The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms

Background: Despite available professional healthcare, people often delay or avoid help-seeking. Understanding the underlying reasons is crucial and research has explored the role of self-efficacy in this context. Additionally, studies have highlighted the significance of culturally influenced self-...

Full description

Bibliographic Details
Main Authors: Thomas McLaren, Lina-Jolien Peter, Samuel Tomczyk, Holger Muehlan, Georg Schomerus, Silke Schmidt
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Acta Psychologica
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0001691823002950
_version_ 1797372923255717888
author Thomas McLaren
Lina-Jolien Peter
Samuel Tomczyk
Holger Muehlan
Georg Schomerus
Silke Schmidt
author_facet Thomas McLaren
Lina-Jolien Peter
Samuel Tomczyk
Holger Muehlan
Georg Schomerus
Silke Schmidt
author_sort Thomas McLaren
collection DOAJ
description Background: Despite available professional healthcare, people often delay or avoid help-seeking. Understanding the underlying reasons is crucial and research has explored the role of self-efficacy in this context. Additionally, studies have highlighted the significance of culturally influenced self-construals in individuals' health behaviour. There seems to be a relationship between self-efficacy and self-construal.The aim of the study is to explore the influence of self-efficacy on help-seeking, considering self-construal as a moderator. Differential experiences of self-efficacy and varying associations among help-seeking variables based on self-construal are posited. Methods: A quasi-experimental online study is conducted with a baseline assessment, including self-efficacy interventions, and follow-ups at three and six months. Self-construal groups are compared, i.e., independent vs. interdependent individuals. A series of multi-group path analyses are conducted to examine potential variations in the interventional effects and among the help-seeking variables respective of help-seeking instance, i.e. professional mental health care or informal care. Self-construal functions as the global moderator. Results: The study included N = 1′368 participants, 65.6 % identifying as female and an average age of 42.38 (SD = 15.22). More independent compared to more interdependent individuals were older, more frequently identified as male, had higher socioeconomic status, fewer depressive symptoms, and greater self-efficacy. Multi-group path analyses for professional mental health care (CFI = 0.992, RMSEA = 0.018, SRMR = 0.004) and informal help (CFI = 0.999, RMSEA = 0.004, SRMR = 0.006) demonstrated excellent model fits. The analysis for informal help was interpretable, as the unconstrained model had a significantly better fit than the constrained model. There were varying associations among help-seeking variables based on self-construals. The intervention effect was differential, with independent participants benefiting significantly (β = 0.203), while the effect was non-significant for interdependent participants. Discussion: The study's findings, strengths, and limitations are discussed in relation to current research. Results indicate differential experiences of self-efficacy interventions based on individuals' self-construal. Moreover, varying associations among help-seeking variables suggest self-construal-based differences in their interrelationships. These findings highlight the importance of considering self-construal in health related research.
first_indexed 2024-03-08T18:42:47Z
format Article
id doaj.art-51a3b8d08d0340848e5d403be38b83d8
institution Directory Open Access Journal
issn 0001-6918
language English
last_indexed 2024-03-08T18:42:47Z
publishDate 2024-02-01
publisher Elsevier
record_format Article
series Acta Psychologica
spelling doaj.art-51a3b8d08d0340848e5d403be38b83d82023-12-29T04:44:35ZengElsevierActa Psychologica0001-69182024-02-01242104119The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptomsThomas McLaren0Lina-Jolien Peter1Samuel Tomczyk2Holger Muehlan3Georg Schomerus4Silke Schmidt5Department of Health and Prevention, Institute of Psychology, University of Greifswald, Germany; Corresponding author at: Department of Health and Prevention, Institute of Psychology, University of Greifswald, Robert-Blum Str. 13, 17489 Greifswald, Germany.Department of Psychiatry and Psychotherapy, Medical Faculty, University Leipzig, Leipzig, GermanyDepartment of Health and Prevention, Institute of Psychology, University of Greifswald, GermanyDepartment of Health and Prevention, Institute of Psychology, University of Greifswald, GermanyDepartment of Psychiatry and Psychotherapy, Medical Faculty, University Leipzig, Leipzig, GermanyDepartment of Health and Prevention, Institute of Psychology, University of Greifswald, GermanyBackground: Despite available professional healthcare, people often delay or avoid help-seeking. Understanding the underlying reasons is crucial and research has explored the role of self-efficacy in this context. Additionally, studies have highlighted the significance of culturally influenced self-construals in individuals' health behaviour. There seems to be a relationship between self-efficacy and self-construal.The aim of the study is to explore the influence of self-efficacy on help-seeking, considering self-construal as a moderator. Differential experiences of self-efficacy and varying associations among help-seeking variables based on self-construal are posited. Methods: A quasi-experimental online study is conducted with a baseline assessment, including self-efficacy interventions, and follow-ups at three and six months. Self-construal groups are compared, i.e., independent vs. interdependent individuals. A series of multi-group path analyses are conducted to examine potential variations in the interventional effects and among the help-seeking variables respective of help-seeking instance, i.e. professional mental health care or informal care. Self-construal functions as the global moderator. Results: The study included N = 1′368 participants, 65.6 % identifying as female and an average age of 42.38 (SD = 15.22). More independent compared to more interdependent individuals were older, more frequently identified as male, had higher socioeconomic status, fewer depressive symptoms, and greater self-efficacy. Multi-group path analyses for professional mental health care (CFI = 0.992, RMSEA = 0.018, SRMR = 0.004) and informal help (CFI = 0.999, RMSEA = 0.004, SRMR = 0.006) demonstrated excellent model fits. The analysis for informal help was interpretable, as the unconstrained model had a significantly better fit than the constrained model. There were varying associations among help-seeking variables based on self-construals. The intervention effect was differential, with independent participants benefiting significantly (β = 0.203), while the effect was non-significant for interdependent participants. Discussion: The study's findings, strengths, and limitations are discussed in relation to current research. Results indicate differential experiences of self-efficacy interventions based on individuals' self-construal. Moreover, varying associations among help-seeking variables suggest self-construal-based differences in their interrelationships. These findings highlight the importance of considering self-construal in health related research.http://www.sciencedirect.com/science/article/pii/S0001691823002950Self-Construal TheorySelf-efficacy interventionSeeking Mental Health Care ModelHelp-seeking behaviourDepression
spellingShingle Thomas McLaren
Lina-Jolien Peter
Samuel Tomczyk
Holger Muehlan
Georg Schomerus
Silke Schmidt
The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
Acta Psychologica
Self-Construal Theory
Self-efficacy intervention
Seeking Mental Health Care Model
Help-seeking behaviour
Depression
title The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
title_full The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
title_fullStr The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
title_full_unstemmed The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
title_short The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms
title_sort differential influence of self construal on the effect of self efficacy on the help seeking process a quasi experimental online study among people with untreated depressive symptoms
topic Self-Construal Theory
Self-efficacy intervention
Seeking Mental Health Care Model
Help-seeking behaviour
Depression
url http://www.sciencedirect.com/science/article/pii/S0001691823002950
work_keys_str_mv AT thomasmclaren thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT linajolienpeter thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT samueltomczyk thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT holgermuehlan thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT georgschomerus thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT silkeschmidt thedifferentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT thomasmclaren differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT linajolienpeter differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT samueltomczyk differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT holgermuehlan differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT georgschomerus differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms
AT silkeschmidt differentialinfluenceofselfconstrualontheeffectofselfefficacyonthehelpseekingprocessaquasiexperimentalonlinestudyamongpeoplewithuntreateddepressivesymptoms