Men's Service Use for Depression and Anxiety Disorders

男性治疗抑郁症和焦虑症的服务

• 批准号: 6857271
• 负责人: Michael Addis
• 金额: $ 19.52万
• 依托单位: CLARK UNIVERSITY (WORCESTER, MA)
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-01-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6857271
• 关键词: angers; anxiety disorders; attitude; behavior test; behavioral /social science research tag; clinical depression; clinical research; gender difference; health behavior; health care service utilization; health services research tag; human subject; human therapy evaluation; interview; low socioeconomic status; male; mental health facility; mental health services; mood disorders; perception; psychological models; social psychology; statistics /biometry; substance abuse related behavior; violence

DESCRIPTION (provided by applicant): Men are significantly less likely than women to seek mental health services for problems as diverse as depression, substance abuse, physical disabilities, and stressful life events. The public health implications of the consistent gender differences in help seeking are dramatic. Men's rates of depression and anxiety disorders are increasing, and men's rates of completed suicide are four times higher than women's. The presence of mood or anxiety disorders in men has also been linked to significant collateral problems such as substance abuse, anger, and violence. To date, very little theoretical or empirical work has focused on understanding how issues specific to men are related to help-seeking behavior. The current R34 proposal describes an initial test of a model of men's mental health service utilization for depression and anxiety disorders, in a sample of low-income diverse men. The gender-based social psychological (GBSP) model posits that individual differences in adherence to traditionally masculine norms and beliefs activate basic social psychological processes that militate against help seeking. Although the model is well-supported by empirical research on masculinity and mental health, and the social psychology of help-seeking, few of the mechanisms have been tested in adult non-college men who are in a position to seek mental health services. 100 men experiencing symptoms of depression or anxiety disorders will be recruited through newspaper, radio, and television advertisements, and at booths in local non-mental health community settings. Participants will complete measures of constructs central to the GBSP model and will return 6 months later for a follow-up assessment to determine the predictive validity of the model. 20 separate qualitative interviews will be conducted to support a grounded theory analysis of central tendencies and variations in men's attitudes and behaviors related to seeking mental health services. Data from the initial test of the model will be used to inform development of a brief assessment and personalized feedback intervention designed to increase men's likelihood of help seeking for mood and anxiety disorders. This intervention will target social psychological barriers to help seeking, including self-stigma, perceptions of non-normativeness, masculinity beliefs, and other barriers. The intervention will be tested in an initial pilot study to evaluate its feasibility and acceptability, and to estimate effect sizes for planning a subsequent randomized trial.

描述（由申请人提供）：与女性相比，男性因抑郁、药物滥用、身体残疾和压力生活事件等多种问题而寻求心理健康服务的可能性要小得多。寻求帮助方面持续存在的性别差异对公共卫生的影响是巨大的。男性患抑郁症和焦虑症的比例正在上升，男性的自杀率是女性的四倍。男性情绪或焦虑症的存在也与药物滥用、愤怒和暴力等严重的附带问题有关。迄今为止，很少有理论或实证研究关注于理解男性特有的问题与寻求帮助行为之间的关系。当前的 R34 提案描述了在低收入多样化男性样本中对男性抑郁症和焦虑症心理健康服务利用模型的初步测试。基于性别的社会心理学（GBSP）模型认为，遵守传统男性规范和信仰的个体差异会激活基本的社会心理过程，从而阻碍寻求帮助。尽管该模型得到了有关男性气质和心理健康以及寻求帮助的社会心理学的实证研究的充分支持，但很少有机制在有能力寻求心理健康服务的成年非大学男性中进行过测试。将通过报纸、广播和电视广告以及当地非心理健康社区环境的摊位招募 100 名患有抑郁症或焦虑症症状的男性。参与者将完成 GBSP 模型核心构造的测量，并将在 6 个月后返回进行后续评估，以确定模型的预测有效性。将进行 20 次单独的定性访谈，以支持对与寻求心理健康服务相关的男性态度和行为的中心趋势和变化进行扎根理论分析。该模型初始测试的数据将用于制定简短的评估和个性化反馈干预措施，旨在增加男性寻求情绪和焦虑症帮助的可能性。这项干预措施将针对寻求帮助的社会心理障碍，包括自我耻辱、不规范的认知、男子气概信念和其他障碍。该干预措施将在初步试点研究中进行测试，以评估其可行性和可接受性，并估计规划后续随机试验的效果大小。