Psychological distress and help seeking in rural America
Psychological distress and help seeking in rural America
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DOI：
10.1023/a:1024655521619
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发表时间：
1997-08-01
影响因子：
3.1
通讯作者：
Weihs, K
中科院分区：
文献类型：
--
作者：
Hoyt, DR;Conger, RD;Weihs, K
暴露于急性和慢性压力源，寻求心理健康护理，增加心理困扰的影响进行了检查。对经济压力、心理压力和农村农业价值观的研究都表明，农村地区的变化越来越大。使用来自1，487名成年人的小组研究的数据，指定并测试了预测抑郁症状变化的模型。结果显示，男性的地方大小的影响，但不为女性。生活在2,500人以下的农村或2,500至9,999人的小城镇的男性比生活在农村或较大城镇或城市的男性抑郁症状明显增加。场所的大小也与精神卫生保健的耻辱程度有关。生活在最农村的环境中的人更有可能持有污名化的态度，精神卫生保健和这些观点是强烈的预测愿意寻求照顾。风险增加加上寻求帮助的意愿降低，使生活在小城镇和乡村的男子特别容易持续出现情绪低落的问题。
The implications of exposure to acute and chronic stressors, and seeking mental health care, for increased psychological distress are examined. Research on economic stress, psychological distress, and rural agranian values each point to increasing variability within rural areas. Using data from a panel study of 1,487 adults, a model predicting changes in depressive symptoms was specified and tested. Results show effects by size of place for men but not for women. Men living in rural villages of under 2,500 or in small towns of 2,500 to 9,999 people had significantly greater increases in depressive symptoms than men living in the country or in larger towns or cities. Size of place was also related to level of stigma toward mental health care. Persons living in the most rural environments were more likely to hold stigmatized attitudes toward mental health care and these views were strongly predictive of willingness to seek care. The combination of increased risk and less willingness to seek assistance places men living in small towns and villages in particular jeopardy for continuing problems involving depressed mood.