Psychological antecedents to help-seeking behavior: A reanalysis using path modeling structures.

Two recent studies tested whether personal distress, attitudes toward counseling, social support, and self-concealment predicted the likelihood that psychology undergraduates would seek psychological help. The present study reanalyzed the data from these investigations using path modeling. By evaluating direct and indirect effects, results supported the following hypothesized model across both samples: Individuals are more likely to seek counseling when distress is high and attitudes toward counseling are positive; distress is higher when social support networks are impaired and individuals conceal personally distressing information from others; and individuals who conceal information often have negative attitudes toward counseling and impaired social support networks. A direct path from self-concealment to help seeking provided a substantially better fit in only 1 sample. Overall, self-concealment is more important in the intensification rather than relief of psychological difficulties. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult Attachment and Help-Seeking Intent: The Mediating Roles of Psychological Distress and Perceived Social Support.

This study examined the mediating roles of perceived social support and psychological distress on the relationship between adult attachment and help-seeking intentions. Participants were 355 college students at a large Midwestern university. The structural equation model results indicated that attachment anxiety in individuals was positively related to acknowledging distress and to seeking help. Conversely, individuals with attachment avoidance denied their distress and were reluctant to seek help. However, both individuals with attachment anxiety and individuals with avoidance also perceived less social support, which negatively contributed to their experience of distress, and their distress then positively contributed to their help-seeking intention. Furthermore, attachment anxiety and avoidance, social support, and distress explained 17% of the variance in intent to seek help. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social conflict, social support, and psychological distress: Evidence of cross-domain buffering effects.

A longitudinal study examined the relative and joint effects of perceived social support and social conflict on psychological distress in 228 college students. Women had higher perceived social support from roommates and friends and less conflict with roommates than did men; there were no gender differences in level of conflict with friends or psychological distress. Roommate conflict predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from friends. Friend conflict also predicted increases in psychological distress over time; this effect was attenuated by high levels of perceived social support from roommates. These results show the importance of negative and positive aspects of social experiences to emotional functioning and the importance of compensatory social support for individuals facing social conflicts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Roles of perceived sexist events and perceived social support in the mental health of women seeking counseling.

The authors of the present study contribute to research on the role of sexist events in women's mental health by examining the sexism-distress relation (a) with a sample of women who are seeking mental health services and (b) in the context of the additional roles of perceived social support in positive self-appraisal (i.e., empowerment and self-esteem) and psychological distress. A path analysis was conducted with data from 157 women who were seeking counseling services. Results supported the generalizability of previously observed links between the frequency of perceived sexist events and psychological distress. Results also indicated that the sexism-distress link was significant in the context of an additional significant indirect relation of perceived social support with psychological distress, which was mediated through empowerment but not through self-esteem. Implications for future research and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived racism and vascular reactivity in black college women: Moderating effects of seeking social support.

This quasi-experimental study explored the association of perceived racism and seeking social support to vascular reactivity in a college sample of 110 Black women. Perceived racism and seeking social support were assessed via self-report, and vascular reactivity was measured before and during a standardized speaking task. Hierarchical regression analyses indicated that perceived racism was positively related to changes in systolic blood pressure. These analyses also indicated that seeking social support moderated the relationship between perceived racism and systolic blood pressure changes. This interaction effect persisted after controlling for several potential confounders. Follow-up regression analyses showed that perceived racism was positively associated with reactivity among participants who were low in seeking social support. A significant relationship was not observed between perceived racism and systolic blood pressure changes among participants who were high in seeking social support. Perceived racism and seeking social support were not significantly associated with changes in diastolic blood pressure. These findings highlight the importance of examining psychosocial factors that may mitigate the hypothesized relationship between perceived racism and reactivity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in job strain, social support at work, and psychological distress.

Using the demand-control-support model of job strain, the authors examined gender differences in the relationship between psychosocial work exposures and psychological distress in a cross-sectional sample of 7,484 employed Canadians. Compared with low-strain work, high-strain and active work were associated with a significantly higher level of distress in both men and women. Differences in psychological distress in relation to psychosocial work exposures were greater for men than for women. Low social support was associated with higher distress across all categories of job strain, and the combined effect of low social support and high job strain was associated with the greatest increase in distress. This pattern was similar in men and women. This study suggests that psychosocial work exposures may be a more significant determinant of psychological well-being in male workers compared with female workers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maladaptive perfectionism, hassles, coping, and psychological distress in university professors.

This study examined the roles of hassles, avoidant and problem-focused coping, and perceived social support as mediating the relationship between maladaptive perfectionism and psychological distress in a sample of university professors. Hassles and avoidant coping both partially mediated a strong association between maladaptive perfectionism and psychological distress. These results are discussed in terms of the need to better understand how coping styles and social support are associated with the negative impact of perfectionism on the lives of university professors. The implications of these findings for counseling practice are also explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pre-hurricane perceived social support protects against psychological distress: A longitudinal analysis of low-income mothers.

Objective: In this study, we examined the influence of pre-disaster perceived social support on post-disaster psychological distress among survivors of Hurricane Katrina. Method: Participants (N = 386) were low-income mothers between 18 and 34 years of age at baseline (M = 26.4, SD = 4.43). The majority (84.8%) was African American; 10.4% identified as Caucasian, 3.2% identified as Hispanic, and 1.8% identified as other. Participants were enrolled in an educational intervention study in 2004 and 2005. Those who had completed a 1-year follow-up assessment prior to Hurricane Katrina were reassessed approximately 1 year after the hurricane. Measures of perceived social support and psychological distress were included in pre- and post-disaster assessments. Using structural equation modeling and multiple mediator analysis, we tested a model wherein pre-disaster perceived social support predicted post-disaster psychological distress both directly and indirectly through its effects on pre-disaster psychological distress, exposure to hurricane-related stressors, and post-disaster perceived social support. We predicted that higher pre-disaster perceived social support would be predictive of lower pre-disaster psychological distress, lower hurricane-related stressors, and higher post-disaster perceived social support, and that these variables would, in turn, predict lower post-disaster psychologically distress. Results: Our analyses provide partial support for the hypothesized model. Although pre-disaster perceived social support did not exert a direct effect on post-disaster psychological distress, the indirect effects of all 3 proposed mediators were significant. Conclusions: Pre-disaster social support can decrease both exposure to natural disasters and the negative psychological effects of natural disaster exposure. These findings underscore the importance of bolstering the post-disaster social support networks of low-income mothers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ego identity, social anxiety, social support, and self-concealment in lesbian, gay, and bisexual individuals.

This study examined a model in which the relationship between social anxiety and two dimensions of ego identity (commitment and exploration) was expected to be mediated by social support and self-concealment for a sample of lesbian, gay, and bisexual individuals (N=347). Statistically significant paths were found from social anxiety to social support and self-concealment. Statistically significant paths were also found from social support to commitment, exploration, and self-concealment. There were no significant paths from social anxiety to commitment or exploration. Structural equation analyses and bootstrap procedures revealed support for the potential mediational role of social support in the association between social anxiety and the two dimensions of ego identity as well as in the link between social anxiety and self-concealment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Filipino Americans and racism: A multiple mediation model of coping.

Although the literature on Asian Americans and racism has been emerging, few studies have examined how coping influences one’s encounters with racism. To advance the literature, the present study focused on the psychological impact of Filipino Americans’ experiences with racism and the role of coping as a mediator using a community-based sample of adults (N = 199). Two multiple mediation models were used to examine the mediating effects of active, avoidance, support-seeking, and forbearance coping on the relationship between perceived racism and psychological distress and self-esteem, respectively. Separate analyses were also conducted for men and women given differences in coping utilization. For men, a bootstrap procedure indicated that active, support-seeking, and avoidance coping were mediators of the relationship between perceived racism and psychological distress. Active coping was negatively associated with psychological distress, whereas both support seeking and avoidance were positively associated with psychological distress. A second bootstrap procedure for men indicated that active and avoidance coping mediated the relationship between perceived racism and self-esteem such that active coping was positively associated with self-esteem, and avoidance was negatively associated with self-esteem. For women, only avoidance coping had a significant mediating effect that was associated with elevations in psychological distress and decreases in self-esteem. The results highlight the importance of examining the efficacy of specific coping responses to racism and the need to differentiate between the experiences of men and women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perfectionism, stress, and social (dis)connection: A short-term study of hopelessness, depression, and academic adjustment among honors students.

This study tested models of perfectionism predicting psychological distress and academic adjustment and moderators and mediators of those associations in 2 successive cohorts of high-achieving university honors students (N = 499). Participants completed measures early and late in the semester. Adaptive (high standards) and maladaptive (self-critical perceptions of inadequacy in meeting performance expectations) dimensions of perfectionism were found to be significantly associated, in generally expected directions, with concurrent and prospective perceived stress, social connectedness, depression, hopelessness, and perceived academic adjustment. However, some perfectionism effects were reduced when earlier psychological distress and adjustment were controlled in analyses predicting later distress and adjustment. Several effects were moderated and at least partially mediated by perceived stress and social connection. The results suggest several counseling implications for high-achieving, perfectionistic students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gendered Work Conditions, Health, and Work Outcomes.

This cross-sectional study of nonfaculty university employees examined associations among gendered work conditions (e.g., sexism and discrimination), job demands, and employee job satisfaction and health. Organizational responsiveness and social support were examined as effect modifiers. Comparisons were made by gender and by the male-female ratio in each job category. The relationship of gendered conditions of work to outcomes differed on the basis of respondents' sex and the job sex ratio. Although the same predictors were hypothesized for job satisfaction, physical health, and psychological distress, there were some differing results. The strongest correlate of job satisfaction was social support; perceived sexism in the workplace also contributed for both men and women. Organizational factors associated with psychological distress differed between female- and male-dominated jobs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining potential moderators of the link between heterosexist events and gay and bisexual men's psychological distress.

The purpose of this study was to examine (a) the relationship between heterosexist events and psychological distress and (b) the potential moderating roles of social support, avoidant coping, and self-esteem in the relationship between heterosexist events and psychological distress among 210 gay and bisexual men. Findings from the Web-based Internet survey revealed that many gay and bisexual men experienced heterosexist harassment, rejection, and discrimination at least once in a while during the past year and that these experiences were positively related to psychological distress. Results also indicated that self-esteem moderated the relationship between heterosexist events and psychological distress, with significant risk being associated with low self-esteem. No support was found for the moderating roles of social support and avoidant coping in the link between heterosexist events and psychological distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Applicants' experience of social support in the process of seeking psychotherapy.

Examined informal social support during the process of seeking psychotherapy, conceptualized as four steps: realizing there is a problem; deciding therapy might help; deciding to seek therapy; and contacting the clinic. 315 psychotherapy applicants (aged 18–62 yrs) completed a questionnaire asking them whether they had talked to anyone about the problem prior to seeking therapy, whether they had help at any of the steps, and from whom they had obtained such help. Results indicated that social support was important across the process. Almost three-fourths of all Ss had help with at least 2 of the 4 steps, and almost one-third had help at all 4. Younger applicants had more help. Males more frequently had help from a spouse or romantic partner than females. Medical professionals were used primarily for referral to the clinic, rather than as sources of help at earlier steps. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prediction of psychological symptoms under high-risk psychosocial circumstances: Life events, social support, and symptom specificity.

Examined life events, perceived dimensions of events, and social support in predicting different types of psychological symptoms (e.g., depressive and anxiety symptoms), all within the context of a specific high-risk situation for psychological distress: the final-examination period for university students (N?=?167). Ss were administered a battery of tests that included the State-Trait Anxiety Inventory and the Beck Depression Inventory. Results indicate that (a) certain dimensions of events and particular aspects of social support are directly related to symptoms manifested during final-examination stress, (b) perceived dimensions of events and social support interactively predict symptoms, and (c) depressive symptoms—in contrast to general distress or anxiety symptoms—are relatively specifically a function of events and support. Findings are discussed within the context of existing research; the implications for extending similar strategies employing other high-risk psychosocial circumstances are advanced. (59 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Why do some students avoid asking for help? An examination of the interplay among students' academic efficacy, teachers' social–emotional role, and the classroom goal structure.

With hierarchical linear modeling, student reports of the avoidance of help seeking were related to student and classroom characteristics. Avoidance of help seeking was related negatively to students' academic efficacy. However, avoidance of help seeking was related less strongly to students' academic efficacy in classrooms in which teachers believed they should attend to their students' social and emotional needs. Average levels of avoidance of help seeking were related to students' perceptions of the classroom goal structure: A perceived emphasis on self-improvement was related to lower levels of help avoidance, whereas a perceived emphasis on relative ability was associated with higher levels. Teacher reports of their approaches to instruction (emphasizing self-improvement or emphasizing relative ability) were unrelated to students' avoidance of help seeking. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences in distress among adult children of alcoholics.

Investigated within-group differences in psychological distress, social support, and hardiness among adult children of alcoholics (ACAs). Members of ACA support groups (21 men, 58 women) were compared to ACA college students (27 men, 40 women) not involved in such support groups. Support group members reported higher levels of psychological distress, lower levels of hardiness, and less satisfaction with perceived social support than did the college student ACAs. Support group members also reported more negative feelings, attitudes, and behaviors with regard to parental alcoholism than did the college students. For both groups, hardiness and social support were negatively correlated with psychological distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On going to the counselor: Contributions of life stress and social supports to the decision to seek psychological counseling.

Studied life stresses and social supports in 100 17–27 yr old college students to specify how these factors contributed to the decision of 50 Ss to seek psychological counseling. Life stress was measured with a life events checklist that yielded scores on the number and perceived impact of events. Social support was measured with a network size index that yielded scores on the number of potential and actual providers of support in each of 6 support categories. Results show that Ss who sought counseling reported no more negative events than their peers, but they reported greater impact of these events, fewer positive events, less family closeness, less frequent speaking to their parents, and more family history of seeking counseling. Ss who sought counseling reported having fewer available supports in 5 of the 6 categories of support. It is suggested that given equal numbers of stressful events, the likelihood of seeking counseling increases as social supports decrease. (53 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Women with bulimic eating disorders: When do they receive treatment for an eating problem?

Variables associated with the use of health services were examined in a prospective, community-based study of women with bulimic-type eating disorders who did (n = 33) or did not (n = 58) receive treatment for an eating problem during a 12-month follow-up period. Participants who received treatment for an eating problem differed from those who did not in several respects, including higher body weight, higher levels of eating disorder psychopathology, general psychological distress, and impairment in role functioning, deficits in specific aspects of coping style, greater awareness of an eating problem, and greater likelihood of prior treatment for a problem with weight. However, the variables most strongly associated with treatment seeking were greater perceived impairment in role functioning specifically associated with an eating problem and greater perceived inability to suppress emotional difficulties. These were the only variables that were significantly associated with treatment seeking in multivariable analysis. The findings suggest that individuals’ recognition of the adverse effects of eating-disordered behavior on quality of life may need to be addressed in prevention and early intervention programs for eating disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)