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Self-Efficacy and Mental Health Help-Seeking Behavior of World Trade Center Health Registry Enrollees, 2015–2016

Author

Listed:
  • Sascha K. Garrey

    (World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, New York, NY 11101, USA)

  • Erin Takemoto

    (World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, New York, NY 11101, USA)

  • Lysa Petrsoric

    (World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, New York, NY 11101, USA)

  • Lisa M. Gargano

    (World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, New York, NY 11101, USA)

Abstract

The September 11th World Trade Center (WTC) disaster resulted in an elevated prevalence of Post-Traumatic Stress Disorder (PTSD) among those directly exposed, yet lower than expected rates of mental health treatment seeking and high levels of reported perceived unmet mental healthcare need were observed in this population in the years following. Self-efficacy, an individual’s self-perception of their ability to succeed in specific situations or accomplish a task or goal, may in part explain this discrepancy; however, little is known about its interplay with the help-seeking behaviors of disaster-exposed populations. We used WTC Health Registry data ( n = 11,851) to describe the relationship between self-efficacy and three outcomes related to help-seeking behavior: (1) seeking mental health treatment, (2) perceived unmet mental health care needs, and (3) satisfaction with mental health treatment. Multinomial logistic regression models were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CI). We found a dose-response relationship between self-efficacy score and mental health help-seeking: for every one unit increase in self-efficacy score, we observed a 6% increase in the odds of having treatment 4 to 12 months ago (OR = 1.06, CI: 1.03–1.09), a 7% increase in the odds of having had treatment 1 to 2 years ago (OR = 1.07, CI: 1.04, 1.09), and a 10% increase in the odds of having sought treatment 2 or more years ago (OR = 1.10, CI: 1.08, 1.12) compared to those who had sought treatment more recently. An understanding of individual self-efficacy may help improve post-disaster mental health treatment in order to provide more tailored and helpful care.

Suggested Citation

  • Sascha K. Garrey & Erin Takemoto & Lysa Petrsoric & Lisa M. Gargano, 2022. "Self-Efficacy and Mental Health Help-Seeking Behavior of World Trade Center Health Registry Enrollees, 2015–2016," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7113-:d:835629
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    References listed on IDEAS

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    1. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    2. Melanie H. Jacobson & Christina Norman & Pablo Sadler & Lysa J. Petrsoric & Robert M. Brackbill, 2019. "Characterizing Mental Health Treatment Utilization among Individuals Exposed to the 2001 World Trade Center Terrorist Attacks 14–15 Years Post-Disaster," IJERPH, MDPI, vol. 16(4), pages 1-18, February.
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