Investigating Psychological Service Utilization Employing an Integrative Sociostructural, Cultural, and Behavioral Framework

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datacite.alternateIdentifier.citationProfessional Psychology: Research and Practice, 53 (6), 584-574, 2022
datacite.alternateIdentifier.doi10.1037/pro0000465
datacite.alternateIdentifier.issn0735-7028
datacite.creatorSalinas-Oñate, Natalia
datacite.creatorBetancourt, Hector M.
datacite.creatorFlynn, Patricia Michele
datacite.creatorBaeza-Rivera, María José
datacite.creatorOrtiz, Manuel S.
datacite.date2022
datacite.rightsRegistro Bibliográfico
datacite.subjectCulture
datacite.subjectEmotions
datacite.subjectExpectations
datacite.subjectPsychological Services Utilization
datacite.titleInvestigating Psychological Service Utilization Employing an Integrative Sociostructural, Cultural, and Behavioral Framework
dc.description.abstractBuilding on research that has identified factors relevant to psychological services utilization, this study examines some of those variables within the context of cultural beliefs about psychological care among primary care patients in Chile, a country with high rates of depression and low mental health services utilization. Guided by an integrative conceptual framework, the structure of relations among sociostructural, cultural, and psychological factors influencing mental health services utilization was tested. Participants included 201 women referred for colocated psychological services at 13 primary care centers. Cultural beliefs about psychological care were measured employing a scale developed using a mixed-methods cultural research approach to instrument development. Additional scales assessed sociostructural factors (age, ethnicity, socioeconomic status; SES), outcome expectations and emotions, and intention to utilize psychological services. A structural equation model including the hypothesized structure of relations among the study variables fit the data well (comparative fit index [CFI] =.99, χ2[68] = 78.44, p =.18; χ2/df = 1.15; root-mean-square error of approximation [RMSEA] =.03, 90% CI [.00,.05]). As proposed, cultural beliefs about psychological care predicted intention to utilize psychological services, directly and indirectly, through outcome expectations and emotions (ab′ =.07, CI [.01,.14]). Specifically, positive cultural beliefs about receiving psychological care influenced outcome expectations (β =.30, p =.00) and positive emotions (β =.43, p =.00), which in turn predicted intention to utilize psychological services (β =.23, p =.01; β =.18, p =.03). Integrative approaches including sociostructural, cultural, and psychological determinants may result in more effective and culturally appropriate interventions aimed at reducing disparities in psychological services utilization. This research could contribute to the internationalization of knowledge on mental health services utilization. © 2023 Elsevier B.V., All rights reserved.
dc.identifier.issn1939-1323
dc.language.isoen
dc.publisherAmerican Psychological Association
dc.sourceProfessional Psychology: Research and Practice
oaire.citationEndPage584
oaire.citationIssue6
oaire.citationStartPage574
oaire.citationVolume53
oaire.fundingReferenceANID FONDECYT 11180115
oaire.fundingReferenceANID MILLENNIUM ICS13_005 (MIDAP)
oaire.licenseConditionCopyright © American Psychological Association, 2022
oaire.resourceTypeArtículo
oaire.resourceType.enArticle
uct.catalogadorjvu
uct.comunidadCiencias de la Saluden_US
uct.departamentoDepartamento de Psicología
uct.facultadFacultad de Ciencias de la Salud
uct.indizacionSocial Sciences Citation Index - SSCI
uct.indizacionScopus
uct.indizacionPsycINFO
uct.indizacionPubMed
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