Cited by 387Gender Roles and Identity StudiesMental Health Treatment and AccessPsychotherapy Techniques and Applications

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Gender differences in preferences for psychological treatment, coping strategies, and triggers to help-seeking

Liddon, Louise, Kingerlee, Roger, Barry, John A.·2018·British Journal of Clinical Psychology

DOI 10.1111/bjc.12147

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Abstract

OBJECTIVE: There is some evidence that men and women deal with stress in different ways; for example, a meta-analysis found that women prefer to focus on emotions as a coping strategy more than men do. However, sex differences in preferences for therapy is a subject little explored. DESIGN: A cross-sectional online survey. METHOD: Participants (115 men and 232 women) were recruited via relevant websites and social media. The survey described therapies and asked participants how much they liked each. Their coping strategies and help-seeking behaviour were assessed too. RESULTS: Survey data were analysed using multiple linear regression. After familywise adjustment of the alpha for multiple testing to p < .0125, and controlling for other relevant variables, men liked support groups more than women did (β = -.163, p < .010), used sex or pornography to cope with stress more than women did (Exp[B] = .280, p < .0002), and thought that there is a lack of male-friendly options more than women did (Exp[B] = .264, p < .002). The majority of participants expressed no preference for the sex of their therapist, but of those who did, men were only slightly more likely to prefer a female therapist whereas women were much more likely to prefer females (p < .0004). Even after familywise adjustment, there were still more significant findings than would be expected by chance (p < .001, two-tailed). CONCLUSIONS: Although there are many similarities in the preferences of men and women regarding therapy, our findings support the hypothesis that men and women show statistically significant differences of relevance to clinical psychologists. PRACTITIONER POINTS: Men are less inclined than women to seek help for psychological issues This study demonstrates that men and women show significant differences in some aspects of therapy, coping behaviour, and help-seeking It is possible that men would be more inclined to seek help if therapies catered more for men's preferences Practitioners can learn to improve the success of their practice by taking the gender of clients into account.

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“There is evidence to suggest that sexual assault victims prefer to seek help from a female mental health care provider, possibly due to the gendered nature of sexual trauma and the belief that women are more likely than men to be empathic, non-judgmental, and supportive [10].”
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Gender-specific emotional characteristics of crisis communication on social media: Case studies of two public health crises
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Comparison of students’ perceptions of online and hybrid learning modalities during the covid-19 pandemic: The case of the University of Sharjah
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“These findings could be due to the sociable nature of women as they are usually more socially oriented than men [27] and previous research shows that men have more confidence in using technology for learning purposes than women [28].”
Result
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“Several studies have examined sex differences in the adoption of coping strategies (Bonneville-Roussy et al., 2017; Liddon et al., 2017; Peterson et al., 2006).”
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Are Randomized Controlled Trials on Pharmacotherapy and Psychotherapy for Positive Symptoms of Schizophrenia Comparable? A Systematic Review of Patient and Study Characteristics
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“…should be mindful of threats to men’s sense of masculinity including loss of independency, power and control (L. o. Liddon et al., 2019) and be aware that the informal nature of group-based interventions may be more appealing to men (Kiselica & Englar-Carlson, 2010; L. Liddon et al., 2018).”
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Peer Interaction Dynamics and Second Language Learning Trajectories During Study Abroad: A Longitudinal Investigation Using Dynamic Computational Social Network Analysis
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Offering Psychological Support to University Students in Poland During the COVID-19 Pandemic: Lessons Learned From an Initial Evaluation
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Cognitive Distortion in Thinking About Gender Issues: Gamma Bias and the Gender Distortion Matrix
Seager, M., & Barry, J. A. (2019) · The Palgrave Handbook of Male Psychology and Mental Health · doi:10.1007/978-3-030-04384-1_5 · Cited by 15
Self-citation
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“The skewness is consistent with gender difference in help-seeking, where men are less likely to seek help than women [82] and women are more interested in practicing mindfulness [83].”
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“, 2006) and gender differences in coping strategies and preferences for psychological treatment (Liddon et al., 2018).”
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“This is consistent with the general adult population, where stereotypically male traits have been identified as barriers to seeking treatment (Liddon et al., 2018) and personal endorsement of masculine values are associated with reduced treatment use (McDermott et al., 2018; Tang et al., 2014;…”
What Are the Factors That Make a Male-Friendly Therapy?
Liddon, L., Kingerlee, R., Seager, M., & Barry, J. A. (2019) · Springer eBooks · doi:10.1007/978-3-030-04384-1_32 · Cited by 16
Self-citation
Heart rate variability, perceived stress and willingness to seek counselling in undergraduate students
Tripská, K., Draessler, J., & Pokladníková, J. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110972 · Cited by 16
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“Previous research has shown that women tend to gravitate toward coping strategies emphasizing social support and emotional expression [7], while men may prefer problem-focused coping methods [8].”
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Self- and surrogate-seeking of information about mental health and illness in Germany
Freytag, A., Baumann, E., Angermeyer, M. C., & Schomerus, G. (2023) · BMC Public Health · doi:10.1186/s12889-023-14998-0 · Cited by 15
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Chima, C., Shalaby, R., Lawal, M. A., Vuong, W., Hrabok, M., Gusnowski, A., Surood, S., Greenshaw, A. J., Wells, K., & Agyapong, V. I. O. (2022) · Trauma Care · doi:10.3390/traumacare2010002 · Cited by 20
“Cisgender women may be more likely to seek professional help in the face of physical and psychological stress in comparison to cisgender men [44], who are likely to resort to maladaptive coping methods [45].”
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Exploring the Effectiveness of an Integrated Mixed Martial Arts and Psychotherapy Intervention for Young Men’s Mental Health
Bird, N., McCarthy, G., & O’Sullivan, K. (2019) · American Journal of Men s Health · doi:10.1177/1557988319832121 · Cited by 15
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da Costa, A. C. J. S., Lopes, J. M. D. O., Sousa, C. J., Santos, O., Virgolino, A., Nogueira, P., Henriques, M. A., Seabra, P., Capitão, C., Martins, R. A., et al. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07186-6 · Cited by 14
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“They just get it” an exploration of father's experiences and perceptions of a support group for men caring for children with disabilities and/or developmental delay
Batchelor, M., Maguire, S., & Shearn, J. (2020) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12804 · Cited by 14
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Reily, N. M., Tang, S., Batterham, P. J., Aadam, B., Draper, B., Shand, F., Han, J., Nicholas, A., & Christensen, H. M. (2023) · Archives of Suicide Research · doi:10.1080/13811118.2023.2190781 · Cited by 14
“Additionally, currently available services may not align with the preferences of men (Liddon, Kingerlee, & Barry, 2018), and therefore may be unsuccessful in engaging and retaining men in treatment (Seidler, Rice, River, Oliffe, & Dhillon, 2017).”
Background
Short-Term Findings From Testing EPIO, a Digital Self-Management Program for People Living With Chronic Pain: Randomized Controlled Trial
Bostrøm, K., Børøsund, E., Eide, H., Varsi, C., Kristjansdottir, Ó. B., Schreurs, K. M. G., Waxenberg, L. B., Weiss, K. E., Morrison, E. J., Stavenes Støle, H., et al. (2023) · Journal of Medical Internet Research · doi:10.2196/47284 · Cited by 12
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Przybylko, G., Morton, D. P., Morton, J. K., & Renfrew, M. E. (2021) · JMIR Mental Health · doi:10.2196/29866 · Cited by 14
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Why Do Men Have Low Rates of Formal Mental Health Service Utilization? An Analysis of Social and Systemic Barriers to Care and Discussion of Promising Male-Friendly Practices
Whitley, R. (2021) · Springer eBooks · doi:10.1007/978-3-030-86320-3_6 · Cited by 13
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“…when men do seek help for mental health problems, some research suggests that they express a preference for interventions that provide practical problem-solving tools rather than therapies that involve “just talking” or a focus on emotional expression (Emslie et al., 2007; Liddon et al., 2017).”
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The relationship between clients' preferences of therapists' sex and mental health support seeking: An exploratory study
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Authors: Liddon, L., Kingerlee, R., & Barry, J. A.
Affiliations: Northumbria University (GB)
Norfolk and Suffolk NHS Foundation Trust (GB)
University College London (GB)
Corresponding author: Barry, John A.
ORCID: Barry, John A.
Venue: British Journal of Clinical Psychology
Publisher: Wiley
Published: 2017-07-09
Volume: 57
Issue: 1
Pages: 42-58
ISSN: 0144-6657 (ISSN-L)
2044-8260
DOI: 10.1111/bjc.12147
OpenAlex: W2733481773
Cited by: 387
References: 38
Citations by year: 2026: 51 · 2025: 53 · 2024: 59 · 2023: 60 · 2022: 51 · 2021: 49 · 2020: 28 · 2019: 23 · 2018: 10
FWCI: 34.62
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: British Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Northumbria Research Link (Northumbria University) (submittedVersion)
Topics: Social Sciences › Gender Studies › Gender Roles and Identity Studies
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: gender differences, help-seeking, coping strategies, stress coping, support groups, pornography use
MeSH terms: Help-Seeking Behavior, Adaptation, Psychological, Adult, Cross-Sectional Studies, Emotions, Female, Gender Identity, Humans, Male, Surveys and Questionnaires, Education, Distance

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Gender differences in preferences for psychological treatment, coping strategies, and triggers to help-seeking

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