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Help-Seeking for Depression: Can a Mental-Contrasting and Implementation-Intentions Intervention Overcome the Curse of the Boomerang? /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Help-Seeking for Depression: Can a Mental-Contrasting and Implementation-Intentions Intervention Overcome the Curse of the Boomerang? // Amanda Keeler.
Author:	Keeler, Amanda,
Description:	1 electronic resource (154 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
Contained By:	Dissertations Abstracts International83-03B.
Subject:	Psychology. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28547586
ISBN:	9798538119455

Help-Seeking for Depression: Can a Mental-Contrasting and Implementation-Intentions Intervention Overcome the Curse of the Boomerang? /
Keeler, Amanda,

Help-Seeking for Depression: Can a Mental-Contrasting and Implementation-Intentions Intervention Overcome the Curse of the Boomerang? /Amanda Keeler. - 1 electronic resource (154 pages)

Source: Dissertations Abstracts International, Volume: 83-03, Section: B.

One of the key challenges in encouraging individuals with elevated depressive symptomatology is encouraging help-seeking in a way that will not backfire or cause a "boomerang effect" whereby the individual is less likely to report seeking help (or intentions to seek help) as a result of completing an intervention. Beck's cognitive theory of depression indicates that individuals with elevated depressive symptomatology may process information differently than those without depression therefore, an intervention that reduces cognitive load may be advantageous. Gollwitzer's theory of implementation intentions outlines a method to address the discrepancy between goal intentions and subsequent behavior. Implementation intentions are "if-then" plans that specify how a goal will be achieved in advance so that when the critical cue is encountered, the goal behavior will be performed without much cognitive effort. The implementation intention interventions focusing exclusively on individuals with mental health symptoms have been moderately successful, although very few have explicitly focused exclusively on individuals with increased depressive symptomatology, utilized the addition of mental contrasting to the implementation intentions, or have focused on help-seeking behaviors. The goal of this research was to apply this social psychological theory to the oft-noted difficulty of encouraging individuals with elevated depressive symptomatology to seek help in a way that would not increase negative cognitions about themselves, others, or seeking help (e.g., the "boomerang effect"). This dissertation, featuring two online pre-post studies, sought to answer whether mental contrasting and implementation intentions (MCII) can be used to initiate or increase the intention to seek help for depression. Study 1 featured two populations of individuals with elevated depressive symptomatology (MTurk and Claremont Consortium students) and used three conditions (help seeking MCII intervention, exercise MCII comparison intervention, and information only control). Results from baseline measurements aided to clarify nuances of negative bias in depression found in research previously conducted by the author. Study 1 also established that an online format was feasible, collecting data from MTurk was more efficient than a student population as well as helped to streamline the intervention in preparation for the second study. Focusing only on the help seeking MCII intervention, Study 2 included individuals with elevated depressive symptomatology and two conditions (help seeking intervention and information only control). The results indicated the intervention group reported greater intentions to seek help as well as actual help-seeking. Proportionally, help-seeking was more likely for individuals who received the intervention and either did not perceive themselves as depressed or had scores indicating that their depressive symptomatology decreased from baseline. Given the recent increases in mental health concerns due to the pandemic, the need to develop alternative and remote methods to help provide mental health support is vital. Together, this set of studies offers support that an online implementation intentions intervention to seek help is feasible, but whether actual help seeking success is based solely on the intervention require further investigation. The discussion offers several ways that future research can modify and expand this line of research utilizing mental contrasting and implementation intentions for help-seeking for depression to include clinicians, family, and friends.

English

ISBN: 9798538119455Subjects--Topical Terms:

519075
Psychology.
Subjects--Index Terms:

Depression

Help-Seeking for Depression: Can a Mental-Contrasting and Implementation-Intentions Intervention Overcome the Curse of the Boomerang? /
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520 $a One of the key challenges in encouraging individuals with elevated depressive symptomatology is encouraging help-seeking in a way that will not backfire or cause a "boomerang effect" whereby the individual is less likely to report seeking help (or intentions to seek help) as a result of completing an intervention. Beck's cognitive theory of depression indicates that individuals with elevated depressive symptomatology may process information differently than those without depression therefore, an intervention that reduces cognitive load may be advantageous. Gollwitzer's theory of implementation intentions outlines a method to address the discrepancy between goal intentions and subsequent behavior. Implementation intentions are "if-then" plans that specify how a goal will be achieved in advance so that when the critical cue is encountered, the goal behavior will be performed without much cognitive effort. The implementation intention interventions focusing exclusively on individuals with mental health symptoms have been moderately successful, although very few have explicitly focused exclusively on individuals with increased depressive symptomatology, utilized the addition of mental contrasting to the implementation intentions, or have focused on help-seeking behaviors. The goal of this research was to apply this social psychological theory to the oft-noted difficulty of encouraging individuals with elevated depressive symptomatology to seek help in a way that would not increase negative cognitions about themselves, others, or seeking help (e.g., the "boomerang effect"). This dissertation, featuring two online pre-post studies, sought to answer whether mental contrasting and implementation intentions (MCII) can be used to initiate or increase the intention to seek help for depression. Study 1 featured two populations of individuals with elevated depressive symptomatology (MTurk and Claremont Consortium students) and used three conditions (help seeking MCII intervention, exercise MCII comparison intervention, and information only control). Results from baseline measurements aided to clarify nuances of negative bias in depression found in research previously conducted by the author. Study 1 also established that an online format was feasible, collecting data from MTurk was more efficient than a student population as well as helped to streamline the intervention in preparation for the second study. Focusing only on the help seeking MCII intervention, Study 2 included individuals with elevated depressive symptomatology and two conditions (help seeking intervention and information only control). The results indicated the intervention group reported greater intentions to seek help as well as actual help-seeking. Proportionally, help-seeking was more likely for individuals who received the intervention and either did not perceive themselves as depressed or had scores indicating that their depressive symptomatology decreased from baseline. Given the recent increases in mental health concerns due to the pandemic, the need to develop alternative and remote methods to help provide mental health support is vital. Together, this set of studies offers support that an online implementation intentions intervention to seek help is feasible, but whether actual help seeking success is based solely on the intervention require further investigation. The discussion offers several ways that future research can modify and expand this line of research utilizing mental contrasting and implementation intentions for help-seeking for depression to include clinicians, family, and friends.
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