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The integrated behavioral model of mental health help seeking (IBM-HS): A health services utilization theory of planned behavior for accessing care.
Journal of Counseling Psychology ( IF 3.8 ) Pub Date : 2024-08-08 , DOI: 10.1037/cou0000754
Joseph H Hammer 1 , David L Vogel 2 , Patrick R Grzanka 3 , Nayeon Kim 1 , Brian T Keum 4 , Claire Adams 5 , Sarah A Wilson 6
Affiliation  

This article introduces the integrated behavioral model of mental health help seeking (IBM-HS), a theoretical model for understanding the constructs (e.g., systemic, predisposing, and enabling factors; mental health literacy; illness perceptions; perceived need; stigma; shame; perceived benefits, motivation) that influence people's decision making around seeking professional mental health care and their ultimate access to formal treatment. The IBM-HS is a help-seeking-specific adaptation of the empirically supported integrated behavioral model and integrative model, which are themselves evolutions of the theory of planned behavior and theory of reasoned action. The IBM-HS posits that help-seeking determinants (e.g., structural forces; cultural influences; past help-seeking experience; evaluated need; mental health perceptions, knowledge, and skills; social support) influence help-seeking beliefs (i.e., outcome beliefs, experiential beliefs, beliefs about others' expectations, beliefs about others' behavior, logistical beliefs), which in turn determine their respective help-seeking mechanisms (i.e., attitude, perceived norm, personal agency). These mechanisms collectively influence help-seeking intention, which drives prospective help-seeking behavior, subject to the moderating effects of determinants. Finally, prospective behavior has reciprocal feedback loop effects on certain determinants and beliefs. This article describes the need for the IBM-HS, the model's constructs and their interrelations, measurement considerations, and how the model can be used by scholarly and applied users to systematically understand people's intention to seek professional mental health care services and what helps or hinders them from utilizing this care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


心理健康寻求帮助的综合行为模型 (IBM-HS):获得护理的计划行为的卫生服务利用理论。



本文介绍了寻求心理健康帮助的综合行为模型 (IBM-HS),这是一个理论模型,用于理解影响人们围绕寻求专业心理健康护理和最终获得正式治疗的决策的结构(例如,系统性、诱发性和促能因素;心理健康素养;疾病感知;感知需求;耻辱;感知的好处、动机)。IBM-HS 是经验支持的综合行为模型和综合模型的寻求帮助的特定改编,它们本身就是计划行为理论和合理行动理论的演变。IBM-HS 假设寻求帮助的决定因素(例如,结构性力量、文化影响、过去的寻求帮助经验、评估的需求、心理健康感知、知识和技能、社会支持)影响寻求帮助的信念(即结果信念、经验信念、关于他人期望的信念、关于他人行为的信念、物流信念),这反过来又决定了它们各自的寻求帮助机制(即态度、感知规范、个人能动性)。这些机制共同影响寻求帮助的意图,从而驱动潜在的寻求帮助行为,并受到决定因素的调节作用。最后,预期行为对某些决定因素和信念具有互惠反馈循环效应。本文介绍了对 IBM-HS 的需求、该模型的构造及其相互关系、测量注意事项,以及学术和应用用户如何使用该模型来系统地了解人们寻求专业心理健康护理服务的意图,以及是什么帮助或阻碍他们利用这种护理。 (PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2024-08-08
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