Abstract
This study elicited multiple perspectives on attitudes towards help-seeking behaviors associated with mental health problems of college students in Ukraine. It employed a sequential mixed method design. First, focus groups were conducted with students and psychologists. These data were analyzed and used to develop a survey. The survey was subsequently administered to psychiatrists, the primary providers of services to people with psychiatric problems in Ukraine. Findings from the focus groups revealed four help-seeking behaviors: 1) friends and partners, (2) alcohol use, (3) family support, and (4) conventional and alternative mental health services. Students and psychiatrists differed in their beliefs about help-seeking behaviors. Although psychiatrists believed students sought help from mental health and/or addictions professionals, students reported using self-medication and social network support. Implications include a troubling gap in perceptions between the students impacted and the professional communities that should be serving them.
Similar content being viewed by others
References
Balakireva, O., Bondar, T., Rynhach, N., Andreeva, T., Sydyak, S., Hryshchenko, A., et al. (2008). Rates and prevalence of smoking, alcohol and drug use among students in Ukraine. Kyiv: Ukrainian Yaremenko Institute of Social Research.
Bertolote, J. M., & Fleischmann, A. (2002). A global perspective in the epidemiology of suicide. Suicidology, 7(2), 6–8.
Bromet, E. J., Gluzman, S. F., Paniotto, V. I., Webb, C. P. M., Tintle, N. L., Zakhozha, V., et al. (2005). Epidemiology of psychiatric and alcohol disorders in Ukraine. Social Psychiatry and Psychiatric Epidemiology, 40(9), 681–690. doi:10.1007/s00127-005-0927-9.
Corrigan, P. W., Steiner, L., McCracken, S. G., Blaser, B., & Barr, M. (2001). Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness. Psychiatric Services, 52(12), 1598–1606. doi:10.1176/appi.ps.52.12.1598.
Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research (2nd ed.). Los Angeles: SAGE Publications.
De Girolamo, G., Dagani, J., Purcell, R., Cocchi, A., & McGorry, P. D. (2011). Age of onset of mental disorders and use of mental health services: needs, opportunities and obstacles. Epidemiology and Psychiatric Sciences, FirstView, 1, 11–57. doi:10.1017/S2045796011000746.
Delva, J., Smith, M. P., Howell, R. L., Harrison, D. F., Wilke, D., & Jackson, D. L. (2004). A study of the relationship between protective behaviors and drinking consequences among undergraduate college students. Journal of American College Health, 53(1), 19–27. doi:10.3200/JACH.53.1.19-27.
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-seeking and access to mental health care in a university student population. Medical Care, 45(7), 594–601. doi:10.1097/MLR.0b013e31803bb4c1.
Griffiths, K. M., Nakane, Y., Christensen, H., Yoshioka, K., Jorm, A. F., & Nakane, H. (2006). Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry, 6(1), 21.
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry, 10(1), 113.
Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 64(7), 830.
Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10.
Jorm, A. F., Christensen, H., Medway, J., Korten, A. E., Jacomb, P. A., & Rodgers, B. (2000). Public belief systems about the helpfulness of interventions for depression: associations with history of depression and professional help-seeking. Social Psychiatry and Psychiatric Epidemiology, 35(5), 211–219.
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 159–174.
Lynch, M., & Cicchetti, D. (1998). An ecological-transactional analysis of children and contexts: the longitudinal interplay among child maltreatment, community violence, and children’s symptomatology. Development and Psychopathology, 10(02), 235–257.
Martsenkovsky, I., Martyniuk, V., & Ougrin, D. (2009). Delivering psychiatric services in primary care: is this the right way to go for Ukraine? International Psychiatry, 6(1), 2–4.
McCabe, S. E., Morales, M., Cranford, J. A., Delva, J., McPherson, M. D., & Boyd, C. J. (2007). Race/ethnicity and gender differences in drug use and abuse among college students. Journal of Ethnicity in Substance Abuse, 6(2), 75–95. doi:10.1300/J233v06n02_06.
Meslé, F., Vallin, J., Shkolnikov, V., Pyrozhkov, S., & Adamets, S. (2012). Mortality and causes of death in 20th-century Ukraine. Dordrecht : Springer.
Mojtabai, R., Olfson, M., Sampson, N. A., Jin, R., Druss, B., Wang, P. S., et al. (2011). Barriers to mental health treatment: results from the National Comorbidity Survey Replication. Psychological Medicine, 41(8), 1751–1761.
QSR International. (2008). NVivo qualitative data analysis software. Cambridge: Cambridge University Press.
Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing & Health, 23(3), 246–255.
Satcher, D. (2000). Mental health: a report of the Surgeon General-Executive summary. Professional Psychology: Research and Practice, 31(1), 5–13. doi:10.1037/0735-7028.31.1.5.
Siebert, D. C., Wilke, D. J., Delva, J., Smith, M. P., & Howell, R. L. (2003). Differences in African American and White college students’ drinking behaviors: Consequences, harm reduction strategies, and health information sources. Journal of American College Health, 52(3), 123–129.
Sim, J., & Wright, C. C. (2005). The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Physical Therapy, 85(3), 257–268.
StataCorp. (2011). Stata statistical software: Release 12. College Station: StataCorp LP.
Tashakkori, A., & Teddlie, C. (2010). Sage handbook of mixed methods in social & behavioral research (2nd ed.). Los Angeles: SAGE Publications.
Thakkera, J., Ward, T., & Strongman, K. T. (1999). Mental disorder and cross-cultural psychology: a constructivist perspective. Clinical Psychology Review, 19(7), 843–874.
UkrStat (2013). Higher education institutions in Ukraine. State statistics service of Ukraine. Retrieved March 3, 2013, from: http://ukrstat.org/uk/operativ/operativ2005/osv_rik/osv_u/vuz_u.html
Webb, C. P., Bromet, E. J., Gluzman, S., Tintle, N. L., Schwartz, J. E., Kostyuchenko, S., et al. (2005). Epidemiology of heavy alcohol use in Ukraine: findings from the world mental health survey. Alcohol and Alcoholism, 40(4), 327–335. doi:10.1093/alcalc/agh152.
Zachrisson, H. D., Rödje, K., & Mykletun, A. (2006). Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health, 6(1), 34.
Zucker, R. A., Wong, M. M., Clark, D. B., Leonard, K. E., Schulenberg, J. E., Cornelius, J. R., et al. (2006). Predicting risky drinking outcomes longitudinally: what kind of advance notice can we get? Alcoholism, Clinical and Experimental Research, 30(2), 243–252. doi:10.1111/j.1530-0277.2006.00033.x.
Acknowledgments
This study has been supported by the University of Michigan Center for Global Health.
Conflict of Interest
None of the co-authors have a conflict of interest to report in the conduct of this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Burlaka, V., Churakova, I., Aavik, O.A. et al. Attitudes Toward Health-Seeking Behaviors of College Students in Ukraine. Int J Ment Health Addiction 12, 549–560 (2014). https://doi.org/10.1007/s11469-014-9483-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11469-014-9483-4