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Self-stigma and the intention to seek psychological help online compared to face-to-face
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Stockholm County Council.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2018 (English)In: Journal of Clinical Psychology, ISSN 0021-9762, E-ISSN 1097-4679, Vol. 74, no 7, p. 1207-1218Article in journal (Refereed) Published
Abstract [en]

Objectives: The present study aims to investigate the impact of helpseeking self-stigma on the preference and intention to seek psychologicaltreatment delivered online compared to face-to-face.

Design: This study uses survey data from two Swedish samples.Sample 1 consists of 267 students (78.7% women) with a mean ageof 24.5 (SD = 6.1). Sample 2 consists of 195 primary care patients(56.9% women) with a mean age of 45.3 (SD = 17.7).

Results: The number of participants who preferred online treatmentwas higher if seeking psychological help for a perceived stigmatized problem compared to mental health problems in general. The oddsratios for choosing treatment online over face-to-face were 6.41,95% CI [4.05, 10.14] in Sample 1 and 11.19, 95% CI [5.29, 23.67]in Sample 2. In addition, findings suggest that higher levels of helpseeking self-stigma predicted higher intention to seek treatmentonline compared to face-to-face.

Conclusions: Our results suggest that online interventions may facilitatehelp-seeking among individuals deterred by stigma.

Place, publisher, year, edition, pages
2018. Vol. 74, no 7, p. 1207-1218
Keywords [en]
E-mental health, help-seeking, Internet based intentions, mental health services, online therapy
National Category
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-343472DOI: 10.1002/jclp.22583ISI: 000435275800010PubMedID: 29315545OAI: oai:DiVA.org:uu-343472DiVA, id: diva2:1186205
Available from: 2018-02-27 Created: 2018-02-27 Last updated: 2018-08-29Bibliographically approved
In thesis
1. Remote delivery of psychological interventions: Impact and acceptability of preventive strategies to improve risk factors associated with coronary heart disease
Open this publication in new window or tab >>Remote delivery of psychological interventions: Impact and acceptability of preventive strategies to improve risk factors associated with coronary heart disease
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Depression, anxiety and excessive weight are public health concerns that have been associated with an increased risk and worse prognosis of coronary heart disease. Remote delivery of psychological interventions may be an effective preventive strategy to improve these lifestyle-related risk factors as treatment may be delivered to many people at a low cost and reduce stigma related to seeking help. The general contribution of this thesis is to investigate the impact and indicators of treatment acceptability in contexts where this type of delivery may improve access to psychological interventions. The aim of Study I was to investigate whether stigma predicts the intention to seek help via the Internet compared to face to face among undergraduate students (N=267) and primary care patients (N=195). The results indicate that Internet-based interventions may improve intentions to seek help among individuals who are reluctant to seek psychological treatment face to face due to stigma. In Study II, the effect of a guided Internet-based Cognitive Behavior Therapy (iCBT) and Treatment-As-Usual (TAU) was compared to TAU only to reduce symptoms of depression and anxiety among patients with a recent myocardial infarction (N=239) in a randomized controlled trial. The results indicate no difference in symptoms of depression and anxiety between the groups. Study III describe treatment activity among participants allocated to the iCBT intervention in Study II (N=117). Furthermore, user experiences were explored using a semi-structured interview with 21 of these participants. The results indicate overall low treatment activity and different preferences regarding the web-based portal, treatment program and therapist communication. The aim of Study IV was to evaluate the impact and investigate indicators of treatment acceptability of a guided Acceptance and Commitment Therapy (ACT) self-help intervention to improve value attainment related to health and reduce experiential avoidance among individuals with overweight or obesity using a multiple baseline design (N=13). The results indicate that theACT intervention may be an acceptable intervention to improve value attainment related to health and decrease experiential avoidance. In conclusion, the studies in this thesis illustrate several challenges related to the willingness to seek and engage in Internet-based interventions. Furthermore, the results indicate varying responses to the remote delivery of ACT. The principal findings are discussed in relation to methodological limitations. Possible strategies to improve the take-up rates, adherence and treatment satisfaction are suggested as well as areas of future research.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2018. p. 75
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 156
Keywords
Depression, anxiety, overweight, obesity, technology-assisted interventions, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy
National Category
Social Sciences
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-354028 (URN)978-91-513-0373-4 (ISBN)
Public defence
2018-09-14, Blåsenhus, Betty Pettersson-salen (14:031), Campus Blåsenhus, von Kreamers allé 1A och 1C, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2018-08-22 Created: 2018-06-18 Last updated: 2018-08-28

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