References 26 publications

Older peoples' attitudes to mental illness

Older peoples' attitudes to mental illness

L’effet de l’âge, du genre et du statut socioéconomique sur l’utilisation des services de médecine générale pour des symptômes de détresse psychologique

Men’s mental health: Connection to urologic health

Contact Info

Product

Resources

About