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Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa
Thesis (MA)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867613975842127872 |
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| access_status_str | Open Access |
| author | Hathorn, Sarah Kate |
| author2 | Lochner, Christine |
| author_browse | Hathorn, Sarah Kate Lochner, Christine |
| author_facet | Lochner, Christine Hathorn, Sarah Kate |
| author_sort | Hathorn, Sarah Kate |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MA)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123823 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:44:41.678Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123823 Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa Hathorn, Sarah Kate Lochner, Christine Bantjes, Jason Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology. Prediction (Psychology) UCTD Obsessive-compulsive disorder Help-seeking behavior Mental health services Thesis (MA)--Stellenbosch University, 2021. Introduction: Obsessive-compulsive disorder (OCD) is associated with significantly impaired functioning, psychological distress, and reduced quality of life. Despite the availability of evidence-based treatments, a large percentage of individuals with OCD fail to seek help for their condition or delay help-seeking for many years. Although variables associated with OCD help-seeking have been identified internationally, patterns of help- seeking for OCD have not yet been described in South Africa, a developing country with many mental health service challenges. Aim: Using the health belief model (HBM) as a framework, the aims of this study were two-fold: first, to investigate whether HBM constructs significantly predict help-seeking intention among a group of South African adults with OCD, and second, to determine the most endorsed barriers to help-seeking for OCD in this sample. Methods: Fifty adult participants (n=50) with a lifetime primary diagnosis of OCD based on the Structured Clinical Interview for the DSM-5 (SCID-5) were recruited to participate. Participants subsequently completed a comprehensive online survey to assess the following HBM constructs: 1) socio-demographic characteristics, 2) OCD symptom severity, 3) treatment barriers, 4) perceived treatment benefits, 5) self-efficacy, and 6) help-seeking intention. Multiple linear regression analysis was used to establish whether HBM constructs significantly predict help-seeking intention. Descriptive statistics were calculated to determine the most endorsed barriers to help-seeking. The Statistical Package for Social Sciences (SPSS) version 27 was used to analyse the data. Results: The findings suggested that 42.6% of variance in help-seeking intention can be explained by the six HBM constructs (𝑅2 = 0.426, F(7,42) = 4.45 p<0.01). Of all predictor variables, perceived treatment benefits was the only significant predictor of help-seeking ntention (B=1.37, t(42= 5.16), p<0.01). In terms of help-seeking barriers, 36% of the sample endorsed wanting to handle the problem independently as a highly significant barrier, followed by concerns about treatment (endorsed by 26% of the sample), then affordability (22% of the sample), and finally embarrassment and shame factors (20% of the sample). Conclusion: This is the first study to investigate help-seeking patterns among South African adults with OCD. The results lend partial support for the utility of HBM constructs in predicting help-seeking intention, with perceived treatment benefits as the only significant predictor of help-seeking intention in this setting. Psychoeducation and mental health literacy programmes may be useful in increasing public appreciation of the benefits of OCD treatment, and to mitigate key help-seeking barriers. Studies with a qualitative angle, revealing a more in-depth understanding of the use of services from the patient’s perspective, would complement these findings. Inleiding: Obsessief-kompulsiewe steuring (OKS) is geassosieer met ‘n beduidende inperking in funksionering, sielkundige distres, en verminderde lewenskwaliteit. Ten spyte van die beskikbaarheid van bewysgebaseerde behandeling, is daar ‘n groot persentasie van individue met OKS wat nie hulp vir hulle toestand soek nie of hulpsoek oor baie jare uitstel. Hoewel die veranderlikes wat met hulpsoek verband hou geidentifiseer is in internasioanle studies, is patrone van hulpsoek nog nie in Suid-Afrika – ‘n ontwikkelende land met vele geestesgesondheidsuitdagings – beskryf nie. iv OPSOMMING Inleiding: Obsessief-kompulsiewe steuring (OKS) is geassosieer met ‘n beduidende inperking in funksionering, sielkundige distres, en verminderde lewenskwaliteit. Ten spyte van die beskikbaarheid van bewysgebaseerde behandeling, is daar ‘n groot persentasie van individue met OKS wat nie hulp vir hulle toestand soek nie of hulpsoek oor baie jare uitstel. Hoewel die veranderlikes wat met hulpsoek verband hou geidentifiseer is in internasioanle studies, is patrone van hulpsoek nog nie in Suid-Afrika – ‘n ontwikkelende land met vele geestesgesondheidsuitdagings – beskryf nie. Doel: Hierdie studie het die “health belief model” (HBM) gebruik as raamwerk. Die doelstellings van hierdie studie was tweeledig: eerstens, om vas te stel of die konstrukte van HBM die intensie om hulp te soek kan voorspel in ‘n groep volwassenes met OKS in Suid- Afrika, en tweedens, om vas te stel wat die mees onderskryfde hindernisse tot hulpsoek vir OKS in hierdie steekproef was. Metodes: Vyftig volwasse deelnemers (n = 50) met 'n lewenslange primêre diagnose van OCD gebaseer op die “Structured Clinical Interview for the DSM-5 (SCID-5)” is gewerf om deel te neem. Deelnemers het daarna 'n uitgebreide aanlyn-opname oor die volgende HBM-konstruktevoltooi: 1) sosio-demografiese eienskappe, 2) erns van OKS-simptome, 3) waargenome behandelingshindernisse, 4) waargenome behandelingsvoordele, 5) selfdoeltreffendheid, sowel as 6) die voorneme om hulp te soek. Veelvuldige lineêre regressie-analise is gebruik om vas te stel of HBM-konstrukte hulpsoek-voorneme in hierdie steekproef kan voorspel. Beskrywende statistieke is bereken om die mees onderskryfde hindernisse tot hulpsoek te bepaal. Die statistiese pakket vir sosiale wetenskappe (SPSS) weergawe 27 is gebruik om die data te ontleed. Resultate: Die bevindinge dui daarop dat 42,6% van die variansie in hulpsoek- voornemens deur die ses HBM-konstrukte verklaar kan word (𝑅2 = .426, F(7,42) = 4.45 p<0.01). Van alle voorspellerveranderlikes was waargenome behandelingsvoordele die enigste beduidende voorspeller van hulpsoek-voorneme (B = 1,37, t (42 = 5.16), p <0.01). Wat die hulpsoek-hindernisse betref, het 36% van die steekproef aangedui dat hulle die probleem onafhanklik wil hanteer as 'n uiters belangrike hindernis, gevolg deur kommer oor behandeling (wat deur 26% van die steekproef goedgekeur is), en dan bekostigbaarheid (22% van die steekproef) , en uiteindelik verleentheid- en skande- faktore (20% van die steekproef). Gevolgtrekking: Dit is die eerste studie wat hulpsoekpatrone onder Suid-Afrikaanse volwassenes met OKS ondersoek het. Die resultate verleen 'n gedeeltelike ondersteuning vir die nut van HBM-konstrukte in die voorspelling van hulpsoek-voorneme, met waargenome behandelingsvoordele die enigste beduidende voorspeller van hulpsoek-voorneme in hierdie konteks. Psigo-opvoeding en geestesgesondheidsgeletterdheidsprogramme kan nuttig wees om die publiek se waardering vir die voordele van OCD-behandeling te verhoog en om hulpsoek-hindernisse, te verminder. Studies met 'n kwalitatiewe invalshoek, wat 'n meer diepgaande begrip van die gebruik van dienste vanuit die pasiënt se perspektief kan openbaar, sal hierdie bevindings aanvul. Masters 2021-05-25T12:29:10Z 2021-12-22T14:23:28Z 2021-05-25T12:29:10Z 2021-12-22T14:23:28Z 2021-12 Thesis http://hdl.handle.net/10019.1/123823 en_ZA Stellenbosch University 132 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Prediction (Psychology) UCTD Obsessive-compulsive disorder Help-seeking behavior Mental health services Hathorn, Sarah Kate Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title | Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title_full | Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title_fullStr | Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title_full_unstemmed | Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title_short | Help-seeking intention in an adult population with obsessive-compulsive disorder (OCD): predictors and barriers in South Africa |
| title_sort | help seeking intention in an adult population with obsessive compulsive disorder ocd predictors and barriers in south africa |
| topic | Prediction (Psychology) UCTD Obsessive-compulsive disorder Help-seeking behavior Mental health services |
| url | http://hdl.handle.net/10019.1/123823 |
| work_keys_str_mv | AT hathornsarahkate helpseekingintentioninanadultpopulationwithobsessivecompulsivedisorderocdpredictorsandbarriersinsouthafrica |