Mental Health Treatment Seeking Among Older Adults with Depression: The Impact of Stigma and Race
This mixed methods study examined the impact of stigma on racial differences in treatment seeking attitudes and behaviors among older adults1 with depression. Results indicate that older adults with depression have high levels of public stigma and do not intend to seek, nor are they currently engaged in mental health treatment. Results also suggest that African American older adults endorse higher internalized stigma and less positive attitudes toward seeking mental health treatment than their white counterparts. In addition, high level of internalized stigma was related and attitudes toward seeking mental health treatment. Older African Americans in the current to more negative attitudes towards treatment and partially mediated the relationship between race study identified a number of experiences living in the black community that impacted their treatment seeking attitudes and behaviors, which led to their identification and utilization of more culturally endorsed coping strategies to deal with their depression.
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Correlations Among Main Study Variables for the Total Sample N 248
Sample Demographics for Qualitative Interviews
Study Participant Pseudonyms
73 year-old African Additionally adults with depression African American older African American woman Ageism American and white American older adults analysis ATMHT attitudes about mental attitudes and behaviors attitudes toward mental attitudes toward seeking barriers to seeking beliefs black community clinicians Corrigan crazy current study depressive symptoms effective endorsed engagement in mental health treatment seeking impact of stigma intention to seek intentions toward seeking internalized stigma lack mediated the relationship mediating variable mental health disorders mental health problems mental health professional mental health services mental health treatment mental illness stigma multiple stigmas negative attitudes older African Americans one’s partially mediated participants felt participants talked perceived perceptions professional mental health public stigma race and attitudes random digit dialing regression analysis relationship between race sample scale scores seek treatment seeking mental health significant social stereotypes stigma associated suggests treatment seeking attitudes utilized white counterparts year-old African American