@article{ref1,
title="A "Self-Milieux" perspective on help-seeking: examining the impact of a person's sociocultural background on help-seeking in people with untreated depressive symptoms",
journal="Social psychiatry and psychiatric epidemiology",
year="2024",
author="McLaren, Thomas and Peter, Lina-Jolien and Tomczyk, Samuel and Muehlan, Holger and Schomerus, Georg and Schmidt, Silke",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Mental illness is a global concern and the leading cause of years lived with disability. Research on help-seeking behaviour has focused on individual factors, but there is still much unexplained variance. Suggesting complex interactions between determinants of human behaviour a new framework called Self-Milieux is proposed to represent a person's sociocultural background. The article introduces a statistical approach to determine Self-Milieux and exemplarily examines its predictive validity for health-related research. <br><br>METHODS: Self-Milieux are determined through a two-stage clustering method based on the determinants socioeconomic status and self-construal profile. Descriptive analyses are used to compare Self-Milieux characteristics. Hierarchical binary logistic regression models test the association between Self-Milieux and help-seeking behaviour, while controlling for socioeconomic status as an established predictor. <br><br>RESULTS: The sample size was N = 1535 (M(age) = 43.17 and 64.89% female participants). Average depression severity was M = 12.22, indicating mild to moderate symptoms. Six Self-Milieux were determined and named. Participants from privileged (aOR = 0.38) and self-sufficient (aOR = 0.37) milieux were less likely to seek help from a general practitioner than those from the entitled milieu. Participants from privileged (aOR = 0.30), collaborators (aOR = 0.50), disadvantaged (aOR = 0.33), and self-sufficient (aOR = 0.21) milieux were less likely to seek help from family members than those from the entitled and family-bound milieux. <br><br>DISCUSSION: The study's strengths and limitations, as well as the cluster methodology, are discussed. The comparative results for the six Self-Milieux are interpreted based on current research. For example, participants from some milieux follow a help-seeking process proposed in previous research, while participants from other milieux seem to show a different process, one that ends in informal help-seeking.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-024-02720-3",
url="http://dx.doi.org/10.1007/s00127-024-02720-3"
}