Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults
Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults
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DOI：
10.1080/13607860902918231
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发表时间：
2009-01-01
影响因子：
3.4
通讯作者：
Coolidge, Frederick L.
中科院分区：
文献类型：
--
作者：
Pepin, Renee;Segal, Daniel L.;Coolidge, Frederick L.
本研究采用一种新的56项自我报告测量方法，心理健康服务障碍量表（BMHSS），研究了年轻人（n = 76; M年龄= 23岁）和老年人（n = 88; M年龄= 71岁）心理健康护理的内在和外在障碍。BMHSS的开发，以检查10个障碍，利用心理健康服务：寻求帮助的态度，耻辱，心理治疗的知识和恐惧，无法找到一个心理治疗师的信念，认为抑郁症状是正常的，保险和支付的问题，年龄歧视，心理治疗师的资格，医生转诊，和交通问题的关注。结果表明，年轻人认为心理治疗的恐惧，无法找到一个心理治疗师的信念，和保险问题比老年人更大的障碍。男子认为耻辱是比妇女更大的障碍，而妇女认为找心理治疗师是比男子更大的障碍。年轻人和老年人的BMHSS子量表的等级顺序非常相似（r = 0.90，p = 0.000）。这些结果还提供了进一步的证据，表明接受心理健康服务的耻辱感不是年轻人或老年人的主要障碍。
This study examined intrinsic and extrinsic barriers to mental health care among younger (n = 76; M age = 23 years) and older adults (n = 88; M age = 71 years) using a new 56 item self-report measure, Barriers to Mental Health Services Scale (BMHSS). The BMHSS was developed to examine 10 barriers to the utilization of mental health services: help-seeking attitudes, stigma, knowledge and fear of psychotherapy, belief about inability to find a psychotherapist, belief that depressive symptoms are normal, insurance and payment concerns, ageism, concerns about psychotherapist's qualifications, physician referral, and transportation concerns. Results indicated that younger adults perceived fear of psychotherapy, belief about inability to find a psychotherapist, and insurance concerns to be greater barriers than older adults. Men perceived stigma to be a greater barrier than women whereas women perceived finding a psychotherapist to be a greater barrier than men. The rank order of the BMHSS subscales was strongly similar for younger and older adults (r = 0.90, p = 0.000). These results also provide further evidence that stigma about receiving mental health services is not a primary barrier among younger or older adults.