RESUMEN
Relatively little is known about individual characteristics that factor into the decision to seek help for mood and anxiety symptoms. The current study was undertaken in order to examine factors that predict the likelihood of seeking help for mood and anxiety symptoms amongst a clinical population. Patients (Nâ¯=â¯278) referred to a tertiary care clinic in Toronto, Canada were asked about their help-seeking behaviours (HSB) through initial intake assessments and self-administered questionnaires, including the Beck Anxiety Inventory, Anxiety Sensitivity Index, Intolerance of Uncertainty Scale, and Beck Depression Inventory-II. Correlates of anxiety and depression were examined to determine whether they could predict HSB amongst individuals with Generalized Anxiety Disorder with or without comorbid Major Depressive Disorder, as well as Panic Disorder and Social Anxiety Disorder. Psychiatric diagnoses were then examined to determine whether comorbidity and demographic factors impacted HSB. Results indicated that there were significant differences in anxiety and depression correlating mainly with anxiety sensitivity, as a predictor of HSB, and that there is a complex relationship between disorder type and demographic variables. The implications of these findings and suggested targeted interventions are discussed.
Asunto(s)
Trastornos de Ansiedad/psicología , Trastorno Depresivo Mayor/psicología , Conducta de Búsqueda de Ayuda , Trastornos del Humor/psicología , Aceptación de la Atención de Salud/psicología , Adolescente , Adulto , Afecto/fisiología , Anciano , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/epidemiología , Canadá/epidemiología , Comorbilidad , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trastornos del Humor/diagnóstico , Trastornos del Humor/epidemiología , Trastorno de Pánico/diagnóstico , Trastorno de Pánico/epidemiología , Trastorno de Pánico/psicología , Valor Predictivo de las Pruebas , Encuestas y Cuestionarios , Adulto JovenRESUMEN
PIP: This paper is a survey of analyses of women's labor force growth in 12 industrialized countries, presented at a conference in Sussex, England in 1983. The main focus is on growth of the labor force of married women from 1960-1980; trends in fertility, wages, and family instability are discussed. In all countries, wages of women were lower than wages of men, although between 1960 and 1980 labor force rates of married women rose in most of the industrialized countries. 2 factors that are associated with this growth are declines in fertility and increases in divorce rates. The 12 countries studied are: 1) Australia, 2) Britain, 3) France, 4) Germany, 5) Israel, 6) Italy, 7) Japan, 8) Netherlands, 9) Spain, 10) Sweden, 11) US, and 12) USSR. The substitution variables (wages of women or their education) have strong positive effects on labor force participation in most cases, and in most cases the positive wage elasticities exceed the negative income elasticities by a sizable margin. A summary table estimating parameters of the P-function for each country, and their predictive performance in time series, are included. From 1960-1980 the average per country growth in participation of married women was 2.84% per year. Wages of working women, in this same period grew, on average, faster than wages of men in most countries, in part due to selectivity by education in labor force growth. While growth rates of real wages across countries have a weak relation with the differential growth rates of married women's labor force, the relation is strong when country parameters are taken into account. The dominance of the "discouraged" over the "added" workers in female labor force growth appears to be upheld internationally. On the average, total fertility rate dropped from 2.42 in 1970 to 1.85 in 1980. Both fertility declines and the growth of family instability appear to represent lagged effects of longer term developments in the labor force of women. Women's wages are lower than men's wages in all countries; wage differentials narrowed in all other countries over the past 2 decades. This narrowing was due both to women's educational attainment catching up with men's, and to a positive educational selectivity of women's labor force growth during this period. Ultimately, without labor market discrimination and with equal educational attainment, the wage gap can be eliminated only when sex differences in lifetime work experience vanish.^ieng