The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes
Abstract
The objectives of this study were to explore age and gender differences in attitudes toward seeking professional psychological help, and to examine whether attitudes negatively influence intentions to seek help among older adults and men, whose mental health needs are underserved. To achieve these objectives 206 community-dwelling adults completed questionnaires measuring help-seeking attitudes, psychiatric symptomatology, prior help-seeking, and intentions to seek help. Older age and female gender were associated with more positive help-seeking attitudes in this sample, although age and gender interacted with marital status and education, and had varying influences on different attitude components. Age and gender also influenced intentions to seek professional psychological help. Women exhibited more favourable intentions to seek help from mental health professionals than men, likely due to their positive attitudes concerning psychological openness. Older adults exhibited more favourable intentions to seek help from primary care physicians than younger adults, a finding that was not explained by age differences in attitudes. Results from this study suggest that negative attitudes related to psychological openness might contribute to men's underutilization of mental health services. Help-seeking attitudes do not appear to be a barrier to seeking professional help among older adults, although their intentions to visit primary care physicians might be. These findings suggest the need for education to improve men's help-seeking attitudes and to enhance older adults' willingness to seek specialty mental health services.
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In the citing paper
“Men are rarely socialized to be open about their emotional troubles; which in turn was found to contribute to their underutilization of mental health services (Mackenzie, Gekoski, Knox, 2006).”
From The Disclosure Experiences of Male Child Sexual Abuse Survivors (2016) · cites this paper as Mackenzie, Gekoski, Knox, 2006
In the citing paper
“Compared to women, men are less likely to seek help for mental health difficulties.”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Mackenzie, Gekoski, & Knox, 2006
In the citing paper
“Although help-seeking is consistently reported to be worse in males (Mackenzie et al., 2006), the identified techniques in this review should be interpreted cautiously.”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Mackenzie et al., 2006
In the citing paper
“Although help-seeking is consistently reported to be worse in males (Mackenzie et al., 2006), the identified techniques in this review should be interpreted cautiously.”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Mackenzie et al., 2006
In the citing paper
“Low educational status might be associated with low rates of help-seeking because educated individuals are more informed and knowledgeable about illnesses and the healthcare system”
From A systematic review of the factors associated with delays in medical and psychological help-seeking among men (2015) · cites this paper as Mackenzie, Gekoski, & Knox, 2006
In the citing paper
“The reason why younger men seek less help may partly be an artefact of their lower levels of illness, and partly due to the fact that their vitality and masculinity is more important to them”
From A systematic review of the factors associated with delays in medical and psychological help-seeking among men (2015) · cites this paper as Mackenzie, Gekoski, & Knox, 2006
In the citing paper
“Young men are known to hold more negative attitudes towards help-seeking for mental health issues than young women [5], due in part to lower levels of openness to acknowledging psychological problems [6].”
From Silence is deadly: a cluster-randomised controlled trial of a mental health help-seeking intervention for young men (2017) · cites this paper as [6]
Citations
Cites
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,647
From Intentions to Actions: A Theory of Planned Behavior
Ajzen, I. (1985) · Action Control · doi:10.1007/978-3-642-69746-3_2 · Cited by 19,057
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370
Men, masculinity, and the contexts of help seeking
Addis, M. E., & Mahalik, J. R. (2003) · American Psychologist · doi:10.1037/0003-066x.58.1.5 · Cited by 2,761
Prevalence and Treatment of Mental Disorders, 1990 to 2003
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa043266 · Cited by 1,910
The effectiveness of psychotherapy: The Consumer Reports study.
Seligman, M. E. P. (1995) · American Psychologist · doi:10.1037//0003-066x.50.12.965 · Cited by 1,626
The effectiveness of psychotherapy: the Consumer Reports study
Seligman, M. E. P. (1995) · American Psychologist · doi:10.1037/0003-066x.50.12.965 · Cited by 1,608 · cited 2×
“…1996), even though mental disorders are less likely to be recognized and treated in the medical sector (McQuaid, Stein, Laffaye, & McCahill, 1999) and treatment may be less effective when provided by non-psychiatrist physicians (Howard et al., 1996; Seligman, 1995; Wang, Berglund, & Kessler, 2000).”
BackgroundPredicting and Explaining Intentions and Behavior: How Well Are We Doing?
Sutton, S. R. (1998) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.1998.tb01679.x · Cited by 1,032
Orientations to seeking professional help: development and research utility of an attitude scale
Fischer, E. H., & Turner, J. I. (1970) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0029636 · Cited by 973
Journal of Mental Health and Aging
(2019) · doi:10.35841/mental-health-aging · Cited by 946
Sirey, J. A., BRUCE, M. L., Alexopoulos, G. S., PERLICK, D. A., Raue, P. J., Friedman, S. J., & Meyers, B. S. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.3.479 · Cited by 779
Handbook of Mental Health and Aging
(2020) · Elsevier eBooks · doi:10.1016/c2013-0-09717-4 · Cited by 719
Wang, P. S., Berglund, P., & Kessler, R. C. (2000) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2000.9908044.x · Cited by 686 · cited 1×
“This distinction is critical considering that a substantial proportion of younger and especially older adults with mental health problems are treated by primary care physicians (Bartels, 2003 ; Klap, Tschantz Unroe, & Unutzer, 2003 ; Norquist & Regier, 1996 ), even though mental disorders are less likely to be recogni…”
BackgroundSex Differences in Psychiatric Help-Seeking: Evidence from Four Large-Scale Surveys
Kessler, R. C., Brown, R., & Broman, C. L. (1981) · Journal of Health and Social Behavior · doi:10.2307/2136367 · Cited by 616
To seek help or not to seek help: The risks of self-disclosure.
Vogel, D. L., & Wester, S. R. (2003) · Journal of Counseling Psychology · doi:10.1037/0022-0167.50.3.351 · Cited by 512
An Adaptation and Extension of the Attitudes Toward Seeking Professional Psychological Help Scale 1
Mackenzie, C. S., Knox, V. J., Gekoski, W. L., & Macaulay, H. L. (2004) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2004.tb01984.x · Cited by 368
Self-citationCepeda-Benito, A., & Short, P. (1998) · Journal of Counseling Psychology · doi:10.1037/0022-0167.45.1.58 · Cited by 346
Self-concealment and attitudes toward counseling in university students.
Kelly, A. E., & Achter, J. A. (1995) · Journal of Counseling Psychology · doi:10.1037/0022-0167.42.1.40 · Cited by 331
When counselors are heard but not seen: Initial impact of physical attractiveness.
Cash, T. F., Begley, P. J., McCown, D. A., & Weise, B. C. (1975) · Journal of Counseling Psychology · doi:10.1037/h0076730 · Cited by 310
Caring for Mental Illness in the United States: A Focus on Older Adults
Klap, R., Unroe, K. T., & Unützer, J. (2003) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200309000-00006 · Cited by 292 · cited 1×
“…medical sector could contribute to their low rates of mental health service use considering that primary care physicians are less likely to recognize, treat, and refer older than younger individuals with mental health problems (Bartels, 2003; Klap et al., 2003; Mackenzie, Gekoski, & Knox, 1999).”
BackgroundBerger, J. M., Levant, R. F., McMillan, K. K., Kelleher, W. J., & Sellers, A. (2005) · Psychology of Men & Masculinity · doi:10.1037/1524-9220.6.1.73 · Cited by 284
Help-Seeking for Psychiatric Disorders
Bland, R. C., Newman, S. C., & Orn, H. (1997) · The Canadian Journal of Psychiatry · doi:10.1177/070674379704200904 · Cited by 227
Patterns of Mental Health Service Utilization
Howard, K. I. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830080048009 · Cited by 182
Deane, F. P., & Todd, D. M. (1996) · Journal of College Student Psychotherapy · doi:10.1300/j035v10n04_06 · Cited by 166
Attitudes towards mental health care in younger and older adults: similarities and differences
Robb, C., Haley, W. E., Becker, M. A., Polivka, L. A., & Chwa, H.-J. (2003) · Aging & Mental Health · doi:10.1080/1360786031000072321 · Cited by 163
Beliefs about mental illness and willingness to seek help: a cross-sectional study
Segal, D. L., Coolidge, F. L., Mincic, M. S., & O'Riley, A. (2005) · Aging & Mental Health · doi:10.1080/13607860500131047 · Cited by 162
Effects of gender and sex role orientation on help-seeking attitudes
Ang, R. P.-H., Lim, K. M., Tan, A.-G., & Yau, T. Y. (2004) · Current Psychology · doi:10.1007/s12144-004-1020-3 · Cited by 135
Bartels, S. J. (2003) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200309000-00003 · Cited by 133
Gender and outpatient mental health service use
Rhodes, A. E., Goering, P. N., To, T. M., & Williams, J. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00002-8 · Cited by 130
Psychiatric Disorder Onset and First Treatment Contact in the United States and Ontario
Olfson, M., Kessler, R. C., Berglund, P. A., & Lin, E. H. B. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.10.1415 · Cited by 129
THE EPIDEMIOLOGY OF PSYCHIATRIC DISORDERS AND THE DE FACTO MENTAL HEALTH CARE SYSTEM
NORQUIST, G. S., & Regier, D. A. (1996) · Annual Review of Medicine · doi:10.1146/annurev.med.47.1.473 · Cited by 127
Depression in a Primary Care Clinic: the Prevalence and Impact of an Unrecognized Disorder
McQuaid, J. R., Stein, M. B., Laffaye, C., & McCahill, M. E. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(98)00191-8 · Cited by 121
Older adults' acceptance of psychological and pharmacological treatments for depression
Landreville, P., Landry, J., Baillargeon, L., Guerette, A., & Matteau, E. (2001) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/56.5.p285 · Cited by 118
Would Older Medical Patients Use Psychological Services?
Arean, P. A., Alvidrez, J., Barrera, A., Robinson, G. S., & Hicks, S. (2002) · The Gerontologist · doi:10.1093/geront/42.3.392 · Cited by 102
Bartels, S. J. (2003) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.11.5.486 · Cited by 86
Concepts and Issues in Mental Health and Aging
Lebowitz, B. D., & Niederehe, G. (1992) · Elsevier eBooks · doi:10.1016/b978-0-12-101277-9.50005-x · Cited by 81
Students' help-seeking behaviours by gender, racial background, and student status.
Morgan, N. T., & Robinson, M. (2003) · Canadian Journal of Counselling and Psychotherapy · Cited by 81
Cohort differences in attitudes toward mental health services among older persons.
Currin, J. B., Hayslip, B., Schneider, L. J., & Kooken, R. (1998) · Psychotherapy · doi:10.1037/h0087857 · Cited by 64
Holden, R. R., Starzyk, K. B., McLeod, L. D., & Edwards, M. J. (2000) · Assessment · doi:10.1177/107319110000700208 · Cited by 49
Mental health services for the elderly: Key policy elements.
Estes, C. L. (1995) · American Psychological Association eBooks · doi:10.1037/10179-012 · Cited by 37
The National Survey of Mental Health and Well-Being in Australia: Impact on Policy
Henderson, S. (2002) · The Canadian Journal of Psychiatry · doi:10.1177/070674370204700902 · Cited by 26
Do family physicians treat older patients with mental disorders differently from younger patients?
Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (1999) · PubMed · Cited by 22
Self-citation
Research works printed but not linked: 7
- Deane FP, 1996, Journal of College Student Development, 10, 45
- Derogatis LR, 1993, Brief symptom inventory (BSI): Administration, scoring, and procedures manual. Minneapolis
- Holden RR, 1996, Holden psychological screening inventory manual
- Mackenzie CS, 1999, Canadian Family Physician, 45, 1219
- Morgan R, 2003, Canadian Journal of Counselling, 37, 151
- Rokke PD, 1995, Journal of Clinical Geropsychology, 1, 243
- 2006, Visible minority population, by provinces and territories
Cited by
Sorted by citations
Thompson, A. E., Anisimowicz, Y., Miedema, B. B., Hogg, W. E., Wodchis, W. P., & Aubrey‐Bassler, K. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0440-0 · Cited by 1,171
“Older patients also report more positive health care-seeking attitudes regarding mental health concerns than younger patients [7, 23].”
BackgroundResultShippee, N. D., Shah, N. D., May, C. R., Mair, F. S., & Montori, V. M. (2012) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2012.05.005 · Cited by 728
“Additionally, language, literacy, and numeracy [41,57,108], and patients’ backgrounds and environment [39], also shape their readiness to access and use care.”
BackgroundGao, W., Ping, S., & Liu, X. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.121 · Cited by 851
Sheldon, E., Simmonds-Buckley, M., Bone, C., Mascarenhas, T., Chan, N., Wincott, M., Gleeson, H., Sow, K., Hind, D., & Barkham, M. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.03.054 · Cited by 644
Trends in Racial-Ethnic Disparities in Access to Mental Health Care, 2004–2012
Cook, B. L., Trinh, N.-H., Li, Z., Hou, S. S.-Y., & Progovac, A. M. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201500453 · Cited by 546
“Other need variables were the physical health component of the SF-12, gender, age, and reporting any functional limitation in working at a job, doing housework, or going to school; these were adjusted for in the estimation because they were considered to be allowable differences highly correlated with mental illness (…”
Background
Metadata
- Authors
- Mackenzie, C. S., Gekoski, W. L., & Knox, V. J.
- Affiliations
- Queen's University (CA)
- Corresponding author
- Mackenzie, C. S.
- ORCID
- Mackenzie, C. S.
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2006-11
- Volume
- 10
- Issue
- 6
- Pages
- 574-582
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2014172961
- Semantic Scholar
- d232506e2297dea5f6d1729b555e7bd93577103f
- Cited by
- 878
- References
- 42
- Citations by year
- 2026: 48 · 2025: 51 · 2024: 75 · 2023: 79 · 2022: 71 · 2021: 63 · 2020: 60 · 2019: 69 · 2018: 51 · 2017: 48 · 2016: 40 · 2015: 48 · 2014: 40 · 2013: 36 · 2012: 29
- FWCI
- 13.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- help-seeking attitudes, mental health service utilization, underutilization of mental health services, age differences, gender differences, older adults, men, help-seeking intentions, open-mindedness, primary care mental health, psychiatric symptoms, help-seeking barriers
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Mental Disorders, Demography, Educational Status, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Middle Aged, Ontario, Patient Acceptance of Health Care, Personality Inventory, Surveys and Questionnaires, Regression Analysis, Sex Factors, Marital Status
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