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    Pathways from health beliefs to treatment utilization for severe depression

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    Author
    Lilly, Flavius R.W.
    Jun, Hyun Jin
    Alvarez, Patty
    Owens, Jenny
    Malloy, Lauren
    Bruce-Bojo, Meghan
    Vidal, Carol
    Date
    2020-10-07
    Journal
    Brain and Behavior
    Publisher
    Wiley-Blackwell
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1002/brb3.1873
    Abstract
    Background: Untreated depression is associated with negative behavioral, psychosocial, and physical outcomes leading to socioeconomic costs, disability, and premature mortality. Research has not yet fully developed intervention models to increase the utilization of mental health treatments. The objective of the current study was to characterize the pathways linking health beliefs to treatment utilization among depressed young adults. Methods: Data were collected in 2017 from 53,760 college students at 54 universities in the United States. Among the respondents, 5,343 screened positive for moderately severe to severe depression. Becker's Health Belief Model (HBM) was the guiding theoretical paradigm. Confirmatory factor analysis and structural equation modeling (SEM) were conducted to elucidate treatment-seeking behavior based on health beliefs (perceived severity, perceived benefit, perceived barriers, self-efficacy, and cues-to-action) while controlling for relevant sociodemographic covariates. Results: Depression treatment utilization was significantly associated with all domains of the HBM. SEM parameter estimates indicated that higher levels of perceived severity, self-efficacy, and cues-to-action were associated with greater depression treatment utilization, whereas perceived benefits and perceived barriers were associated with lower depression treatment utilization. Conclusions: The HBM may be useful to predict the frequency of seeking treatment by individuals for depression. However, individualized intervention strategies targeting different aspects of the HBM are needed to promote help-seeking behaviors in young adults with depression. © 2020 The Authors.
    Keyword
    depression
    epidemiology
    treatment
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/13871
    ae974a485f413a2113503eed53cd6c53
    10.1002/brb3.1873
    Scopus Count
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    UMB Open Access Articles 2020

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