心理健康耻辱感及其对求助行为的影响

Kelly Omondi
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引用次数: 0

摘要

目的:本研究的总体目标是探讨心理健康耻辱感及其对求助行为的影响。研究方法:研究采用了桌面研究方法。案头研究指的是二手数据或无需实地考察即可收集到的数据。案头研究基本上是从现有资源中收集数据,因此,与实地研究相比,案头研究通常被认为是一种低成本技术,因为主要成本涉及执行人员的时间、电话费和目录。因此,本研究依赖于已出版的研究、报告和统计数据。这些二手数据可通过在线期刊和图书馆轻松获取。研究结果:研究结果表明,在心理健康成见及其对求助行为的影响方面存在着背景和方法上的差距。初步实证审查显示,心理健康成见表现为公众、自我和机构成见,严重阻碍了求助行为。公众污名化导致社会排斥,强化了消极的自我认知,而自我污名化则导致羞耻感和自我价值感低下,阻碍了个人寻求治疗。以歧视性政策和资源不足为特征的机构成见进一步阻碍了患者获得治疗。消除成见的有效策略包括公众宣传活动、赋权干预和政策改革,旨在创造一个更具支持性的环境,改善心理健康成果。对理论、实践和政策的独特贡献:社会认同理论、标签理论和计划行为理论可用于今后有关心理健康成见及其对求助行为影响的研究。研究建议通过理论拓展、实际干预和政策变革来解决心理健康成见问题。它强调了公众、自我和机构污名化的相互关联性,并建议采取有针对性的反污名化干预措施,如基于接触的方法和从业人员培训计划。政策建议包括心理健康平等法、早期心理健康教育和提高公众意识运动。实际建议的重点是通过媒体和教育活动减少公众污名化,通过认知行为疗法和同伴互助小组解决自我污名化问题,以及通过远程医疗服务和符合文化习惯的做法提高医疗服务的可及性。
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Mental Health Stigma and its Impact on Help-Seeking Behavior
Purpose: The general objective of the study was to explore mental health stigma and its impact on help seeking behaviour. Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library. Findings: The findings reveal that there exists a contextual and methodological gap relating to mental health stigma and its impact on help seeking behaviour. Preliminary empirical review revealed that mental health stigma, manifesting as public, self, and institutional stigma, significantly impeded help-seeking behavior. Public stigma led to social exclusion and reinforced negative self-perceptions, while self-stigma resulted in feelings of shame and low self-worth, deterring individuals from seeking treatment. Institutional stigma, characterized by discriminatory policies and inadequate resources, further hindered access to care. Effective strategies to combat stigma included public awareness campaigns, empowering interventions, and policy reforms, aiming to create a more supportive environment and improve mental health outcomes. Unique Contribution to Theory, Practice and Policy: The Social Identity Theory, Labeling Theory and Theory of Planned Behaviour may be used to anchor future studies on mental health stigma and its impact on help- seeking behaviour. The study recommended addressing mental health stigma through theoretical expansion, practical interventions, and policy changes. It emphasized the interconnected nature of public, self, and institutional stigma and suggested tailored anti-stigma interventions, such as contact-based approaches and training programs for practitioners. Policy recommendations included mental health parity laws, early mental health education, and public awareness campaigns. Practical suggestions focused on reducing public stigma through media and educational initiatives, addressing self-stigma with cognitive-behavioral therapy and peer support groups, and enhancing access to care with telehealth services and culturally competent practices.
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