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Understanding Help Seeking among Black Women with Clinically Significant Posttraumatic Stress Symptoms
Abstract:Understanding the help seeking decision making process and experiences of health disparity populations with posttraumatic stress disorder (PTSD) is central to development of trauma-informed, culturally centered, and patient focused services. Yet, little is known about the decision making process among adult Black women who are non-treatment seekers as they are, by definition, not engaged in services. Methods: Audiotaped interviews were conducted with 30 African American adult women with clinically significant PTSD symptoms who were engaged in primary care, but not in treatment for PTSD despite symptom burden. A qualitative interview guide was used to elucidate key themes. Independent coding of themes mapped to theory and identification of emergent themes were conducted using qualitative methods. An existing quantitative dataset was analyzed to contextualize responses and provide a descriptive summary of the sample. Results: Emergent themes revealed that active mental avoidance, the intermittent nature of distress, ambivalence, and self-identified resilience as undermining to help seeking decisions. Participants were stuck within the help-seeking phase of ‘recognition’ of illness and retained a sense of “it is my decision” despite endorsing significant social and environmental negative influencers. Participants distinguished ‘help acceptance’ from ‘help seeking’ with greater willingness to accept help and importance placed on being of help to others. Conclusions: Elucidation of the decision-making process from the perspective of non-treatment seekers has implications for outreach and treatment within models of integrated and specialty systems care. The salience of responses to trauma symptoms and stagnation in the help seeking recognition phase are findings relevant to integrated care service design and community engagement.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1339838Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 705
 Roberts AL, Gilman SE, Breslau J, et al.: Race/ethnic differences in exposure to traumatic events, development of post-traumatic stress disorder, and treatment-seeking for post-traumatic stress disorder in the United States. Psychological Medicine 41:71-83, 2011.
 Diala CC, Muntaner C, Walrath C, et al.: Racial/ethnic differences in attitudes toward seeking professional mental health services. American Journal of Public Health 91:805-7, 2001.
 Cheng TC, Lo CC: Racial Disparities in Intimate Partner Violence and in Seeking Help With Mental Health. Journal of interpersonal violence, 2014.
 Lester K, Artz C, Resick PA, et al.: Impact of race on early treatment termination and outcomes in posttraumatic stress disorder treatment. Journal of Consulting and Clinical Psychology 78:480-9, 2010.
 Spoont MR, Nelson DB, Murdoch M, et al.: Are There Racial/Ethnic Disparities in VA PTSD Treatment Retention? Depression and Anxiety 32:415-25, 2015.
 Moore ST: Goal-Directed Change in Service Utilization. Social Work 38:221-6, 1993.
 Ehlers A, Bisson J, Clark DM, et al.: Do all psychological treatments really work the same in posttraumatic stress disorder? Clinical Psychology Review 30:269-76, 2010.
 Sayer NA, Friedemann-Sanchez G, Spoont M, et al.: A Qualitative Study of Determinants of PTSD Treatment Initiation in Veterans. Psychiatry: Interpersonal and Biological Processes 72:238-55, 2009.
 Mittal D, Drummond KL, Blevins D, et al.: Stigma associated with PTSD: perceptions of treatment seeking combat veterans. Psychiatric rehabilitation journal 36:86-92, 2013.
 Spoont MR, Sayer N, Friedemann-Sanchez G, et al.: From Trauma to PTSD: Beliefs About Sensations, Symptoms, and Mental Illness. Qualitative Health Research 19:1456-65, 2009.
 Wrenn GL, Wingo AP, Moore R, et al.: The effect of resilience on posttraumatic stress disorder in trauma-exposed inner-city primary care patients. Journal of the National Medical Association 103:560-6, 2011.
 Andersen R, Newman JF: Societal and Individual Determinants of Medical Care Utilization in the United States. The Milbank Quarterly 83:10.1111/j.468-0009.2005.00428.x, 2005.
 Flay BR, Petraitis J: The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. 1994
 Glaser BGS, Anselm L.: The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine Publishing Company, 1967.