Parental recognition of preadolescent mental health problems: Does stigma matter?
Parents are one of several key gatekeepers to mental health (MH) services for adolescents with MH problems. Parental MH stigma is a significant barrier to treatment, yet little is known about how stigma may bias parental recognition of mental illness in youth. This study examines how stigma influenc...
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| Veröffentlicht in: | Social science & medicine (1982) 2018-11, Vol.216, p.88-96 |
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| creator | Villatoro, Alice P. DuPont-Reyes, Melissa J. Phelan, Jo C. Painter, Kirstin Link, Bruce G. |
| description | Parents are one of several key gatekeepers to mental health (MH) services for adolescents with MH problems. Parental MH stigma is a significant barrier to treatment, yet little is known about how stigma may bias parental recognition of mental illness in youth.
This study examines how stigma influences a critical and early stage of the help-seeking process—the recognition of MH problems in preadolescents by their parents.
Parents from a school-based anti-stigma intervention study were analyzed. Logistic regressions examined the association of stigma with parental recognition of MH problems in their preadolescent child (10–12 years old) and that of two preadolescent vignette characters described as having bipolar disorder and social anxiety disorder.
The more parents desired their preadolescent child to avoid interaction with individuals with a mental illness—that is, to be more socially distant—the less likely these parents believed their child had a MH problem, controlling for parent-reported MH symptoms and other covariates. This pattern was prominent among parents who reported high symptoms in their child. Social distance had no bearing on whether parents recognized the vignette characters as having a problem. Avoidance of individuals with a mental illness and knowledge/positive MH attitudes were not associated with problem recognition.
Stigmatizing attitudes of parents may be detrimental when trying to understand the psychopathology of their own preadolescent children but not preadolescents outside their family. Stigma may present itself as a barrier to problem recognition because it may impose a significant personal cost on the family, thereby affecting the help-seeking process earlier than considered by previous work.
•Stigma's role on parent mental health problem recognition in youth is unknown.•Social distance obstructs parental problem recognition in their own child.•Stigma is not associated with problem recognition in adolescent vignette characters.•Stigma may affect help seeking early as parents assess their child's mental health. |
| doi_str_mv | 10.1016/j.socscimed.2018.09.040 |
| format | Article |
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This study examines how stigma influences a critical and early stage of the help-seeking process—the recognition of MH problems in preadolescents by their parents.
Parents from a school-based anti-stigma intervention study were analyzed. Logistic regressions examined the association of stigma with parental recognition of MH problems in their preadolescent child (10–12 years old) and that of two preadolescent vignette characters described as having bipolar disorder and social anxiety disorder.
The more parents desired their preadolescent child to avoid interaction with individuals with a mental illness—that is, to be more socially distant—the less likely these parents believed their child had a MH problem, controlling for parent-reported MH symptoms and other covariates. This pattern was prominent among parents who reported high symptoms in their child. Social distance had no bearing on whether parents recognized the vignette characters as having a problem. Avoidance of individuals with a mental illness and knowledge/positive MH attitudes were not associated with problem recognition.
Stigmatizing attitudes of parents may be detrimental when trying to understand the psychopathology of their own preadolescent children but not preadolescents outside their family. Stigma may present itself as a barrier to problem recognition because it may impose a significant personal cost on the family, thereby affecting the help-seeking process earlier than considered by previous work.
•Stigma's role on parent mental health problem recognition in youth is unknown.•Social distance obstructs parental problem recognition in their own child.•Stigma is not associated with problem recognition in adolescent vignette characters.•Stigma may affect help seeking early as parents assess their child's mental health.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2018.09.040</identifier><identifier>PMID: 30273777</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Acknowledgment ; Adolescents ; Anxiety disorders ; Attitudes ; Avoidance behavior ; Bias ; Bipolar disorder ; Characters ; Child ; Children ; Female ; Health problems ; Help seeking behavior ; Help-seeking ; Humans ; Logistic Models ; Male ; Mental disorders ; Mental health ; Mental health services ; Neurodevelopmental Disorders - diagnosis ; Neurodevelopmental Disorders - psychology ; Older children ; Parent-child relations ; Parents ; Parents & parenting ; Parents - psychology ; Patient Acceptance of Health Care - psychology ; Psychopathology ; School based intervention ; Schools - organization & administration ; Schools - trends ; Social anxiety ; Social distance ; Social Stigma ; Stigma ; Symptoms ; Teaching ; Teenagers ; Texas ; USA ; Youth</subject><ispartof>Social science & medicine (1982), 2018-11, Vol.216, p.88-96</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Nov 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-deb80498a68a3e52d5afb70c5764525b2aee97d54e47430ac54dd292ce30226f3</citedby><cites>FETCH-LOGICAL-c503t-deb80498a68a3e52d5afb70c5764525b2aee97d54e47430ac54dd292ce30226f3</cites><orcidid>0000-0003-4536-2905</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.socscimed.2018.09.040$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,33755,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30273777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Villatoro, Alice P.</creatorcontrib><creatorcontrib>DuPont-Reyes, Melissa J.</creatorcontrib><creatorcontrib>Phelan, Jo C.</creatorcontrib><creatorcontrib>Painter, Kirstin</creatorcontrib><creatorcontrib>Link, Bruce G.</creatorcontrib><title>Parental recognition of preadolescent mental health problems: Does stigma matter?</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>Parents are one of several key gatekeepers to mental health (MH) services for adolescents with MH problems. Parental MH stigma is a significant barrier to treatment, yet little is known about how stigma may bias parental recognition of mental illness in youth.
This study examines how stigma influences a critical and early stage of the help-seeking process—the recognition of MH problems in preadolescents by their parents.
Parents from a school-based anti-stigma intervention study were analyzed. Logistic regressions examined the association of stigma with parental recognition of MH problems in their preadolescent child (10–12 years old) and that of two preadolescent vignette characters described as having bipolar disorder and social anxiety disorder.
The more parents desired their preadolescent child to avoid interaction with individuals with a mental illness—that is, to be more socially distant—the less likely these parents believed their child had a MH problem, controlling for parent-reported MH symptoms and other covariates. This pattern was prominent among parents who reported high symptoms in their child. Social distance had no bearing on whether parents recognized the vignette characters as having a problem. Avoidance of individuals with a mental illness and knowledge/positive MH attitudes were not associated with problem recognition.
Stigmatizing attitudes of parents may be detrimental when trying to understand the psychopathology of their own preadolescent children but not preadolescents outside their family. Stigma may present itself as a barrier to problem recognition because it may impose a significant personal cost on the family, thereby affecting the help-seeking process earlier than considered by previous work.
•Stigma's role on parent mental health problem recognition in youth is unknown.•Social distance obstructs parental problem recognition in their own child.•Stigma is not associated with problem recognition in adolescent vignette characters.•Stigma may affect help seeking early as parents assess their child's mental health.</description><subject>Acknowledgment</subject><subject>Adolescents</subject><subject>Anxiety disorders</subject><subject>Attitudes</subject><subject>Avoidance behavior</subject><subject>Bias</subject><subject>Bipolar disorder</subject><subject>Characters</subject><subject>Child</subject><subject>Children</subject><subject>Female</subject><subject>Health problems</subject><subject>Help seeking behavior</subject><subject>Help-seeking</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Neurodevelopmental Disorders - diagnosis</subject><subject>Neurodevelopmental Disorders - psychology</subject><subject>Older children</subject><subject>Parent-child relations</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Psychopathology</subject><subject>School based intervention</subject><subject>Schools - organization & administration</subject><subject>Schools - trends</subject><subject>Social anxiety</subject><subject>Social distance</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>Symptoms</subject><subject>Teaching</subject><subject>Teenagers</subject><subject>Texas</subject><subject>USA</subject><subject>Youth</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkUtv1DAUhS1E1U6H_gWIxIZNUj_jhEVR1SdSJUCCteXYNzMeJfHU9lTi3-NR2hF0w8qL893jc-9B6APBFcGkPt9U0Zto3Ai2opg0FW4rzPEbtCCNZKVgXL5FC0ylLFvB6hN0GuMGY0xww47RCcsKk1Iu0I_vOsCU9FAEMH41ueT8VPi-2AbQ1g8QTZaLcWbWoIe0zprvBhjj5-LaQyxicqtRF6NOCcKXd-io10OEs-d3iX7d3vy8ui8fvt19vbp8KI3ALJUWugbzttF1oxkIaoXuO4mNkDUXVHRUA7TSCg5ccoa1Edxa2lIDOTyte7ZEF7PvdtflM-xjBj2obXCjDr-V1079q0xurVb-SdWsYXXOsESfng2Cf9xBTGp0edth0BP4XVSUECGFkLTN6MdX6MbvwpTXyxSThPDZUM6UCT7GAP0hDMFqX5vaqENtal-bwq3KteXJ93_vcph76SkDlzMA-aJPDoLKLjAZsC73lpT17r-f_AFXQK6m</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Villatoro, Alice P.</creator><creator>DuPont-Reyes, Melissa J.</creator><creator>Phelan, Jo C.</creator><creator>Painter, Kirstin</creator><creator>Link, Bruce G.</creator><general>Elsevier Ltd</general><general>Pergamon Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4536-2905</orcidid></search><sort><creationdate>20181101</creationdate><title>Parental recognition of preadolescent mental health problems: Does stigma matter?</title><author>Villatoro, Alice P. ; DuPont-Reyes, Melissa J. ; Phelan, Jo C. ; Painter, Kirstin ; Link, Bruce G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-deb80498a68a3e52d5afb70c5764525b2aee97d54e47430ac54dd292ce30226f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acknowledgment</topic><topic>Adolescents</topic><topic>Anxiety disorders</topic><topic>Attitudes</topic><topic>Avoidance behavior</topic><topic>Bias</topic><topic>Bipolar disorder</topic><topic>Characters</topic><topic>Child</topic><topic>Children</topic><topic>Female</topic><topic>Health problems</topic><topic>Help seeking behavior</topic><topic>Help-seeking</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health services</topic><topic>Neurodevelopmental Disorders - diagnosis</topic><topic>Neurodevelopmental Disorders - psychology</topic><topic>Older children</topic><topic>Parent-child relations</topic><topic>Parents</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Psychopathology</topic><topic>School based intervention</topic><topic>Schools - organization & administration</topic><topic>Schools - trends</topic><topic>Social anxiety</topic><topic>Social distance</topic><topic>Social Stigma</topic><topic>Stigma</topic><topic>Symptoms</topic><topic>Teaching</topic><topic>Teenagers</topic><topic>Texas</topic><topic>USA</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Villatoro, Alice P.</creatorcontrib><creatorcontrib>DuPont-Reyes, Melissa J.</creatorcontrib><creatorcontrib>Phelan, Jo C.</creatorcontrib><creatorcontrib>Painter, Kirstin</creatorcontrib><creatorcontrib>Link, Bruce G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Villatoro, Alice P.</au><au>DuPont-Reyes, Melissa J.</au><au>Phelan, Jo C.</au><au>Painter, Kirstin</au><au>Link, Bruce G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental recognition of preadolescent mental health problems: Does stigma matter?</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>216</volume><spage>88</spage><epage>96</epage><pages>88-96</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><abstract>Parents are one of several key gatekeepers to mental health (MH) services for adolescents with MH problems. Parental MH stigma is a significant barrier to treatment, yet little is known about how stigma may bias parental recognition of mental illness in youth.
This study examines how stigma influences a critical and early stage of the help-seeking process—the recognition of MH problems in preadolescents by their parents.
Parents from a school-based anti-stigma intervention study were analyzed. Logistic regressions examined the association of stigma with parental recognition of MH problems in their preadolescent child (10–12 years old) and that of two preadolescent vignette characters described as having bipolar disorder and social anxiety disorder.
The more parents desired their preadolescent child to avoid interaction with individuals with a mental illness—that is, to be more socially distant—the less likely these parents believed their child had a MH problem, controlling for parent-reported MH symptoms and other covariates. This pattern was prominent among parents who reported high symptoms in their child. Social distance had no bearing on whether parents recognized the vignette characters as having a problem. Avoidance of individuals with a mental illness and knowledge/positive MH attitudes were not associated with problem recognition.
Stigmatizing attitudes of parents may be detrimental when trying to understand the psychopathology of their own preadolescent children but not preadolescents outside their family. Stigma may present itself as a barrier to problem recognition because it may impose a significant personal cost on the family, thereby affecting the help-seeking process earlier than considered by previous work.
•Stigma's role on parent mental health problem recognition in youth is unknown.•Social distance obstructs parental problem recognition in their own child.•Stigma is not associated with problem recognition in adolescent vignette characters.•Stigma may affect help seeking early as parents assess their child's mental health.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30273777</pmid><doi>10.1016/j.socscimed.2018.09.040</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4536-2905</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acknowledgment Adolescents Anxiety disorders Attitudes Avoidance behavior Bias Bipolar disorder Characters Child Children Female Health problems Help seeking behavior Help-seeking Humans Logistic Models Male Mental disorders Mental health Mental health services Neurodevelopmental Disorders - diagnosis Neurodevelopmental Disorders - psychology Older children Parent-child relations Parents Parents & parenting Parents - psychology Patient Acceptance of Health Care - psychology Psychopathology School based intervention Schools - organization & administration Schools - trends Social anxiety Social distance Social Stigma Stigma Symptoms Teaching Teenagers Texas USA Youth |
| title | Parental recognition of preadolescent mental health problems: Does stigma matter? |
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