Objective: This study investigates the factors related to the intention to seek professional help for psychological problems utilising Ajzen and Fishbein's theory of reasoned action [1,2]. Many of the variables identified in previous studies can be subsumed within this theory, which emphasises the importance of the subjective point of view of the individual.
Method: One hundred and forty-two patients waiting for consultations at a community based general practice completed a questionnaire designed to assess the components of this theory as they relate to seeking help from mental health professionals.
Results: The results of this study supported the prediction of the intention to seek help from a mental health professional from the variables ‘attitude toward the behaviour’ and ‘subjective norm’. However, personal attitudes toward seeking help were found to be more important than the approval or disapproval of significant others in predicting help-seeking intentions.
Conclusions: Overall, the findings indicate that a significant factor influencing people's decisions to utilise professional mental health services in Australia may be the belief that mental health professionals are not actually able to provide a great deal of help or support for people's difficulties.
AjzenIFishbeinM, eds. Understanding attitudes and predicting social behavior. New Jersey: Prentice-Hall, 1980.
2.
FishbeinMAjzenI.Beliefs, attitudes, intentions and behavior: an introduction to theory and research. Reading, MA: Addison-Wesley, 1975.
3.
AndrewsG.The Tolkien report: a description of a model mental health service. Darlinghurst, NSW: Health Services Research Group, 1991.
4.
KrupinskiJMacKenzieA.The health and social survey of the north west region of Melbourne. Melbourne: Institute of Mental Health Research and Postgraduate Training, 1979.
5.
KrupinskiJStollerA, eds. The health of a metropolis: the findings of the Melbourne Metropolitan Health and Social Survey. Melbourne: Heinemann Educational Australia, 1971.
6.
KrupinskiJStollerABaikieAGGravesJ. E.A community health survey of the rural town of Heyfield Victoria, Australia. Melbourne: Mental Health Authority, 1970.
7.
LippmanL.Melville evaluated: an experiment in community mental health care. Melbourne: Mental Health Research Institute, Health Commission of Victoria, 1982.
8.
SawyerMGSarrisABaghurstPACornishCAKalucyRSThe prevalence of emotional and behavioural disorders and patterns of service utilisation in children and adolescents. Australian and New Zealand Journal of Psychiatry1990; 24:323–330.
9.
ShiraevNArmstrongM, eds. Health care survey of Gosford–Wyong and Illawarra 1975. Sydney: Health Commission of New South Wales, Division of Health Services Research, 1978.
10.
InghamJGRawnsleyKHughesD.Psychiatric disorder in contrasting areas of South Wales. Psychological Medicine1972; 2:281–292.
11.
KendellREThe future of Britain's mental hospitals. British Medical Journal1989; 299:1237–1238.
12.
DworkinRJAdamsGLRetention of Hispanics in public sector mental health services. Community Mental Health Journal1987; 23:204–216.
13.
GarfieldSLResearch on client variables in psychotherapy. In: BerginAEGarfieldSL, eds. Handbook of psychotherapy and behavior change. New York: Wiley, 1971:271–295.
14.
GreenleyJRMechanicDClearyPDSeeking help for psychological problems: a replication and extension. Medical Care1987; 25:1113–1128.
15.
KarnoMEdgertonRBPerception of mental illness in a Mexican-American community. Archives of General Psychiatry1969; 20:233–238.
16.
LorionRPPatient and therapist variables in the treatment of low income patients. Psychological Bulletin1974; 81:344–354.
17.
RoglerLHConesDEHelp-seeking pathways: a unifying concept in mental health care. American Journal of Psychiatry1993; 150:554–561.
18.
RubinsteinEALorrM.A comparison of terminators and remainers in outpatient psychotherapy. Journal of Clinical Psychology1956; 12:345–349.
19.
SueSMcKinneyHLAllenDBPredictors of the duration of therapy for clients in the community mental health system. Community Mental Health Journal1976; 12:365–375.
20.
VegaWAKolodyBWarheitG.Psychoneuroses among Mexican Americans and other Whites: prevalence and caseness. American Journal of Public Health1985; 75:523–527.
21.
VernonCLD'AugelliARCommunity involvement in prevention programs: the use of a telephone survey for program development. Journal of Community Psychology1987; 15:23–28.
22.
VernonSWRobertsREPrevalence of treated and untreated psychiatric disorders in three ethnic groups. Social Science and Medicine1982; 16:1575–1582.
23.
VeroffJKulkaRDouvanE.Mental health in America. New York: Basic Books, 1981.
24.
EisenP.A National mental health services policy: report of the consultancy to advise commonwealth, state and territory health ministers. Canberra: Department of Health and Community Services, 1988.
25.
HendersonASThe mental health of Australians: can informative data be found?Australian and New Zealand Journal of Psychiatry1995; 29:6–13.
26.
AndrewsGSchonellMTennantC.The relation between physical, psychological, and social morbidity in a suburban community. American Journal of Epidemiology1977; 105:324–329.
27.
AndrewsGStewartGMorris-YatesAHoltPHendersonS.Evidence for a General Neurotic Syndrome. British Journal of Psychiatry1990; 157:6–12.
28.
ClayerJRMcFarlaneACWrightG.Epidemiology by computer. Social Psychiatry and Psychiatric Epidemiology1992; 27:258–262.
29.
HendersonSDuncan-JonesPByrneDGScottRAdcockS.Psychiatric disorder in Canberra: a standardised study of prevalence. Acta Psychiatrica Scandinavica1979; 60:355–374.
30.
GaryLEAttitudes of black adults toward community mental health centers. Hospital and Community Psychiatry1987; 38:1100–1105.
31.
GoveWRHowellP.Individual resources and mental hospitalization: a comparison and evaluation of the societal reaction and psychiatric perspectives. American Sociological Review1974; 39:86–100.
32.
HollingsheadABRedlichFCSocial-class and mental illness. New York: Wiley, 1958.
33.
HorowitzA.The pathways into psychiatric treatment: some differences between men and women. Journal of Health and Social Behavior1977; 18:169–178.
34.
JormAFRosenmanSJJacombPAImequalities in the regional distribution of private psychiatric services provided under Medicare. Australian and New Zealand Journal of Psychiatry1993; 27:630–637.
35.
KesslerRCBrownRLBromanCLSex differences in psychiatric help-seeking: evidence from four large-scale surveys. Journal of Health and Social Behavior1981; 22:49–64.
36.
LeafPJBruceLivingston MTischlerGTThe differential effect of attitudes on the use of mental health services. Social Psychiatry1986; 21:187–192.
37.
McMahonJTThe working class psychiatric patient: a clinical view. In: RiessmanFCohenJPearlA, eds. Mental health of the poor. New York: Free Press, 1964:283–302.
38.
ParkerGTracyMHadzi-PavlovicD.Preparedness to accept psychiatric referral. Australian and New Zealand Journal of Psychiatry1985; 19:299–304.
39.
TownsendJMStereotypes of mental illness: a comparison with ethnic stereotypes. Culture, Medicine and Psychiatry: An International Journal of Comparative Cross-cultural Research1979; 3:205–229.
40.
ValdezR.Location of community mental health centers in Texas: some descriptions and comparisons. San Antonio, TX: Intercultural Development Research Association, 1980.
41.
AnthonyWABuellGJPsychiatric patient demographic characteristics. Journal of Consulting and Clinical Psychology1973; 41:116–119.
42.
JacoEGThe social epidemiology of mental disorders: a psychiatric survey of Texas. New York: Russell Sage Foundation, 1960.
43.
MinasIHStuartGWKlimidisS.Language, culture and psychiatric services: a survey of Victorian clinical staff. Australian and New Zealand Journal of Psychiatry1994; 28:250–258.
44.
RosseRBCiolinoCPGurelL.Utilisation of psychiatric consultation with an elderly medically ill inpatient population in a VA hospital. Military Medicine1986; 151:583–586.
45.
SaenzJ.The value of a humanistic model in serving Hispanic families: critical issues for policy and programs in human services. Washington DC: National Coalition of Hispanic Mental Health and Human Services Organizations, 1978.
46.
TrauerT.Ethnic differences in the utilisation of public psychiatric services in an area of suburban Melbourne. Australian and New Zealand Journal of Psychiatry1995; 29:615–623.
47.
WellsJERobinsLNBushnellJAJaroszDOakley-BrowneMAPerceived barriers to care in St. Louis (USA) and Christchurch (NZ): reasons for not seeking professional help for psychological distress. Social Psychiatry and Psychiatric Epidemiology1994; 29:155–164.
48.
GoveWRTudorJFAdult sex roles and mental illness. American Journal of Sociology1973; 78:812–835.
49.
DavidsonABJaccardJJPopulation psychology: a new look at an old problem. Journal of Personality and Social Psychology1975; 31:1073–1082.
50.
FishbeinMAjzenIMcArdleJ.Changing the behavior of alcoholics: effects of persuasive communication. In: AjzenIFishbeinM, eds. Understanding attitudes and predicting social behavior. New Jersey: Prentice-Hall, 1980:217–242.
51.
PomazalRJBrownJDUnderstanding drug use motivation: a new look at a current problem. Journal of Health and Social Behaviour1977; 18:212–222.
52.
PomazalRJJaccardJJAn informational approach to altruistic behaviour. Journal of Personality and Social Psychology1976; 33:317–326.
53.
SejwaczDAjzenIFishbeinM.Predicting and understanding weight loss: intentions, behaviors, and outcomes. In: AjzenIFishbeinM, eds. Understanding attitudes and predicting social behavior. New Jersey: Prentice-Hall, 1980:101–112.
54.
Vinokur-KaplanD.To have—or not to have—another child: family planning attitudes, intentions and behavior. Journal of Applied Social Psychology1978; 8:29–46.
55.
AjzenI.The theory of planned behavior. Organizational Behavior and Human Decision Processes1991; 50:179–211.
56.
WhitefordH.Future directions for mental health services in Australia. Australian Journal of Public Health1992; 16:350–353.
57.
WhitefordHMacleodBLeitchE.The National Mental Health Policy: implications for public psychiatric services in Australia. Australian and New Zealand Journal of Psychiatry1993; 27:186–191.
58.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders. 3rd ed., revised. Washington, DC: Author, 1987.
59.
StimsonRJClelandEAA socioeconomic atlas of Adelaide: an analysis of the 1971 census. Adelaide: Flinders University of South Australia, School of Social Sciences and South Australian Department for Community Welfare, 1975.
60.
TabachnickBGFidellLSUsing multivariate statistics. 2nd ed.New York: Harper and Row, 1989.
