title: Effects of perceived responsibility on help-seeking decisions among elderly persons.
abstract: This study sought to clarify why elderly adults underutilize mental health services. One hundred ten elderly individuals were asked to imagine experiencing symptoms described in a vignette and to appraise their responsibility for the problem and for its solution, their willingness to seek help, and their preference among sources of help. Results indicated that perception of problems as either medical or psychological significantly affected how elders appraised responsibility. Although attributions were unrelated to help-seeking for medical problems, elderly persons feeling responsible for psychological problems were more likely to seek help for them. Perceived responsibility predicted the sources of help (e.g., social network, physicians, mental health workers) selected by elders who believed that their problems were medical, but not for problems thought to be psychological. A discussion of the reasons for their underutilization of mental health services is presented, with an emphasis on the practical implications of the results.
authors.affiliation: McLean Hospital, Belmont, Massachusetts.
authors.forename: D C
authors.initials: DC
authors.lastname: Ray
authors.forename: M A
authors.initials: MA
authors.lastname: Raciti
authors.forename: W E
authors.initials: WE
authors.lastname: MacLean
mesh_terms: D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care; D010820:Physicians / Q000706:statistics & numerical data; D012067:Religion; D012941:Social Responsibility; D012944:Social Support