Men’s perceived barriers to help seeking for depression: Longitudinal findings relative to symptom onset and duration

Rice, Simon; Aucote, Helen M.; Parker, Alexandra G.; Álvarez‐Jiménez, Mario; Filia, Kate; Amminger, G. Paul

doi:10.1177/1359105315605655

Cited by 29 publications

(25 citation statements)

References 35 publications

(38 reference statements)

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“…Despite the apparent impact of prostate cancer among men in this study, including the emotional effects and social isolation felt by many, seeking support was not the norm. The low rate of help‐seeking for emotional distress in this study is consistent with previous findings among people with cancer, and men, in general (Rice et al., ; Skolarus et al., ). It is also consistent with findings regarding other forms of help‐seeking among men with prostate cancer, for example, medical help‐seeking intentions for sexual problems (Hyde et al., ), and help‐seeking for prostate‐related concerns (Hyde et al., ).…”

Section: Discussionsupporting

confidence: 92%

“Prostate cancer is far more hidden…”: Perceptions of stigma, social isolation and help-seeking among men with prostate cancer

et al. 2017

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The purpose of this study was to provide in-depth insight into men's experiences of prostate cancer, specifically: perceived stigma and self-blame, social isolation, unmet need and help-seeking. A qualitative descriptive approach was used. Semi-structured interviews were undertaken with 20 men diagnosed with prostate cancer, and thematic analysis was undertaken. Some participants perceived a stigma associated with prostate cancer and cancer in general, which sometimes acted as a barrier to disclosure. Self-blame and internalisation of cause was not a prominent issue. Participants' descriptions of emotional distress, social isolation and anxiety demonstrated the impact of prostate cancer. Social isolation was most commonly reported as a physical consequence of treatment and/or side effects. Participants felt both support and ongoing care were limited at post-treatment. Most did not seek or receive help for emotional or psychosocial problems from a formal source due to anticipated awkwardness, autonomous coping, not burdening others, unwanted sympathy and retaining privacy. Prostate cancer can cause considerable emotional and social burden for some men, and many are unlikely to seek or receive help. Men, and their support networks, require active encouragement throughout diagnosis, treatment and follow-up to overcome barriers and access additional support, particularly for sexual, emotional and psychosocial issues.

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Section: Discussionsupporting

confidence: 92%

“Prostate cancer is far more hidden…”: Perceptions of stigma, social isolation and help-seeking among men with prostate cancer

et al. 2017

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“…There is growing recognition of the prevalence and implications of depression among men [1], [2], [3]. Although women have higher overall rates of depression [4], it is frequently unrecognized, undiagnosed, and untreated among men [5].…”

Section: Introductionmentioning

confidence: 99%

Men, Work, and Mental Health: A Systematic Review of Depression in Male-dominated Industries and Occupations

Roche

Pidd

Fischer

et al. 2016

Safety and Health at Work

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Among men, depression is often unrecognised and untreated. Men employed in male-dominated industries and occupations may be particularly vulnerable. However, efforts to develop tailored workplace interventions are hampered by lack of prevalence data. A systematic review of studies reporting prevalence rates for depression in male dominated workforce groups was undertaken. Studies were included if they were published between 1990 - June 2012 in English, examined adult workers in male-dominated industries or occupations (> 70% male workforce), and used clinically relevant indicators of depression. Twenty studies met these criteria. Prevalence of depression ranged from 0.0% to 28.0%. Five studies reported significantly lower prevalence rates for mental disorders among male-dominated workforce groups than comparison populations, while six reported significantly higher rates. Eight studies additionally found significantly higher levels of depression in male-dominated groups than comparable national data. Overall, the majority of studies found higher levels of depression among workers in male-dominated workforce groups. There is a need to address the mental health of workers in male-dominated groups. The workplace provides an important but often overlooked setting to develop tailored strategies for vulnerable groups.

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“…Despite ongoing efforts to reduce stigma and increase men's mental health literacy, many men remain reticent to seek help for depression (Johnson, Oliffe, Kelly, Galdas, & Ogrodniczuk, ; Rice et al, ). Consistent findings of highly disproportionate incidence of men's suicide, substance overuse, and violence, suggest prevalence rates represent under‐reporting of depression in men (Curtin, Warner, & Hedegaard, ; Rice, Fallon, Aucote, & Möller‐Leimkühler, ).…”

mentioning

confidence: 99%

Men In and Out of Treatment for Depression: Strategies for Improved Engagement

Seidler

Rice

Oliffe

et al. 2018

Australian Psychologist

105

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Objective: While the prevalence of major depressive disorder continues to rise, many men are reticent to seek and sustain psychotherapy. The current study explored Australian men's experiences with treatment for depression with a view to guiding recommendations for improving treatment engagement. Method: Twenty men (23-64 years) who had received psychotherapy for depressive symptoms in the past 3 years took part in individual, semi-structured interviews. Interviews were transcribed verbatim and coded in line with interpretive descriptive methodologies. Results: Findings suggested men's preference for a transparent orientation to treatment, including the provision of a clear structure for therapy. Men's preferred structure included focusing on individualised goals and expected progress, establishment of trust, and a sharing of decisional control. Providing an action-oriented functional treatment with targeted skills attainment was recommended as most engaging. The focus on "doing" in treatment, as distinct from pure talk therapy, engendered feelings of strength and empowerment in the men, bridging self-management of symptoms and wellness. Most participants, however, did not receive a treatment style that properly engaged them, and articulated clear recommendations for changes needed. Conclusions: Findings highlight the potential for development and dissemination of gender sensitive, strength-based clinical training and treatment options for better engaging men in psychotherapy for depression.As a cross-institutional and cross-continental research team, the authors of this manuscript make up a unique mix of early, mid-career and longtime leading experts in the men's mental health field. This team was responsible for the first systematic review of the area and continues aiming for rigorous, innovative empirical contributions.Additional supporting information may be found in the online version of this article at the publisher's website: http://onlinelibrary.wiley.com/doi//suppinfo. Appendix S1. Qualitative Interview Schedule-Men with Depression Study. ZE Seidler et al.Engaging men in treatment for depression Australian Psychologist 53 (2018) 405-415

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Men’s perceived barriers to help seeking for depression: Longitudinal findings relative to symptom onset and duration

Cited by 29 publications

References 35 publications

“Prostate cancer is far more hidden…”: Perceptions of stigma, social isolation and help-seeking among men with prostate cancer

“Prostate cancer is far more hidden…”: Perceptions of stigma, social isolation and help-seeking among men with prostate cancer

Men, Work, and Mental Health: A Systematic Review of Depression in Male-dominated Industries and Occupations

Men In and Out of Treatment for Depression: Strategies for Improved Engagement

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