Abstract
Adolescents experience high rates of mental health problems but are reluctant to seek professional help. Parents play an integral role in the help seeking process for their adolescent children. Parental authoritativeness and support have been identified as contributing to better mental health outcomes and a reduction in help seeking barriers in their children. The current study examined the influence of parental authoritativeness and support on help seeking intentions and behaviors in 1582 students (49% female) in 17 schools (mean age = 17.7, range 16–18). All data was available for 1032 participants across two time points collected one year apart. Concurrent indices of positive parenting were associated with greater help seeking intentions from professional sources, even when gender and psychological distress were controlled. Parental authoritativeness and parental support did not predict actual help seeking assessed one year later. The study highlights the potential role of parents in influencing help seeking and suggests further research is needed on other parent variables and the social antecedents to help-seeking.
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Data Availability
The datasets generated and/or analyzed during the current study are not publicly available but are available from the corresponding author on reasonable request.
References
Australian Bureau of Statistics (2007). National survey of mental health and wellbeing: Summary of Results (no. 4326.0). http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/4326.0Main%20Features22007. Accessed 6 Dec 2018.
Australian Bureau of Statistics (2010). Schools, Australia, 2010; Students. http://www.abs.gov.au/ausstats/abs@.nsf/lookup/4221.0Main+Features42010?OpenDocument. Accessed 6 December 2018.
Australian Curriculum Assessment and Reporting Authority (2014). 2013 school profile and population data. https://myschool.edu.au/. Accessed6 Dec 2018.
Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use. The Journal of Early Adolescence, 11(1), 56–95. https://doi.org/10.1177/0272431691111004.
Biddle, L., Donovan, J., Sharp, D., & Gunnell, D. (2007). Explaining non-help seeking amongst young adults with mental distress: a dynamic interpretive model of illness behavior. Sociology of Health and Illness, 29(7), 983–1002.
Buri, J. (1991). Parental authority questionnaire. Journal of Personality and Assessment, 57(1), 110–119. https://doi.org/10.1207/s15327752jpa5701_13.
Ciarrochi, J., Deane, F., Wilson, C., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help. British Journal of Guidance and Counselling, 30, 173–188. https://doi.org/10.1080/03069880220128047.
Ciarrochi, J., Morin, A. J., Sahdra, B. K., Litalien, D., & Parker, P. D. (2017). A longitudinal person-centered perspective on youth social support: relations with psychological wellbeing. Developmental Psychology, 53(6), 1154 https://doi.org/10.1037/dev0000462.
Čablová, L., Pazderková, K., & Miovský, M. (2014). Parenting styles and alcohol use among children and adolescents: a systematic review. Drugs: Education, Prevention and Policy, 21(1), 1–13. https://doi.org/10.3109/09687637.2013.817536.
De Goede, I. H., Branje, S. J., Delsing, M. J., & Meeus, W. H. (2009). Linkages over time between adolescents’ relationships with parents and friends. Journal of Youth and Adolescence, 38(10), 1304–1315. https://doi.org/10.1007/s10964-009-9403-2.
Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001). Suicidal ideation and help‐negation: not just hopelessness or prior help. Journal of Clinical Psychology, 57(7), 901–914. https://doi.org/10.1002/jclp.1058.abs.
Downs, M. F., & Eisenberg, D. (2012). Help seeking and treatment use among suicidal college students. Journal of American College Health, 60(2), 104–114. https://doi.org/10.1080/07448481.2011.619611.
Field, A. (2009). Discovering statistics using SPSS. 3rd edn. London: Sage.
Furman, W., & Buhrmester, D. (1992). Age and sex differences in perceptions of networks of personal relationships. Child Development, 63(1), 103–115. https://doi.org/10.2307/1130905.
Gauvain, M., Perez, S. M., & Beebe, H. (2013). Authoritative parenting and parental support for children’s cognitive development. In R. E. Larzelere, A. Sheffield Morris & A. W. Harrist (Eds), Authoritative parenting: Synthesizing nurturance and discipline for optimal child development (pp. 211–233). Washington, DC: American Psychological Association.
Goldberg, D., Gater, R., Sartorius, N., Ustun, T., Piccinelli, M., Gureje, O., & Rutter, M. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27, 191–197. https://doi.org/10.1017/s0033291796004242.
Gottman, J. M., Katz, L. F., & Hooven, C. (1996). Parental meta-emotion philosophy and the emotional life of families: Theoretical models and preliminary data. Journal of Family Psychology, 10(3), 243 https://doi.org/10.1037/0893-3200.10.3.243.
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 https://doi.org/10.1186/1471-244X-10-113.
Hombrados-Mendieta, M. I., Gomez-Jacinto, L., Dominguez-Fuentes, J. M., Garcia-Leiva, P., & Castro-Travé, M. (2012). Types of social support provided by parents, teachers, and classmates during adolescence. Journal of Community Psychology, 40(6), 645–664. https://doi.org/10.1002/jcop.20523.
Kandel, D. B. (1996). The parental and peer contexts of adolescent deviance: an algebra of interpersonal influences. Journal of Drug Issues, 26(2), 289–315. https://doi.org/10.1177/002204269602600202.
Kim, N. H., Lim, K. Y., Chung, Y. K., Noh, J. S., & Shin, Y. M. (2014). Gender differences in factors associated with perceived need and use of Korean adolescents mental health services. Child Psychiatry and Human Development, 45(6), 746–752. https://doi.org/10.1007/s10578-014-0443-9.
Kritzas, N., & Grobler, A. A. (2005). The relationship between perceived parenting styles and resilience during adolescence. Journal of Child and Adolescent Mental Health, 17(1), 1–12. https://doi.org/10.2989/17280580509486586.
Lawrence, D., Johnson, S., Hafekost, J., Boterhoven De Haan, K., Sawyer, M., Ainley, J., & Zubrick, S. (2015). The mental health of children and adolescents. Report on the Second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Canberra: Department of Health.
Lindsey, M. A., Joe, S., & Nebbitt, V. (2010). Family matters: the role of mental health stigma and social support on depressive symptoms and subsequent help seeking among African American boys. Journal of Black Psychology, 36(4), 458–482. https://doi.org/10.1177/0095798409355796.
Logan, D. E., & King, C. A. (2001). Parental facilitation of adolescent mental health services utilization: a conceptual and empirical review. Clinical Psychology: Science and Practice, 8(3), 319–333. https://doi.org/10.1093/clipsy/8.3.319.
Malecki, C. K., & Elliott, S. N. (1999). Adolescents’ ratings of perceived social support and its importance: validation of the Student Social Support Scale. Psychology in the Schools, 36(6), 473–483. https://doi.org/10.1002/(sici)1520-6807(199911)36:6<473::aid-pits3>3.0.co;2-0.
Nolten, P.W. (1994). Conceptualization and measurement of social support: the development of the student social support scale. Unpublished Doctoral Dissertation: University of Wisconsin-Madison.
O’Connor, P. J., Martin, B., Weeks, C. S., & Ong, L. (2014). Factors that influence young people’s mental health help-seeking behavior: a study based on the Health Belief Model. Journal of Advanced Nursing, 70(11), 2577–2587. https://doi.org/10.1111/jan.12423.
Pinquart, M. (2017). Associations of parenting dimensions and styles with externalizing problems of children and adolescents: an updated meta-analysis. Developmental Psychology, 53(5), 873–923. https://doi.org/10.1037/dev0000295.
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Australian E-Journal for the Advancement of Mental Health, 4(3), 1–34. https://doi.org/10.5172/jamh.4.3.218.
Rosenstock, I. (1974). The health belief model and preventive health behavior. Health Education & Behavior, 2, 354–386. https://doi.org/10.1177/109019817400200405.
Rowe, S. L., French, R. S., Henderson, C., Ougrin, D., Slade, M., & Moran, P. (2014). Help-seeking behaviour and adolescent self-harm: a systematic review. Australian and New Zealand Journal of Psychiatry, 48(12), 1083–1095. https://doi.org/10.1177/0004867414555718.
Ryan, S. M., Jorm, A. F., Toumbourou, J. W., & Lubman, D. I. (2015). Parent and family factors associated with service use by young people with mental health problems: a systematic review. Early Intervention in Psychiatry, 9(6), 433–446. https://doi.org/10.1111/eip.12211.
Sawyer, M. G., Miller-Lewis, L. R., & Clark, J. J. (2007). The mental health of 13–17 year-olds in Australia: findings from the national survey of mental health and well-being. Journal of Youth and Adolescence, 36(2), 185–194. https://doi.org/10.1007/s10964-006-9122-x.
Sheppard, R., Deane, F. P., & Ciarrochi, J. (2018). Unmet need for professional mental health care among adolescents with high psychological distress. Australian and New Zealand Journal of Psychiatry, 52(1), 59–67. https://doi.org/10.1177/0004867417707818.
Spithoven, A. W. M., Bijttebier, P., Van Leeuwen, K., & Goossens, L. (2016). Factor structure of parenting behavior in early adolescence. Journal of Adolescence, 53, 91–94. https://doi.org/10.1016/j.adolescence.2016.09.002.
Supple, A. J., & Small, S. A. (2006). The influence of parental support, knowledge, and authoritative parenting on Hmong and European American development. Journal of Family Issues, 27, 1214–1232. https://doi.org/10.1177/0192513X06289063.
Tait, R. J., French, D. J., & Hulse, G. K. (2003). Validity and psychometric properties of the General Health Questionnaire-12 in young Australian adolescents. Australian and New Zealand Journal of Psychiatry, 37(3), 374–381. https://doi.org/10.1046/j.1440-1614.2003.01133.x.
Talebi, M., Matheson, K., & Anisman, H. (2016). The stigma of seeking help for mental health issues: mediating roles of support and coping and the moderating role of symptom profile. Journal of Applied Social Psychology, 46(8), 470–482. https://doi.org/10.1111/jasp.12376.
Thurston, I. B., Phares, V., Coates, E. E., & Bogart, L. M. (2015). Child problem recognition and help-seeking intentions among black and white parents. Journal of Clinical Child & Adolescent Psychology, 44(4), 604–615.
Van Droogenbroeck, F., Spruyt, B., & Keppens, G. (2018). Gender differences in mental health problems among adolescents and the role of social support: results from the Belgian health interview surveys 2008 and 2013. BMC Psychiatry, 18(1), 6 https://doi.org/10.1186/s12888-018-1591-4.
Venning, A., Wilson, A., Kettler, L., & Eliott, J. (2013). Mental health among youth in South Australia: a survey of flourishing, languishing, struggling, and floundering. Australian Psychologist, 48(4), 299–310. https://doi.org/10.1111/j.1742-9544.2012.00068.x.
Wahlin, T., & Deane, F. P. (2012). Discrepancies between parent-and adolescent-perceived problem severity and influences on help seeking from mental health services. Australian and New Zealand Journal of Psychiatry, 46(6), 553–560. https://doi.org/10.1177/0004867412441929.
Williams, K. E., Ciarrochi, J., & Heaven, P. C. (2012). Inflexible parents, inflexible kids: a 6-year longitudinal study of parenting style and the development of psychological flexibility in adolescents. Journal of Youth and Adolescence, 41(8), 1053–1066. https://doi.org/10.1007/s10964-012-9744-0.
Wilson, C. J., & Deane, F. P. (2010). Help-negation and suicidal ideation: the role of depression, anxiety and hopelessness. Journal of Youth and Adolescence, 39(3), 291–305. https://doi.org/10.1007/s10964-009-9487-8.
Wilson, C. J., Deane, F. P., Ciarrochi, J., & Rickwood, D. (2005). Measuring Help-Seeking Intentions: properties of the General Help-Seeking Questionnaire. Canadian Journal of Counselling, 39(1), 15–28. https://doi.org/10.1016/j.eatbeh.2013.02.004.
Zhao, W., Young, R. E., Breslow, L., Michel, N. M., Flett, G. L., & Goldberg, J. O. (2015). Attachment style, relationship factors, and mental health stigma among adolescents. Canadian Journal of Behavioural Science/Revue canadienne des Sciences Délután Comportement, 47(4), 263–271. https://doi.org/10.1037/cbs0000018.
Zwaanswijk, M., Verhaak, P. F., Bensing, J. M., Van der Ende, J., & Verhulst, F. C. (2003). Help seeking for emotional and behavioural problems in children and adolescents. European Child & Adolescent Psychiatry, 12(4), 153–161. https://doi.org/10.1037/e536932011-153.
Authors’ Contributions
All authors conceived the study. FD and JC were involved in study design. JC was responsible for coordinating data collection. MM and FD performed the statistical analysis. All authors were involved in interpretation of data. MM provided the first draft of the manuscript and all authors were involved in subsequent drafts. All authors read and approved the final manuscript.
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This research was partially funded by grants from the Australian Research Council (DP110100989, DP140103874, DE140100080).
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Maiuolo, M., Deane, F.P. & Ciarrochi, J. Parental Authoritativeness, Social Support and Help-seeking for Mental Health Problems in Adolescents. J Youth Adolescence 48, 1056–1067 (2019). https://doi.org/10.1007/s10964-019-00994-4
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DOI: https://doi.org/10.1007/s10964-019-00994-4