Modifying mental health help-seeking stigma among undergraduates with untreated psychiatric disorders: A pilot randomized trial of a novel cognitive bias modification intervention

被引:14
作者
Stanley, Ian H. [1 ]
Hom, Melanie A. [1 ]
Joiner, Thomas E. [1 ]
机构
[1] Florida State Univ, Tallahassee, FL 32306 USA
关键词
Help-seeking; Stigma; Treatment engagement; Intervention; SUICIDE-PREVENTION-LIFELINE; PERCEIVED STIGMA; CLINICAL-SIGNIFICANCE; STUDENT POPULATION; COLLEGE-STUDENTS; CARE; ANXIETY; INDIVIDUALS; DEPRESSION; MOOD;
D O I
10.1016/j.brat.2018.01.008
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Help-seeking stigma is a potent barrier to the utilization of mental health services. This study aimed to determine if, compared to a psychoeducation condition, individuals randomized to a novel cognitive bias modification intervention for help-seeking stigma (CBM-HS) demonstrate greater reductions in help-seeking stigma, as well as increases in readiness to change and help-seeking behaviors. Participants included 32 undergraduates with a DSM-5 psychiatric disorder who denied past-year mental health treatment. Post-randomization, three intervention sessions were delivered in one-week intervals (45 min total). Participants were assessed at baseline, mid intervention, one-week post-intervention, and two-month follow-up. RM-ANOVAs were utilized among the intent-to-treat sample. There were no significant differences across time points between the intervention groups for help-seeking stigma and readiness to change. At two-month follow-up, 25% of participants initiated mental health treatment (29.4% CBM-HS, 20.0% psychoeducation). Strikingly, across groups, there was a statistically significant reduction in help-seeking self-stigma (F[2,214,66.418] = 5.057, p = 0.007, eta(2)(p) = 0.144) and perceived public stigma (F[3,90] = 6.614, p < 0.001, eta(2)(p) = 0.181) from baseline to two-month follow-up, indicating large effects; 18.8% achieved clinically significant change, among whom two-thirds were in the CBM-HS condition. Two brief, scalable interventions appear to reduce help-seeking stigma among undergraduates with untreated psychiatric disorders. Studies are needed to evaluate these interventions against an inactive control.
引用
收藏
页码:33 / 42
页数:10
相关论文
共 52 条
[11]  
Corrigan Patrick W, 2002, World Psychiatry, V1, P16
[12]   What Makes a Quality Therapy? A Consideration of Parsimony, Ease, and Efficiency [J].
Cougle, Jesse R. .
BEHAVIOR THERAPY, 2012, 43 (03) :468-481
[13]   Efficacy of cognitive bias modification interventions in anxiety and depression: meta-analysis [J].
Cristea, Ioana A. ;
Kok, Robin N. ;
Cuijpers, Pim .
BRITISH JOURNAL OF PSYCHIATRY, 2015, 206 (01) :7-16
[14]   Help Seeking and Treatment Use Among Suicidal College Students [J].
Downs, Marilyn F. ;
Eisenberg, Daniel .
JOURNAL OF AMERICAN COLLEGE HEALTH, 2012, 60 (02) :104-114
[15]   Help-seeking and access to mental health care in a university student population [J].
Eisenberg, Daniel ;
Golberstein, Ezra ;
Gollust, Sarah E. .
MEDICAL CARE, 2007, 45 (07) :594-601
[16]   Stigma and Help Seeking for Mental Health Among College Students [J].
Eisenberg, Daniel ;
Downs, Marilyn F. ;
Golberstein, Ezra ;
Zivin, Kara .
MEDICAL CARE RESEARCH AND REVIEW, 2009, 66 (05) :522-541
[17]  
First MB., 2015, SCID 5 105 STRUCTURE, DOI DOI 10.1002/9781118625392
[18]  
Golberstein E, 2008, PSYCHIAT SERV, V59, P392, DOI 10.1176/ps.2008.59.4.392
[19]   Perceived Stigma and Help-Seeking Behavior: Longitudinal Evidence From the Healthy Minds Study [J].
Golberstein, Ezra ;
Eisenberg, Daniel ;
Gollust, Sarah E. .
PSYCHIATRIC SERVICES, 2009, 60 (09) :1254-1256
[20]   National Suicide Prevention Lifeline: Enhancing Mental Health Care for Suicidal Individuals and Other People in Crisis [J].
Gould, Madelyn S. ;
Munfakh, Jimmie L. H. ;
Kleinman, Marjorie ;
Lake, Alison M. .
SUICIDE AND LIFE-THREATENING BEHAVIOR, 2012, 42 (01) :22-35