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Understanding beliefs about mental illness and intentions to seek mental health treatment: A terror management paradigm.

机译:了解有关精神疾病的信念和寻求心理健康治疗的意图:恐怖管理范例。

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摘要

Research on Terror Management Theory has suggested that individuals manage anxiety associated with nonconscious thoughts of death by reminding themselves that they are valuable members of a meaningful world. These defensive responses to threats of death may be manifested by engaging in self-esteem enhancing behaviors or acting in ways that align with one's cultural worldview. Studies have examined Terror Management Theory in the context of physical health in order to understand factors contributing to health-promoting and health-defeating behaviors. The current study was an extension of such research, where self-reported mental health and intentions to seek help for mental health problems were assessed in relation to contingencies of self-esteem and cultural/societal worldview.;It was hypothesized that individuals whose self-esteem was contingent upon being mentally healthy and who had negative attitudes about or perceived stigma associated with mental illness or help-seeking would be more likely to report fewer mental health problems and less likely to report intentions to seek help if experiencing mental health problems after being reminded of their mortality (experimental group), as opposed to thoughts of dental pain (control group). The main hypotheses were not substantiated. Future research addressing limitations in the design and administration of the study, and use of more reliable measures may provide more information about the role of mortality salience in adaptive or maladaptive mental health care engagement.;Within-gender trends suggest preliminary evidence of the influence of gender in mental health perceptions and decision-making that may be worth examining more closely in future research. Females who reported greater dispositional self-esteem and had less stigmatized attitudes associated with mental illness were more likely to report better mental health when reminded of their mortality. For females, low perceptions of stigma were also associated with better self-reported mental health and intentions to seek help. After a mortality salience induction, when males anticipated worse self-esteem due to mental health problems or perceived greater stigma associated with seeking help, they were more likely to report better mental health. If future research reveals stronger evidence for these within-gender trends in self-reported mental health and intentions to seek help, it could be attributed to socialized and stereotyped attitudes about mental health and help-seeking, which may be more influential when mortality is salient.;By expanding previous research on physical health to the domain of mental health, this study demonstrates how researchers can creatively build upon TMT research. For example, this type of research may explain biased perceptions of mental health stability and reluctance to seek treatment for individuals whose mortality is particularly salient such as military service members. Future research that contributes to TMT literature may lead to greater specificity in conceptualization of the theory and better predictions within hypotheses.
机译:对恐怖管理理论的研究表明,个体通过提醒自己是有意义世界的重要成员,来应对与无意识死亡观念相关的焦虑。这些对死亡威胁的防御性反应可以通过进行自尊增强行为或以符合个人文化世界观的方式行事来体现。为了了解有助于促进健康和损害健康的行为的因素,研究在身体健康的背景下研究了恐怖管理理论。当前的研究是对此类研究的扩展,在该研究中,根据自尊和文化/社会世界观的偶然性,对自我报告的心理健康和寻求心理健康问题寻求帮助的意愿进行了评估。自尊视心理健康而定,如果对精神疾病或寻求帮助有负面态度或被认为是污名,他们更容易报告较少的精神健康问题,也不太可能报告打算在经历心理健康问题后寻求帮助的意图提醒他们的死亡率(实验组),而不是牙齿疼痛的想法(对照组)。主要假设没有得到证实。未来的研究旨在解决研究设计和管理中的局限性,并采用更可靠的措施可能会提供更多有关死亡率显着性在适应性或适应不良的精神卫生保健参与中的作用的信息。心理健康观念和决策中的性别,可能值得在未来的研究中进行更仔细的研究。当报告自己的死亡率时,那些表现出较强的自尊心并且对精神疾病的污蔑态度较少的女性更有可能报告较好的心理健康。对于女性而言,对耻辱感的低感知还与自我报告的心理健康状况和寻求帮助的意愿有关。在诱发死亡率显着性之后,当男性由于心理健康问题而预期自尊心变差或与寻求帮助相关的耻辱感增强时,他们更有可能表现出更好的心理健康。如果未来的研究揭示出自我报告的心理健康和寻求帮助的意图的这些性别内趋势的更强有力的证据,则可以归因于对心理健康和寻求帮助的社会化和陈规定型态度,当死亡率显着上升时,这种态度可能会更具影响力通过将先前对身体健康的研究扩展到精神健康领域,本研究证明了研究人员如何在TMT研究的基础上创造性地发展。例如,这种类型的研究可能解释了对心理健康稳定性的偏见,以及不愿为死亡率特别突出的个人寻求治疗的情况,例如军人。有助于TMT文献的未来研究可能会在理论的概念化和假说中的更好预测方面带来更大的特异性。

著录项

  • 作者

    Calixte, Rachelle M.;

  • 作者单位

    American University.;

  • 授予单位 American University.;
  • 学科 Psychology.;Behavioral psychology.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 84 p.
  • 总页数 84
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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