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Mental Health Treatment Seeking Among Older Adults With Depression: The Impact of Stigma and Race
Open accessAbstract
Objective Stigma associated with mental illness continues to be a significant barrier to help seeking, leading to negative attitudes about mental health treatment and deterring individuals who need services from seeking care. This study examined the impact of public stigma (negative attitudes held by the public) and internalized stigma (negative attitudes held by stigmatized individuals about themselves) on racial differences in treatment-seeking attitudes and behaviors among older adults with depression.Method Random digit dialing was utilized to identify a representative sample of 248 African American and white older adults (older than 60 years) with depression (symptoms assessed by the Patient Health Questionnaire-9). Telephone-based surveys were conducted to assess their treatment-seeking attitudes and behaviors and the factors that impacted these behaviors.Results Depressed older adult participants endorsed a high level of public stigma and were not likely to be currently engaged in or did they intend to seek mental health treatment. Results also suggested that African American older adults were more likely to internalize stigma and endorsed less positive attitudes toward seeking mental health treatment than their white counterparts. Multiple regression analysis indicated that internalized stigma partially mediated the relationship between race and attitudes toward treatment.Conclusion Stigma associated with having a mental illness has a negative influence on attitudes and intentions toward seeking mental health services among older adults with depression, particularly African American elders. Interventions to target internalized stigma are needed to help engage this population in psychosocial mental health treatments.
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“Perceived stigma has been demonstrated to be related to willingness to receive mental health services among members of traditionally underserved populations such as African Americans and older adults (Conner et al., 2010).”
From Using Mindfulness- and Acceptance-Based Treatments With Clients From Nondominant Cultural and/or Marginalized Backgrounds: Clinical Considerations, Meta-Analysis Findings, and Introduction to the Special Series (2013) · cites this paper as Conner et al., 2010
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Metadata
- Authors
- Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., & Brown, C.
- Affiliations
- University of Pittsburgh (US)
- University of Washington (US)
- Corresponding author
- Conner, Kyaien O.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 18
- Issue
- 6
- Pages
- 531-543
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC2875324
- OpenAlex
- W1990523273
- Cited by
- 568
- References
- 133
- Citations by year
- 2026: 25 · 2025: 34 · 2024: 39 · 2023: 54 · 2022: 37 · 2021: 52 · 2020: 37 · 2019: 45 · 2018: 40 · 2017: 40 · 2016: 24 · 2015: 40 · 2014: 34 · 2013: 28 · 2012: 16
- FWCI
- 27.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH067595, P30-MH 71944, P30MH071944, K23MH090151)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- mental health treatment seeking, depression, older adults, public stigma, self-stigma, racial differences, African American older adults, help-seeking attitudes, help-seeking intentions, mental health stigma
- MeSH terms
- Aged, Aged, 80 and over, Attitude to Health, Black or African American, Depression, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Stereotyping, White People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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