Psikolojik Yardım Alma Niyetini Yordamada Demografik, Bireysel ve Çevresel Faktörler

Bu araştırmanın amacı, cinsiyet, daha önce psikolojik yardım alıp almama, psikolojik yardım alma nedeniyle kendini damgalama, öz-yeterlik, psikolojik sıkıntı, psikolojik yardım almaya ilişkin tutum, psikolojik yardım alma nedeniy - le sosyal damgalanma, psikolojik yardım alma nedeniyle yakın çevrenin damgalaması, algılanan sosyal destek ve pratik engellerin psikolojik yardım alma niyetini ne ölçüde yordadığını belirlemektir. Araştırma tarama modelinde desenlenmiştir. Araştırmanın verileri, 295i kadın ve 211i erkek olmak üzere toplam 506 gönüllü üniversite öğrenci - sinden toplanmıştır. Verilerin analizinde hiyerarşik çoklu regresyon analizi kullanılmıştır. Araştırmadan elde edilen bulgulara göre, cinsiyet, daha önce psikolojik yardım alıp almama, psikolojik sıkıntı ve psikolojik yardım almaya ilişkin tutum, psikolojik yardım alma niyetini anlamlı düzeyde yordamaktadır. Diğer taraftan, psikolojik yardım alma nedeniyle kendini damgalama, öz-yeterlik, psikolojik yardım alma nedeniyle sosyal damgalanma, psikolojik yardım alma nedeniyle yakın çevrenin damgalaması, algılanan sosyal destek ve pratik engeller psikolojik yardım alma niyetini anlamlı düzeyde yordamamaktadır. Araştırma bulguları ilgili literatür eşliğinde tartışılmış ve daha sonra gerçekleştirilecek araştırmalara yönelik öneriler gelişti rilmiştir.

Summary Demographic, Individual, and Environmental Factors as Predictors of Intention to Seek Psychological Help

The aim of the study was to investigate to what extent gender, previous help-seeking experience, self-stigma, self-ef - ficacy, psychological distress, attitudes towards help-seeking, public stigma, social-network stigma, perceived social support and practical barriers predict psychological help-seeking intent. Five hundred and six undergraduate students (295 female and 211 male) participated to the study. The results of the hierarchical regression analysis demonstrated that gender, previous help-seeking experience, psychological distress, and attitudes towards counseling significantly predicted psychological help-seeking intent, whereas self-stigma, self-efficacy, public stigma, social-network stigma, perceived social support and perceived practical barriers d id not predict psychological help-seeking intent.

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  • Akın, A. ve Çetin, B. (2007). Depresyon anksiyete stres ölçeği (DASÖ): Geçerlik ve güvenirlik çalışması. Kuram ve Uy- gulamada Eğitim Bilimleri, 7(1), 241-268.
  • Atkinson, D. R., Lowe, S. ve Matthews, L. (1995). Asian- American acculturation, gender, and willingness to seek counseling. Journal of Multicultural Counseling & De- velopment, 23(3), 130-138.
  • Bathje, G. J. ve Pryor, J. B. (2011). The relationships of public and self-stigma to seeking mental health services. Jour- nal of Mental Health Counseling, 33(2), 161-176.
  • Bicil, B. (2012). Yetişkinlerin psikolojik yardım arama niyet- lerinin incelenmesi: İzmir ili örneği. Yayımlanmamış yüksek lisans tezi, Ege Üniversitesi, İzmir, Türkiye.
  • Biddle, L., Gunnell, D., Sharp, D. ve Donovan, J. L. (2003). Factors influencing help seeking in mentally distressed young adults: A cross-sectional survey. British Journal of General Practice, 54, 248-253.
  • Brown, T. (2011). The relationships among counseling expecta- tions, attitudes toward seeking psychological help, psy- chological help, psychological distress, and intention to seek counseling. Yayımlanmamış doktora tezi, Ball State Üniversitesi, Muncie, Indiana.
  • Brown, C., Conner, K. O., Copeland, V. C., Grote, N., Beach, S., Battista, D. ve Reynolds, C. F. (2010). Depression stigma, race, and treatment seeking behavior and attitudes. Jour- nal of Community Psychology, 38(3), 350-368.
  • Cash, T. F., Begley, P. J., McCown, D. A. ve Weise, B. C. (1975). When counselors are heard but not seen: Initial impact of physical attractiveness. Journal of Counseling Psychology, 22(4), 273-279.
  • Cellucci, T., Krogh, J. ve Vik, P. (2006). Help seeking for al- cohol problems in a college population. The Journal of General Psychology, 133(4), 421-433.
  • Cepeda-Benito, A. ve Short, P. (1998). Self-concealment, avoidance of psychological services, and perceived likeli- hood of seeking professional help. Journal of Counseling Psychology, 45, 58-64.
  • Ciarrochi, J. V. ve Deane, F. P. (2001). Emotional competence and willingness to seek help from professional and non- professional sources. Journal of Guidance and Counsel- ling, 29(2), 233-246.
  • Cohen, S. ve Hoberman, H. (1983). Positive events and social supports as buffers of life change stress. Journal of Ap- plied Social Psychology, 13, 99-125.
  • Constantine, M. G., Wilton, L. ve Caldwell, L. D. (2003). The role of social support in moderating the relationship be- tween psychological distress and willingness to seek psy- chological help among black and Latino college students. Journal of College Counseling, 6, 155-165.
  • Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614-625.
  • Cramer, K. M. (1999). Psychological antecedents to help-seek- ing behavior: A reanalysis using path modeling struc- tures. Journal of Counseling Psychology, 46, 381-387.
  • Deane, F. P. ve Chamberlain, K. (1994). Treatment fearfulness and distress as predictors of professional psychological help-seeking. British Journal of Guidance and Counsel- ing, 22, 207-217.
  • Donatelli, S. N. (2010). Help-seeking attitudes and intentions among first generation college students. Yayımlanmamış doktora tezi, Purdue Üniversitesi, West Lafayette, Indi- ana.
  • Eker, D., Arkar, H. ve Yaldız, H. (2001). Çok boyutlu algılanan sosyal destek ölçeği’nin gözden geçirilmiş formunun fak- tör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Der- gisi, 12(1), 17-25.
  • Erkan, S., Özbay, Y., Cihangir-Çankaya, Z. ve Terzi, Ş. (2012a). Üniversite öğrencilerinin psikolojik yardım aramaya gönüllülük düzeylerinin yordanması. Kuram ve Uygula- mada Eğitim Bilimleri, 12(1), 25-42.
  • Erkan, S., Özbay, Y., Cihangir-Çankaya, Z. ve Terzi, Ş. (2012b). Üniversite öğrencilerinin yaşadıkları problemler ve psikolojik yardım arama gönüllülükleri. Eğitim ve Bilim, 37(164), 94-107.
  • Fischer, E. H. ve Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368-373.
  • Fischer, E. H. ve Turner, J. L. (1970). Development and re- search utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79-90.
  • Hartong, J. M. (2011). Help seeking and the theory of planned behavior in college students: experiment and model test- ing. Yayımlanmamış doktora tezi, Ball State Üniversitesi, Muncie, Indiana.
  • Kaplan, S. A., Vogel, D. L., Gentile, D. A. ve Wade, N. G. (2012). Increasing positive perceptions of counseling: The importance of repeated exposures. The Counseling Psychologist, 40(3), 409-442.
  • Kelly, A. E. ve Achter, J. A. (1995). Self-concealment and at- titudes toward counseling in university students. Journal of Counseling Psychology, 42, 40-46.
  • Komiya, N., Good, G. E. ve Sherrod, N. B. (2000). Emotional openness as a predictor of college students’ attitudes to- ward seeking psychological help. Journal of Counseling Psychology, 47, 138-143.
  • Koydemir, S., Erel, Ö., Yumurtacı, D. ve Şahin, G. N. (2010). Psychological help-seeking attitudes and barriers to help- seeking in young people in Turkey. International Journal for the Advancement of Counselling, 32(4), 274-289.
  • Kung, W. V. (2004). Cultural and practical barriers to seeking mental health treatment for Chinese Americans. Journal of Community Psychology, 32(1), 27-43.
  • Lang, A. J. (2005). (Özet). Mental health treatment preferences of primary care patients. Journal of Behavioral Medicine, 28(6), 581-586.
  • Lee, Y-s. ve Hadeed, L. (2009). Intimate partner violence among Asian immigrant communities: Health/Mental health consequences, help-seeking behaviors and service utilization. Trauma, Violence and Abuse, 10(2), 143-170.
  • Ludwikowski, W. M. A., Vogel, D. ve Armstrong, P. I. (2009). Attitudes toward career counseling: The role of pub- lic and self-stigma. Journal of Counseling Psychology, 56(3), 408-416.
  • Porcari, C. (2009). Predictors of help-seeking in returning op- eration enduring freedom (oef) and operation iraqi free- dom (oif) veterans. Yayımlanmamış doktora tezi, Eastern Michigan Üniversitesi, Ypsilanti, Michigan.
  • Rickwood, D. J. ve Braithwaite, V. A. (1994). Social-psycho- logical factors affecting help-seeking for emotional prob- lems. Social Science and Medicine, 39(4), 563-572.
  • Rickwood, D., Deane, F. P., Wilson, C. J. ve Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4(3), 1-34.
  • Rothi, D. M. (2006). Mental health help-seeking and young people: A review. Pastoral Care, 4-13.
  • Sanchez, A. R. ve Atkinson, D. R. (1983). Mexican-American cultural commitment, preference for counselor ethnicity, and willingness to use counseling. Journal of Counseling Psychology, 30(2), 215-220.
  • Schwarzer, R. (2005). Turkish adaptation of the general per- ceived self-efficacy scale. 12 Şubat 2009, http://userpage. fuberlin.de/~health/selfscal.htm.
  • Sezer, S. ve Kezer, F. (2013). Psikolojik yardım aramada yakın çevre damgalaması ölçeği’nin bir Türk örnekleminde ge- çerlik ve güvenirliği. Ankara Üniversitesi Eğitim Bilim- leri Fakültesi Dergisi, 46(1), 181-201.
  • Tabachnick, B. G. ve Fidell, L. S. (2007). Using multivariate statistics (5. baskı). Boston: Pearson Education Inc. Thornicroft, G. (2007). Most people with mental illness are not treated. Lancet, 370(9590), 807-808.
  • Topkaya, N. (2011a). Psikolojik yardım alma niyetinin sosyal damgalanma, tedavi korkusu, beklenen yarar, beklenen risk ve tutum faktörleriyle modellenmesi. Yayımlanmamış doktora tezi, Ege Üniversitesi, İzmir, Türkiye.
  • Topkaya, N. (2011b). Psikolojik yardım alma nedeniyle kendini damgalama ölçeğinin geçerlik ve güvenirlik çalışması. XI. Psikolojik Danışma ve Rehberlik Kongresi, Ekim, Ege Üniversitesi - İzmir.
  • Topkaya, N. (2012). Psikolojik yardım alma niyeti envanterinin psikometrik özelliklerinin incelenmesi. Yayımlanmamış araştırma raporu.
  • Topkaya, N. ve Meydan, B. (2013). Üniversite öğrencilerinin problem yaşadıkları alanlar, yardım kaynakları ve psiko- lojik yardım alma niyetleri. Trakya Üniversitesi Eğitim Fakültesi Dergisi, 3(1), 25-37.
  • Vogel, D. L. ve Armstrong, P. I. (2010). Self-concealment and willingness to seek counseling for psychological, aca- demic, and career issues. Journal of Counseling & Devel- opment, 88, 387- 396.
  • Vogel, D. L., Gentile, D. A. ve Kaplan, S. A. (2008). The influ- ence of television on willingness to seek therapy. Journal of Clinical Psychology, 64(3), 276- 295.
  • Vogel, D. L., Wade, N. G. ve Ascheman, P. L. (2009). Mea- suring perceptions of stigmatization by others for seek- ing psychological help: reliability and validity of a new stigma scale with college students. Journal of Counseling Psychology, 56(2), 301-308.
  • Vogel, D. L., Wade, N. G. ve Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325-337.
  • Vogel, D. L., Wade, N. G. ve Hackler, A. H. (2007). Perceived public stigma and willingness to seek counseling: The mediating roles of self-stigma and attitudes toward thera- py. Journal of Counseling Psychology, 54(1), 40-50.
  • Vogel, D. L., Wade, N. G. ve Hackler, A. H. (2008). Emotional expression and the decision to seek therapy: The mediat- ing roles of the anticipated benefits and risks. Journal of Social and Clinical Psychology, 27(3), 2008, 254-278.
  • Vogel, D. L. ve Wei, M. (2005). Adult attachment and help- seeking intent: The mediating roles of psychological dis- tress and perceived social support. Journal of Counseling Psychology, 52(3), 347-357.
  • Vogel, D. L. ve Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351-361.
  • Vogel, D. L., Wester, S. R., Wei, M. ve Boysen, G. A. (2005). The role of outcome expectations and attitudes on deci- sions to seek professional help. Journal of Counseling Psychology, 52(4), 459-470.
  • Walsh, J., Scaife, V., Notley, C., Dodsworth, J. ve Schofield, G. (2011). Perception of needs and barriers to access: The mental health needs of young people attending a Youth Offending Team in the UK. Health and Social Care in the Community, 19(4), 420-428.
  • Wu, M. C., Kviz, F. J. ve Miller, A. M. (2009). Identifying in- dividual and contextual barrier to seeking mental health services among Korean American immigrant woman. Is- sues in Mental Health Nursing, 30, 78-85.
  • Zimet, G. D., Dahlem, N. W., Zimet, S. G. ve Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41.
  • Zinzow, H. M., Britt, T. W., Pury, C. L. S. Raymond, M. A., McFadden, A. C. ve Burnette, C. M. (2013). Barriers and facilitators of mental health treatment seeking among active-duty army personnel. Military Psychology, 25(5), 514-535.