Impact of alternative terminology for depression on help-seeking intention: A randomized online trial.
J Clin Psychol
; 79(1): 68-85, 2023 Jan.
Article
em En
| MEDLINE
| ID: mdl-35802773
ABSTRACT
OBJECTIVE:
People with depression experience barriers to seeking professional help. Different diagnostic terminology can influence people's treatment/management preferences. The aim of this study was to investigate how alternative depression diagnostic labels and recommendations impact help-seeking intentions and psychosocial outcomes.METHODS:
Participants (18-70 years) were recruited using an online panel (Australia) to complete a randomized controlled trial. They read a hypothetical scenario where they discussed experiencing depressive symptoms with their GP and were randomized to receive one of four diagnoses ("depression," "burnout," "functional impairment syndrome" [fictitious label], no label [control]), and one of two follow-up recommendations ("clinical psychologist," "mind coach"). PRIMARYOUTCOME:
help-seeking intention (5-point scale, higher = greater intention); secondaryoutcomes:
intention to speak to boss, self-stigma, worry, perceived severity, illness perceptions, and personal stigma.RESULTS:
A total of 676 participants completed the survey. There was no main effect of diagnostic label on help-seeking intention or stigma outcomes. Intention to speak to a boss was higher with the depression compared to burnout label (MD = 0.40, 95% CI 0.14-0.66) and perceived severity was higher with the depression label compared to control (MD = 0.48, 95% CI 0.22-0.74) and all other labels. Those who received the "clinical psychologist" recommendation reported higher help-seeking intention (MD = 0.43, 95% CI 0.25-0.60) and treatment control (MD = 0.69, 95% CI 0.29-1.10) compared to the "mind coach" recommendation.CONCLUSION:
Findings highlight the success of efforts to promote help-seeking from clinical psychologists for depression. If burnout is considered a separate diagnostic entity to depression, greater awareness around what such a diagnosis means may be needed. Future research should examine how different terminologies surrounding other mental health conditions impact help-seeking and stigma.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esgotamento Profissional
/
Aceitação pelo Paciente de Cuidados de Saúde
Tipo de estudo:
Clinical_trials
/
Guideline
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article