Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees

Background: The present study aimed to examine the association between the presence/absence of help-seeking behavior (ie, behavior aimed at obtaining assistance from others to improve a situation or problem) and psychological distress among private and public employees by age group using a nationall...

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Main Authors: Takashi Yamauchi, Machi Suka, Hiroyuki Yanagisawa
Format: Article
Language:English
Published: Japan Epidemiological Association 2020-06-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/30/6/30_JE20190042/_pdf
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author Takashi Yamauchi
Machi Suka
Hiroyuki Yanagisawa
author_facet Takashi Yamauchi
Machi Suka
Hiroyuki Yanagisawa
author_sort Takashi Yamauchi
collection DOAJ
description Background: The present study aimed to examine the association between the presence/absence of help-seeking behavior (ie, behavior aimed at obtaining assistance from others to improve a situation or problem) and psychological distress among private and public employees by age group using a nationally representative sample of the Japanese population. Methods: The present study analyzed data obtained from the 2016 Comprehensive Survey of Living Conditions, a nationwide cross-sectional survey. Of 568,426 participants, 78,284 private and public employees aged 20 to 59 years, who were receiving no mental health services at the time of the survey and reported at least one stressor in daily life, were eligible. The primary outcome measure was self-rated psychological distress as measured by the Kessler Psychological Distress Scale. Multiple logistic regression analyses were carried out separately by age group, adjusting for sociodemographic and job/life-related factors. Results: The proportion of participants not showing help-seeking behavior was significantly higher among those aged 40–59 years compared to those aged 20–39 (30.5% and 22.7%, respectively; P < 0.001). Participants without help-seeking behavior had significantly higher odds ratios (ORs) for psychological distress, regardless of age group (OR = 1.9 [95% confidence interval (CI), 1.6–2.0] and OR = 1.6 [95% CI, 1.4–1.7] for the age 20–39 years and 40–59 years groups, respectively), compared to those showing help-seeking behavior. Conclusions: Participants not showing help-seeking behavior were more likely to have severe psychological distress, and this trend appeared to be slightly stronger among those aged 20–39 years. These findings suggest that promoting help-seeking behavior is important for improving mental health among workers.
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spelling doaj.art-52030d27ed824653a1ff4306a75a82022022-12-22T02:44:36ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922020-06-0130623724310.2188/jea.JE20190042Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese EmployeesTakashi Yamauchi0Machi Suka1Hiroyuki Yanagisawa2Department of Public Health and Environmental Medicine, The Jikei University School of Medicine, Tokyo, JapanDepartment of Public Health and Environmental Medicine, The Jikei University School of Medicine, Tokyo, JapanDepartment of Public Health and Environmental Medicine, The Jikei University School of Medicine, Tokyo, JapanBackground: The present study aimed to examine the association between the presence/absence of help-seeking behavior (ie, behavior aimed at obtaining assistance from others to improve a situation or problem) and psychological distress among private and public employees by age group using a nationally representative sample of the Japanese population. Methods: The present study analyzed data obtained from the 2016 Comprehensive Survey of Living Conditions, a nationwide cross-sectional survey. Of 568,426 participants, 78,284 private and public employees aged 20 to 59 years, who were receiving no mental health services at the time of the survey and reported at least one stressor in daily life, were eligible. The primary outcome measure was self-rated psychological distress as measured by the Kessler Psychological Distress Scale. Multiple logistic regression analyses were carried out separately by age group, adjusting for sociodemographic and job/life-related factors. Results: The proportion of participants not showing help-seeking behavior was significantly higher among those aged 40–59 years compared to those aged 20–39 (30.5% and 22.7%, respectively; P < 0.001). Participants without help-seeking behavior had significantly higher odds ratios (ORs) for psychological distress, regardless of age group (OR = 1.9 [95% confidence interval (CI), 1.6–2.0] and OR = 1.6 [95% CI, 1.4–1.7] for the age 20–39 years and 40–59 years groups, respectively), compared to those showing help-seeking behavior. Conclusions: Participants not showing help-seeking behavior were more likely to have severe psychological distress, and this trend appeared to be slightly stronger among those aged 20–39 years. These findings suggest that promoting help-seeking behavior is important for improving mental health among workers.https://www.jstage.jst.go.jp/article/jea/30/6/30_JE20190042/_pdfhelp-seeking behaviormental healthworkersoccupational healthrepresentativenessjapan
spellingShingle Takashi Yamauchi
Machi Suka
Hiroyuki Yanagisawa
Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
Journal of Epidemiology
help-seeking behavior
mental health
workers
occupational health
representativeness
japan
title Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
title_full Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
title_fullStr Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
title_full_unstemmed Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
title_short Help-Seeking Behavior and Psychological Distress by Age in a Nationally Representative Sample of Japanese Employees
title_sort help seeking behavior and psychological distress by age in a nationally representative sample of japanese employees
topic help-seeking behavior
mental health
workers
occupational health
representativeness
japan
url https://www.jstage.jst.go.jp/article/jea/30/6/30_JE20190042/_pdf
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AT hiroyukiyanagisawa helpseekingbehaviorandpsychologicaldistressbyageinanationallyrepresentativesampleofjapaneseemployees