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研究生: 蔡一銓
Tsai, I-Chuan
論文名稱: 公眾對於憂鬱症患者的態度與信念:心理社會歸因、刻板印象、情緒反應、與求助建議之間的關係
Public attitudes and beliefs for individuals with depression: The relations of psychosocial causal beliefs, stereotypes, emotional reactions and help-seeking preferences
指導教授: 連盈如
Lien, Yin-Ju
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2020
畢業學年度: 108
語文別: 英文
論文頁數: 51
中文關鍵詞: 公眾態度憂鬱症求助建議串聯中介模型電腦輔助電話訪問
英文關鍵詞: Public attitude, Depression, Help-seeking preferences, Serial-multiple mediation model, Computer-assisted telephone interviewing
DOI URL: http://doi.org/10.6345/NTNU202001067
論文種類: 學術論文
相關次數: 點閱:277下載:0
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  • 研究背景及目的:公眾對於憂鬱症患者的心理社會歸因會增加公眾污名,而公眾污名是憂鬱症患者尋求協助的主要障礙之一。關於憂鬱症心理社會歸因、公眾污名、與求助專業建議彼此間關聯性仍未有定論,本研究旨在探討公眾對於憂鬱症患者的心理社會歸因、刻板印象、情緒反應與求助專業建議之關係。
    研究方法:本研究利用電腦輔助電話訪問系統以隨機撥號的方式抽取具全國代表性之資料,針對臺灣20歲至65歲公眾 (n = 800) 進行資料收集。針對所提供的憂鬱症患者案例,詢問關於憂鬱症罹病的心理社會歸因和對於憂鬱症的污名態度,包含:刻板印象、情緒反應,以及尋求專業協助的建議。本研究透過串聯中介分析檢驗心理社會歸因對於尋求專業協助建議之直接效果與間接效果。
    研究結果:心理社會歸因對覺察依賴性有正向影響,並進而導致同情的情緒反應,最終增加對心理健康專業的求助建議。心理社會歸因會增加覺察依賴性,並進而導致恐懼的情緒反應,最終增加對其他醫療專業(家醫科醫師及中醫師)的求助建議。
    研究結論:本研究結果顯示降低恐懼與增加同情之情緒可能有助於公眾建議憂鬱症患者尋求心理健康專業協助。公眾對憂鬱症的刻板印象和情緒反應在心理社會歸因對心理健康專業求助建議和其他醫療專業求助建議之間的關係中具有不同的串聯中介作用。瞭解這些潛在機制,可提供未來發展及規劃憂鬱症相關介入措施的實徵研究基礎。

    Background and Aims: Public stigma is one of the most important barriers for help-seeking of people with depression, which can be predicted by psychosocial causal beliefs. Up to now, evidence for the association between psychosocial causal beliefs, different dimensions of public stigma, and professional help-seeking preferences was either insufficient or largely inconsistent. The present study aimed to explore how psychosocial causal beliefs, stereotypes, and emotional reactions could affect professional help-seeking preferences.
    Methods: A nationally representative sample of Taiwanese adults aged 20-65 (n = 800) was recruited by random-digit-dialing computer-assisted telephone interviewing system. Participants were asked to answer their psychosocial causal beliefs, stigmatizing attitudes (i.e., stereotypes and emotional reactions), and professional help-seeking preferences for a person with depression described in a case vignette. Serial mediation analyses were conducted to test the direct and indirect effects of psychosocial causal beliefs on professional help-seeking preferences.
    Results: Psychosocial causal beliefs were positively associated with perceived dependency, which resulted in stronger pity and, in turn, increased help-seeking preferences for mental health professionals. Psychosocial causal beliefs were positively associated with perceived dependency, which resulted in stronger fear and, in turn, increased help-seeking preferences for other medical professionals (i.e., general practitioner, and Chinese medical doctor).
    Conclusions: This study indicated that reducing negative emotional reactions such as fear and increasing the emotion of pity were likely to be useful in promoting public preferences to seek help from mental health professionals. Stereotypes and emotional reactions toward depression had differential serial mediating effects in the relationships between psychosocial causal beliefs with help-seeking preferences for mental health professionals and for other medical professionals. Understanding these complex associations might enable further work in designing evidence-based interventions for depression.

    Chap.1 Introduction 1 1.1 Epidemiology and impacts of people with depression 1 1.2 Help-seeking preferences for depression 3 1.3 Psychosocial causal beliefs and help-seeking preferences for depression 7 1.4 The psychosocial causal beliefs, stereotypes, emotional reactions and help-seeking preferences for depression 9 1.5 Significance and aims 12 1.6 Research hypotheses 14 Chap.2 Method 15 2.1 Study design and sample 15 2.2 Measures 16 2.3 Statistical analyses 20 Chap.3 Results 23 3.1 Descriptive statistics of public beliefs and attitudes towards depression 23 3.2 Correlation analyses 24 3.3 Mediation analyses 25 3.4 Indirect and serial indirect effects of psychosocial causal beliefs on help-seeking preferences for mental health professionals 26 3.5 Indirect and serial indirect effects of psychosocial causal beliefs on help-seeking preferences for other medical professionals 27 Chap.4 Discussion 31 4.1 The mediating role of perceived dependency 32 4.2 The mediating role of emotional reactions 33 4.3 The serial mediating role of perceived dependency and emotional reactions 34 4.4 Limitations 37 Chap.5 Conclusion 38 Appendix. The case vignette 39 References 40

    Andrade, L. H., Alonso, J., Mneimneh, Z., Wells, J. E., Al-Hamzawi, A., Borges, G., . . . Kessler, R. C. (2014). Barriers to mental health treatment: results from the WHO World Mental Health surveys. Psychological Medicine, 44(6), 1303-1317. doi:10.1017/s0033291713001943
    Angermeyer, M. C., Breier, P., Dietrich, S., Kenzine, D., & Matschinger, H. (2005). Public attitudes toward psychiatric treatment. An international comparison. Social Psychiatry and Psychiatric Epidemiology, 40(11), 855-864. doi:10.1007/s00127-005-0958-x
    Angermeyer, M. C., Buyantugs, L., Kenzine, D. V., & Matschinger, H. (2004). Effects of labelling on public attitudes towards people with schizophrenia: are there cultural differences? Acta Psychiatrica Scandinavica, 109(6), 420-425. doi:10.1111/j.1600-0047.2004.00310.x
    Angermeyer, M. C., Holzinger, A., & Matschinger, H. (2009). Mental health literacy and attitude towards people with mental illness: a trend analysis based on population surveys in the eastern part of Germany. European Psychiatry, 24(4), 225-232. doi:10.1016/j.eurpsy.2008.06.010
    Angermeyer, M. C., Holzinger, A., & Matschinger, H. (2010). Emotional reactions to people with mental illness. Epidemiology and Psychiatric Sciences, 19(1), 26-32.
    Angermeyer, M. C., & Matschinger, H. (2003a). Public beliefs about schizophrenia and depression: similarities and differences. Social Psychiatry and Psychiatric Epidemiology, 38(9), 526-534. doi:10.1007/s00127-003-0676-6
    Angermeyer, M. C., & Matschinger, H. (2003b). The stigma of mental illness: effects of labelling on public attitudes towards people with mental disorder. Acta Psychiatrica Scandinavica., 108(4), 304-309.
    Angermeyer, M. C., Matschinger, H., & Riedel-Heller, S. G. (1999). Whom to ask for help in case of a mental disorder? Preferences of the lay public. Social Psychiatry and Psychiatric Epidemiology, 34(4), 202-210.
    Angermeyer, M. C., Matschinger, H., & Riedel-Heller, S. G. (2001). What to do about mental disorder--help-seeking recommendations of the lay public. Acta Psychiatrica Scandinavica, 103(3), 220-225.
    Angermeyer, M. C., Matschinger, H., & Schomerus, G. (2013). Attitudes towards psychiatric treatment and people with mental illness: changes over two decades. The British Journal of Psychiatry, 203(2), 146-151. doi:10.1192/bjp.bp.112.122978
    Angermeyer, M. C., Millier, A., Remuzat, C., Refai, T., & Toumi, M. (2013). Attitudes and beliefs of the French public about schizophrenia and major depression: results from a vignette-based population survey. BMC Psychiatry, 13, 313. doi:10.1186/1471-244x-13-313
    Angermeyer, M. C., van der Auwera, S., Carta, M. G., & Schomerus, G. (2017). Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta-analysis of population surveys. World Psychiatry, 16(1), 50-61. doi:10.1002/wps.20383
    Aromaa, E., Tolvanen, A., Tuulari, J., & Wahlbeck, K. (2011). Personal stigma and use of mental health services among people with depression in a general population in Finland. BMC Psychiatry, 11, 52. doi:10.1186/1471-244x-11-52
    Barkil-Oteo, A. (2013). Collaborative care for depression in primary care: how psychiatry could "troubleshoot" current treatments and practices. Yale Journal of Biology and Medicine, 86(2), 139-146.
    Barney, L. J., Griffiths, K. M., Jorm, A. F., & Christensen, H. (2006). Stigma about depression and its impact on help-seeking intentions. Australian & New Zealand Journal of Psychiatry, 40(1), 51-54. doi:10.1080/j.1440-1614.2006.01741.x
    Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
    Barrera, A. Z., Torres, L. D., & Munoz, R. F. (2007). Prevention of depression: the state of the science at the beginning of the 21st Century. International review of psychiatry (Abingdon, England), 19(6), 655-670. doi:10.1080/09540260701797894
    Boge, K., Hahn, E., Cao, T. D., Fuchs, L. M., Martensen, L. K., Schomerus, G., . . . Ta, T. M. T. (2018). Treatment recommendation differences for schizophrenia and major depression: a population-based study in a Vietnamese cohort. International Journal of Mental Health Systems, 12, 70. doi:10.1186/s13033-018-0247-6
    Bradvik, L., Mattisson, C., Bogren, M., & Nettelbladt, P. (2010). Mental disorders in suicide and undetermined death in the Lundby Study. The contribution of severe depression and alcohol dependence. Archives of Suicide Research, 14(3), 266-275. doi:10.1080/13811118.2010.494146
    Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W. T., Sampson, N., Kessler, R. C., . . . Nock, M. K. (2011). Treatment of suicidal people around the world. The British journal of psychiatry: the journal of mental science, 199(1), 64-70. doi:10.1192/bjp.bp.110.084129
    Campion, J., Bhui, K., & Bhugra, D. (2012). European Psychiatric Association (EPA) guidance on prevention of mental disorders. European Psychiatry, 27(2), 68-80. doi:10.1016/j.eurpsy.2011.10.004
    Chen, J. A., Hung, G. C., Parkin, S., Fava, M., & Yeung, A. S. (2015). Illness beliefs of Chinese American immigrants with major depressive disorder in a primary care setting. Asian Journal of Psychiatry, 13, 16-22. doi:10.1016/j.ajp.2014.12.005
    Chen, S. X., & Mak, W. W. S. (2008). Seeking professional help: Etiology beliefs about mental illness across cultures. Journal of Counseling Psychology, 55(4), 442-450. doi:10.1037/a0012898
    Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., . . . Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11-27. doi:10.1017/s0033291714000129
    Cook, T. M., & Wang, J. (2011). Causation beliefs and stigma against depression: results from a population-based study. Journal of Affective Disorders, 133(1-2), 86-92. doi:10.1016/j.jad.2011.03.030
    Corrigan, P. W. (2016). Lessons learned from unintended consequences about erasing the stigma of mental illness. World Psychiatry, 15(1), 67-73. doi:10.1002/wps.20295
    Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care. Psychological Science in the Public Interest, 15(2), 37-70. doi:10.1177/1529100614531398
    Cunningham, P. J. (2009). Beyond parity: primary care physicians' perspectives on access to mental health care. Health Affairs, 28(3), w490-501. doi:10.1377/hlthaff.28.3.w490
    Dietrich, S., Beck, M., Bujantugs, B., Kenzine, D., Matschinger, H., & Angermeyer, M. C. (2004). The relationship between public causal beliefs and social distance toward mentally ill people. Australian and New Zealand Journal of Psychiatry, 38(5), 348-354; discussion 355-347. doi:10.1080/j.1440-1614.2004.01363.x
    Dunlop, B. W., Scheinberg, K., & Dunlop, A. L. (2013). Ten ways to improve the treatment of depression and anxiety in adults. Mental Health in Family Medicine, 10(3), 175-181.
    Ellison, N., Mason, O., & Scior, K. (2015). Public beliefs about and attitudes towards bipolar disorder: testing theory based models of stigma. Journal of Affective Disorders, 175, 116-123. doi:10.1016/j.jad.2014.12.047
    Fernandez, A., Haro, J. M., Martinez-Alonso, M., Demyttenaere, K., Brugha, T. S., Autonell, J., . . . Alonso, J. (2007). Treatment adequacy for anxiety and depressive disorders in six European countries. The British Journal of Psychiatry, 190, 172-173. doi:10.1192/bjp.bp.106.023507
    Ferrari, A. J., Charlson, F. J., Norman, R. E., Patten, S. B., Freedman, G., Murray, C. J., . . . Whiteford, H. A. (2013). Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Medicine, 10(11), e1001547. doi:10.1371/journal.pmed.1001547
    Fox, A. B., Earnshaw, V. A., Taverna, E. C., & Vogt, D. (2018). Conceptualizing and Measuring Mental Illness Stigma: The Mental Illness Stigma Framework and Critical Review of Measures. Stigma Health, 3(4), 348-376. doi:10.1037/sah0000104
    Greenberg, P. E., Fournier, A. A., Sisitsky, T., Pike, C. T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). Journal of Clinical Psychiatry, 76(2), 155-162. doi:10.4088/JCP.14m09298
    Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10, 113. doi:10.1186/1471-244x-10-113
    Gulliver, A., Griffiths, K. M., Christensen, H., & Brewer, J. L. (2012). A systematic review of help-seeking interventions for depression, anxiety and general psychological distress. BMC Psychiatry, 12, 81-81. doi:10.1186/1471-244X-12-81
    Gustavsson, A., Svensson, M., Jacobi, F., Allgulander, C., Alonso, J., Beghi, E., . . . Olesen, J. (2011). Cost of disorders of the brain in Europe 2010. European Neuropsychopharmacology, 21(10), 718-779. doi:10.1016/j.euroneuro.2011.08.008
    Hagmayer, Y., & Engelmann, N. (2014). Causal beliefs about depression in different cultural groups-what do cognitive psychological theories of causal learning and reasoning predict? Frontiers in Psychology, 5, 1303. doi:10.3389/fpsyg.2014.01303
    Halter, M. J. (2004). The stigma of seeking care and depression. Arch Psychiatr Nurs, 18(5), 178-184. doi:10.1016/j.apnu.2004.07.005
    Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical Mediation Analysis in the New Millennium. Communication Monographs, 76(4), 408-420. doi:10.1080/03637750903310360
    Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Second Edition. New York, NY, US: Guilford Press.
    Heijnders, M., & Van Der Meij, S. (2006). The fight against stigma: an overview of stigma-reduction strategies and interventions. Psychology, Health & Medicine, 11(3), 353-363. doi:10.1080/13548500600595327
    Highet, N. J., Hickie, I. B., & Davenport, T. A. (2002). Monitoring awareness of and attitudes to depression in Australia. The Medical Journal of Australia, 176 Suppl, S63-68.
    Holzinger, A., Floris, F., Schomerus, G., Carta, M. G., & Angermeyer, M. C. (2012). Gender differences in public beliefs and attitudes about mental disorder in western countries: a systematic review of population studies. Epidemiology and Psychiatric Sciences, 21(1), 73-85.
    Holzinger, A., Matschinger, H., & Angermeyer, M. C. (2011). What to do about depression? Help-seeking and treatment recommendations of the public. Epidemiology and Psychiatric Sciences, 20(2), 163-169.
    Hsu, M. C., Creedy, D., Moyle, W., Venturato, L., Tsay, S. L., & Ouyang, W. C. (2008). Use of Complementary and Alternative Medicine among adult patients for depression in Taiwan. Journal of Affective Disorders, 111(2-3), 360-365. doi:10.1016/j.jad.2008.03.010
    Jorm, A. F., & Wright, A. (2008). Influences on young people's stigmatising attitudes towards peers with mental disorders: national survey of young Australians and their parents. The British Journal of Psychiatry, 192(2), 144-149. doi:10.1192/bjp.bp.107.039404
    Kalra, G., Christodoulou, G., Jenkins, R., Tsipas, V., Christodoulou, N., Lecic-Tosevski, D., . . . Bhugra, D. (2012). Mental health promotion: guidance and strategies. European Psychiatry, 27(2), 81-86. doi:10.1016/j.eurpsy.2011.10.001
    Kasteenpohja, T., Marttunen, M., Aalto-Setälä, T., Perälä, J., Saarni, S. I., & Suvisaari, J. (2015). Treatment received and treatment adequacy of depressive disorders among young adults in Finland. BMC Psychiatry, 15(1), 47. doi:10.1186/s12888-015-0427-8
    Kessler, R. C., & Bromet, E. J. (2013). The epidemiology of depression across cultures. Annual Review of Public Health, 34, 119-138. doi:10.1146/annurev-publhealth-031912-114409
    Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bull World Health Organ, 82(11), 858-866. doi:/s0042-96862004001100011
    Lam, C., Tsang, Corrigan, P., Lee, K., Angell, B., Shi, J., & Larson, J. E. (2010). Chinese Lay Theory and Mental Illness Stigma: Implications for Research and Practices. Journal of Rehabilitation Medicine, 76, 35-40.
    Li, W., & Reavley, N. (2020). Recognition and beliefs about treatment for mental disorders in mainland China: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 55(2), 129-149. doi:10.1007/s00127-019-01799-3
    Liao, S. C., Chen, W. J., Lee, M. B., Lung, F. W., Lai, T. J., Liu, C. Y., . . . Chen, C. C. (2012). Low prevalence of major depressive disorder in Taiwanese adults: possible explanations and implications. Psychological Medicine, 42(6), 1227-1237. doi:10.1017/S0033291711002364
    Lien, Y. J., & Kao, Y. C. (2019). Public beliefs and attitudes toward schizophrenia and depression in Taiwan: A nationwide survey. Psychiatry Research, 273, 435-442. doi:10.1016/j.psychres.2019.01.062
    Link, B. G., Cullen, F. T., Frank, J., & Wozniak, J. F. (1987). The Social Rejection of Former Mental Patients: Understanding Why Labels Matter. American Journal of Sociology, 92(6), 1461-1500. doi:10.1086/228672
    Link, B. G., & Phelan, J. C. (2001). Conceptualizing Stigma. Annual Review of Sociology, 27(1), 363-385. doi:10.1146/annurev.soc.27.1.363
    Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511-541.
    MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593-614. doi:10.1146/annurev.psych.58.110405.085542
    Mak, W. W. S., & Chen, S. X. (2010). Illness behaviors among the Chinese. In The Oxford handbook of Chinese psychology. (pp. 421-439). New York, NY, US: Oxford University Press.
    Mak, W. W. S., Chong, E. S., & Wong, C. C. (2014). Beyond attributions: Understanding public stigma of mental illness with the common sense model. American Journal of Orthopsychiatry, 84(2), 173-181. doi:10.1037/h0099373
    Makowski, A. C., Mnich, E. E., Angermeyer, M. C., & von dem Knesebeck, O. (2016). Continuum beliefs in the stigma process regarding persons with schizophrenia and depression: results of path analyses. PeerJ, 4, e2360. doi:10.7717/peerj.2360
    Mardia, K. V., & Foster, K. (1983). Omnibus tests of multinormality based on skewness and kurtosis. Communications in Statistics - Theory and Methods, 12(2), 207-221. doi:10.1080/03610928308828452
    Martin, J. K., Pescosolido, B. A., Olafsdottir, S., & McLeod, J. D. (2007). The construction of fear: Americans' preferences for social distance from children and adolescents with mental health problems. Journal of Health and Social Behavior, 48(1), 50-67. doi:10.1177/002214650704800104
    Midanik, L. T., Greenfield, T. K., & Rogers, J. D. (2001). Reports of alcohol-related harm: telephone versus face-to-face interviews. Journal of Studies on Alcohol, 62(1), 74-78. doi:10.15288/jsa.2001.62.74
    Moro, M. F., Angermeyer, M. C., Matschinger, H., Holzinger, A., Piras, A. P., Cutrano, F., . . . Carta, M. G. (2015). Whom to Ask for Professional Help in Case of Major Depression? Help-Seeking Recommendations of the Sardinian Public. Administration and Policy in Mental Health and Mental Health Services Research, 42(6), 704-713. doi:10.1007/s10488-014-0604-y
    Munizza, C., Argentero, P., Coppo, A., Tibaldi, G., Di Giannantonio, M., Picci, R. L., & Rucci, P. (2013). Public beliefs and attitudes towards depression in Italy: a national survey. PLoS One, 8(5), e63806. doi:10.1371/journal.pone.0063806
    Nordholm, L. A., & Westbrook, M. T. (2010). Effects of depression, self‐blame and dependency on health professionals' evaluation of paraplegic patients. Australian Occupational Therapy Journal, 33, 59-70. doi:10.1111/j.1440-1630.1986.tb01532.x
    Oliffe, J. L., Ogrodniczuk, J. S., Bottorff, J. L., Johnson, J. L., & Hoyak, K. (2012). "You feel like you can't live anymore": suicide from the perspectives of Canadian men who experience depression. Social Science & Medicine, 74(4), 506-514. doi:10.1016/j.socscimed.2010.03.057
    Parcesepe, A. M., & Cabassa, L. J. (2013). Public stigma of mental illness in the United States: a systematic literature review. Administration and Policy in Mental Health and Mental Health Services Research, 40(5), 384-399. doi:10.1007/s10488-012-0430-z
    Patel, V. (2017). Talking sensibly about depression. PLoS Medicine, 14(4), e1002257. doi:10.1371/journal.pmed.1002257
    Pattyn, E., Verhaeghe, M., & Bracke, P. (2013). Attitudes toward community mental health care: the contact paradox revisited. Community Mental Health Journal, 49(3), 292-302. doi:10.1007/s10597-012-9564-4
    Pescosolido, B. A., Martin, J. K., Long, J. S., Medina, T. R., Phelan, J. C., & Link, B. G. (2010). "A disease like any other"? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. American Journal of Psychiatry, 167(11), 1321-1330. doi:10.1176/appi.ajp.2010.09121743
    Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., . . . Wang, Z. (2009). Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001-05: an epidemiological survey. Lancet, 373(9680), 2041-2053. doi:10.1016/s0140-6736(09)60660-7
    Picco, L., Abdin, E., Chong, S. A., Pang, S., Vaingankar, J. A., Sagayadevan, V., . . . Subramaniam, M. (2016). Beliefs About Help Seeking for Mental Disorders: Findings From a Mental Health Literacy Study in Singapore. Psychiatric Services, 67(11), 1246-1253. doi:10.1176/appi.ps.201500442
    Puyat, J. H., Kazanjian, A., Goldner, E. M., & Wong, H. (2016). How Often Do Individuals with Major Depression Receive Minimally Adequate Treatment? A Population-Based, Data Linkage Study. The Canadian Journal of Psychiatry, 61(7), 394-404. doi:10.1177/0706743716640288
    Reavley, N. J., & Jorm, A. F. (2011a). Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma. Australian and New Zealand Journal of Psychiatry, 45(11), 947-956. doi:10.3109/00048674.2011.621060
    Reavley, N. J., & Jorm, A. F. (2011b). Stigmatizing attitudes towards people with mental disorders: findings from an Australian National Survey of Mental Health Literacy and Stigma. Australian and New Zealand Journal of Psychiatry, 45(12), 1086-1093. doi:10.3109/00048674.2011.621061
    Reddy, M. S. (2010). Depression: the disorder and the burden. Indian Journal of Psychological Medicine, 32(1), 1-2. doi:10.4103/0253-7176.70510
    Reynders, A., Kerkhof, A. J., Molenberghs, G., & Van Audenhove, C. (2014). Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Social Psychiatry and Psychiatric Epidemiology, 49(2), 231-239. doi:10.1007/s00127-013-0745-4
    Rickwood, D., & Thomas, K. (2012). Conceptual measurement framework for help-seeking for mental health problems. Psychology Research and Behavior Management, 5, 173-183. doi:10.2147/prbm.S38707
    Rickwood, D., Thomas, K., & Bradford, S. (2012). Review of help-seeking measures in mental health: an Evidence Check rapid review brokered by the Sax Institute for beyondblue. Retrieved from https://www.saxinstitute.org.au/
    Riedel-Heller, S. G., Matschinger, H., & Angermeyer, M. C. (2005). Mental disorders--who and what might help? Help-seeking and treatment preferences of the lay public. Social Psychiatry and Psychiatric Epidemiology, 40(2), 167-174. doi:10.1007/s00127-005-0863-8
    Ritsher, J. B., & Phelan, J. C. (2004). Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research, 129(3), 257-265. doi:10.1016/j.psychres.2004.08.003
    Roth, P. L., Switzer, F. S., & Switzer, D. M. (1999). Missing Data in Multiple Item Scales: A Monte Carlo Analysis of Missing Data Techniques. Organizational Research Methods, 2(3), 211-232. doi:10.1177/109442819923001
    Sadler, M. S., Kaye, K. E., & Vaughn, A. A. (2015). Competence and warmth stereotypes prompt mental illness stigma through emotions. Journal of Applied Social Psychology, 45(11), 602-612. doi:doi:10.1111/jasp.12323
    Salaheddin, K., & Mason, B. (2016). Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey. British Journal of General Practice, 66(651), e686-692. doi:10.3399/bjgp16X687313
    Schnittker, J. (2008). An uncertain revolution: why the rise of a genetic model of mental illness has not increased tolerance. Social Science & Medicine, 67(9), 1370-1381. doi:10.1016/j.socscimed.2008.07.007
    Schnyder, N., Michel, C., Panczak, R., Ochsenbein, S., Schimmelmann, B. G., & Schultze-Lutter, F. (2018). The interplay of etiological knowledge and mental illness stigma on healthcare utilisation in the community: A structural equation model. European Psychiatry, 51, 48-56. doi:10.1016/j.eurpsy.2017.12.027
    Schomerus, G., & Angermeyer, M. C. (2008). Stigma and its impact on help-seeking for mental disorders: what do we know? Epidemiology and Psychiatric Sciences, 17(1), 31-37.
    Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2006). Public beliefs about the causes of mental disorders revisited. Psychiatry Research, 144(2-3), 233-236. doi:10.1016/j.psychres.2006.05.002
    Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2014). Causal beliefs of the public and social acceptance of persons with mental illness: a comparative analysis of schizophrenia, depression and alcohol dependence. Psychological Medicine, 44(2), 303-314.
    Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P. W., Grabe, H. J., Carta, M. G., & Angermeyer, M. C. (2012). Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125(6), 440-452. doi:10.1111/j.1600-0447.2012.01826.x
    Speerforck, S., Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2017). Treatment recommendations for schizophrenia, major depression and alcohol dependence and stigmatizing attitudes of the public: results from a German population survey. European Archives of Psychiatry and Clinical Neuroscience, 267(4), 341-350. doi:10.1007/s00406-016-0755-9
    Stolzenburg, S., Freitag, S., Evans-Lacko, S., Speerforck, S., Schmidt, S., & Schomerus, G. (2018). Individuals with currently untreated mental illness: causal beliefs and readiness to seek help. Epidemiology and Psychiatric Sciences, 1-12. doi:10.1017/s2045796017000828
    The Department of Statistics of Ministry of Health and Welfare, T. (2018). Numbers of outpatients and inpatients with mental disorders by gender, age, and disease, year 2017. Taiwan. Retrieved from https://dep.mohw.gov.tw/DOS/cp-1720-7337-113.html
    Thornicroft, G. (2008). Stigma and discrimination limit access to mental health care. Epidemiology and Psychiatric Sciences, 17(1), 14-19.
    Thornicroft, G., Rose, D., & Kassam, A. (2007). Discrimination in health care against people with mental illness. International Review of Psychiatry, 19(2), 113-122. doi:10.1080/09540260701278937
    Thornicroft, G., Rose, D., Kassam, A., & Sartorius, N. (2007). Stigma: ignorance, prejudice or discrimination? The British Journal of Psychiatry, 190, 192-193. doi:10.1192/bjp.bp.106.025791
    Topuzoglu, A., Binbay, T., Ulas, H., Elbi, H., Tanik, F. A., Zagli, N., & Alptekin, K. (2015). The epidemiology of major depressive disorder and subthreshold depression in Izmir, Turkey: Prevalence, socioeconomic differences, impairment and help-seeking. Journal of Affective Disorders, 181, 78-86. doi:10.1016/j.jad.2015.04.017
    van 't Veer, J. T., Kraan, H. F., Drosseart, S. H., & Modde, J. M. (2006). Determinants that shape public attitudes towards the mentally ill: a Dutch public study. Social Psychiatry and Psychiatric Epidemiology, 41(4), 310-317. doi:10.1007/s00127-005-0015-1
    van der Ham, L., Wright, P., Van, T. V., Doan, V. D., & Broerse, J. E. (2011). Perceptions of mental health and help-seeking behavior in an urban community in Vietnam: an explorative study. Community Mental Health Journal, 47(5), 574-582. doi:10.1007/s10597-011-9393-x
    von dem Knesebeck, O., Angermeyer, M. C., Kofahl, C., Makowski, A. C., & Mnich, E. (2014). Education and the public's desire for social distance from people with depression and schizophrenia: the contribution of emotional reactions and causal attributions. International Journal of Social Psychiatry, 60(5), 468-473. doi:10.1177/0020764013496082
    Von Lersner, U., Gerb, J., Hizli, S., Waldhuber, D., Wallerand, A. F., Bajbouj, M., . . . Hahn, E. (2019a). Stigma of Mental Illness in Germans and Turkish Immigrants in Germany: The Effect of Causal Beliefs. Frontiers in Psychiatry, 10, 46. doi:10.3389/fpsyt.2019.00046
    Von Lersner, U., Gerb, J., Hizli, S., Waldhuber, D., Wallerand, A. F., Bajbouj, M., . . . Hahn, E. (2019b). Stigma of Mental Illness in Germans and Turkish Immigrants in Germany: The Effect of Causal Beliefs. Frontiers in Psychiatry, 10, 46. doi:10.3389/fpsyt.2019.00046
    Vos, T., Allen, C., Arora, M., Barber, R. M., Bhutta, Z. A., Brown, A., . . . Murray, C. J. L. (2016). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1545-1602. doi:10.1016/S0140-6736(16)31678-6
    Waddell, C., Hua, J. M., Garland, O. M., Peters, R. D., & McEwan, K. (2007). Preventing mental disorders in children: a systematic review to inform policy-making. Canadian journal of public health. Revue canadienne de santé publique, 98(3), 166-173.
    Wang, J., & Lai, D. (2008). The relationship between mental health literacy, personal contacts and personal stigma against depression. Journal of Affective Disorders, 110(1-2), 191-196. doi:10.1016/j.jad.2008.01.005
    Wang, P. S., Angermeyer, M., Borges, G., Bruffaerts, R., Tat Chiu, W., G, D. E. G., . . . Ustun, T. B. (2007). Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry, 6(3), 177-185.
    Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives Of General Psychiatry, 62(6), 603-613. doi:10.1001/archpsyc.62.6.603
    Wei, Y., McGrath, P. J., Hayden, J., & Kutcher, S. (2015). Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry, 15, 291. doi:10.1186/s12888-015-0681-9
    Westbrook, M. T., Nordholm, L. A., & McGee, J. E. (1984). Cultural differences in reactions to patient behaviour: a comparison of Swedish and Australian health professionals. Social Science & Medicine, 19(9), 939-947. doi:10.1016/0277-9536(84)90323-x
    Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., . . . Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575-1586. doi:10.1016/s0140-6736(13)61611-6
    WHO. (2017). Depression and other common mental disorders: global health estimates.: World Health Organization.
    Wilson, C., Deane, F., Ciarrochi, J., & Rickwood, D. (2005). Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire. Canadian Journal of Counselling, 39, 15-28.
    Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jonsson, B., . . . Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology 21(9), 655-679. doi:10.1016/j.euroneuro.2011.07.018
    Wong, D. F. K., Cheng, C. W., Zhuang, X. Y., Ng, T. K., Pan, S. M., He, X., & Poon, A. (2017). Comparing the mental health literacy of Chinese people in Australia, China, Hong Kong and Taiwan: Implications for mental health promotion. Psychiatry Research, 256, 258-266. doi:10.1016/j.psychres.2017.06.032
    Wrigley, S., Jackson, H., Judd, F., & Komiti, A. (2005). Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Australian & New Zealand Journal of Psychiatry, 39(6), 514-521. doi:10.1080/j.1440-1614.2005.01612.x
    Yeung, W. F., Chung, K. F., Ng, K. Y., Yu, Y. M., Zhang, S. P., Ng, B. F., & Ziea, E. T. (2015). Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review. Evidence-Based Complementary and Alternative Medicine, 2015, 160189. doi:10.1155/2015/160189
    Yeung, W. F., Chung, K. F., Ng, K. Y., Yu, Y. M., Ziea, E. T., & Ng, B. F. (2014a). A meta-analysis of the efficacy and safety of traditional Chinese medicine formula Ganmai Dazao decoction for depression. Journal of Ethnopharmacology, 153(2), 309-317. doi:10.1016/j.jep.2014.02.046
    Yeung, W. F., Chung, K. F., Ng, K. Y., Yu, Y. M., Ziea, E. T., & Ng, B. F. (2014b). A systematic review on the efficacy, safety and types of Chinese herbal medicine for depression. Journal of Psychiatric Research, 57, 165-175. doi:https://doi.org/10.1016/j.jpsychires.2014.05.016
    Yu, Y., Liu, Z. W., Hu, M., Liu, H. M., Yang, J. P., Zhou, L., & Xiao, S. Y. (2015). Mental Health Help-Seeking Intentions and Preferences of Rural Chinese Adults. PLoS One, 10(11), e0141889. doi:10.1371/journal.pone.0141889
    Zhuang, X. Y., Wong, D. F. K., Cheng, C. W., & Pan, S. M. (2017). Mental health literacy, stigma and perception of causation of mental illness among Chinese people in Taiwan. International Journal of Social Psychiatry, 63(6), 498-507. doi:10.1177/0020764017719303

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