Help-seeking intention in obsessive-compulsive disorder: predictors and barriers in South Africa

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dc.contributor.authorHathorn, Sarah Kateen_ZA
dc.contributor.authorLochner, Christineen_Za
dc.contributor.authorStein, Dan J.en_ZA
dc.contributor.authorBantjes, Jasonen_ZA
dc.date.accessioned2023-04-25T09:34:21Zen_ZA
dc.date.available2023-04-25T09:34:21Zen_ZA
dc.date.issued2021-09en_ZA
dc.descriptionCITATION: Hathorn SK, Lochner C, Stein DJ and Bantjes J (2021) Help-Seeking Intention in Obsessive-Compulsive Disorder: Predictors and Barriers in South Africa. Front. Psychiatry 12:733773. doi.10.3389/fpsyt.2021.733773en_ZA
dc.descriptionThe original publication is available at: frontiersin.orgen_ZA
dc.description.abstractIntroduction: Many individuals with obsessive-compulsive disorder (OCD) delay seeking help, leading to greater illness severity, additional comorbidity, and increased functional impairment. Patterns of help-seeking for OCD have however not yet been described in South Africa, a low-and middle-income country with many health service challenges. Using the health belief model as a conceptual framework, study aims were to identify predictors of and barriers to help-seeking among South Africans with OCD. Methods: Fifty adults with OCD completed an online survey to assess (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 predictors of help-seeking intention. Descriptive statistics were used to determine the most endorsed help-seeking barriers. Results: 42.6% of the variance in help-seeking intention was explained by the investigated constructs (R2 = 0.426, F = 4.45 and p < 0.01). Perceived treatment benefits were the only significant predictor of help-seeking intention (B = 1.37, t = 5.16, and p < 0.01). More than a third (36%) of the sample endorsed wanting to handle the problem independently as a significant barrier, followed by treatment concerns (26%), affordability (22%), and shame (20%). Conclusion: An innovative analysis of help-seeking patterns suggested that perceived treatment benefits were the only significant predictor of help-seeking intention among South African adults with OCD. Psychoeducation and mental health literacy programmes may be useful in increasing public appreciation of the benefits of OCD treatment, and in mitigating key help-seeking barriers.en_ZA
dc.description.versionPublisher’s versionen_ZA
dc.format.extent8 pagesen_ZA
dc.identifier.citationHathorn SK, Lochner C, Stein DJ and Bantjes J (2021) Help-Seeking Intention in Obsessive-Compulsive Disorder: Predictors and Barriers in South Africa. Front. Psychiatry 12:733773. doi.10.3389/fpsyt.2021.733773en_ZA
dc.identifier.issn1664-0640 (online)en_ZA
dc.identifier.otherdoi.10.3389/fpsyt.2021.733773en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/126823en_ZA
dc.language.isoen_ZAen_ZA
dc.publisherFrontiers Media S.A.en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectObsessive-compulsive disorder -- South Africaen_ZA
dc.subjectHelp-seeking behavior -- South Africaen_ZA
dc.subjectHealth Belief Model -- South Africaen_ZA
dc.subjectMental health service -- South Africaen_ZA
dc.titleHelp-seeking intention in obsessive-compulsive disorder: predictors and barriers in South Africaen_ZA
dc.typeArticleen_ZA
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