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Burdens in mental health recovery: Causal beliefs and their relation to stigma and help seeking recommendations

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  • Lisa Colman
  • Katrijn Delaruelle
  • Carolien Luypaert
  • Rebekka Verniest
  • Piet Bracke

Abstract

Background: Lay attitudes are often seen as potential barriers to mental health recovery. But apart from perceiving them as potential barriers, they can also play an important role in stimulating individuals to consult (in)formal help sources, in particular through the process of help referral. Where existing research mainly focusses on actual help seeking behaviour, this study will focus on lay publics’ referral behaviour. Aims: This study analyses the relation between causal beliefs and stigmatising attitudes and social distance on the one hand, and (in)formal help seeking recommendations on the other. Methods: Data from a survey carried out in 2019, assessing the attitudes of Public Health Insurance Provider (HIP) members towards mental health problems, was used. Part of the survey questions was based on a quantitative quasi-experimental design, using hypothetical written vignettes. The weighted data represent a sample of the adult Flemish population (22–94 years, N = 5675). Multiple linear regression analysis was used to examine the relation between causal beliefs and stigma, while binominal logistic regression analysis was used to investigate the relation between causal beliefs and help seeking recommendations. Results: The results reveal that causal beliefs significantly associate with stigma, measured by stigmatising attitudes and social distance: personal- or biogenetic beliefs associate with more stigma, where psychosocial beliefs associate with less stigma. Concerning help seeking recommendations, psychosocial beliefs associate with recommending psychological or psychotherapeutic care, biogenetic beliefs associate with advising help from general practitioners and suggesting psychiatric help, while personal beliefs negatively associate with recommending formal help. Meanwhile, biogenetic beliefs associate with less informal help seeking recommendations (e.g. family, friends and online self-help), where personal beliefs associate with more informal help seeking recommendations and psychosocial beliefs only associate with online help referral. Conclusion: This study highlights the importance of causal beliefs in affecting public stigma and help seeking recommendations.

Suggested Citation

  • Lisa Colman & Katrijn Delaruelle & Carolien Luypaert & Rebekka Verniest & Piet Bracke, 2021. "Burdens in mental health recovery: Causal beliefs and their relation to stigma and help seeking recommendations," International Journal of Social Psychiatry, , vol. 67(8), pages 992-1004, December.
    • Handle: RePEc:sae:socpsy:v:67:y:2021:i:8:p:992-1004
    DOI: 10.1177/0020764020973249
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    References listed on IDEAS

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    1. Pescosolido, B.A. & Medina, T.R. & Martin, J.K. & Long, J.S., 2013. "The "backbone" of stigma: Identifying the Global core of public prejudice associated with mental illness," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 853-860.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Kvaale, Erlend P. & Gottdiener, William H. & Haslam, Nick, 2013. "Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople," Social Science & Medicine, Elsevier, vol. 96(C), pages 95-103.
    4. Nonneman, Walter & van Doorslaer, Eddy, 1994. "The role of the sickness funds in the Belgian health care market," Social Science & Medicine, Elsevier, vol. 39(10), pages 1483-1495, November.
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